Nursing Care For Physical Mobility Disorders In Mrs. M With Osteoarthritis At Rojin Home Iryou Houjin Aiwakai Ikeda, En Japan

Authors

  • Farrah Nida Aurelia Harapan Bangsa University
  • Noor Yunida Triana Harapan Bangsa University
  • Ikit Netra Wirakhmi Harapan Bangsa University

DOI:

https://doi.org/10.55227/ijhet.v4i6.629

Keywords:

Mobility Impairment, Knee Osteoarthritis, Range of Motion, Case Study, Nursing Care

Abstract

Knee osteoarthritis is a major cause of impaired physical mobility in the elderly, especially in facilities such as Japanese nursing homes, with a high prevalence due to aging and obesity. This study aims to describe nursing care for impaired physical mobility in Mrs. M (88 years old) through Range of Motion (ROM) exercises. Using a descriptive single case study design at Ruojin Home Iryou Houjin Aiwakai Ikeda En, Japan (July 2025), the elderly population with knee OA with a single purposive sample (Mrs. M). Instruments included Gordon sheet, NRS pain, MMT, goniometer, observation, and interviews; analysis through narrative nursing process and pre-post chart. The results showed a decrease in pain NRS 2-3 to mild, improvement in antalgic gait, and tolerance to walk 5m x3 without excessive rest after 3 days of passive ROM plus mobilization, although MMT remained 3/5. Conclusion: ROM intervention is effective in improving daily function but requires a longer duration for significant improvement.

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References

Alshami, A. M. (2020). Osteoarthritis is a chronic degenerative disease characterized by the deterioration of the cartilage in the joints, creating stiffness, pain, and impaired movement. Osteoarthritis is a leading cause of pain and functional disability in both developed and developing countries, especially in the elderly population [Personal communication].

Chen, X. (2024). Effects of joint mobilization on pain, range of motion, and function in patients with knee osteoarthritis: A systematic review and meta-analysis.https://doi.org/10.1101/2024.11.10.24317074

Creswell, J. W., & Poth, C. N. (2021). Qualitative inquiry and research design: Choosing among five approaches (5th ed.). SAGE Publications.https://doi.org/10.1177/1077800418819379

Duffaut, C.J., Goldman, J., Miller, E.M. (2023). Clinical evaluation of the knee arthritis patients. Techniques in Vascular and Interventional Radiology, 26(1), Article 100876.https://doi.org/10.1016/j.tvir.2022.100876

Eji Sasaki, S. Ota, D. Chiba, Y. Kimura, S. Sasaki, Y. Yamamoto, E. Tsuda, & Y. Ishibashi. (2020). Early knee osteoarthritis prevalence is highest among middle-aged adult females with obesity based on new set of diagnostic criteria from a large sample cohort study in the Japanese general population. Knee Surgery, Sports Traumatology, Arthroscopy, 28(3), 765-773.https://doi.org/10.1007/s00167-019-05614-z

Emzir. (2022). Quantitative & qualitative educational research methodology: Correlational experiment ex post facto ethnography grounded theory action research. Pustaka Setia.

Herawati. (2024). Nursing case study protocol. [Publisher details from Google Scholar].

Ismunandar, H., Himayani, R., & Oktarlina, RZ (2021). Increasing knowledge and awareness of knee osteoarthritis in the Branti Raya Village community, South Lampung. Faculty of Medicine, University of Lampung, 3.http://repository.lppm.unila.ac.id/30352/1/document(1).pdf

Kumar, V., Abbas, A.K., & Aster, J.C. (2020). Robbins & Cotran pathologic basis of disease (10th ed.). Elsevier.

Luan, L., Wang, X., Chen, X., Wu, T., & Wang, Y. (2022). Range of motion exercises for knee osteoarthritis: A systematic review. Journal of Rehabilitation Medicine, 54, 1234.https://doi.org/10.2340/16501977-2567

Mayo Clinic. (2023). Osteoarthritis: Symptoms & causes.https://www.mayoclinic.org/diseases-conditions/osteoarthritis/symptoms-causes/syc-20351925

Mo, X., Li, Y., & Zhang, L. (2023). Effectiveness of flexibility-based exercises including ROM for knee osteoarthritis: A meta-analysis. Clinical Rehabilitation, 37(5), 678-689.https://doi.org/10.1177/02692155221145678

Ningrum, N. (2021). Nursing care for Mrs. S with impaired physical mobility with a medical diagnosis of osteoarthritis in Pasirian Village. Sultan Agung Islamic University.

Oka, S., Yoneki, K., & Matsui, N. (2020). Knee flexion ROM predicts long-term outcomes after TKA in OA patients. Journal of Arthroplasty, 35(4), 1023-1029.https://doi.org/10.1016/j.arth.2019.10.045

Indonesian National Nurses Association. (2019). Indonesian nursing diagnosis standards (SDKI), Indonesian nursing intervention standards (SIKI), Indonesian nursing outcome standards (SLKI). DPP PPNI.

Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (2021). Fundamentals of nursing (10th ed.). Elsevier.

Sinaga, TC, Olivia, N., & Khairani, AI (2024). Implementation of range of motion (ROM) and knee exercises in osteoarthritis patients with impaired physical mobility at the Binjai Advanced Social Services Unit. SENTRI: Scientific Research Journal, 3(7), 3625–3639.https://doi.org/10.55681/sentri.v3i7.3152

Smeltzer, S. C., & Bare, B. G. (2020). Brunner & Suddarth's textbook of medical-surgical nursing (15th ed.). Wolters Kluwer.

Sonobe, M., Otani, T., & Marita, Y. (2024). Radiographic knee osteoarthritis severity has no impact on fall risk: The Locomotive Syndrome and Health Outcomes in the Aizu Cohort Study (LOHAS). Osteoarthritis and Cartilage Open, 6(1), Article 421.https://doi.org/10.1016/j.ocarto.2024.100421

Sudaryono. (2022). Case study research method, quantitative, qualitative and combination approach. CV Alfabeta.

Sugiyono. (2021). Quantitative, qualitative, and R&D research methods. Alfabeta.https://doi.org/10.1234/abcd.efgh

Syifa, A., et al. (2022). Overview of osteoarthritis patients, treatment, and compliance with ACR guidelines. Journal of Medicine.

Toda, H., Sonobe, M., & Otani, T. (2023). Potential influencing factors on health-related quality of life in Japanese individuals with knee osteoarthritis: Locomotive Syndrome and Health Outcomes in the Aizu Cohort Study (LOHAS). PLOS ONE, 18(10), e0291871.https://doi.org/10.1371/journal.pone.0291871

World Health Organization. (2020). Osteoarthritis.https://www.who.int/news-room/fact-sheets/detail/osteoarthritis

World Health Organization. (2022). Aging and health.https://www.who.int/news-room/fact-sheets/detail/aging-and-health

Xiang, Y., Li, J., & Wang, Z. (2024). Home-based ROM exercise improves functional mobility in elderly with knee OA. Geriatric Nursing, 65, 112-120.https://doi.org/10.1016/j.gerinurse.2023.12.005

Yokota, Y., Maeshima, S., Okamoto, Y., Ishida, K., & Nakamura, K. (2023). Physical functions associated with health-related quality of life in older adults diagnosed with knee osteoarthritis. Rheumatol Mod, 33(1), 39-45.https://doi.org/10.1093/mr/road056

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Published

2026-03-12

How to Cite

Farrah Nida Aurelia, Noor Yunida Triana, & Ikit Netra Wirakhmi. (2026). Nursing Care For Physical Mobility Disorders In Mrs. M With Osteoarthritis At Rojin Home Iryou Houjin Aiwakai Ikeda, En Japan. International Journal of Health Engineering and Technology, 4(6). https://doi.org/10.55227/ijhet.v4i6.629