Effect of Buerger- Allen Exercise on Lower Extremities Perfusion among Patients with Type 2 Diabetes Mellitus

Abstract

Background: Diabetes mellitus has increased the risk of more complications. One complication that often occurs is peripheral vascular diseases and decreased foot perfusion of patients by causing endothelial and smooth muscle cell dysfunction in peripheral arteries. Buerger's exercise is a simple intervention for improving the peripheral circulation of patients with Diabetes mellitus. Therefore, Aim of the study was to evaluate the effect of Buerger-Allen Exercise on improving lower extremities perfusion among patients with type 2 Diabetes Mellitus. Study design: A quasiexperimental design was utilized to achieve the aim.

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“…The orthopedic nurse is responsible for continuing the pre-operative care plan, adjusting it to address the child's postoperative status; focusing on the prevention of compromised peripheral circulation and enhancing local circulation and wound healing post-operatively, through encouraging mobilization and exercises, especially Buerger Allen exercise, as early as possible after lower extremities orthopedic surgeries and as tolerated by the child. (10,11) Significance of the study: Lower extremities orthopedic surgeries convey a complex scenario for child health with a great risk of thromboembolic disease. (12) The risk of venous thromboembolism after lower extremities orthopedic surgery is ranging from 0.4%: 1.0% despite the usage of thromboprophylaxis, while in the absence of preventive processes, the incidence rate of deep venous thrombosis after surgery is equal to 40-60%, the incidence of pulmonary embolism is 20%, and the fatal pulmonary embolism is 0.1-2%; these ratios indicate a necessity for improved postoperative prophylactic plans for high-risk children.…”