The Effectiveness of the Power of Syringe Innovation on Hand Motor Power, Handgrip Strength, and Patient Satisfaction Following Stroke
Main Article Content
Abstract
This quasi-experimental study with a one-group pretest-posttest design aimed to 1) investigate the effectiveness of the Power of Syringe Innovation on hand motor power and handgrip strength, and 2) to evaluate the satisfaction with the innovation. The sample consisted of 17 stroke patients with hand motor power of grade 4 or less in the inpatient department of a community hospital in Phayao Province. The research instruments included the Power of Syringe Innovation that was examined by three experts. Data were collected using the demographic data form, the hand motor power scale, a grip strength test, and the satisfaction with the innovation questionnaire. Data were analyzed using descriptive statistics and dependent t-test.
The results showed that after using the innovation, the hand motor power at post-test ( = 4.71, SD = .47) was higher than pre-test (
= 3.18, SD = .73) and the handgrip strength at post-test (
= 26.76, SD = 7.55) was higher than pre-test (
= 12.12, SD = 6.42) with statistical significance at .001. The mean score of overall satisfaction with the innovation was at the highest level (
= 4.82, SD = .39).
The findings indicated that the use of the innovation increased the participants’ hand motor power and handgrip strength, reduced disability, and promoted patients’ better quality of life. Therefore, consistent use should be encouraged and the results of the changes continuously monitored.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
da Silva, P. B., Antunes, F. N., Graef, P., Cechetti, F. & de Souza Pagnussat, A. (2015). Strength training associated with task-oriented training to enhance upper-limb motor function in elderly patients with mild impairment after stroke: a randomized controlled trial. American journal of physical medicine & rehabilitation, 94(1), 11-19.
Deming, W. (1993). PDCA cycle a quality approach. Cambridge: MA MIT.
Health Data Center, Ministry of Public Health. (2024). Non-communicable diseases statistics. Retrieved (2025, April 19). from https://hdc.moph.go.th/center/public/standard-subcatalog/6a1fdf282fd28180eed7d1cfe0155e11 (in Thai).
Hffocus. (2019). Innovation “Hand training box” [Internet]. Retrieved (2025, January 19). from https://www.hfocus.org/content/2019/02/16863. (in Thai).
Isariyapan, O., Kerdsawatmongkon, J., Chondaen, N., Nualnetr, N., Roongpiboonsopit, D. & Srisoparb, W. (2020). Effects of a 2-week home-based strength training associated with task-oriented training to upper limb function activities in patients with chronic stroke. Srinagarind Medical Journal, 35(4), 463-469.
Jitaree, K., Pattyanun, W., Wangsirikul, P., Nantachai, P., Piriyaprasarth, P. & Pormsorn, S. (2022). Secondary data analysis of upper limb motor deficit proportion and the relation with hand dominance in individuals with stroke. Thai Journal of Physical Therapy, 44(3), 223-237. (in Thai).
Junmee, C., Siriwachirachai, P., Chompoonimit, A., Thaweewannakij, T., Chanavirut, R. & Nualnetr, N. (2021). Health status of patients with stroke in Ubolratana district, Khon Kaen province: International classification of functioning, disability and health-based assessments. Thai Journal of Physical Therapy, 43(1), 45-63. (in Thai).
Lee, K. E., Choi, M. & Jeoung, B. (2022). Effectiveness of rehabilitation exercise in improving physical function of stroke patients: A systematic review. International Journal of Environmental Research and Public Health, 19(19), 12739. doi.org/10.3390/ijerph191912739
Morarit, S. (2018). Innovation of handgrip strength exercise tool for elderly. Lanna Journal of Health Promotion & Environmental Health, 8(1), 58-65. (in Thai).
Newman, G., (2023). How to assess muscle strength. Retrieved (2025, April 19). from https://www.merckmanuals.com/professional/neurologic-disorders/neurologic-
examination/how-to-assess-muscle-strength (last accessed 08.5.2022)
Nuthet, A., Satyaporn, S. & Rungruang, L. (2021). Fun spinning bucket brings arm strength. Public Health Academic Conference Region 2 at Uttaradit Hospital. Retrieved (2025, April 19). from https://hpc2appcenter.anamai.moph.go.th/academic/web/files/2564/
proceeding/abstract/innovation/INN11_abstract.docx
Phothi-ah, S., Chuawong, A. & Dokyaem, S. (2017). Fun spinning bucket to solve stroke problems [Internet]. Retrieved (2025, April 19). from https://apps.hpc.go.th/dl/web/upFile/2019/01-5027-20190101073043/2f7e185b37474bfe2497bb784e95e368.pdf. (in Thai).
Pongprayoon, P., Banchonhattakit, P. & Chusak, T. (2024). Problems, barriers, and guidelines for rehabilitation of stroke patients in the community. Health Science Journal of Thailand, 6(4), 34–41. doi.org/10.55164/hsjt.v6i4.267515
Prodbumrung, J., Srisoparb, W. & Sangrahy, S. (2022). Effectiveness of pronate-supinate pipe in sub-acute stroke patients: Arandomized controlled trial. Srinagarind Medical Journal, 37(5), 525-532. (in Thai).
Reuter, S. E., Massy‐Westropp, N. & Evans, A. M. (2011). Reliability and validity of indices of hand‐grip strength and endurance. Australian occupational therapy journal, 58(2), 82-87.
Sadler, E., Wolfe, C. D., Jones, F. & McKevitt, C. (2017). Exploring stroke survivors' and physiotherapists' views of self-management after stroke: a qualitative study in the UK. The British Medical Journal, 7(3), e011631.
Saribu, S. & et al. (2024). Spin for you. Retrieved (2025, April 19). from https://shorturl.asia/v0pja (in Thai).
Seephim, B., Srisoparb, W. & Nualnetr, N. (2020). Upper limb functions and complications of hemiplegic side in patients with chronic stroke in the community. Srinagarind Medical Journal, 35(1), 51-58. (in Thai).
Srisoparb, W., Nualnetr, N., Sommanochai, K., Karinta, N. & Charungthanakij, P. (2019). Upper limb functional ability of individuals with chronic stroke in communities of naresuan university hospital. Thai Journal of Physical Therapy, 41(2), 60-74. (in Thai).
Thaihealthstat, (2021). Prevalence of cerebrovascular disease in Phayao Province 2017-2021.Retrieved (2025, April 19). from https://www.hiso.or.th/thaihealthstat/area/ index.php?ma=3&pf=01565602&tm=2&tp=3304&type=1. (in Thai).
Veldema, J. & Jansen, P. (2020). Resistance training in stroke rehabilitation: systematic review and meta-analysis. Clinical rehabilitation, 34(9), 1173-1197.
Wiwitkul, M., Onkampa, W., Mokluang, C. & Tanvijit, P. (2020). Self ROM exercise for upper extremity in stroke. Siriraj Medical Bulletin, 13(4), 311–316. (in Thai).
Wongcharoen, N., Ratchatathanarat, T. & Somngam, P. (2020). Development of continuity of care model for stroke patients. Academic Journal of Community Public Health, 6(4), 61-71. (in Thai).
World Stroke Organization. (2025). The global burden of stroke. Retrieved (2025, April 19). from https://www.world-stroke.org/about-wso)