Studi Kasus: Pemberian Latihan Keseimbangan Dan Penguatan Otot Pada Penderita Diabetic Peripheral Neuropathy DM Tipe 2
Keywords:
diabetes mellitus type 2, diabetic peripheral neuropathy, balance exercise, muscle strengthening, fall riskAbstract
Diabetes mellitus is a heterogeneous metabolic disease characterized by hyperglycemia as a result of defects in insulin secretion, insulin action or both. Long-term diabetes comes with various complications including neuropathy. Diabetic Peripheral Neuropathy (DPN) is also known as nerve fiber injury that results in changes in motor, sensory, and proprioceptive functions. DPN also has lower extremity muscle weakness, decreased balance, coordination, gait control, and an increased risk of falling. This study aims to determine the effect of balance and muscle strengthening exercises in the lower extremities to reduce the risk of falling in diabetic peripheral neuropathy type 2 DM patients. SM is 65 years old, Christian, works as a housewife. After carrying out a physiotherapy program given for 3 meetings with balance training interventions, it has not been able to improve balance, but is able to increase muscle strength in diabetic peripheral diabetic patients with type 2 DM neuropathy.
References
Ahmad, I., Hussain, E., Singla, D., Verma, S., & Ali, K. (2017). JSM Diabetology and Management Balance Training in Diabetic Peripheral Neuropathy: A Narrative Review. JSM Diabetol Manag, 2(1), 1–9.
Asada, F., Nomura, T., Tagami, M., Kubota, M., Ohashi, M., & Nomura, M. (2017). Lower-limb muscle strength according to bodyweight and muscle mass among middle age patients with type 2 diabetes without diabetic neuropathy. Journal of Physical Therapy Science, 29(7), 1181–1185. https://doi.org/10.1589/jpts.29.1181
Brown, S. J., Handsaker, J. C., Bowling, F. L., Boulton, A. J. M., & Reeves, N. D. (2015). Diabetic peripheral neuropathy compromises balance during daily activities. Diabetes Care, 38(6), 1116–1122. https://doi.org/10.2337/dc14-1982
Giacco, F., & Brownlee, M. (2010). Oxidative stress and diabetic complications. Circulation Research, 107(9), 1058–1070. https://doi.org/10.1161/CIRCRESAHA.110.223545
Herman, W. H., Pop-Busui, R., Braffett, B. H., Martin, C. L., Cleary, P. A., Albers, J. W., & Feldman, E. L. (2012). Use of the Michigan Neuropathy Screening Instrument as a measure of distal symmetrical peripheral neuropathy in Type1 diabetes: Results from the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications. Diabetic Medicine, 29(7), 937–944. https://doi.org/10.1111/j.1464-5491.2012.03644.x
Hernández-Secorún, M., Vidal-Peracho, C., Márquez-Gonzalvo, S., Corral-De-toro, J., Müller-Thyssen-uriarte, J., Rodríguez-Sanz, J., Lucha-López, M. O., Tricás-Moreno, J. M., & Hidalgo-García, C. (2021). Exercise and manual therapy for diabetic peripheral neuropathy: A systematic review. Applied Sciences (Switzerland), 11(12). https://doi.org/10.3390/app11125665
Kementrian kesehatan republik indonesia. (2020). Tetap Produktif, Cegah Dan Atasi Diabetes Mellitus. In pusat data dan informasi kementrian kesehatan RI.
Lagani, V., Koumakis, L., Chiarugi, F., Lakasing, E., & Tsamardinos, I. (2013). A systematic review of predictive risk models for diabetes complications based on large scale clinical studies. Journal of Diabetes and Its Complications, 27(4), 407–413. https://doi.org/10.1016/j.jdiacomp.2012.11.003
Olokoba, A. B., Obateru, O. A., & Olokoba, L. B. (2015). Type 2 Diabetes: a Review of Current Trends -. Journal of Clinical Medicine, 7(18), 61–66.
Song, C. H., Petrofsky, J. S., Lee, S. W., Lee, K. J., & Yim, J. E. (2011). Effects of an exercise program on balance and trunk proprioception in older adults with diabetic neuropathies. Diabetes Technology and Therapeutics, 13(8), 803–811. https://doi.org/10.1089/dia.2011.0036
Timar, B., Timar, R., Gaiță, L., Oancea, C., Levai, C., & Lungeanu, D. (2016). The impact of diabetic neuropathy on balance and on the risk of falls in patients with type 2 diabetes mellitus: A cross-sectional study. PLoS ONE, 11(4), 1–11. https://doi.org/10.1371/journal.pone.0154654
Van Laake-Geelen, C. C. M., Smeets, R. J. E. M., Quadflieg, S. P. A. B., Kleijnen, J., & Verbunt, J. A. (2019). The effect of exercise therapy combined with psychological therapy on physical activity and quality of life in patients with painful diabetic neuropathy: A systematic review. Scandinavian Journal of Pain, 19(3), 433–439. https://doi.org/10.1515/sjpain-2019-0001
Vongsirinavarat, M., & Kraiwong, R. (2020). Falls among Older Adults with Type 2 Diabetes Mellitus with Peripheral Neuropathy. Siriraj Medical Journal, 73(2), 92–98. https://doi.org/10.33192/Smj.2021.13
Webber, S. (2013). International Diabetes Federation. In Diabetes Research and Clinical Practice (Vol. 102, Issue 2). https://doi.org/10.1016/j.diabres.2013.10.013
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