The Effectiveness of Massage Therapy on Healing of Diabetic Neuropathy in Diabetes Mellitus Patients
Keywords:Effectiveness, Foot massage therapy, Diabetic neuropathy
BACKGROUND: Diabetic neuropathy reduces the patient’s quality of life and the quality of diabetes management itself and, as a result, worsens the prognosis of other diabetic complications. Various complaints that are often felt by diabetes mellitus (DM) patients due to neuropathy include pain in the legs, numbness, and weakness in the affected leg, paresthesia, or numbness, and the absence of tendon reflexes in the affected leg.
AIM: This study aimed to determine the effectiveness of electric massage therapy on neuropathy healing in DM patients.
METHODS: The pre-test and post-test experimental design without a control group was employed. Patients with neuropathy diabetic were recruited as the subject of the study. The total number of participants in the study was 30 people. All the subjects were assessed for neuropathy using the neuropathy assessment instrument and the monofilament test. The Kolmogorov–Smirnov test was employed to analyze the normality of the data. The Wilcoxon signed-rank test was employed for non-normally distributed data. The study used a 95% confidence interval, and significance was assessed at alpha <0.05.
RESULTS: Mean difference test resulted that the Z value was −4.791; (p < 0.01). These results indicate that there was a statistically significant difference in the level of neuropathy before and after the massage therapy intervention.CONCLUSIONS: Foot massage therapy has a significant effect in reducing the complaints of diabetic peripheral neuropathy (DPN). It is recommended for the DPN patients to conduct foot massage independently regularly as an alternative treatment in-home care treatment.
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World Health Organization. Diabetes. Geneva: WHO; 2021. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes [Last accessed on 2021 Feb 07].
Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the international diabetes federation diabetes atlas, 9th edition. Diabetes Res Clin Pract. 2019;157:107843. https://doi.org/10.1016/j.diabres.2019.107843 PMid:31518657 DOI: https://doi.org/10.1016/j.diabres.2019.107843
Pusdatin. Diabetes Mellitus. Kementerian Kesehatan; 2020. Available from: https://www.pusdatin.kemkes.go.id/article/view/20111800001/diabetes-melitus.html [Last accessed on 2021 Feb 07].
Yovera-Aldana M, Velásquez-Rimachi V, Huerta-Rosario A, More-Yupanqui MD, Osores-Flores M, Espinoza R, Gil-Olivares F, et al. Prevalence and incidence of diabetic peripheral neuropathy in Latin America and the Caribbean: A systematic review and meta-analysis. PLoS One. 2021;16(5):e0251642. https://doi.org/10.1371/journal.pone.0251642 PMid:33984049 DOI: https://doi.org/10.1371/journal.pone.0251642
Fasil A, Biadgo B, Abebe M. Glycemic control and diabetes complications among diabetes mellitus patients attending at University of Gondar Hospital, Northwest Ethiopia. Diabetes Metab Syndr Obes. 2018;12:75-83. https://doi.org/10.2147/DMSO.S185614 PMid:30613158 DOI: https://doi.org/10.2147/DMSO.S185614
Zhang X, Yang X, Sun B, Zhu C. Perspectives of glycemic variability in diabetic Neuropathy: A comprehensive review. Commun Biol. 2021;4(1):1366. https://doi.org/10.1038/s42003-021-02896-3 PMid:34876671 DOI: https://doi.org/10.1038/s42003-021-02896-3
Pop-Busui R, Boulton AJ, Feldman EL, Bril V, Freeman R, Malik RA, et al. Diabetic neuropathy: A position statement by the American diabetes association. Diabetes Care. 2017;40(1):136-54. https://doi.org/10.2337/dc16-2042 PMid:27999003 DOI: https://doi.org/10.2337/dc16-2042
Russel JW, Zilliox LA. Diabetic neuropathies. Continuum (Minneap Minn). 2014;20:1226-40. https://doi.org/10.1212/01.CON.0000455884.29545.d2 PMid:25299279 DOI: https://doi.org/10.1212/01.CON.0000455884.29545.d2
Snyder MJ, Gibbs LM, Lindsay TJ. Treating painful diabetic peripheral neuropathy: An update. Am Fam Physician. 2016;94:227-34. PMid:27479625
Boulton AJ. Management of diabetic peripheral neuropathy. Clin Diabetes. 2005;23:9-15. DOI: https://doi.org/10.2337/diaclin.23.1.9
Alleman CJ, Westerhout KY, Hensen M, Chambers C, Stoker M, Long S, et al. Humanistic and economic burden of painful diabetic peripheral neuropathy in Europe: A review of the literature. Diabetes Res Clin Pract. 2015;109:215-25. https://doi.org/10.1016/j.diabres.2015.04.031 PMid:26008721 DOI: https://doi.org/10.1016/j.diabres.2015.04.031
Ghavami H, Radfar M, Soheily S, Shamsi SA, Khalkhali HR. Effect of lifestyle interventions on diabetic peripheral neuropathy in patients with Type 2 diabetes, result of a randomized clinical trial. Agri. 2018;30(4):165-70. https://doi.org/10.5505/agri.2018.45477 PMid:30403270 DOI: https://doi.org/10.5505/agri.2018.45477
da Silva NC, Chaves Éde C, de Carvalho EC, Carvalho LC, Iunes DH. Foot reflexology in feet impairment of people with Type 2 diabetes mellitus: Randomized trial. Rev Lat Am Enfermagem. 2015;23(4):603-10. https://doi.org/10.1590/0104-1169.0036.2594 PMid:26444161 DOI: https://doi.org/10.1590/0104-1169.0036.2594
Aaberg ML, Burch DM, Hud ZR, Zacharias MP. Gender differences in the onset of diabetic neuropathy. J Diabetes Complications. 2008;22:83-7. DOI: https://doi.org/10.1016/j.jdiacomp.2007.06.009
Perkeni. Diagnosis dan Penatalaksanaan Diabetes Melitus, Perkeni; 2021. Available from: https://www.pbperkeni.or.id [Last accessed on 2021 Feb 14].
Indriani S, Amalia IN, Hamidah H. Relationship between self care with the incidence of DNP in RSUD Cibabat Cimahi 2018. J Ilmu Kesehat Bhakti Husada Health Sci J. 2019;10:54-67. DOI: https://doi.org/10.34305/jikbh.v10i1.85
Bril V, Tomioka S, Buchanan RA, Perkins BA. Reliability and validity of the modified toronto clinical neuropathy score in diabetic sensorimotor polyneuropathy. Diabet Med. 2009;26:240-6. https://doi.org/10.1111/j.1464-5491.2009.02667.x PMid:19317818 DOI: https://doi.org/10.1111/j.1464-5491.2009.02667.x
Chatchawan U, Eungpinichpong W, Plandee P, Yamauchi J. Effects of thai foot massage on balance performance in diabetic patients with peripheral neuropathy: A randomized parallel-controlled trial. Med Sci Monit Basic Res. 2015;21:68-75. https://doi.org/10.12659/MSMBR.894163 PMid:25892354 DOI: https://doi.org/10.12659/MSMBR.894163
Dalal K, Maran VB, Pandey RM, Tripathi M. Determination of efficacy of reflexology in managing patients with diabetic neuropathy: A randomized controlled clinical trial. Evid Based Complement Alternat Med. 2014;2014:843036. https://doi.org/10.1155/2014/843036 PMid:24527055 DOI: https://doi.org/10.1155/2014/843036
Isworo A, Suharsono MN, Sitepu FY. The relationship between psychoeducation and the decrease in family burden of diabetes mellitus patients, Magelang, Indonesia. Indian J Public Health Res Dev. 2019;10:1940-4. DOI: https://doi.org/10.5958/0976-5506.2019.02136.3
Sunarmi S, Isworo A, Sunarko S. Combination of wound treatment and massage for healing diabetic foot ulcers. Int J Nurs Educ. 2021;13:137-40.
Agustini NL, Wulansari NT, Yusniawati YN, Sintia NW. The effect of foot massage on decreasing peripheral neuropathy diabetic complaints in the patients with Type 2 diabetes mellitus. J Ners. 2020;14:305. https://doi.org/10.20473/jn.v14i3(si).17152 DOI: https://doi.org/10.20473/jn.v14i3.17152
Soto PA, Eberman LE, Demchak TJ, Peebles C. Comparison of blood flow changes with soft tissue mobilization and massage therapy. J Altern Complement Med. 2014;20:932-6. https://doi.org/10.1089/acm.2014.0160 PMid:25420037 DOI: https://doi.org/10.1089/acm.2014.0160
Chiro-Med Rehab Centre. How Can Massage Therapy Improve Your Circulation? 2020. Available from: https://www.chiro-med.ca/article/how-can-massage-therapy-improve-your-circulation [Last accessed on 2021 Feb 07].
Singh N, Armstrong DG, Lipsky BA. Preventing foot ulcers in patients with diabetes. Clin Rev. 2005;293:217-28. DOI: https://doi.org/10.1001/jama.293.2.217
Hajtalebi H, Iurigh HK, Hajtalebi HR. Case report treatment of diabetic foot ulcer in a 58-year-old turkman patient based on Iranian traditional medicine. Trad Intrgr Med. 2016;1:151-9.
Rippetoe J, Wang H, James SA, Dionne C, Block B, Beckner M. Improvement of gait after 4 weeks of wearable focal muscle vibration therapy for individuals with diabetic peripheral neuropathy. J Clin Med. 2020;9(11):3767. https://doi.org/10.3390/jcm9113767 PMid:33266464 DOI: https://doi.org/10.3390/jcm9113767
Nisar MU, Asad A, Waqas A, Ali N, Nisar A, Qayyum MA, et al. Association of diabetic neuropathy with duration of Type 2 diabetes and glycemic control. Cureus. 2015;7(8):e302. https://doi.org/10.7759/cureus.302 PMid:26430576 DOI: https://doi.org/10.7759/cureus.302
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