Buerger Exercise Reduces the Risk of Neuropathy in People with Diabetes Mellitus

Hidayati, Laily; Pratiwi, Ika Nur; Pawanis, Zulfayandi; McKenna, Lisa; Widyawati, Ika Yuni

doi:10.3889/oamjms.2021.6743

Cited by 4 publications

(1 citation statement)

References 17 publications

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“…Perubahan penilaian angkle brachial indeks setelah diberikan latihan kaki pada pasien Diabetes Melitus (Lutfi & Mayangsari, 2021) Secara kuantitatif menunjukkan bukti perbaikan sirkulasi perifer kaki dorsal setelah latihan Buerger pada pasien dengan diabetes (Chang et al, 2016). Buerger Allen Exercise memiliki efek menguntungkan pada peningkatan indeks neuropati dan gejala pasien Diabetes Melitus dengan risiko tinggi ulkus kaki diabetik (Hidayati et al, 2021).…”

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Pengaruh Buergers Allen Exercise Terhadap Sirkulasi Dan Intensitas Nyeri Angkle Brachial

Yulpina Silaban,

Maryani Enjelita Simangunsong,

Berkat Nurmansari Zebua

et al. 2023

JINTAN

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Diabetes mellitus is a chronic disease in which blood sugar levels are high because the body is unable to produce or utilize insulin, so blood sugar cannot be metabolized. This causes blood circulation disorders and pain in patients with diabetes mellitus. The way to treat blood circulation disorders and pain with Buerger Allen Exercise. The purpose of this research is to understand the impact of the Buerger Allen Exercise on circulation and brachial-ankle pain in patients with diabetes mellitus. This research uses a quasi-experimental type of research with a one-group pretest-posttest design. The population in this research was 31 patients with diabetes mellitus. The method of collecting samples using saturated sampling techniques and samples obtained were 31 patients. The data collection method utilizes an observation sheet. The analysis utilized in this research utilizes univariate and bivariate analysis. The bivariate analysis utilized Wilcoxon testing. This research provides results, namely before the Buerger Allen Exercise intervention, the majority of venous ulcer disorders were 80.6%, and before the intervention, the majority of severe pain was 67.7%. After the Buerger Allen Exercise intervention, venous ulcer disorders (0.8-0.9 mmHg) decreased to 51.6%, and after the intervention, the majority of mild pain was 48.4%. Based on statistical tests there is a difference before and after the intervention showing a sig score (2-tailed) of 0.001. In conclusion, there is an effect of Buerger Allen Exercise on circulation and brachial armpit pain intensity in patients with diabetes mellitus.

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Section: Pendahuluanunclassified

Pengaruh Buergers Allen Exercise Terhadap Sirkulasi Dan Intensitas Nyeri Angkle Brachial

Yulpina Silaban,

Maryani Enjelita Simangunsong,

Berkat Nurmansari Zebua

et al. 2023

JINTAN

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Effect of Buerger–Allen exercise on wound healing in patients with diabetic foot ulcers: a randomised controlled trial

Ahmad,

Mohammed,

Khalifa

et al. 2024

J Wound Care

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Objective: A diabetic foot ulcer (DFU) is a complication of type 2 diabetes that is difficult to treat. Buerger–Allen exercise has shown effectiveness in improving foot circulation and neuropathy in several studies; however, to the best of our knowledge, no randomised controlled study has investigated its effectiveness for DFU healing. Therefore, this study aimed to assess the effects of Buerger–Allen exercise on the healing of DFUs in patients with type 2 diabetes. Method: This is a parallel-group randomised controlled trial (RCT). Of 50 patients with neuropathic DFUs, 41 completed the study. They were assigned randomly to a study group (n=21) and a control group (n=20). Patients in the study group received the standard medical treatment and semi-supervised Buerger–Allen exercise for three sessions per week for four weeks, while patients in the control group only received the standard medical treatment. The outcome measures were: ankle–brachial pressure index (ABPI); ulcer size; ulcer depth; SINBAD score; and ulcer risk for poor outcomes (based on the SINBAD score). Results: The study group's mean age was 49.48±6.45 years and the control group's mean age was 49.15±5.85. The study group's ABPI increased significantly compared to the baseline (1.17±0.04 versus 1.11±0.05, respectively; p<0.001) and the control group (1.17±0.04 versus 1.14±0.05, respectively; p=0.04) post-intervention. Ulcer size also reduced significantly in the study group compared to the baseline (2.63±2.0 versus 7.48±5.55cm2, respectively; p<0.001) and the control group (2.63±2.0 versus 6.43±4.45cm2, respectively; p<0.001) post-intervention. Ulcer depth decreased significantly in the study group compared to the baseline (1.71±1.05 versus 4.19±1.74mm, respectively; p<0.001) and the control group (1.71±1.05 versus 2.80±1.57mm, respectively; p=0.01) post-intervention. Furthermore, the SINBAD score in the study group decreased significantly compared to the baseline (1.38±0.86 versus 2.14±1.06, respectively; p<0.001) and the control group (1.38±0.86 versus 2.0±0.79, respectively; p=0.02) post-intervention. Moreover, the ulcer risk for poor outcomes, based on the SINBAD score, reduced significantly only in the study group, compared to the baseline (p=0.041). The control group showed non-significant changes compared to the baseline in all outcome measures (p>0.05). Conclusion: From the findings of this RCT, Buerger–Allen exercise, in combination with standard wound care, may help accelerate the healing of neuropathic DFUs in patients with type 2 diabetes, and could be suggested as part of the management plan for such conditions as an easy-to-perform offloading exercise intervention.

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Predictors of Prediabetes Among Young Adults in East Java, Indonesia: A Cross-sectional Study

Pratiwi,

Widyawati,

Nursalam

et al. 2024

Nurs. Med. J. Nursing

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Background: Prediabetes is a condition that can be controlled and managed to prevent the occurrence of type-2 diabetes mellitus (T2DM). This condition can occur at all ages, especially in young adults. However, little is known about what factors increase the risk of prediabetes in young adults in East Java, Indonesia.Purpose: This study aimed to estimate the prevalence and the influential risk factors of prediabetes among young adults in East Java, Indonesia.Methods: This study used a cross-sectional design. The purposive sampling technique was used to recruit young adults in Surabaya, East Java Province, Indonesia. International physical activity questionnaire short-form version questionnaire (IPAQ-SF) and physical indicators for anthropometry were used to obtain data on sociodemographic characteristics, prediabetes knowledge, and physical activity. In addition, Blood pressure, impaired fasting glucose (IFG), and body mass index (BMI) were measured. Multivariable logistic regression analysis was performed to determine risk factors associated with prediabetesResults: There were 126 participants recruited with 69 (54.8%) had prediabetes based on impaired fasting glucose (IFG) levels. Age (p=0.035), routine exercise (p=0.015), activity level (p=0.026), body weight (p=<0.001), waist circumference (p=0.002), BMI (p=<0.001) and obesity (p=<0.001) were significant factors associated with prediabetes.Conclusion: The high prevalence of prediabetes in young adults is associated with age, routine exercise, activity level, body weight, waist circumference), BMI and obesity. It is crucial to implement strategies, for example through regular IFG testing to identify young adults with these risk factors for prediabetes screening.

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Buerger Exercise Reduces the Risk of Neuropathy in People with Diabetes Mellitus

Cited by 4 publications

References 17 publications

Pengaruh Buergers Allen Exercise Terhadap Sirkulasi Dan Intensitas Nyeri Angkle Brachial

Pengaruh Buergers Allen Exercise Terhadap Sirkulasi Dan Intensitas Nyeri Angkle Brachial

Effect of Buerger–Allen exercise on wound healing in patients with diabetic foot ulcers: a randomised controlled trial

Predictors of Prediabetes Among Young Adults in East Java, Indonesia: A Cross-sectional Study

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