Pengaruh Latihan Pergerakan Sendi Ekstremitas Bawah terhadap Nilai Ankle Brachial Index (ABI) pada Pasien DM Tipe 2

Abstract

Diabetes mellitus Type 2 (DMN Type 2) is the risk factor for the incidence of vascular. Its complication is related to macrovascular and microvascular dysfunction. Various interventions have been done to prevent from diabetes complication, and one of them is by lower extremity joint movement. Early diagnostics is very important to evaluate peripheral vascular. Measuring the value of ankle brachial index (ABI) is one of non-invasive actions to evaluate the risk for peripheral vascular in primary treatment. The objective of this research was to determine the influence of joint movement exercise on ABI value in DM Type 2 patients. The research used quasi experiment method with pretest-postest group design. The samples were 35 DM Type 2 patients, taken by using consecutive sampling technique. Intervention was given by conducting lower extremity joint movement exercise once a day with 10 repetitions and 4 week observations. Wilcoxon Signed Ranks statistic test showed that there was the difference in pre and post intervention of lower extremity joint movement from ABI value, in left extremity (p=0.00) and in right extremity (p=0.00). The conclusion was that lower extremity Joint movement exercise could increase ABI value if it was done regularly and continuously. It could also increase blood flow to artery and had positive effect on glucose metabolism in which glucose and HbA1c decreased. This research could bean input for nursing care to make physical exercises such as lower extremity joint movement as prevention from diabetic foot risk and ABI examination is required to early detect blood vessels disorder in DM Type 2 patients’ extremity.