Effectiveness of Buerger’s Allen Exercise on Improving Lower Extremity Perfusion Among Patients with Type 2 Diabetes Mellitus
Abstract:
Diabetes
mellitus is increased risk of peripheral vascular diseases by causing
endothelial and smooth muscle cell dysfunction in peripheral arteries. To
assess the pre and post level of lower extremity perfusion among patients with
type 2 diabetes mellitus in experimental and control group. To determine the
effectiveness of Buerger Allen exercise on lower extremity perfusion among
patients with type 2 diabetes mellitus. A true experimental research
design and a quantitative research approach were used. A control group with a
pretest and posttest was employed. Sixty samples with type 2 diabetes were
included in the investigation. The Saveetha Institute of Medical and Technical
Sciences' institutional ethical committee in Chennai granted clearance. Using
the random sampling technique, thirty samples were chosen for the experimental
group and thirty samples for the control group. A structured interview
schedule, a modified version of the Wong Baker FACES pain assessment scale, and
a modified Clarke enhanced foot assessment scale were used for the for this
study. the pretest mean score was 0.62±0.22 and the post-test
mean score was 0.67±0.27. The mean difference score was 0.05. The calculated
paired ‘t’ test value of t = 2.21808 which was found to be statistically
significant at p<0.05 level. This clearly infers that there is significant
difference between the pre-test and post-test levels of lower extremity
perfusion. Analysis of
variance (Anova) of the level of lower extremity perfusion in the
experimental group, the pretest mean was 0.62 and the post-test mean was 0.67.
The standard deviation of pretest and post-test is 0.22 and 0.27 respectively.
The variance of pre-test was 0.05 and post-test was 0.07. The calculated paired
‘F’ value = 0.7258 which was found to be statistically significant at p<0.05
level. This clearly infers that there is a significant difference between the
pretest and post-test levels of lower extremity perfusion.
References:
[1]. Nasser, J et. al., 2011, Prevalence of peripheral
arterial disease among people attending diabetes clinics at primary care
settings. Bahrain Med Bull, 33, 1-9.
[2]. Mundet, X. et al., 2018,
Prevalence and incidence of chronic complications and mortality in a cohort
of type 2 diabetic patients
in Spain, 2(3), 135-140.
[3]. Allen, A. W, 2019, Recent
advances in the treatment of circulatory disturbances of the extremities. Annals of Surgery, 5(7), 931-946.
[4]. Absteen, S, 2017, American
Diabetes Association Consensus, (2013). Peripheral arterial disease in people
with diabetes. Clinical Diabetes, 22(4), 181-189.
[5]. Aravind, S. et al., 2013,
Diabetology and metabolic syndrome and Management, 3(9),422-434.
[6]. Ashok, P. et al., 2013, Peripheral vascular disease- a
silent assassin. JIACM, 14(2), 111-114.
[7]. Neil, J. S., &Will, G., 2012, Effect of
different mode of exercise programme on glucose control
and risk factors for complication in type 2
diabetic patients. 2(4), 805-814 http://www.ncbi.nlm.nih.gov/pmc
[8]. Pat, F., & Diana, B,
2011, Peripheral vascular disease and type 2 diabetes,12(3),389-397
[9]. Rajabharan, Y. et al., 2018,
Risk factors and complications of type 2 DM, 5(12), 722-738, http://www.niper.ac.in/riskfactor
[10]. Deepa, S & Srikant,
G, 2019 Macrovascular and microvascular complications in newly diagnosed in
type 2 Diabetes Mellitus. Indian Journal of Clinical Practice, 25(7),
644-648, http://dx.doi.org/10.4236/ojn.2015.52014
[11]. Edward, B. et al., 2012,
Diabetes care, peripheral arterial disease in diabetic and non diabetic
patients- a comparison of severity and complication. Diabetes Journal,
24(8), 1443-47.
[12]. Faris, I. et al., 2017, Increased
subcutaneous flow for 24 hours. European Journal of Nuclear Medicine and Molecular
Imaging, 8(4), 15-17, https://www.sringerlinkcom/content
[13]. Gupta, S. P. 2018, Medical
Education related to Diabetes Mellitus and its complications, 5(13), 345-359
[14].
Hoe
J. et al., 2017, Predictors of decrease in ankle- brachialindex. Diabetic Medicine, 4(7), 592-604
[15]. Jemcy, J., & Rathiga,
A., 2020, Effectiveness of buerger allen exercise. Indian Journal of Current
Research and Academic Review, 3(4), 358-366.
[16]. Judy J, 2019, An
experimental study to assess the effectiveness of burgers Allen exercise on
improving wound healing, 8(2), 621-637.
[17]. Kawasaki, T., et al.,
2019, The effect of different positions on lower limbs skin perfusion pressure,
Indian J Plastic Surgery. 21(6), 508-519.
[18]. Lawrence, H. et al.,2018,
Value of exercise in peripheral arterial disease, JAMA, 15(1), 182-201.
[19]. Sandeep, S., 2018, DMSO, Diabetic technology
medicine and lower extremity perfusion, 6(14),
327-328. DOI:10.2147/DMSO.551325.
[20]. Steven, P., et al., 2017,
Peripheral vascular complications among type 2 Diabetes Mellitus patients,
Journal of Diabetes
and Metabolism, 2(8), 835-844.
[21]. Zhaolan, L., et al., 2012, Lower Extremity and
perfusion in Type2 Diabetes mellitus, 8(15), 831-842. DOI: 10.1161/JAHA.112.002832
[22]. Zhang, P., et al., 2018, GlobalHealth care expenditure on diabetes
for 2010 and 2030. Diabetes Res Clin Pract.16 (4)293–301.
[23]. Whiting, D. R., et al., 2014, IDF diabetes atlas: Global estimates of the prevalence
of diabetes for 2011 and 2030. Diabetes Res Clin Pract.; 94(3), 311–21.
[24]. Ramachandran, A., et al., 2014, Diabetes in south-east Asia: An
update. Diabetes Res Clin Pract.;10(4); 478-488.
[25]. Setacci, C., et al., 2010, Diabetic patients: Epidemiology and global impact. J Cardiovasc Surg.; 5(4):263– 73.