Application of Clove Oil Massage Combined with Range of Motion Exercises to Improve Muscle Strength in Non-Hemorrhagic Stroke Patients: A Case Report

Main Article Content

Lusma Rosi Adlina

Abstract

Background: Stroke is one of the leading causes of disability worldwide and frequently results in motor weakness, reduced functional mobility, and dependence in daily activities. Early rehabilitation is essential to prevent complications and enhance recovery. Non-pharmacological nursing interventions such as massage therapy and range of motion (ROM) exercises have been widely used to stimulate neuromuscular function. Clove oil contains eugenol, which has vasodilatory, anti-inflammatory, and analgesic properties that may facilitate movement and muscle activation.


Objective: To describe the clinical outcomes of combining clove oil massage with ROM exercises in improving muscle strength among non-hemorrhagic stroke patients.


Methods: This study employed a descriptive case report approach involving three non-hemorrhagic stroke patients with muscle weakness in an inpatient ward. The intervention consisted of clove oil effleurage massage followed by passive and active-assisted ROM exercises for seven consecutive days. Muscle strength was assessed using Manual Muscle Testing (MMT).


Results: All patients showed gradual improvement in muscle strength scores from grade 2 to grade 3–4 after the intervention period. Patients also demonstrated increased limb mobility and participation in basic activities.


Conclusion: The combination of clove oil massage and ROM exercises was associated with improvement in muscle strength in stroke patients. This intervention may be considered as a complementary nursing rehabilitation strategy.

Article Details

Section
Articles

References

Adevia, Dewi, N. R., & Ayubbana, S. (2022). Penerapan massage effleurage menggunakan VCO (Virgin Coconut Oil) terhadap pencegahan dekubitus pada pasien stroke di ruang saraf RSUD Jend. Ahmad Yani Metro. Jurnal Cendikia Muda, 2(1).

Agnia, W., & Kartilah, T. (2024). Reducing the risk of decubitus in the elderly with back massage therapy using VCO (Virgin Coconut Oil). Muhammadiyah Journal of Geriatric, 5(1), 22–29. https://doi.org/10.24853/mujg.5.1.22-29

Alhammadi, H. M. A., & Ogale, R. J. (2020). Effectiveness of home caregivers teaching program on prevention of decubitus ulcer in bedridden elderly patients. International Journal of Nursing, 7(2), 67–69. https://doi.org/10.15640/ijn.v7n2a8

Ariyani, L. D., & Nurlaily, A. P. (2023). Penerapan alih baring untuk mencegah terjadinya dekubitus pada pasien bedrest.

Arta, K. S., Listyorini, D., & Hermawati, H. (2023). Penerapan massage effleurage menggunakan minyak zaitun dan minyak almond untuk menurunkan risiko dekubitus di ICU RSUD Karanganyar. Indogenius, 2(3), 102–113. https://doi.org/10.56359/igj.v2i3.277

Aryani, A., Widiyono, W., & Putra, F. A. (2022). Pemberian minyak zaitun dan pengaturan posisi miring 30 derajat menurunkan kejadian dekubitus pada pasien stroke. Jurnal Wacana Kesehatan, 7(1), 1.

Az Zahra, A. A., Supriyadi, & Dwiningsih, S. U. (2023). Pengaruh massage effleurage dengan virgin coconut oil (VCO) terhadap pencegahan risiko dekubitus pada pasien stroke non hemoragik. Jurnal Ilmiah Permas, 13(2), 665–672. https://doi.org/10.32583/pskm.v13i2.785

Darmareja, R., Kosasih, C. E., & Priambodo, A. P. (2020). The effect of effleurage massage using virgin coconut oil on the risk level of pressure ulcers in intensive care unit patients. Jurnal Keperawatan Soedirman, 15(3). https://doi.org/10.20884/1.jks.2020.15.3.1201

Fauzia, I. E., Ahyana, & Kasih, L. C. (2022). Kepatuhan rehabilitasi pasien paska stroke di RSUD dr. Zainoel Abidin Banda Aceh. JIM FKep, VI, 1–9.

Hijriani, I., Yulidar, & Luciana, L. (2023). Pelatihan massage effleurage menggunakan olive oil pada perawat sebagai upaya pencegahan kejadian dekubitus pasien stroke di ICU. Jurnal Pengabdian Kepada Masyarakat, 5, 207–212.

Ibrahim, S. I., Matmin, J., Hairul, N. M., & Majeed, A. B. A. (2022). Enhancing emollient properties of natural and structured virgin coconut oil creams on skin conditions using non-invasive skin biophysical methods. Malaysian Applied Biology, 51(4), 109–117.

Kementerian Kesehatan Republik Indonesia. (2020). Laporan Riskesdas 2018 Nasional.

Meikasari, L., Silvitasari, I., & Waluyo. (2023). Penerapan massage effleurage dengan VCO terhadap pencegahan dekubitus pada pasien tirah baring di ruang ICU. Indonesian Journal of Public Health, 1(2), 1–6.

Nuzulullail, A. S., Pranata, S., Armiyati, Y., & Chanif. (2023). Effleurage massage with virgin coconut oil (VCO) to prevent decubitus ulcers in immobilized patients: A case study. Journal of Vocational Nursing, 4(1), 21–26. https://doi.org/10.20473/jovin.v4i1.44070

Persatuan Perawat Nasional Indonesia. (2018a). Standar Diagnosis Keperawatan Indonesia (SDKI).

Persatuan Perawat Nasional Indonesia. (2018b). Standar Intervensi Keperawatan Indonesia (SIKI).

Putra, Y. M., Kurnia, A., & Armiyati, Y. (2024). Massage effleurage menggunakan virgin coconut oil (VCO) untuk menurunkan risiko dekubitus pada penderita stroke. Holistic Nursing Care Approach, 4(1), 40. https://doi.org/10.26714/hnca.v4i1.13717

Rachmawati, D., Ulum, E. M., & Sepdianto, T. C. (2020). Pencegahan dekubitus pasien stroke hemorrhagic setelah 24 jam serangan. Dunia Keperawatan, 7(2), 118. https://doi.org/10.20527/dk.v7i2.6488

Sen, C. (2025). Coconut oil massage reduces the risk of pressure injury in bedridden patients: A prospective study.

Siagian, R. (2021). Pengaruh pemberian posisi alih baring terhadap kejadian dekubitus pada pasien stroke. Jurnal Keperawatan Arta, 1, 19–24.

World Stroke Organization. (2022). Global Stroke Fact Sheet 2022.