Effect of buerger allen exercise on foot perfusion among patient with diabetes mellitus: A systematic review &amp; meta-analysis

Thakur, Ankita; Sharma, Rakesh; Sharma, Suresh K.; Thakur, Kalpana; Jelly, Prasuna

doi:10.1016/j.dsx.2022.102393

Cited by 6 publications

(10 citation statements)

References 21 publications

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“…Older adults with MCI or dementia indicated that they were able to use the proposed tele-Exergame system easily and considered it user-friendly. The exercises provided were inspired by the validated Buerger-Allen exercise program to prevent ankle deconditioning and improve walking capability [ 33 ]. Notably, their cognition and anxiety levels significantly improved after completing 6 weeks of in-home exergaming exercises.…”

Section: Discussionmentioning

confidence: 99%

Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, and Proof-of-Concept Study

Park

Mishra

York

et al. 2022

IJERPH

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Improved life expectancy is increasing the number of older adults who suffer from motor-cognitive decline. Unfortunately, conventional balance exercise programs are not tailored to patients with cognitive impairments, and exercise adherence is often poor due to unsupervised settings. This study describes the acceptability and feasibility of a sensor-based in-home interactive exercise system, called tele-Exergame, used by older adults with mild cognitive impairment (MCI) or dementia. Our tele-Exergame is specifically designed to improve balance and cognition during distractive conditioning while a telemedicine interface remotely supervises the exercise, and its exercises are gamified balance tasks with explicit augmented visual feedback. Fourteen adults with MCI or dementia (Age = 68.1 ± 5.4 years, 12 females) participated and completed exergame twice weekly for six weeks at their homes. Before and after 6 weeks, participants’ acceptance was assessed by Technology Acceptance Model (TAM) questionnaire, and participants’ cognition and anxiety level were evaluated by the Montreal Cognitive Assessment (MoCA) and Beck Anxiety Inventory (BAI), respectively. Results support acceptability, perceived benefits, and positive attitudes toward the use of the system. The findings of this study support the feasibility, acceptability, and potential benefit of tele-Exergame to preserve cognitive function among older adults with MCI and dementia.

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Section: Discussionmentioning

confidence: 99%

Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, and Proof-of-Concept Study

Park

Mishra

York

et al. 2022

IJERPH

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“…Ada beberapa cara untuk menurunkan keluhan komplikasi syaraf pada diabetes, termasuk obat untuk menurunkan kadar gula darah, diet diabetes yang baik, aktifitas fisik teratur.. Diantaranya, olahraga merupakan salah satu metode pengobatan yang paling sederhana dan murah, yang membawa lebih banyak manfaat bagi pasien dalam pengobatan pasien diabetes. Terutama bila pasien menderita neuropati diabetik dan ulkus kaki, olahraga membantu pasien memperbaiki pembuluh darah 13 .Latihan Buerger diusulkan oleh Leo Buerger dan dimodifikasi oleh Arthur Allen. Ini terdiri dari tiga posisi berbeda; pada langkah pertama, orang tersebut mengangkat kakinya pada sudut 45-60 ° selama 2 menit.…”

Section: Pendahuluanunclassified

“…Latihan Buerger-Allen (BAE) adalah salah satu jenis latihan yang dilakukan untuk meningkatkan Perfusi Ekstremitas Bawah dimana mempromosikan proses penyembuhan luka dan mengurangi Gejala Neuropati Perifer pada pasien Diabetes Mellitus. BAE adalah latihan postural aktif di mana gravitasi secara 59 alternatif mengisi dan mengosongkan pembuluh darah untuk mencegah penyakit pembuluh darah perifer dan meningkatkan sirkulasi kolateral di ekstremitas bawah 13 .…”

Section: Pendahuluanunclassified

Pelatihan Senam Kaki Buerger Allen di Puskemas Purwodiningratan

Febrinasari,

Prabowo,

Putri

et al. 2023

SSocEmpJour

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Pendahuluan: Prevalensi Diabetes Mellitus (DM) tipe 2 di Indonesia semakin meningkat. Penyakit ini berkaitan dengan timbulnya komplikasi dan hal ini akan menurunkan kualitas hidup pasien. Penurunan komplikasi dilakukan pengobatan farmakologis dan non farmakologis. Salah satu upaya terapi non farmakologis adalah dengan edukasi dan Latihan fisik seperti senam kaki diabetes. Tujuan dari pengabdian ini adalah memberikan edukasi mengenai DM tipe 2 dan pelatian senam kaki Buerger Allen pada penderita DM tipe 2 di puskesmas Purwodiningratan.Metode: Langkah pengabdian yang akan dilakukan meliputi pengumpulan bahan dan materi, perencanaan, dan kegiatan inti. Setelah kegiatan akan dilakukan pelaporan dan evaluasiHasil dan pembahasan: Penyuluhan dan edukasi sebagai acara inti akan dilakukan pada tanggal 27 Mei 2023 dengan materi: mengenal DM tipe 2 dan gejalanya, mengenal obat-obatan DM tipe 2, olahraga dan aktifitas fisik pada DM tipe 2, komplikasi pada DM tipe 2. Pasien diberikan instruksi senam kaki dan diajarkan oleh para instruktur senam kaki. Selain itu pasien mendapatkan leaflet dan video senam kaki diabetes dengan metode Buerger allen agar dipraktekkan di rumah dan mendapatkan hasil optimal.Kesimpulan: Pengabdian sudah terlaksana dengan baik, masyarakan penderita DM tipe 2 yang menjalani pelatihan mendapatkan penurunan gejala komplikasi DM tipe 2.

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“…Chronic exposure to high blood glucose levels can cause microvascular complications in the kidneys, retina, and peripheral nerves, although these are not immediate diagnostic tools due to their delayed onset. Conversely, macrovascular complications such as myocardial infarction, stroke, and peripheral arterial disease often manifest earlier and are more prevalent in pre-diabetic states, highlighting the importance of early diagnosis and management (3,(8)(9)(10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

“…Coronary artery disease is the most common complication, followed by renal failure, blindness, and a combination of microvascular and macrovascular complications. Diabetesrelated comorbidities, including arthritis, depression, dyslipidemia, and hypertension, further exacerbate the disease burden (13). Diabetic neuropathy, particularly distal symmetric polyneuropathy, is a common and debilitating complication of diabetes, affecting up to 50% of individuals with diabetes.…”

Section: Introductionmentioning

confidence: 99%

Comparative Effect of Buerger-Allen Exercise and Intraneural Facilitation on Lower Extremity Perfusion and Peripheral Neuropathy Symptoms Among Patients with Type II Diabetes Mellitus

Muhammad Abbass,

Maha Rehman,

Isha Emaan

et al. 2024

JHRR

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Background: Diabetes mellitus is a complex metabolic disorder characterized by chronic hyperglycemia, which can lead to severe microvascular and macrovascular complications. Peripheral neuropathy and impaired lower extremity perfusion are common among diabetic patients, significantly affecting their quality of life. Buerger-Allen Exercise (BAE) and Intraneural Facilitation (INF) are therapeutic interventions aimed at improving blood flow and reducing neuropathy symptoms in diabetic patients. This study aimed to compare the effectiveness of these two interventions in enhancing lower extremity perfusion and alleviating peripheral neuropathy symptoms. Objective: To assess and compare the effects of Buerger-Allen Exercise and Intraneural Facilitation on lower extremity perfusion and peripheral neuropathy symptoms in patients with type II diabetes mellitus. Methods: This quasi-experimental study was conducted at Al-Raheem Clinic and Skin Laser Center in Faisalabad over three months. A purposive sampling technique was used to recruit 12 patients with type II diabetes mellitus and peripheral neuropathy symptoms restricted to the lower limbs. Patients were divided into two groups: one received Buerger-Allen Exercise and the other Intraneural Facilitation. Assessments included the Ankle-Brachial Index (ABI) to measure lower extremity perfusion, the Michigan Neuropathy Screening Instrument (MNSI) for neuropathy symptoms, and monofilament testing for sensory function. Ethical approval was obtained, and informed consent was collected from all participants. Data were analyzed using SPSS version 25, employing paired and independent t-tests to evaluate pre- and post-intervention outcomes. Results: The ABI scores showed significant improvement in both groups post-intervention (BAE: pre 0.6883 ± 0.10980, post 1.0250 ± 0.10968, p < 0.001; INF: pre 0.6467 ± 0.06919, post 0.9617 ± 0.08909, p < 0.001). MNSI scores also decreased significantly (BAE: pre 7.5000 ± 1.04881, post 4.5000 ± 1.37840, p = 0.003; INF: pre 7.3333 ± 1.21106, post 4.1667 ± 1.16905, p < 0.001). Monofilament testing scores improved notably in both groups (BAE: pre 3.3333 ± 2.33809, post 6.3333 ± 1.86190, p = 0.002; INF: pre 3.1667 ± 2.31661, post 6.0000 ± 2.44949, p < 0.001). Conclusion: Both Buerger-Allen Exercise and Intraneural Facilitation effectively improved lower extremity perfusion and reduced peripheral neuropathy symptoms in patients with type II diabetes mellitus. Buerger-Allen Exercise demonstrated better patient compliance and ease of administration. Further research with larger sample sizes and longer follow-up periods is recommended to validate these findings and explore the long-term benefits of these interventions. Keywords: Diabetes mellitus, Buerger-Allen Exercise, Intraneural Facilitation, lower extremity perfusion, peripheral neuropathy, Ankle-Brachial Index

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Effect of buerger allen exercise on foot perfusion among patient with diabetes mellitus: A systematic review & meta-analysis

Cited by 6 publications

References 21 publications

Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, and Proof-of-Concept Study

Tele-Medicine Based and Self-Administered Interactive Exercise Program (Tele-Exergame) to Improve Cognition in Older Adults with Mild Cognitive Impairment or Dementia: A Feasibility, Acceptability, and Proof-of-Concept Study

Pelatihan Senam Kaki Buerger Allen di Puskemas Purwodiningratan

Comparative Effect of Buerger-Allen Exercise and Intraneural Facilitation on Lower Extremity Perfusion and Peripheral Neuropathy Symptoms Among Patients with Type II Diabetes Mellitus

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