Enhancing Foot Sensitivity in Diabetes Mellitus Patients:  The Impact of Diabetic Foot Exercises

Nuraini Achmad Uba; Alik Septian Mubarrok; Fahruddin Kurdi

doi:10.58545/jkmi.v4i1.239

Authors

Nuraini Achmad Uba Pemkab Jombang College of Health Sciences, Indonesia
Alik Septian Mubarrok Pemkab Jombang College of Health Sciences, Indonesia https://orcid.org/0000-0002-0255-2306
Fahruddin Kurdi Faculty of Nursing, University of Jember, Indonesia https://orcid.org/0000-0002-3565-2637

DOI:

https://doi.org/10.58545/jkmi.v4i1.239

Abstract

Physical activity is an essential way for people with Diabetes Mellitus, especially in dealing with increased sensitivity of the foot. Diabetic foot gymnastics is an exercise performed by DM patients to prevent injuries, help smooth blood circulation, and increase foot sensitivity. The study was designed as a one-group pre and post-test design. The study was conducted on 22-26 May 2018 at the Public Health Center of Peterongan. The sample consisted of 35 respondents using the Purposive Sampling technique. The Independent variable was Diabetic foot gymnastics; the dependent variable was foot sensitivity. The results of analysis used the Wilcoxon test at significance level α = 0.05 was found that ρ <α or 0,000 <0.05, which means that there was an influence of diabetic foot gymnastics with plastic ball to the level of foot sensitivity in DM patients, in which pre-test of half respondent (54.3%) sensitivity of the foot of the ring as many as 19 respondents, and after the post-test become higher as many as respondent (42.9%) had their sensitivity of the foot of the ring as many as 15 respondents. A sensory examination of the foot was required. Because of these results, the risk of complications in the foot could be prevented as early as possible. Normal foot sensation and abnormal foot sensation were sometimes not known by people with diabetes mellitus as one of the factors of diabetic foot gymnastics.

Keywords:

Foot Gymnastic, Foot sensitivity, Diabetes mellitus

Downloads

Download data is not yet available.

References

Adeyemi, T. M., Olatunji, T. L., Adetunji, A. E., & Rehal, S. (2021). Knowledge, practice and attitude towards foot ulcers and foot care among adults living with diabetes in Tobago: A qualitative study. International Journal of Environmental Research and Public Health, 18(15), 8021. https://doi.org/10.3390/ijerph18158021

Afida, A. M., Negara, C. K., & Chrismilasari, L. A. (2022). Burger Allen Exercise Against The Circulation Of The Lower Extremities In Diabetic Ulcer Patients. Jurnal EduHealth, 13(01), 241-249. https://ejournal.seaninstitute.or.id/index.php/healt/article/view/385

Alligood, M. R., & Tomey, A. M. (2006). Nursing theory. Utilization&Application. Third edition, America: Mosby Company, 393-399. https://www.academia.edu/download/64556651/Nursing-Theory-Utilization-Application-2014-CD%20(1).pdf

American Diabetes Association. (2018). 4. Lifestyle management: standards of medical care in diabetes—2018. Diabetes care, 41(Supplement_1), S38-S50. https://doi.org/10.2337/dc18-S004

Aydın, E., & Ertuğrul, M. B. (2021). The role of rehabilitation in the management of diabetic foot wounds. Turkish journal of physical medicine and rehabilitation, 67(4), 389. https://doi.org/10.5606/tftrd.2021.8616

Bommer, C., Sagalova, V., Heesemann, E., Manne-Goehler, J., Atun, R., Bärnighausen, T., ... & Vollmer, S. (2018). Global economic burden of diabetes in adults: projections from 2015 to 2030. Diabetes care, 41(5), 963-970. https://doi.org/10.2337/dc17-1962

Bril, V., Breiner, A., Perkins, B. A., Zochodne, D., & Diabetes Canada Clinical Practice Guidelines Expert Committee. (2018). Neuropathy. Canadian journal of diabetes, 42, S217-S221. https://doi.org/10.1016/j.jcjd.2017.10.028

Bullen, B. (2022). Closing the stable door after the horse has bolted: exploring Charcot foot health literacy among individuals with diabetic peripheral neuropathy in Scotland (Doctoral dissertation, Queen Margaret University, Edinburgh). https://eresearch.qmu.ac.uk/handle/20.500.12289/12372

Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., ... & Tate, D. F. (2016). Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes care, 39(11), 2065. https://doi.org/10.2337/dc16-1728

Elafros, M. A., Andersen, H., Bennett, D. L., Savelieff, M. G., Viswanathan, V., Callaghan, B. C., & Feldman, E. L. (2022). Towards prevention of diabetic peripheral neuropathy: clinical presentation, pathogenesis, and new treatments. The Lancet Neurology, 21(10), 922-936. https://doi.org/10.1016/S1474-4422(22)00188-0

Green, B., McClelland, J. A., Semciw, A. I., Schache, A. G., McCall, A., & Pizzari, T. (2022). The assessment, management and prevention of calf muscle strain injuries: A qualitative study of the practices and perspectives of 20 expert sports clinicians. Sports medicine-open, 8(1), 10. https://doi.org/10.1186/s40798-021-00364-0

Joshua, A.M., & Misri, Z. (2022). Peripheral Nerve Disorders. In: Joshua, A.M. (eds) Physiotherapy for Adult Neurological Conditions. Springer, Singapore. https://doi.org/10.1007/978-981-19-0209-3_11

Kossek, E. E., & Lautsch, B. A. (2018). Work–life flexibility for whom? Occupational status and work–life inequality in upper, middle, and lower level jobs. Academy of Management Annals, 12(1), 5-36. https://doi.org/10.5465/annals.2016.0059

Kurdi, F., & Priyanti, R. P. (2020). Manajemen Ulkus Kaki Diabetikum: Efektifitas Foot Exercise Terhadap Risiko DFU (Diabetic Foot Ulcers) Pasien Diabetes Mellitus di AL Hijrah Wound Care Center. https://doi.org/10.36911/pannmed.v14i2.593

Kurdi, F., Kholis, A. H., Hidayah, N., & Fitriasari, M. (2020). Stress Pasien Dengan Ulkus Kaki Diabetikum di Al Hijrah Wound Care Center Jombang: The Study of Stress Patients With Diabetic Ulcers in Al Hijrah Wound Care Center. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 6(1), 128-136. https://doi.org/10.33023/jikep.v6i1.577

Lazzarini, P. A., Raspovic, K. M., Meloni, M., & van Netten, J. J. (2024). A new declaration for feet's sake: Halving the global diabetic foot disease burden from 2% to 1% with next generation care. Diabetes/metabolism research and reviews, 40(3), e3747. https://doi.org/10.1002/dmrr.3747

Li, Y., Liu, Y., Liu, S., Gao, M., Wang, W., Chen, K., ... & Liu, Y. (2023). Diabetic vascular diseases: molecular mechanisms and therapeutic strategies. Signal transduction and targeted therapy, 8(1), 152. https://doi.org/10.1038/s41392-023-01400-z

Magkos, F., Hjorth, M. F., & Astrup, A. (2020). Diet and exercise in the prevention and treatment of type 2 diabetes mellitus. Nature Reviews Endocrinology, 16(10), 545-555. https://doi.org/10.1038/s41574-020-0381-5

Trikkalinou, A., Papazafiropoulou, A. K., & Melidonis, A. (2017). Type 2 diabetes and quality of life. World journal of diabetes, 8(4), 120. https://doi.org/10.4239/wjd.v8.i4.120

Tuglo, L. S., Nyande, F. K., Agordoh, P. D., Nartey, E. B., Pan, Z., Logosu, L., ... & Chu, M. (2022). Knowledge and practice of diabetic foot care and the prevalence of diabetic foot ulcers among diabetic patients of selected hospitals in the Volta Region, Ghana. International wound journal, 19(3), 601-614. https://doi.org/10.1111/iwj.13656

Wahidin, M., Achadi, A., Besral, B., Kosen, S., Nadjib, M., Nurwahyuni, A., ... & Kusuma, D. (2024). Projection of diabetes morbidity and mortality till 2045 in Indonesia based on risk factors and NCD prevention and control programs. Scientific reports, 14(1), 5424. https://doi.org/10.1038/s41598-024-54563-2

Wang, X., Yuan, C. X., Xu, B., & Yu, Z. (2022). Diabetic foot ulcers: Classification, risk factors and management. World journal of diabetes, 13(12), 1049. https://doi.org/10.4239/wjd.v13.i12.1049