IMPLEMENTATION OF SLOW STROKE BACK MASSAGE AND EARLY MOBILIZATION IN PATIENTS WITH PHYSICAL MOBILITY IMPAIRMENT AFTER STROKE: A CASE STUDY
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Abstract
Background: Stroke is a major cause of long-term disability and is commonly associated with physical mobility impairment resulting from neuromuscular dysfunction. Decreased muscle strength and limited mobility can reduce functional independence and increase the risk of complications. Nursing-led non-pharmacological interventions, such as therapeutic massage and early mobilization, have the potential to support early functional recovery; however, detailed clinical descriptions of their combined application in post-stroke nursing care are still limited. Methods: This study employed a case study design using a nursing care approach. The subject was one post-stroke patient diagnosed with physical mobility impairment. The nursing intervention consisted of Slow Stroke Back Massage followed by early mobilization, implemented twice daily over six consecutive days. Muscle strength was assessed using Manual Muscle Testing (MMT), while physical mobility and activity tolerance were evaluated through direct observation. Data were analyzed descriptively using a case analysis approach. Results: After six days of intervention, the patient demonstrated progressive improvement in muscle strength and mobility. The affected upper extremity showed improvement from minimal muscle contraction to active movement with gravity eliminated, while the affected lower extremity improved from movement with gravity eliminated to active movement against gravity. The patient also showed increased participation in mobilization activities and improved tolerance to physical movement, with stable vital signs throughout the intervention period. Conclusion: This case study indicates that the combined application of Slow Stroke Back Massage and early mobilization may contribute to improvements in muscle strength and physical mobility in post-stroke patients with physical mobility impairment. These findings support the potential role of holistic, nursing-led interventions in early stroke rehabilitation. Further studies with larger samples and controlled designs are recommended.
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