The Effect Range of Motion (Rom) Exercise on Lower Extremities Joint Pain Level for Elderly at Gampong Tanjung Selamat Kec. Darussalam Kab. Aceh Besar

Abstract

BACKGROUND : Joint pain is a condition that often experienced for elderly and caused by a degenerative disease that causes reduced joint synovial fluid and give a pain and joint stiffness. ROM excercise is an exercise to increasing flexibility of muscles and joints. PURPOSE : The purpose of this research was to find out the effect of ROM excercise on lower extremities joint pain level for elderly. METHODS : The method of this research was a quasi experimental research design consisted of pre and postest without control. The data collected by 6 time for 2 weeks, with amount of sample counted 33 respondents. The level of the lower extremities joint pain was measured by VAS pain scale. The data were analyzed with SPSS 17 program with non parametric statistic test, to see the scale of lower extremities joint pain in elderly when there was no movement was measured by McNemar test, while moving (walk) and to see the general lower extremities pain scale before and after ROM exercise was measured by Marginal Homogenity test. RESULTS : The research result showed the differences of joint pain scale before and after ROM exercise when the elderly has no movement (p value = 0,05), and there is a differences for pain scale before and after ROM exercise when the elderly has movement (p value = 0,005). Generally, there is a difference joint pain level between before and after ROM exercise (p value = 0,014). CONCLUSIONS : After doing ROM exercise for 6 times, the reduction of joint pain in elderly was occured. When there was no any movement, the level of low joint pain in elderly before ROM exercise was about 30,3% to being 3% after ROM exercise. When moving (walk) the level of low joint pain which is being suffering by elderly from 54% before ROM exercise being 36,4% after ROM exercise. While generally before ROM exercise, the level of medium joint pain in elderly was about 15,2% before ROM exercise being null (0%), means that no body suffers joint pain after ROM exercise. Statistically, based on non-parametric test by McNemar and Marginal Homogeneity test, there was the significant difference in scale of average scores in joint pain before and after ROM exercise when there was no any movement with P-value 0,004 and when the was a movement (walk) P-value 0,005. Generally, there was the difference in avarage scores in joint pain in elderly before and after ROM exercise with P-Value 0,014. So, ROM exercise can be used as a way to decrease the scale of joint pain in erderly.