Improving family caregiver understanding of range of motion exercises for community-based stroke care: A pre-experimental study within the clinical pathway

Background: Family caregivers play a crucial role in the recovery of stroke patients, especially in community settings. An adequate understanding of the range of motion (ROM) exercises enables caregivers to actively support rehabilitation and prevent complications. This study aimed to analyze the improvement of family caregivers' understanding of ROM exercises after training. Methods: This pre-experimental one-group pretest-posttest study involved 25 families with stroke patients for ≥1 month, selected through consecutive sampling in the working area of Puskesmas Tambora, West Jakarta, in July 2025. Interventions included active and passive ROM exercises based on standard operating procedures (SOPs), also it was used to simulate the manual muscle testing (MMT). Measurement instruments used the validity and reliability questionnaires and MMT observation sheets. Data were analyzed by the Wilcoxon test at a significance level of p