Effects of Lower Extremity Exercises on Ankle-Brachial Index Values among Type 2 Diabetes Mellitus Patients
DOI:
https://doi.org/10.3889/oamjms.2020.4261Keywords:
Ankle-brachial index, Lower extremity exercises, Type 2 diabetes mellitus patientsAbstract
BACKGROUND: Diabetes mellitus (DM) is caused by more complications. One complication that often occurs is peripheral vascular disease. An early diagnostic to assess peripheral vascular disease is very important; measurement of the ankle-brachial index (ABI) is one of the non-invasive measures to assess the peripheral vascular disease risk in primary care and to identify the effect of lower extremity joint movement exercises on ABI values in Type 2 DM (T2DM) patients.
AIM: The aimed to determine the effect of lower extremity on Ankle-Brachial Index Value among Type 2 Diabetes Mellitus Patients.
METHODS: The method used was a quasi-experimental pre- and post-test group design without a control group. The sample was 35 T2DM patients using a consecutive sampling technique. The interventions given were lower extremity joint movement exercises which were performed actively once a day, with each movement ten repetitions and for 4 weeks of observation.
RESULTS: There was a significant difference between pre and post the lower extremity joint movement intervention toward the value of the left limb ABI with mean pre 0.93 and post 1.02 (p = 0.00) and the value of the ABI in the right limb ABI with mean pre 0.92 and post 1.01 (p = 0.00) in patients suffering from DM under 10 years. There was a significant difference between pre and post the lower extremity joint movement intervention toward the value of the left limb ABI with mean pre 0.89 and post 1.98 (p = 0.00) and the value of the ABI in the right limb ABI with mean pre 0.88 and post 0.96 (p = 0.00) in patients suffering from DM over 10 years.
CONCLUSION: Joint exercise can improve blood flow throughout the body, so it is important for T2DM patients to do regular joint exercise so that it is beneficial in improving health and preventing disability.
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References
Raghavan S, Vassy JL, Ho YL, Song RJ, Gagnon DR, Cho K, et al. Diabetes mellitus-related all-cause and cardiovascular mortality in a national cohort of adults. J Am Heart Assoc. 2019;8(4):e011295. https://doi.org/10.1161/jaha.118.011295
International Diabetic Federation. IDF Diabetes Atlas. 6th ed. Available from: https://www.idf.org/e-library/epidemiologyresearch/diabetes-atlas/19-atlas-6th-edition.html
Riskesdas K. Hasil Utama Riset Kesehatan Dasar RISKESDAS; 2018. p. 1-200. Available from: https://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil%20Riskesdas%202018.pdf
Papatheodorou K, Banach M, Bekiari E, Rizzo M, Edmonds M. Complications of Diabetes 2017. J Diabetes Res. 2018;2018:3086167. https://doi.org/10.1155/2018/3086167 PMid:29713648 PMCid:PMC5866895
Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of Type 2 diabetes mellitus and its complications. Nat Rev Endocrinol. 2018;14(2):88-98. https://doi.org/10.1038/nrendo.2017.151 PMid:29219149
Mehraj DM. A review of Wagner classification and current concepts in the management of diabetic foot. Int J Orthop Sci. 2018;4(1n):933-5. https://doi.org/10.22271/ortho.2018. v4.i1n.133
Maggi DL, Dal Piva de Quadros LR, de Oliveira Azzolin K, Goldmeier S. Ankle-brachial index: Nurses strategy to cardiovascular disease risk factors identification. Rev Esc Enferm USP. 2014;48(2):223-7. https://doi.org/10.1590/s0080-623420140000200004 PMid:24918879
Aboyans V, Criqui MH, Abraham P, Allison MA, Creager MA, Diehm C, et al. Measurement and interpretation of the anklebrachial index: A scientific statement from the American Heart Association. Circulation. 2012;126(24):2890-909. https://doi.org/10.1161/cir.0b013e318276fbcb PMid:23159553
Hammad TA, Strefling JA, Zellers PR, Reed GW, Venkatachalam S, Lowry AM, et al. The effect of post-exercise ankle-brachial index on lower extremity revascularization. JACC Cardiovasc Interv. 2015;8(9):1238-44. https://doi.org/10.1016/j. jcin.2015.04.021 PMid:26292588
Barone Gibbs B, Dobrosielski DA, Althouse AD, Stewart KJ. The effect of exercise training on ankle-brachial index in Type 2 diabetes. Atherosclerosis. 2013;230:125-30. https://doi.org/10.1016/j.atherosclerosis.2013.07.002 PMid:23958264 PMCid:PMC3775271
Shaunmigan A, Thenmozhi P. Effectiveness of Allen Buerger exercise in preventing peripheral arterial disease among people with Type II diabetes mellitus. Int J Pharm Bio Sci. 2015;6(2):966-70.
Francia P, Anichini R, De Bellis A, Seghieri G, Lazzeri R, Paternostro F, et al. Diabetic foot prevention: The role of exercise therapy in the treatment of limited joint mobility, muscle weakness and reduced gait speed. Ital J Anat Embryol. 2015;120(1):21-32.
Kumari A, Rai K, Kumari V, Sarin J. A study to assess the effectiveness of Buerger Allen exercise on foot perfusion among patients with diabetes mellitus admitted in selected hospital of Ambala, Haryana. Int J Heal Sci Res. 2019;9(1):112.
American Diabetes Association. Standards of Medical Care in Diabetes-2015 Abridged for primary care providers. Diabtes Care. 2015;38(1):17-9 http://doi.org/10.2337/dc15-S006 PMid:25537701.
Cavalcante BR, Farah BQ, Barbosa JP, Cucato GG, Chehuen M, Santana FD, et al. Are the barriers for physical activity practice equal for all peripheral artery disease patients? Arch Phys Med Rehabil. 2015;96(2):248-52. http://dx.doi.org/10.1016/j.apmr.2014.09.009 PMid:25281872
Hawkins M, Chasan-Taber L, Marcus B, Stanek E, Braun B, Ciccolo J, et al. Impact of an exercise intervention on physical activity during pregnancy: The behaviors affecting baby and you study. Am J Public Health. 2014;104(10):e74-81. https://doi.org/10.2105/ajph.2014.302072 PMid:25122031 PMCid:PMC4167076
Potter PA, Perry AG. Fundamental of Nurse. Mosby: Elsevier; 2013. p. 2-5.
Berman A, Snyder S, Frandsen G. Kozier&Erb’s. Fundamentals of Nursing: Concepts, Process, and Practice. New Jersey: Pearson; 2016. p. 1542.
Department of Rehabilitation Services the Ohio State University Wexner Medical Center. Ankle Range of Motion Exercise; 2012. Available from: https://www.patienteducation.osumc.edu/documents/anklerom.pdf [Last retrieved on 2015 Dec 28].
Rosenson RS, Fioretto P, Dodson PM. Does microvascular disease predict macrovascular events in Type 2 diabetes? Atherosclerosis. 2011;218(1):13-8. http://dx.doi.org/10.1016/j.atherosclerosis.2011.06.029 PMid:21763654
Hoe J, Koh WP, Jin A, Sum CF, Lim SC, Tavintharan S. Predictors of decrease in ankle-brachial index among patients with diabetes mellitus. Diabet Med. 2012;29(9):e304-7. https://doi.org/10.1111/j.1464-5491.2012.03705.x PMid:22587456
Jude EB, Eleftheriadou I, Tentolouris N. Peripheral arterial disease in diabetes a review. Diabet Med. 2010;27(1):4-14. https://doi.org/10.1111/j.1464-5491.2009.02866.x PMid:20121883
Chen YW, Wang YY, Zhao D, Yu CG, Xin Z, Cao X, et al. High prevalence of lower extremity peripheral artery disease in Type 2 diabetes patients with proliferative diabetic retinopathy. PLoS One 2015;10(3):e0122022. https://doi.org/10.1371/journal.pone.0122022 PMid:25822410 PMCid:PMC4379174
Vella S, Petrie JR. Macrovascular disease: Pathogenesis and risk assessment. Med (United Kingdom). 2015;43(1):1-6. http://dx.doi.org/10.1016/j.mpmed.2014.10.012
O’Brien J, Edwards H, Stewart I, Gibbs H. A home-based progressive resistance exercise program for patients with venous leg ulcers: A feasibility study. Int Wound J. 2013;10(4):389-96. https://doi.org/10.1111/j.1742-481x.2012.00995.x PMid:22697811
Bulechek GM, Butcher HK, Dochterman JM, Wagner CM. Nursing Intervention Classification. 6th ed. The United States of America: Mosby Elsevier; 2013.
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Copyright (c) 2020 Dewi Elizadiani Suza, Isni Hijriana, Yesi Ariani, Hariati Hariati (Author)
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