Implementasi Range of Motion Pasif terhadap Percepatan Bromage Score Pasien Pasca Anestesi Spinal di Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto
DOI:
https://doi.org/10.55606/nusantara.v6i3.10072Keywords:
Bromage Score, Motoric Recovery, Passive Range of Motion, Postoperative, Spinal AnesthesiaAbstract
Delayed recovery of motor function following spinal anesthesia may prolong recovery room stay and delay early mobilization. Passive Range of Motion (ROM) is a simple non-pharmacological intervention that may accelerate motor recovery. To describe the implementation of passive ROM in accelerating Bromage Score recovery among patients after spinal anesthesia at Rumah Sakit Khusus Bedah Jatiwinangun Purwokerto. This community service program involved 30 postoperative spinal anesthesia patients who met the inclusion criteria. Activities included patient education, assessment of Bromage Score before intervention, passive ROM implementation for 5–10 minutes, and post-intervention evaluation. Data were analyzed descriptively using frequency distribution. Most participants were 17–45 years old (76.7%), male (60%), classified as ASA I (66.7%), received 10 mg hyperbaric bupivacaine (46.6%), and had no previous surgical history (66.7%). Before intervention, all participants had Bromage Score 3 (100%). Following passive ROM, 60% achieved Bromage Score 1, with an average recovery time of 41 minutes. Passive ROM is a practical, safe, and feasible intervention that may accelerate motor recovery after spinal anesthesia and support early postoperative mobilization.
Downloads
References
Baldini, G., Butterworth, J. F., Dore, S., Finneran, J. J., Frolich, M. A., Ilfeld, B. M., Leng, J. C., Mackey, D. C., Mariano, E. R., Pal, N., Ramsay, M., Shah, P., & Vrooman, B. M. (2022). Morgan & Mikhail’s clinical anesthesiology (7th ed.). McGraw Hill.
Cody, J. D., Jacobs, M. L., Richardson, K., Moehrer, B., & Hextall, A. (2012). Oestrogen therapy for urinary incontinence in post-menopausal women. Cochrane Database of Systematic Reviews, 2012(10), Article CD001405. https://doi.org/10.1002/14651858.CD001405.pub3
Gropper, M. A., Miller, R. D., & Cohen, N. H. (2020). Miller’s anesthesia (10th ed.). Elsevier.
Hosseini, Z. S., Peyrovi, H., & Gohari, M. (2019). The effect of early passive range of motion exercise on motor function of people with stroke: A randomized controlled trial. Journal of Caring Sciences, 8(1), 39–44. https://doi.org/10.15171/jcs.2019.006
Karnina, R., Rahayu, N. S., & Faruk, M. (2022). Factors influencing Bromage score in post-spinal anesthesia patients. Bali Medical Journal, 11(3), 1146–1150. https://doi.org/10.15562/bmj.v11i3.3435
Kusumawati, T. (2019). Pengaruh ROM pasif terhadap Bromage Score pasien pasca spinal anestesi.
Mangku, G., & Senapathi, T. G. A. (2017). Buku ajar ilmu anestesia dan reanimasi. PT Indeks.
Nur Azizah, A., & Yomanovanka, K. A. (2022). Hubungan status fisik ASA dengan waktu pulih sadar pada pasien pasca anestesi umum di RS PKU Muhammadiyah Yogyakarta. Jurnal Keperawatan, 10(5). https://doi.org/10.24843/coping.2022.v10.i05.p08
Nurhayati, H., Fitria, C. N., Wijayanti, W., & Nindita, H. A. L. (2023). Perbedaan pemberian ROM pasif ekstremitas bawah terhadap Bromage Score pasien post operasi sectio caesarea dengan spinal anestesi. Vitamin: Jurnal Ilmu Kesehatan Umum, 1(3), 40–48. https://doi.org/10.61132/vitamin.v1i3.1042
Olawin, A. M., & Das, J. M. (2026). Spinal anesthesia. StatPearls Publishing.
Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2005). Buku ajar fundamental keperawatan: Konsep, proses, dan praktik (Vol. 2, Edisi 1; E. Monica, Y. Devi, & I. Parulian, Eds.). EGC.
Rehatta, N. M., Henindito, E., Tantri, A. R., Redjeki, I. S., Soenarto, R. F., Bisri, D. Y., Musba, A. M. T., & Lestari, M. I. (2019). Anestesiologi dan terapi intensif: Buku teks KATI-PERDATIN (1st ed.). PT Gramedia Pustaka Utama.
Rismawati, Wibowo, T. H., & Hikmanti, A. (2023). Analisis faktor-faktor yang berpengaruh terhadap pemulihan Bromage Score pasien pasca anestesi spinal di Rumah Sakit Khusus Bedah Jatiwinangun. Jurnal Cakrawala Ilmiah, 2, 4485–4496. https://doi.org/10.53625/jcijurnalcakrawalailmiah.v2i12.6384
Saputra, S., Handayani, R. N., & Hikmanti, A. (2024). Pengaruh latihan pasif ekstremitas bawah terhadap percepatan Bromage Score pada pasca anestesi spinal di ruang pulih sadar Rumah Sakit Bedah Khusus Jatiwinangun. Jurnal Ilmiah Wahana Pendidikan, (6), 812–818. https://doi.org/10.5281/zenodo.10653046
Trinity, J. D., & Richardson, R. S. (2019). Physiological impact and clinical relevance of passive exercise/movement. Sports Medicine, 49(9), 1365–1381. https://doi.org/10.1007/s40279-019-01146-1
Wulandari, P., Shinta, & Andrianti, S. (2022). Pengaruh latihan pasif ekstremitas bawah terhadap percepatan Bromage Score pada pasien post operasi apendiktomi di ruang pulih sadar Rumah Sakit Harapan dan Doa (RSHD) Kota Bengkulu. Nursing Journal, 2.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Ikhlas Mapolawa, Wilis Sukmaningtyas, Feti Kumala Dewi

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.






