The Effect of Shaker Exercise Therapy on Dysphagia in Stroke Patients Admitted to the Intensive Care Unit (ICU) at Grandmed Hospital Lubuk Pakam
DOI:
https://doi.org/10.35451/27tc1v43Keywords:
Dysphagia, Intensive Care Unit (ICU), Stroke Patients, Shaker Exercise TherapyAbstract
Stroke patients frequently experience dysphagia due to impairment of the glossopharyngeal, vagus, and hypoglossal nerves, which consequently reduces swallowing function. Shaker exercise has been shown to improve swallowing disorders through isometric and isokinetic training that enhances the strength of the suprahyoid muscles in the neck via upward (elevation) and forward (protrusion) movements. This study aimed to analyze the effect of Shaker exercise therapy on dysphagia in stroke patients admitted to the Intensive Care Unit (ICU) at Grandmed Hospital Lubuk Pakam. This study employed a quantitative approach with a pre-experimental design using a one-group pre-test and post-test method. A total of 11 stroke patients were recruited using a total sampling technique. Dysphagia levels were measured before and after the administration of the Shaker exercise intervention. Data analysis was conducted using the Shapiro–Wilk normality test and the Paired T-test with a significance level of 0.05. The results indicated that prior to the intervention, the majority of respondents were in the low score category (20–80), accounting for 7 individuals (63.6%), while 4 respondents (36.4%) were in the high score category (81–100). Following the intervention, all respondents (100%) were classified in the high score category (81–100), with no participants remaining in the low category. The Paired T-test revealed a p-value of 0.000 (<0.05), indicating a statistically significant difference in dysphagia conditions before and after the intervention. In conclusion, Shaker exercise is significantly effective in reducing dysphagia among stroke patients. This improvement is attributed to the strengthening of the suprahyoid muscles, which enhances the opening of the esophageal sphincter and facilitates the passage of food into the lower digestive tract.
Downloads
References
[1] Eva Rosanti & Ilham Alifiar. (2025). Analisis Kejadian Stroke Berulang Pada Pasien Yang Menggunakan Antiplatelet Di Rs X Kota Tasikmalaya. Cerata Jurnal Ilmu Farmasi, 15(2), 129–135. https://doi.org/10.61902/cerata.v15i2.1019
[2] Manoppo, A. J., & Anderson, E. (2024). Tanda Vital dan Tingkat Kesadaran Pasien Stroke. Nutrix Journal, 8(1), 118. https://doi.org/10.37771/nj.v8i1.1093
[3] Frana Jaya I. (2024). Pengaruh Penerapan Shaker Exercise Terhadap Gangguan Menelan Pada Pasien Stroke Non Hemoragik Di Rsud Siti Fatimah Provinsi Sumsel. Jurnal Keperawatan Sriwijaya, 11(2), 32–39. https://doi.org/10.32539/jks.v10i1.229
[4] Kementerian Kesehatan Republik Indonesia, “Survei Kesehatan Indonesia (SKI) 2023: Laporan Nasional,” Jakarta, 2024. [Online]. Available: https://www.kemkes.go.id.
[5] Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI, “Laporan Nasional Riskesdas 2018,” Jakarta, 2019 (digunakan sebagai baseline epidemiologi Indonesia). [Online]. Available: https://www.litbang.kemkes.go.id.
[6] Yayasan Stroke Indonesia (YASTROKI), “Laporan Data Stroke Indonesia dan Profil Regional Sumatera Utara,” Jakarta, 2022. [Online]. Available: https://www.yastroki.or.id
[7] R. Saputra., “The Effect of Shaker Exercise on Suprahyoid Muscle Strength and Aspiration Risk in Stroke Patients: A Systematic Review,” Journal of Clinical Nursing Practice, vol. 12, no. 3, pp. 201–210, 2024.
[8] Margarita, & Purwanti, O. S. (2025). Effectiveness of Shaker Exercise on Swallowing Function in Stroke Patients with Dysphagia. Journal of Nursing and Rehabilitation, 8(1), 45–52.
[9] Singh Deo, A. (2024). A Systematic Analysis of Shaker Exercise Effectiveness for Dysphagia Management in Post-Stroke Patients. International Journal of Rehabilitation Medicine, 9(2), 88–96.
[10] Prasetyo, A., Sari, D., & Wibowo, H. (2023). Characteristics of Stroke Patients with Dysphagia in Neurological Ward. Indonesian Journal of Stroke Research, 5(2), 110–117.
[11] Tamarah, E., Septianingrum, Y., Wijayanti, L., Sholeha, U., & Hasina, S. N. (2023). Pengaruh Skrining Disfagia pada Pasien Stroke Akut: A Systematic Review. JurnalKeperawatan,15(2),867–878. https://doi.org/10.32583/keperawatan.v15i2.1020
[12] M. H. Ha, M. Kim, J. H. Kim, and S. W. Lee, “Dietary sodium intake and risk of hypertension: A population-based cohort study,” Nutrients, vol. 14, no. 9, pp. 1–12, 2022. [Online]. Available: https://doi.org/10.3390/nu14091835
[13] Herdiman, A., & Andriani, R. (2024). Faktor risiko stroke pada pasien lanjut usia di Rumah Sakit Royal Taruma.
[14] Chaidir, R. (2022). Pengaruh Latihan Menelan Terhadap Kemampuan Menelan Pasien Stroke Dengan Disfagia. 3(2).
[15] Rahmanti, A., & D, A. F. (2022). Penerapan Shaker Exercise Dan Latihan Menelan Dengan Jelly Terhadap Kemampuan Menelan Pada Pasien Stroke Di Rsud Sunan Kalijaga Demak. Jurnal Kesehatan Medika Udayana, 6(1), 66–79. https://doi.org/10.47859/jmu.v6i1.195
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Juni Mariati Simarmata, Waticah Sinaga
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.
