Senam Kaki Diabetes untuk Memperbaiki Keluaran Polineuropati pada Penderita Diabetes
DOI:
https://doi.org/10.25170/mitramas.v2i1.5028Keywords:
Diabetes, Ulkus Kaki, Polineuropati, Senam KakiAbstract
Prevalensi ulkus kaki diabetik (Diabetic Foot Ulcer/DFU) di seluruh dunia mencapai 19-34%, dengan dampak serius termasuk risiko amputasi dan kematian. Senam kaki diabetes menjadi salah satu upaya untuk mengatasi prevalensi tersebut. Kegiatan ini mengevaluasi efektivitas senam kaki diabetes dalam memperbaiki rasa kebas, kesemutan dan nyeri serta menilai efek perubahan HbA1c pada responden. Partisipan melibatkan individu dengan DM tipe 2 yang telah mengalami polineuropati atau ulkus kaki. Senam kaki diabetes dilakukan selama 10 menit setiap hari selama 12 minggu, dengan tujuan mengevaluasi efektivitasnya terhadap keluaran kaki diabetes, seperti skor Visual Analogue Scale (VAS), intensitas serta frekuensi nyeri, kesemutan, dan kebas. Kadar HbA1c juga dibandingkan sebelum dan sesudah perlakuan. Sebanyak 27 penderita polineuropati dan DFU datang dalam kegiatan demonstrasi senam kaki. Penurunan signifikan pada skor VAS, intensitas dan frekuensi nyeri, kesemutan, dan kebas setelah senam kaki diabetes diamati. Tidak terdapat perubahan kadar HbA1c yang signifikan, mengindikasikan senam kaki diabetes independen terhadap monitoring glukosa pada pasien DM tipe 2 dengan polineuropati. Senam kaki diabetes dengan 9 gerakan yang direkomendasikan mampu memberikan dampak positif pada keluaran kaki diabetes, menunjukkan penurunan nyeri, kesemutan, dan kebas.
References
Armstrong, D. G., Boulton, A. J. M., & Bus, S. A. (2017). Diabetic Foot Ulcers and Their Recurrence. New England Journal of Medicine, 376(24), 2367–2375. https://doi.org/10.1056/NEJMra1615439
Armstrong, D. G., Tan, T.-W., Boulton, A. J. M., & Bus, S. A. (2023). Diabetic Foot Ulcers: A Review. JAMA, 330(1), 62–75. https://doi.org/10.1001/jama.2023.10578
Astiarani, Y., Kedang, M. G., Fitriah, N., & Chandra, F. A. (2022). Prevalence and Determinants of Central Obesity at Urban Slum Dwellers in North Jakarta. Jurnal Ilmu Kesehatan Masyarakat, 13(1), 14–25.
Blomster, J. I., Chow, C. K., Zoungas, S., Woodward, M., Patel, A., Poulter, N. R., Marre, M., Harrap, S., Chalmers, J., & Hillis, G. S. (2013). The influence of physical activity on vascular complications and mortality in patients with type 2 diabetes mellitus. Diabetes, Obesity & Metabolism, 15(11), 1008–1012. https://doi.org/10.1111/dom.12122
Bus, S. A., Lavery, L. A., Monteiro‐Soares, M., Rasmussen, A., Raspovic, A., Sacco, I. C. N., Van Netten, J. J., & on behalf of the International Working Group on the Diabetic Foot. (2020). Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2019 update). Diabetes/Metabolism Research and Reviews, 36(S1), e3269. https://doi.org/10.1002/dmrr.3269
Callaghan, B. C., Gallagher, G., Fridman, V., & Feldman, E. L. (2020). Diabetic neuropathy: What does the future hold? Diabetologia, 63(5), 891–897. https://doi.org/10.1007/s00125-020-05085-9
Endriyanto, E. (2012). Efektifitas senam kaki diabetes melitus dengan koran terhadap tingkat sensitivitas kaki pada pasien DM tipe 2.
Eraydin, Ş., & Avşar, G. (2018). The Effect of Foot Exercises on Wound Healing in Type 2 Diabetic Patients With a Foot Ulcer: A Randomized Control Study. Journal of Wound Ostomy & Continence Nursing, 45(2), 123. https://doi.org/10.1097/WON.0000000000000405
Fadlilah, S., Sucipto, A., & Rahil, N. H. (2019). EFFECTIVENESS OF DIABETIC FOOT EXERCISES USING SPONGES AND NEWSPAPERS ON FOOT SENSITIVITY IN PATIENTS WITH DIABETES MELLITUS. Belitung Nursing Journal, 5(6), 234–238. https://doi.org/10.33546/bnj.822
Feldman, E. L., Callaghan, B. C., Pop-Busui, R., Zochodne, D. W., Wright, D. E., Bennett, D. L., Bril, V., Russell, J. W., & Viswanathan, V. (2019). Diabetic neuropathy. Nature Reviews Disease Primers, 5(1), 41.
Giovannini, S., Coraci, D., Brau, F., Galluzzo, V., Loreti, C., Caliandro, P., Padua, L., Maccauro, G., Biscotti, L., & Bernabei, R. (2021). Neuropathic pain in the elderly. Diagnostics, 11(4), 613.
Gylfadottir, S. S., Weeracharoenkul, D., Andersen, S. T., Niruthisard, S., Suwanwalaikorn, S., & Jensen, T. S. (2019). Painful and non-painful diabetic polyneuropathy: Clinical characteristics and diagnostic issues. Journal of Diabetes Investigation, 10(5), 1148–1157. https://doi.org/10.1111/jdi.13105
Hall, J. E., & Hall, M. E. (2020). Guyton and Hall textbook of medical physiology e-Book. Elsevier Health Sciences. https://www.google.com/books?hl=en&lr=&id=H1rrDwAAQBAJ&oi=fnd&pg=PP1&dq=guyton+and+hall&ots= tKXww0CqYt&sig=XW5JOjfwrScOzzGWv66tv2NpYtU
Hoffstad, O., Mitra, N., Walsh, J., & Margolis, D. J. (2015). Diabetes, lower-extremity amputation, and death. Diabetes Care, 38(10), 1852–1857. https://doi.org/10.2337/dc15-0536
McDermott, K., Fang, M., Boulton, A. J. M., Selvin, E., & Hicks, C. W. (2022). Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers. Diabetes Care, 46(1), 209–221. https://doi.org/10.2337/dci22-0043
Meloni, M., Izzo, V., Giurato, L., Lázaro-Martínez, J. L., & Uccioli, L. (2020). Prevalence, Clinical Aspects and Outcomes in a Large Cohort of Persons with Diabetic Foot Disease: Comparison between Neuropathic and Ischemic Ulcers. Journal of Clinical Medicine, 9(6), 1780. https://doi.org/10.3390/jcm9061780
Ong, K. L., Stafford, L. K., McLaughlin, S. A., Boyko, E. J., Vollset, S. E., Smith, A. E., Dalton, B. E., Duprey, J., Cruz, J. A., Hagins, H., Lindstedt, P. A., Aali, A., Abate, Y. H., Abate, M. D., Abbasian, M., Abbasi-Kangevari, Z., Abbasi-Kangevari, M., ElHafeez, S. A., Abd-Rabu, R., … Vos, T. (2023). Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: A systematic analysis for the Global Burden of Disease Study 2021. The Lancet, 402(10397), 203–234. https://doi.org/10.1016/S0140-6736(23)01301-6
Peltier, A., Goutman, S. A., & Callaghan, B. C. (2014). Painful diabetic neuropathy. BMJ (Clinical Research Ed.), 348, g1799. https://doi.org/10.1136/bmj.g1799
Pop-Busui, R., Boulton, A. J. M., Feldman, E. L., Bril, V., Freeman, R., Malik, R. A., Sosenko, J. M., & Ziegler, D. (2017). Diabetic Neuropathy: A Position Statement by the American Diabetes Association. Diabetes Care, 40(1), 136–154. https://doi.org/10.2337/dc16-2042
Qiu, S., Cai, X., Yin, H., Sun, Z., Zügel, M., Steinacker, J. M., & Schumann, U. (2018). Exercise training and endothelial function in patients with type 2 diabetes: A meta-analysis. Cardiovascular Diabetology, 17(1), 64. https://doi.org/10.1186/s12933-018-0711-2
Qona’ah, A., Tyas, A. P. M., Wahyudi, A. S., & Mardhika, A. (2022). Diabetic foot exercise training for diabetes mellitus patients to control blood glucose during the COVID-19 pandemic. Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang, 7(4), Article 4. https://doi.org/10.26905/abdimas.v7i4.7672
Rahman, A., Maryuni, S., & Rahmadhani, A. D. (2021). Pengaruh Latihan Senam Kaki Diabetes Terhadap Sensitivitas Kaki pada Penderita Diabetes Mellitus Tipe II. Jurnal Keperawatan Profesional (KEPO), 2(1), 7–14.
Ramsey, D. J., Kwan, J. T., & Sharma, A. (2022). Keeping an eye on the diabetic foot: The connection between diabetic eye disease and wound healing in the lower extremity. World Journal of Diabetes, 13(12), 1035–1048. https://doi.org/10.4239/wjd.v13.i12.1035
Rasmussen, S., Sperling, P., Poulsen, M. S., Emmersen, J., & Andersen, S. (2020). Medical students for health-care staff shortages during the COVID-19 pandemic. The Lancet, 395(10234), e79–e80.
Rosyid, L. S., & Angraini, N. A. (2022). THE EFFECT OF FOOT EXERCISE ON LOWER EXTREMITY SENSORY NEUROPATHY STATUS AND BLOOD GLUCOSE LEVELS PATIENTS TYPE 2 DIABETES MELLITUS. Lux Mensana (Journal of Scientific Health), 261–271.
Ryadi, P. D. U., Prabowo, T., & Defi, I. R. (2017). The Improvement of Neuropathy and Balance after Combination of Indonesian Diabetic and Indonesian Diabetic Foot Exercise on Diabetic Peripheral Neuropathy. Indonesian Journal of Physical Medicine and Rehabilitation, 6(02), 2–8.
Sari, N. D. P. (2019). Pengaruh Senam Kaki Terhadap Neuropati Perifer Pada Penderita Dm Tipe 2 Di Desa Kaliwungu Kecamatan Jombang Kabupaten Jombang [PhD Thesis, STIKes Insan Cendekia Medika Jombang]. https://repository.itskesicme.ac.id/id/eprint/1975/
Schwan, J., Sclafani, J., & Tawfik, V. L. (2019). Chronic pain management in the elderly. Anesthesiology Clinics, 37(3), 547–560.
Sidawy, A. P., & Perler, B. A. (2018). Rutherford’s vascular surgery and endovascular therapy, E-Book. Elsevier health sciences. https://books.google.com/books?hl=en&lr=&id=lFBUDwAAQBAJ&oi=fnd&pg=PP1&dq=Rutherford%27s+ vascular+surgery+and+endovascular+therapy,+E-Book&ots=H9kMwc9pIA&sig=eOG-9xgOVyfEKDhnp1z42iztLhI
Simamora, F. A., Antoni, A., Ritonga, S. H., Hidayah, A., & Daulay, N. M. (2022). Effectiveness of Diabetic Foot Exercise on Foot Pain Level in Diabetic Patients. 54–59. https://doi.org/10.2991/978-94-6463-032-9_9
Sun, Y., Gao, Y., Chen, J., Sun, H., Cai, Y., Ge, L., Li, Y., Zhang, J., & Tian, J. (2019). Evidence mapping of recommendations on diagnosis and therapeutic strategies for diabetes foot: An international review of 22 guidelines. Metabolism, 100, 153956. https://doi.org/10.1016/j.metabol.2019.153956
Thomas, P. A., Liu, H., & Umberson, D. (2017). Family Relationships and Well-Being. Innovation in Aging, 1(3), igx025. https://doi.org/10.1093/geroni/igx025
Tran, M. M., & Haley, M. N. (2021). Does exercise improve healing of diabetic foot ulcers? A systematic review. Journal of Foot and Ankle Research, 14(1), 19. https://doi.org/10.1186/s13047-021-00456-w
Wahyuni, A., & Oktorina, R. (2021). PERBANDINGAN SENSITIFITAS KAKI ANTARA SENAM KAKI MENGGUNAKAN KORAN DAN KELERENG PADA PASIEN DIABETES MELITUS TIPE II. Jurnal Endurance, 6(2), 385–392.
Yotsu, R. R., Pham, N. M., Oe, M., Nagase, T., Sanada, H., Hara, H., Fukuda, S., Fujitani, J., Yamamoto-Honda, R., Kajio, H., Noda, M., &
Tamaki, T. (2014). Comparison of characteristics and healing course of diabetic foot ulcers by etiological classification: Neuropathic, ischemic, and neuro-ischemic type. Journal of Diabetes and Its Complications, 28(4), 528–535. https://doi.org/10.1016/j.jdiacomp.2014.03.013
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Mitramas: Jurnal Pengabdian dan Pemberdayaan Masyarakat
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.