The Effect of Active Range of Motion Exercise on Sensory Neuropathy in Diabetes Mellitus Patients

https://doi.org/10.20956/icon.v1i2.3593

Authors

  • Surianti Surianti Program Studi Ilmu Keperawatan Universitas Hasanuddin
  • Abdul Majid Program Studi Ilmu Keperawatan Universitas Hasanuddin
  • Arnis Puspitha Program Studi Ilmu Keperawatan Universitas Hasanuddin

Abstract

Background: Chronic Complication of DM patient that the most founded is neuropatic diabetic. It related to chronic hyperglicemic that can damage vascular and the neuron. In 2010, Prevalence odf chronic complication on DM patient around 22,7% until 54,0%. One of tthe non farmacological therapy is Range of Motion of limb joint movement exercise.. This research aims to know the effect of limb joint exercise actively on sensoric neuropaty DM type 2 with no ulcus. Method: Desain quasy-experimental pre-post test design with purposive sampling technic. Consist of 20 group of intervention and 20 group of control. The Intervention group have to make a ROM exercise and the Control group not make that. All of the group must be observed three times in a week for one month with the using of 10 g monofilamen for protection sensation and Diabetic Neuropathy Symptom (DNS) question for the polineuropaty perifer (PNP) complaint. Wilcoxon Statistik test for dependen test and  Mann-Withney test for the independent tes with significancy (ɑ=0,05). Results: the research result show that there is a difference on mean value of protection sensation intervention group between pre with post test on lright food and left food p=0,0001 and PNP ( p=0,005) make a difference on mean value with post test between two group (p=0,001), but not for the mean value of protection sensation. Conclusion: The conclusion from this reseearch is the ROM exercise actively influenced on PNP form the DM patient type 2 with no ulcus. The ROM exercise should be make on 3-5 times on a week for 8 until 12 weeks and doing it comprehensively so that can make the significant influenced.

Downloads

Download data is not yet available.
Dimensions

American Association of Clinical Endocrinologist (AACE). (2007). Medical guidelines for clinical practice for the management of diabetes mellitus. Endocrine Practice , 13 (1), 3-68.

Boulton, A. J., Vinik, A. I., Arezzo, J. C., Bril, V., Feldmen, E. L., Freemen, L., et al. (2005). Diabetic neuropathies (A statement by the American Diabetes Associatio). Diabeties Care , 28 (4), 956-962.

Boulton, A. J., Armstrong, D. G., Albert, S. F., Frygberg, R. G., Hellman, R., Kirkman, M. S., et al. (2008). Comprehensive foot examination and risk assessment. Diabetes Care , 31 (8), 1679-1685. DOI: 10.2337/dc08-9021

Casselli, A., Pham, H., Giurini, J. M., Armstrong, D. G., & Veves, A. (2002). The forefoot-rearfoot plantar pressure ratio is incrased in severe diabetic neuropathy and can predict foot ulceration. Diabetes Care, 25 (6), 1066-1071.

Feng, Y., Schlosser, F. J., & Sumpio, B. E. (2009). The Semmes Weinstein monofilament examination as a screening tool for diabetic. Journal of Vascular Surgery , 50 (3), 675-682.

Giacomozzi, C., D'Ambrogi, E., Cesinaro, S., Macellari, V., & Uccioli, L. (2008, July 4). Muscle performance and ankle joint mobility in long term patients with diabetes. BMC Musculoskeletal Disorders , 1-8.DOI: 10.1186/1471- 2474-9-99

Goldsmith, J. R., Lidtke, R. H., & Shott, S. (2002). The effects of Range-of- Motion therapy on the plantar pressures of patients with Diabetes Mellitus. Journal of the American Podiatric Medical Association , 92 (9), 483-490.

Guyton, & Hall. (2008). Buku ajar fisiologi kedokteran (11 ed). Jakarta: EGC

Hughes, R.A. (2002). Peipheral Neuropathy. British Medical Journal, 324, 466-469.

International Diabetic Federation (IDF). (2012). Diabetes atlas. International Diabetes Federation, diakses Tanggal 30 april 2013, <http://www.idf.org/diabetesatlas.

Kelkar, P. (2005). Diabetic neurophaty. Medscape . 25(2), 168-173. Diakses tanggal 24 juni 2013, http://www.medscape.com/viewarticle/510707

Komisi Nasional Etika Penelitian Kesehatan (2005). diakses tanggal 30 Juni 2013, http://www.knepk.litbang.depkes.go.id/knepk/

Lee, S., Kim, H., Choi, S., Park, Y., Kim, Y., & Cho, B. (2003). Clinical usefulness of the two-site semmes-weinstein monofilament test for detecting diabetic peripheral neuropathy. The Korean Academy of Medical Sciences , 103-107.

Lin, H. C., Quan, D., & Lorenzo, N. (2012). Diabetic neurophaty. Medscape . diakses tanggal 29 juni 2013 http://emedicine.medscape.com/article/1170337-differential

Meijer, J. W., Bosma, E., Lefrandt, J. D., Links, T. P., Smit, A. J., Stewart, R. E., et al. (2003). Clinical diagnosis of diabetic polyneuropathy with the diabetic neuropathy symptom and diabetic neuropathy examination score. Diabetes Care , 26 (3), 697-701.

Mulyati, L. (2009). Pengaruh masase kaki secara manual terhadap sensasi proteksi, sensasi nyeri dan ABI pada pasien DM tipe 2 di RSUDaerah Curup Bengkulu. FIK UI

Pham, H., Armstrong, D. G., Harvey, C., Harkless, L. B., Giurini, J. M., & Veves, A. (2000). Screening techniques to identify people at high risk for diabetic foot ulceration. Diabetes Care , 23 (5), 606-611.

Semendawai, R. K. (2013). Pengaruh latihan fisik senam kaki terhadap efektifitas fungsi sensori di daerah telapak kaki pada penderita DM di Puskesmas Kedung Mundu kota Semarang Jawa Tengah. Diakses tanggal 4 Juli 2013. digilib.unismus.ac.id/files/disk1/141/jtpunismus-gdl-rudiksumaj-7048-1- abstrak.pdf

Silbergl, S., & Lang, F. (2007). Teks dan atlas berwarna patofisiologi. Jakarta: EGC

Subekti, I. (2009). Neuropati diabetik. In A. W. Sudoyo, B. Setiyohadi, I. Alwi,M. Simadibrata, & S. Setiati, Buku Ajar Ilmu Penyakit Dalam (pp. 1947-1951). Jakarta: Interna Publisher.

Suyono, S. (2009). Diabetes melitus di Indonesia. In A. W. Sudoyo, B. Setiyohadi, I. Alwi, M. Simadibrata, & S. Setiati, Buku Ajar Ilmu Penyakit Dalam (pp. 1873-1879). Jakarta: Interna Publisher.

Tan, L. S. (2010, July 22). The clinical use of the 10 g monofilament and its limitations : a review. Diabetes Research and Clinical Practice , 1-7. DOI:10.1016/j.diabres.2010.06.021

Tesfaye, S., Chaturvedi, N., Eaton, S. E., Ward, J. D., Manes, C., Ionescu- Tirgoviste, C., et al. (2005). Vascular risk factors and diabetic neuropathy.The New England Journal of Medicine , 341-350.

Tesfaye, S., Boulton, A. J., Dyck, P. J., Freeman, R., Horowitz, M., Kempler, P.,et al. (2010). Diabetic neuropathies: update on definitions, diagnostic criteria, estimation of severity, and treatments. Diabetes Care , 33 (10), 2285-2293.

Tesfaye, S. and Selvarajah, D. (2012), Advances in the epidemiology, pathogenesis and management of diabetic peripheral neuropathy. Diabetes Metab. Res. Rev., 28: 8–14. doi: 10.1002/dmrr.2239 diakses tanggal 5 Juli 2013, http://onlinelibrary.wiley.com/doi/10.1002/dmrr.2239/full

Tucker, M. E. (2009). Tuning fork bested monofilament in neurophaty diabetic screens. IMNG Medical Media. diakses tanggal 28 juni 2013 http://www.clinicalendocrinologynews.com/news/clinical-news/singlearticle/ tuning-fork-bested-monofilament-in-diabetic-neuropathyscreens/ 7429a164b9f7216042757d8e19a132f7.html

Widyawati, I. Y. (2010). Pengaruh latihan aktive lower range of motion terhadap tanda dan gejala neuropati diabetikum pada penderita DM tipe II di PERSADIA unit RSU Dr. Soetomo Surabaya. Media Jurnal Ners , 5 (2).

Yunir, E., & Soebardi, S. (2009). Terapi non farmakologis pada diabetes mellitus.

Young, M. J., Boulton, A. J. M., Macleod, A. F., William, D. R. R., & Sonksen, P.H. (1993). A multicentre study of the prevalence of diabetic peripheral neuropathy in the United Kingdom hospital clinic population. Diabetologia, 36 (2), 150-154. DOI: 10.1007/BF00400697

Published

2017-02-28

How to Cite

Surianti, S., Majid, A., & Puspitha, A. (2017). The Effect of Active Range of Motion Exercise on Sensory Neuropathy in Diabetes Mellitus Patients. Indonesian Contemporary Nursing Journal (ICON Journal), 1(2), 101-109. https://doi.org/10.20956/icon.v1i2.3593

Issue

Volume 1 No. 2 Februari 2017

Section

ARTICLES
Copyright & Licensing
Authors who publish with this journal agree to the following terms:

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).