BUERGER ALLEN EXERCISE REVIEW ON PERIPHERAL CIRCULATION IN DIABETES MELLITUS PATIENTS: A LITERATURE REVIEW
Abstract
Introduction: Diabetes mellitus is metabolic dysfunction that increasing the number of blood glucose with enhancement incidences. Increasing blood glucose levels for a long time causes chronic microvascular and neuropathic complications, and impaired peripheral circulation of the lower extremities. The actions that can be done in form of leg exercise, such as Buerger Allen exercise. Objectives: the study aim is to find out the effect of the Buerger Allen exercise on peripheral circulation of the lower extremity in patients with diabetes mellitus. Method: descriptive qualitative design with a literature review approach. The databases used are PubMed, Pro-Quest, DOAJ, and Google Scholar. Result: 86 articles were found. After the identification, screening, and eligibility process, 12 articles were obtained. The indicators are ABI values (9 articles), HbO2 and HbT concentrations (2 articles), and capillary refill time (1 article). Conclusion: Buerger Allen exercise significantly increases the level of peripheral perfusion pressure due to postural changes, modulation of gravity, and the application of muscle pump that increases the ABI values, increases HbO2 and HbT concentrations, and decreases the capillary refill time. Further study can examine the frequency and duration that is most appropriate in providing intervention, comparing Buerger Allen exercise with other foot exercise methods, and using a randomized control trial research method.
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References
World Health Organization. Diabetes. In: Diakses ta. 2018. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes
Intenational Diabetes Federation. DF Diabetes Atlas, 8th edn. 2018;IDF Diabet.
Intenational Diabetes Federation. IDF Diabetes Atlas, 9th edn, Brussels, Belgium: 2019;
Mellisha, M. S. E. S., & Sc MN. Effectiveness of buerger allen exercise on lower extremity perfusion and pain among patients with type 2 diabetes mellitus in selected hospitals in chennai. Nurs J (Manila). 2016;5(7):822–1826.
Lee, C., Chang, C., Chen, C., Lai, L., Chang, F., Chen M. The Devil is in the Detail : Prevention of Diabetic Foot Ulceration in Rural Area is Possible. Open J Nurs. 2013;3(257):264.
Hasnah AS. Determining Effects Of Leg Exercises To Increase Blood Circulation In The Feet Of Diabetes Mellitus Patients. Indones Contemp Nurs Journal, 1(2). 2018;1(2):53–61.
Chang et al. A quantitative real-time assessment of Buerger exercise on dorsal foot peripheral skin circulation in patients with diabetes foot. Medicine (Baltimore). 2016;95(46):5334.
Vipin Patidar. A study to assess the effectiveness of burger allen exercise on improving peripheral circulation among type 2 Diabetes Mellitus patients in selected hospitals of Nadiad city. Clin Pr. 2018;15(6):901–4.
Aruna & Thenmozi. Effectiveness of Allen Buerger Exercise in Preventing Peripheral Arterial Disease Among People with Type II Diabetes Mellitus. Int J Pharma Biosci. 2015;6(2):966–70.
Nursalam. Konsep dan Penerapan Penelitian Ilmu Keperawatan. Jakarta: Salemba Medika; 2017.
Chang, C. F., Chang C. C., Hwang, S. L., & Chen, M. Y. Effects of buerger exercise combined health-promoting program on peripheral neurovasculopathy among community residents at high risk for diabetic foot ulceration. Worldviews Evidence-Based Nurs. 2015;12(3):145–53.
Chang, C., Chang, C., & Chen M. Effect of buerger ’s exercises on improving peripheral circulation. A Syst Rev. 2015;120–8.
Jemcy John and A.Rathiga. Effectiveness of Buerger Allen Exercise to Improve the Lower Extremity Perfusion among Patients with Type 2 Diabetes Mellitus. IntJCurrResAcaRev. 2015;3(4):58–366.
Rosales-Velderrain, A., Padilla, M., Choe, C.H., & Hargens AR. Increased micro-vascular flow and foot sensation with mild continuous external compression. 2013.
Ainul Yaqin Salam dan Nur Hamim. Efek Buerger Allen Exercise Terhadap Perubahan Nilai Abi (Ankle Brachial Index) Pasien Diabetes Tipe II. J Aiptinakes. 2019;15(1):1–6.
El-Fattah, Garas, Hanna E. Effect of Buerger Exercises on Improving Peripheral Circulation of the Lower Extremities among Patients with Type 2 Diabetes Mellitus at Selected University Hospital–Egypt. Indian J Public Heal Res Dev. 2019;10(6).
Ainul Yaqin Salam & Nurul Laili. Efek Buerger Allen Exercise terhadap Perubahan Nilai ABI (Ankle Brachial Index) Pasien Diabetes Tipe II. JI-KES J Ilmu Kesehat. 2020;3(2).
Anju Kumari, Kanika Rai, Vinay Kumari D (Mrs) JS. A Study to Assess the Effectiveness of Buerger Allen Exercise on Foot Perfusion among Patients with Diabetes Mellitus Admitted in Selected Hospital of Ambala, Haryana. Int J Heal Sci Res. 2019;9(1):112–9.
Sandra Pebrianti. Buerger Allen Exercise Dan Ankle Brachial Index (Abi) Pada Pasien Ulkus Kaki Diabetik Di Rsu Dr. Slamet Garut. Indones J Nurs Sci Pract. 2018;
Jannaim, Dharmajaya A. Pengaruh Buerger Allen Exercise Terhadap Sirkulasi Ektremitas Bawah Pada Pasien Luka Kaki Diabetik. J Keperawatan Indones. 2018;21 Juli 20(2):hal 101-108.
Chyong-Fang Chang, RN, MSN • Chang-Cheng Chang, MD • Su-Lun Hwang P•, Mei-Yen Chen, RN P. Effects of Buerger Exercise Combined Health-Promoting Program on Peripheral Neurovasculopathy Among Community Residents at High Risk for Diabetic Foot Ulceration. Worldviews Evidence-Based Nurs. 2015;12(3):145–143.
Min-Ling Chen, Bor-Shyh Lin, Cheng-Wei Su, Yen-Bin Lin M-YC, Jen-Hsiang Shen and C-CC. The Application of Wireless Near Infrared Spectroscopy on Detecting Peripheral Circulation in Patients With Diabetes Foot Ulcer When Doing Buerger’s Exercise. Lasers Surg Med. 2017;2017 Wiley.
Bor-Shyh Lin & Chang-Cheng Chang, & Chun-Lin Su & Jhe-Ruei Li & Min-Ling Chen & Mei-Yen Chen &Huang Y-K. The assessment of Buerger’s exercise on dorsal foot skin circulation in patients with vasculopathic diabetic foot ulcer by using wireless near-infrared spectroscope: a cohort prospective study. Lasers Med Sci. 2017;Springer-V.
Parimala dan Priya. Assess the effectiveness of buerger allen exercise to reduce pedal edema among the adults with varicose veins at Saveetha medical college and hospital. J Pharm Sci Res. 2019;11(5):2022–3.
Vijayabarathi, M., & Hemavathy V. Buerger allen exercise for type 2 diabetes mellitus foot ulcer patients. Int J Innov Res Sci Eng Technol. 2014;3(12):17972–17976.
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