PENGARUH AKTIVITAS PERLINDUNGAN KAKI TERHADAP SENSASI PROTEKSI DAN RANGE OF MOTION KAKI PADA PENDERITA DIBETES MELITUS TIPE 2 DENGAN NEUROPATI PERIFER

Istiroha Istiroha, Elyana Asnar, Harmayetty Harmayetty

Abstract


The somatosensory deficit in diabetic peripheral neuropathy can include loss of movement per­ception at the ankle joint and loss of plantar cutaneous sen­sation. Foot protection activities can maintain balance and strength of the legs. The purpose of this study was to determine the effect of foot protection activity on foot sensation, ROM of ankle and 1st MTP joint in type 2 diabetes with peripheral neuropathy.  This research used pretest-postest control group design. Subjects used are patients with type 2 diabetes outpatient in RSUD Ibnu Sina Gresik as many as 28 patients. The subjects of the treatment group were given foot protection activity for 30 minutes, 2 times each week for 4 weeks. The variables measured were sensation of protection, ROM of ankle and 1st MTP joint. The instruments used are Semmes-Weinstein Monofilament Test (SWMT) 10g and goniometer. After 4 weeks of treatment, paired t test showed an increase in foot protection sensation, ROM of ankle and 1st MTP joint in the treatment group with p value SWMT = 0,000, ROM of ankle dorsiflexion p = 0,005, plantarflextion ankle p = 0,006, ankle eversion p = 0.002, ankle inversion p = 0,000, 1st MTP flexion p = 0.009 and 1st MTP extension p = 0.002. The independent t test value of foot protection sensation, ROM of ankle and 1st MTP joint between treatment and control group also showed significant differences in treatment group than control group. This study shows the effect of foot protection activity on the sensation of foot protection and ROM of the foot joint so that it can be used as an alternative intervention to prevent diabetic foot ulcers either independently or in health services.

Keywords


foot, protection, sensation, ROM

Full Text:

PDF

References


Aalaa M, Malazy OT, Sanjari M, Peimani M, Tehrani MRM (2012), Nurses’ role in diabetic foot prevention and care; a review, Journal of Diabetes & Metabolic Disorders, 11, 24 diakses 6 November 2016

American Orthopedic Foot and Ankle Society (2017), How to Keep Your Feet Flexible, diakses tanggal 18 Januari 2017 jam 10:16 WIB

Arifin H (2013), Pengaruh Senam Kaki Diabetik Terhadap Respon Neuropati Pada Pasien Diabetes Melitus Tipe 2 Non Ulkus Di Poliklinik Endokrin Rsup. Dr. Wahidin SudirohusodoMakassar, Skripsi, Universitas Hasanuddin, Makassar.

British Columbia Provincial Nursing Skin and Wound Committee (2012), Procedure: Monofilament Testing for Loss of Protective Sensation of Diabetic/Neuropathic Feet for Adults & Children.

Chatchawan U, Eungpinichpong W, Plandee P, Yamauchi J (2015), Effects of Thai Foot Massage on Balance Performance in Diabetic Patients with Peripheral Neuropathy: A Randomized Parallel-Controlled Trial, Medical Science Monitor Basic Reasearch, 21, 68-75.

Davies M, Brophy S, Williams R, Taylor A (2006), The Prevalence, Severity, and Impact of Painful Diabetic Peripheral Neuropathy in Type 2 Diabetes, Diabetes Care, 29, 1518–1522 diakses tanggal 4 Januari 2017,.

Dixit S, Maiya AG, Shastry BA (2014), Effect of aerobic exercise on peripheral nerve functions of population with diabetic peripheral neuropathy in type 2 diabetes: A single blind, parallel group randomized controlled trial, Journal of Diabetes and Its Complications, 28, 332–339.

Endriyanto E, Hasneli Y, Dewi YI (2012), Efektifitas Senam Kaki Diabetes Melitus dengan Koran Terhadap Tingkat Sensitivitas Kaki Pada Pasien DM Tipe 2, Jurnal Universitas Riau.

Frygberk RG, Armstrong DG, Driver VR, Gurini JM, Kravitzs SR, Vanore JV (2006), Diabetic Foot Disorders A Clinical Practice Giudelines. The Journal of Foot& Ankle Surgery, 45, 5.

Harmaya, Sukawana IW, Lestari MPL (2014), Pengaruh Masase Kaki Terhadap Sensasi Proteksi Pada Kaki Pasien Diabetes Melitus Tipe II dengan Diabetic Peripheral Neuropathy Tahun 2014, jurnal PSIK FK Universitas Udayana.

Hayes J & Cox C (1999). Immediate effects of a five-minute foot massage on patient in ritical care. Intensive and Critical Care Nursing, 15 (2), 77-82.

Jenkis L (2005), Maximizing Range of Motion in Older Adults. The Journal on Active Aging, 50-55.

Mecagni C, Smith JP, Roberts KE et al., (2000), Balance and ankle range of motion in community-dwelling women aged 64 to 87 years: a correlational study. Phys Ther, 80(10): 1004–11

Pattillo M (2004), Therapeutic and Healing Foot Care: A Healthy Feet Clinic for Older Adults, Journal of Gerontological Nursing, 30, 12, 25-32.

Priyanto S (2012), Pengaruh Senam Kaki Terhadap Sensitivitas Kaki dan Kadar Gula Darah pada Agregat Lansia Diabetes Melitus di Magelang, Tesis, Universitas Indonesi, Jakarta

Purwanti OS (2013), Analisis Faktor-Faktor Resiko Terjadi Ulkus Kaki pada Pasien Diabetes Mellitus di RSUD Dr. Moewardi, Tesis dipublikasikan, Universitas Indonesia, Jakarta.

Ritzline PD, Swanson J (2010), The Effects of A Home Exercise Program on Ankle Range of Motion and Step Length in People With Type 2 Diabetes: A Blinded Cross-Over Design Pilot Study. Presented at the annual meeting of the American Physical Therapy Association, Boston.

Shilling F (2003), Foot Care in Patients with Diabetes, Nursing Standard, 17, 23, 61-68.

Subekti I (2007), Hidup Sehat dengan Diabetes. Jakarta: Balai Penerbit.

Suyanto & Susanto A (2016), Faktor-Faktor yang Berhubungan dengan Kejadian Neuropati Perifer Diabetik, Nursecope Jurnal Keperawatan dan Pemikiran Ilmiah, 2, 6, 1-7 diakses tanggal 3 November 2016.

Vaillant J, Rouland A, Martigne P et al (2009), Massage and mobilization of the feet and ankles in elderly adults: effect on clinical balance performance. Man Ther, 14(6): 661–64

Vaillant J, Vuillerme N, Janvey A et al (2008), Effect of manipulation of the feet and ankles on postural control in elderly adults. Brain Res Bull, 75(1): 18–22

van Deursen RW, Sanchez MM, Ulbrecht JS et al. (1998), The role of muscle spin-dles in ankle movement perception in human subjects with diabetic neu-ropathy. Exp Brain Res, 120(1): 1–8

van Deursen RW, Simoneau GG (1999), Foot and ankle sensory neuropathy, pro¬prioception, and postural stability. J Orthop Sports Phys Ther, 29(12): 718–26

Vatankhah N, Khamseh ME, Noudeh YJ, Aghili R, Baradaran HR, Haeri NS (2009), The effectiveness of foot care education on people with type 2 diabetes in Tehran, Iran, Primary Care Diabetes, 3, 73–77 diakses tanggal 8 November 2016 ,

Zimny S, Schatz H, Pfohl M, (2004), The Role of Limited Joint Mobility in Diabetic Patients With an At-Risk Foot, Diabetes Care, 27, 4: 942-946.


Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International Licensejoomla visitor View My Stats