The Influence Of Spa Therapy And Diabetic Foot Exercise On Diabetic Peripheral Neuropathy Patients

SUYANTO SUYANTO

Abstract


Diabetic peripheral neuropathy patients with decreasing in foot sensation will impact on diabetic ulcers.  This study aims to explore the effect of combination between diabetic legs exercise and SPA therapy on foot sensitivity escalation among patients with diabetic peripheral neuropathy. This study used quasi-experimental pretest-posttest design without control group with 17 respondents and recruited by purposive sampling methode. Data were collected from patients with peripheral diabetic neuropathy and had 8 maximum score of foot sensitivity.. Foot sensitivity was measured on the 1st day of intervention and end day of intervention. Wilcoxon test analysis showed significant differences on foot sensitivity with combination of diabetic legs exercise and SPA therapy compare to diabetic legs exercise only (p value < 0.05). It can be inferred that combination of diabetic legs exercise and SPA therapy are more effective to increase legs sensitivity. Therefore, combined effect of those therapies may eventually decrease diabetic ulcers risk.


Keywords


Diabetic mellitus, diabetic peripheral neuropathy, legs exercise, SPA therapy

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References


Booya, F., Bandarian, F., Larijani, B., Pajouhi, M., Nooraei, M, & Lotfi, J. (2005). Potential risk factors for diabetic neuropathy : A case control study. BMC Neurol, 5, 24

Bryant, R., & Nix, D. (2007). Acute and chronic wound current concept (3rd ed.). St. Louis: Mosby Elsevier

Carrington, A.L., Abbot,C.A., & Griffiths,J. (2001). Peipheral vascular and nerve function associated with lower limb amputation in people with and without diabetes. Clin Sci, 101, 261-266

Chandramoleeswaran, P., & Govardhan, K. (2011). Foot care through ayurdeva. International journal of research in ayurdeva & pharmacy, 247-252

Corwin, E. (2009). Hand book of pathophisiolofy. Philadelphia : Mosby

De Meyer,G.R., & Herman, A.G. (1997). Vascular endothelial dysfunction. Prog Cardiovasc Dis,39,325–342.

Davey, P. (2005). At a glance medicine. Farmet, E.(2005). Diabetic foot ulcer. The journal of american medical association, 293. http://Jama.ama-assn.org/cgi/content/full/293/2:135

Fiovaranti, A., Cantarani, L., Bacarelli, M.R., Lalla, A., Ceccatelli, L., & Blardi, P. (2010). Effect of spa therapy on serum leptin and adiponectin levels in patients with knee osteoarthritis. Rheumatology international, 31(7), 879-882

Floch, J.P., Doucet, J., Bauduceau, B., & Verny, C. (2013). Short report: Complications retinopathy, nephropathy, periperal neuropahty and geriatric scale scores in elderly people with type 2 diabetes. Diabetic Medicine, 31, 107-111

Gilligan, M.A. (2002). Metformin and vitamin B12 deficiency. Arch Intern Med, 162, 484 – 485

Haller, H. (1997). Endothelial function. General considerations Drugs,53(1),1–10.

Hayat, S.A., Patel,B., Khattar,R.S., & Malik,R.A. (2004). Diabetic cardiomyopathy: mechanisms, diagnosis and treatment. Clinical Science, 107, 539–557

Hutchinson, A., McIntosh, A., Feder, R. G., O’Connor, M., Young, R., Clarkson, S., et al. (2000). Clinical guidelines and evidence review for type 2 diabetes: Prevention and management of foot problems. London: Royal College of General Practitioners

Jalwal, M., Leur, A., Bell, R.A., Divers, J., Dabelea, D., Pettitt, D.J.,...et al. (2013). Peripheral neuropathy in adolescents and young adults with type 1 and type 2 diabetes from the search for diabetes in youth follow up cohort. Diabetes care, 36, 3903-3908

Loughlin, D.T, & Artlett, C.M. (2009). 3-deoxyglucosone-collagen alters human dermal fibroblast migration and adhesion: Implications for impaired wound healing in patients with diabetes. Wound repair and regeneration, 17, 739–749

Nursiswati. (2007). Pengaruh latihan kaki terhadap gejala neuropati perifer pada asuhan keperawatan dengan DM tipe 2 di RSUD Bekasi. Tesis. FIKUI: tidak dipublikasikan

Sakowski, S.A & Feldman,E.L. (2012). Insulin like growth factors in the peripheral nervous system. Endocrinol metab clin nort, 41 (2), 375-393

Saperstein, D.S., Wolfe, G.I., Gronseth, G.S., Nations, S.P., Herbelin, L.L., Bryan, W.W.,..et al. (2003). Challenges in the identification of cobalamin deficiency polyneuropathy. Arch Neurol, 60, 1296 –1301

Senthil, K.P., Prabha,A., Jeganathan,P.S., D’Souza,S.C., & Misri,Z.K. (2013). Pathophysiological changes in nerve conduction studies in diabetic peripheral neuropathy: An integrative overview. Indian Journal of Pathology: Research and practice, 2(3), 77-120

Sigal, R.J., Kenny,G.P.,& Wasserman,D.H (2006). Physical activity/exercise and type 2 diabetes. Diabetes care,29, 1433-1438

Shimodozono, M., Matsumoto, S., Ninomiya, K., Miyata, R., Ogata, A., Etoh, S.,...et al. (2011). Acute effects of a single warm-water bath on serum adiponectin and leptin levels in healthy men : A pilot study. Int J biometeorol, 56, 933-939

Suzuki, E., Kashigawi, A., Nishio, Y., Egawa, K., Shimizu, S., & Maegawa, H. (2001). Increased arterial wall stiffness limits flow volume in the lower extremities in type 2 diabetics patients. Diabetic care, 24(12), 2107-2114

Tanaka, Y., Uchino,H., Schimizu,T., Yoshii, H., Niwa,M., Ohmura,C.,...(1999). Effect of metformin on advanced glycation end product formation and peripheral nerve function in streptozotocin-induced diabetic rats. Eur J Pharmacol,376, 17-22

Tappan, F.M, & Benjamin, P.J. (1998). Tappan’s handbook healing massase techniques: classic, holistic, and emerging methods (3rd ed.). Stamford: Appleton & Lange

Tesfaye, S. (2006). Diabetic neuropathy. In; Veves A, Giurini JM, LoGerfo FW, editor. The Diabetic Foot, Second Edition. New Jersey: Humaniora Press

Thomsen, K., Rubin, I.,& Lauritzen, M. (2002). NO and non NO, non prostanoid dependent vasodilatation in rat sciatic nerve during maturation and developing experimental diabetic neuropathy. J Physiol,543, 977-993.

Tkac, I., & Bril, V. (1998). Glycemic control is related to the electrophysiologic severity of diabetic peripheral sensorimotor polyneuropathy. Diabetes care, 21(10),1749

Tosato, M., Zamboni,V., Femini,A., & Cesari,M. (2007). The aging process and potentialinterventions to extend life expectancy. Clin Interv Aging, 2 (3), 401-412

Ueno, Y., Kizaki, M., Nakagiri, R., Kamiya, T., Sumi, H.,& Osawa, T. (2002). Dietary gluthatione protects rats from diabetic nephropathy and neuropathy. J Nutr,132, 897-900.

Urbano, F.(2001). Homans' sign in the diagnosis of deep venous thrombosis. Hosp Physician,1(3), 22-24.

Utoyo, B. (2013). Pengaruh massase dan rendam kaki terhadap peningkatan sirkulasi kaki pada pasien diabetes mellitus. Tesis.FIKUI:Tidak dipublikasikan

Xu, D., Li,J., Zou,L., Xu,W., Hu,D., Pagoto,S.L.,...(2010). Sensitivity and specificity of the ankle-brachial indext to diagnose peripheral arteri disease: a structure review. Vascular Medicine,15 (5),361-369

Ziegler, D., Sohr, C.G., Nourooz-Zadeh, J. (2004). Oxidative stress and antioxidant defense in relation to the severity of diabetic polyneuropathy and cardiovascular autonomic neuropathy. Diabetes Care,27, 2178-2183

Zochodne, D.W. (2007). Diabetes mellitus and the peripheral nervous system: manifestations and mechanisms.Muscle nerve, 36 (2), 144-166

Zilliox, L.A., Ruby, S.K., Singh, S., Zhan, M., & Russel, J.W. (2015). Clinical neuropathy scales in neuropathy associated with impaired glucose tolerance. Journal of diabetes and its complications, 29, 372-377




DOI: http://dx.doi.org/10.30659/nurscope.3.2.29-37

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