Abstract
Background: Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. This researched aimed to analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients.Method: The study design used quasi-experimental pre-post test with control group. Samples were 28 respondents using purposive sampling and divided into two groups of 14 respondents each. The independent variable is diabetic foot training, and the dependent variable is peripheral sensory neuropathy. Interventions are carried out 3 times a week for 4 weeks. The research instrument was Weinstein Monofilament 10 g Semmes and a diabetic foot training checklist. Data analysis using the Wilcoxon-signed rank test and Mann Whitney test with α≤0.05.Result: The Wilcoxon-signed rank test in the treatment group showed differences in sensory peripheral neuropathy after treatment (p=0,000) and no difference in the control group (p=0.564). The Mann Whitney test results showed differences in sensory peripheral neuropathy between the treatment group and the control group after treatment p=0.039.Conclusion: Diabetic foot exercises can be used as an alternative measure to improve sensory peripheral neuropathy.
Highlights
International Diabetes Federation (IDF) in 2017 stated that Indonesia ranks 6th in the number of diabetics in the world (Nam Han Cho., 2017)
Diabetic foot exercises can be used as an alternative measure to improve sensory peripheral neuropathy
Patients with diabetes and neuropathy are associated with low nerve conduction due to demyelination and loss of large myelin fibers, and decreased potential for nerve action due to loss of axons (Charles et al, 2010; Kobori et al, 2017)
Summary
International Diabetes Federation (IDF) in 2017 stated that Indonesia ranks 6th in the number of diabetics in the world (Nam Han Cho., 2017). In 2017 the number of diabetics in Indonesia reached 10.3 million people and among them 73.7% were unaware that they had diabetes. The prevalence of diabetes mellitus (DM) in Indonesia has reached 9.1 million people. IDF estimates that the number of diabetics in Indonesia will continue to soar to reach 16.7 million in 2045 (PERKENI, 2015). Peripheral neuropathy is a long-term complication that attacks the nerves and loses the sensation of protection which affects about 50% of people with diabetes mellitus (DM). Diabetic foot exercises can help blood circulation, especially in the legs or lower limbs. This researched aimed to analyze the effect of diabetic foot exercise on sensory peripheral neuropathy in DM clients
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