Pengaruh Senam Kaki Diabetik Terhadap Ankle Brachial Indeks Pada Pasien Diabetes Mellitus Type Ii Di Rumah Sakit Umum Sembiring

Abstract

Diabetes Melitus (DM) adalah suatu kelompok penyakit metabolik dengan karakteristik hiperglikemia yang terjadi karena kelainan sekresi insulin atau aktivitas insulin. Salah satu komplikasi dari Diabetes Melitus Tipe 2 yang mempengaruhi sistem saraf perifer yaitu Peripheral Arthery Disease (PAD) merupakan suatu kondisi dimana terdapat terdapat lesi di pembuluh darah sehingga menyebabkan aliran darah dalam arteri yang mensuplai darah ke ekstermitas menjadi terbatas. Senam kaki diabetes dapat membantu sirkulasi darah dan memperkuat otot-otot kecil kaki dan mencegah terjadinya kelainan bentuk kaki. Sikulasi darah pada daerah kaki dapat diukur melalui pemeriksaan non invasive salah satunya adalah dengan pemeriksaan ankle brachial index. Penelitian ini bertujuan untuk menguji Pengaruh senam kaki Diabetes Terhadap Ankle Brachial Index Pada Pasien DM Tipe. Jenis penelitian ini merupakan eksperimenental studies dengan pre test dan post test. Sampel penelitian ini sebanyak 10 orang dengan teknik purposive sampling. Hasil penelitian rata-rata ankle brachial index pasien setelah pemberian terapi senam kaki mengalami peningkatan dengan nilai ABI sebelum pemberian terapi senam kaki (pretest) sebagian besar tergolong berat yaitu 4 responden (40%) meningkat menjadi normal sebanyak 5 responden (50%) setelah diberikan terapi senam kaki (posttest). Dan dari hasil t hitung sebesar 4.714, hal ini diketahui bahwa nilai t hitung lebih besar dari t tabel (4.714>1.833), yang berarti H0 ditolak dan Hα diterima, sedangkan nilai p=0.001 lebih kecil dari tingkat kemaknaan α=0,05 hal ini menunjukan ada perbedaan yang bermakna antara ankle brachial index sebelum dan sesudah pemberian terapi senam kaki.

The Effectiveness of Neuromuscular Taping (NMT) And Foot Exercise in Improving Microsirculations in Diabetes Mellitus Patients

“…Analysis result group mean _ diabetic foot exercise intervention pre-post test ABI with value 9.87% with score significant 0.006 that there is significant difference before and after gift diabetic foot exercise intervention. This thing in line with a study (Girsang and Sitorus 2020;Putra et al 2020) which shows the existence of the effect of foot exercise on score Ankle Brachial Index (ABI) in patients with type 2 diabetes. Diabetic foot exercise launches circulation periphery in the last leg cause happening contraction in muscles leg that compresses the vein so that the venous wall in the system circulation contract and occur enhancement pressure arteries during leg gymnastics and causes increase ABI value (Sammulia et al 2020;Wahyudi 2020).…”

“…Diabetic foot exercise done routinely and regularly in diabetic patients has an impact positive for enhancement of ABI value because with To do movements in diabetic foot exercise right and truly beneficial for launch circulation blood in the extremities down and prevent like happening complications disease arteries peripheral (Girsang and Sitorus 2020). According to the American Diabetes Association, 2019, diabetic foot exercise activities are recommended at least 5 times a day one week with 30 minutes duration (Sya'diyah et al 2020).…”

“…The movements made could expedite the circulation of genre blood. In diabetic foot exercise, there is effective leg stretching that launches circulation of blood to the extremity down, reduces the risk of arteriosclerosis, improves circulation of genre blood to the feet, and also plays a role for increase pressure of systolic foot (Girsang and Sitorus 2020;Pratiwi et al 2019). According to a study (Trisna.…”

The Effect of Progressive Muscle Relaxation on the Value of Ankle Brachial Index and Foot Sensitivity in Patients with Diabetes Mellitus

“…According to (Girsang et al, 2020) if diabetes is not treated properly, many complications will arise, the longer you suffer from DM that is not treated properly, the more complications there will be complications of DM itself there are two chronic and acute chronic complications namely macrovascular and microvascular complications macrovascular diseases such as coronary heart disease, cerebral vascular disease and peripheral vascular disease. While microvascular complications such as retinopathy, nevropathy and neuropathy are able to affect the nerves in the legs so that blood flow is not smooth.…”

“…This exercise is also very easy to do anywhere and anytime. According to (Girsang et al, 2020) progressive muscle relaxation movements, especially when moving the legs stretching the leg muscles are considered effective in improving blood flow to the legs, increasing the work of indulin, reducing the risk of arteriosclerosis and playing a role in increasing systolic pressure in the legs so that it affects the ABI value. According to Simajuntak & Simamora, (2017) many factors affect the value of ABI increased glucose in the blood so that blood flow is reduced and there is an increase in platelet aggregability associated with the development of microvascular complications so that the ABI value of blood flow is not normal.…”