https://doi.org/10.4081/hls.2024.11965
Buerger-Allen exercises' effectiveness for improving lower limb circulation
Submitted: 13 October 2023
Accepted: 18 March 2024
Published: 12 April 2024
Accepted: 18 March 2024
Abstract Views: 1250
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Impaired peripheral perfusion in the legs is the most common complaint experienced by patients with type 2 Diabetes Mellitus (DM). One nursing intervention in the form of physical exercise that can be administered to DM patients to prevent peripheral perfusion disorders and increase vascularization of the lower extremities is the Buerger-Allen Exercise (BAE). The goal of this study was to analyze the effectiveness of BAE in improving lower extremity circulation. The population consisted of patients with type 2 DM. The research design employed a quasi-experiment with pre-test and post-test, including a control group. A sample of 24 respondents was divided into an intervention group and a control group. The sampling technique used was purposive sampling. Data were obtained through direct Ankle-Brachial Index (ABI) measurement using a Doppler ultrasound and an aneroid sphygmomanometer, temporary blood sugar level measurements using a glucometer, and leg sensitivity measurements using a monofilament tool. Paired T-tests and independent T-tests were used as statistical tests. The results of the Paired T-test for lower limb circulation in the intervention group yielded a p-value of 0.000, indicating a significant difference in the circulation of the lower extremities before and after the intervention. The results of the independent T-test also showed a p-value of 0.000, indicating significance. Thus, BAE can improve lower limb circulation in patients with type 2 DM.
Susilo H, Alsagaff MY, Pikir BS, et al. Type II diabetes as the main risk factor of arterial stiffness in chronic kidney disease patients. ACM Int Conf Proceeding Ser 2022;210-4.
DOI: https://doi.org/10.1145/3545729.3545771
Sukartini T, Nursalam N, Pradipta RO, Ubudiyah M. Potential methods to improve self-management in those with type 2 diabetes: a narrative review. Int J Endocrinol Metab 2023;21.
DOI: https://doi.org/10.5812/ijem-119698
Kusnanto K, Pradipta RO, Arifin H, et al. What I felt as a diabetes fatigue survivor: a phenomenology study. J Diabetes Metab Disord 2022;21:1753-62.
DOI: https://doi.org/10.1007/s40200-022-01147-4
Ong KL, Stafford LK, McLaughlin SA, et al. Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021. Lancet 2023;402:203-34.
DOI: https://doi.org/10.1016/S0140-6736(23)01301-6
Darma Karingga D, Efendi F. Effect of mobile structured educational applications on self-care management in diabetes mellitus patients. Gac Med Caracas 2023;131:278-86.
DOI: https://doi.org/10.47307/GMC.2023.131.2.3
Soelistijo SA, Lindarto D, Decroli E, et al. Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia 2019. Perkumpulan Endokrinologi Indonesia 2019;1-117.
Mellisha MES. Effectiveness of Buerger Allen Exercise on lower extremity perfusion and pain among patients with Type 2 Diabetes Mellitus in selected hospitals in Chennai. Int J Sci Res 2016;5:1822-6.
Mboi N, Syailendrawati R, Ostroff SM, et al. The state of health in Indonesia’s provinces, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Glob Heal 2022;10:e1632-45.
Sartika RAD, Sigit FS, Purwanto E, et al. Association of birth weight with risk of diabetes mellitus in adolescence and early adulthood: analysis of the Indonesian Family Life Survey. Ann Pediatr Endocrinol Metab 2023;28:267-74.
DOI: https://doi.org/10.6065/apem.2346146.073
Zairina E, Sulistyarini A, Nugraheni G, et al. Screening for identifying individuals at risk of developing type 2 diabetes using the Canadian diabetes risk (CANRISK) questionnaire. J Public Heal 2023;31:985-91.
DOI: https://doi.org/10.1007/s10389-021-01606-x
Dewi EU, Widari NP, Nursalam N, et al. The relationship between diabetes self-care management and blood glucose level among type 2 diabetes mellitus patients. Int J Public Heal Sci 2023;12:1165.
DOI: https://doi.org/10.11591/ijphs.v12i3.22228
Ndraha S. Diabetes Mellitus Tipe 2 Dan Tatalaksana Terkini. Medicinus 2014;27:9-16.
Purbandini, Purwanti E, Hariyanti E, Ramadhan FY. Application of the Decision Tree C4.5 Method on the classification of diet types of people with Diabetes Mellitus. AIP Conf Proc 2023;2975:060004.
DOI: https://doi.org/10.1063/5.0187456
Nadrati B. Pengaruh Buerger Allen Exercise Terhadap Ankle Brachial Index (ABI) Pada Penyandang DM Di Rumah Sakit Umum Daerah Kota Mataram. 2018;1-7.
Sari A, Wardy AW, Sofiani Y. Efektivitas Perbandingan Buerger Allen Exercise Dan Senam Kaki Terhadap Nilai ABI Pada Penderita DM Tipe II. J Telenursing 2019;24:233-44.
DOI: https://doi.org/10.31539/joting.v1i1.492
Pebrianti S. Buerger Allen Exercise dan Ankle Bractial Index ( ABI ) Pada Pasien Ulcus Kaki Diabetik di RSU DR. Slamet Garut. Indones J Nurs Sci Pract 2017;94-110.
Hassan S, Mehani M. Comparison between two vascular rehabilitation training programs for patients with intermittent claudication as a result of diabetic atherosclerosis. Bull Fac Phys Ther Cairo 2012;17:7-14.
Thiruvoipati T. Peripheral artery disease in patients with diabetes: Epidemiology, mechanisms, and outcomes. World J Diabetes 2015;6:961.
DOI: https://doi.org/10.4239/wjd.v6.i7.961
Dick F, Diehm N, Galimanis A, et al. Surgical or endovascular revascularization in patients with critical limb ischemia: influence of diabetes mellitus on clinical outcome. J Vasc Surg 2007;45:751-61.
DOI: https://doi.org/10.1016/j.jvs.2006.12.022
Faizah R, Efendi F, Suprajitno S. The effects of foot exercise with audiovisual and group support foot exercises to diabetes mellitus patients. J Diabetes Metab Disord 2021;20:377-82.
DOI: https://doi.org/10.1007/s40200-021-00756-9
Arnetz L, Ekberg NR, Alvarsson M. Sex differences in type 2 diabetes: focus on disease course and outcomes. Diabetes, Metab Syndr Obes 2014;7:409-20.
DOI: https://doi.org/10.2147/DMSO.S51301
McIntosh C, Ousy K. Lower extremity wound: a problem-based learning approach. John Wiley & Sons Ltd.; Hoboken, USA; 2008.
Rosales-Velderrain A, Padilla M, Choe CH, Hargens AR. Increased microvascular flow and foot sensation with mild continuous external compression. Physiol Rep 2013;1:1-6.
DOI: https://doi.org/10.1002/phy2.157
John J, Rathiga A. Effectiveness of Buerger Allen Exercise to improve the lower extremity perfusion among patients with type 2 Diabetes Mellitus. Int J Curr Res Acad Rev 2015;3:252-63.
Bryant RA, Nix DP. Acute and Chronic Wounds. Fifth edition. Elsevier. Elsevier; Philadelphia, USA; 2016. 200 pp.
Nadrati B, Hadi M, Rayasari F. Pengaruh Buerger Allen Exercise terhadap sirkulasi ekstremitas bawah bagi penyandang diabetes melitus. Holistik J Kesehat 2020;14:248-56.
DOI: https://doi.org/10.33024/hjk.v14i2.2742
Vijayabarathi M, Hemavathy V. Buerger Allen Exercise for Type 2 Diabetes Mellitus foot ulcer patients. 2015. Available from: https://www.ijirset.com/upload/2014/december/30_15.%20M.pdf
Trisnawati I, Sudiana IK, Supriyanto S. Effect of leg exercise on the lower limb circulation of patients with Diabetes Mellitus: a systematic review. J Ners 2020;15:497-507.
DOI: https://doi.org/10.20473/jn.v15i1Sp.20518
How to Cite
Widiastuti, H. P., Paonganan, R., Setiani, D., Arsyawina, A., Pramono, J. S., & Hilda, H. (2024). Buerger-Allen exercises’ effectiveness for improving lower limb circulation. Healthcare in Low-Resource Settings, 12(3). https://doi.org/10.4081/hls.2024.11965
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