Foot Massage dan Joint Mobility Exercises terhadap Nilai Ankle Brachial Index (ABI) pada Pasien DM Tipe 2

  • isni hijriana Sekolah Tinggi Ilmu Kesehatan Jabal Ghafur
  • Miniharianti Miniharianti Sekolah Tinggi Ilmu Kesehatan Jabal Ghafur


This study aims to determine the effectiveness of foot massage and joint mobility exercises on the value of ABI in type 2 DM patients. The quantitative research used a quasi-experimental approach with pre-test and post-test designs with two intervention groups. The results showed that the Wilcoxon signed ranks test statistic on 20 respondents in the two intervention groups showed a difference after being given foot massage and joint mobility exercises intervention on the ABI value, with each p-value (p = 0.00). In conclusion, foot massage and joint mobility exercises effectively improve peripheral circulation and increase ABI values in Type 2 DM patients.


Keywords: Ankle Brachial Index (ABI), Type 2 DM, Foot Massage, Joint Mobility Exercises


Agustini, N. L. P. I. B., Wulansari, N. T., Yusniawati, Y. N. P., & Sintia, N. W. (2020). The Effect of Foot Massage on Decreasing Peripheral Neuropathy Diabetic Complaints in the Patients with Type 2 Diabetes Mellitus. Jurnal Ners, 14(3), 305.

Alqahtani, K. M., Bhangoo, M., Vaida, F., Denenberg, J. O., Allison, M. A., & Criqui, M. H. (2018). Predictors of Change in the Ankle Brachial Index with Exercise. European Journal of Vascular and Endovascular Surgery, 55(3), 399–404.

American Diabetes Assosiation. (2020). Standards of Medical Care in Diabetes. Turkish Journal of Endocrinology and Metabolism, 14(SUPPL.), 11–16.

Bayat, B., Akbarisomar, N., Tori, N. A., & Salehiniya, H. (2019). The Effect of Massage on Diabetes and its Complications: A Systematic Review. Journal Education Health Promotion, 1, 22–28.

Boulton, A. J. M., Armstrong, D. G., Kirsner, R. S., Attinger, C. E., Lavery, L. A., Lipsky, B. A., Mills, J. L., & Steinberg, J. S. (2018). Diabetic Foot Complications. U.S. Pharmacist, 39(6).

Curry, S. J., Krist, A. H., Owens, D. K., Barry, M. J., Caughey, A. B., Davidson, K. W., Doubeni, C. A., Epling, J. W., Kemper, A. R., Kubik, M., Landefeld, C. S., Mangione, C. M., Silverstein, M., Simon, M. A., Tseng, C. W., & Wong, J. B. (2018). Screening for Peripheral Artery Disease and Cardiovascular Disease Risk Assessment with the Ankle-Brachial Index: US Preventive Services Task Force Recommendation Statement. JAMA - Journal of the American Medical Association, 320(2), 177–183.

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).

Hijriana, I., & Miniharianti, M. (2021). Pengaruh Foot Massage dan Pergerakan Sendi Ekstremitas Bawah terhadap Nilai Ankle Brachial Index (ABI) pada Pasien DM Tipe 2 di Wilayah Kerja Puskesmas Peukan Baro, Kab. Pidie. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 6(2), 119.

Hijriana, I., & Sahara, T. (2020). Gambaran Nilai Ankle Brachial Index (ABI) pada Pasien DM Tipe 2. Idea Nursing Journal, 11(3), 56–61.

International Diabetes Federation. (2020). IDF Diabetes Atlas 6th

Jumari, J., & Suryadi, B. (2020). The Effectiveness of Acupressure and Foot Exercises on the Ankle Brachial Index (ABI) Value in Diabetes Mellitus Type 2 Patients. December.

Latha, H., & Gifty, V. M. F. (2019). A Study to Assess the Effectiveness of Buerger Allen Exercise on Lower Extremity Perfusion among Patients with Type 2 Diabetes Mellitus in selected hospitals at Kanyakumari District. Asian Journal of Nursing Education and Research, 9(3), 305.

Mehraj, D. M. (2018). A Review of Wagner Classification and Current Concepts in Management of Diabetic Foot. International Journal of Orthopaedics Sciences, 4(1n), 933–935.

Riskesdas. (2018). Hasil Utama Riset Kesehatan Dasar. Kementrian Kesehatan Republik Indonesia, 1–100.

Santosa, A., Gustiawan, A., Putra, R., & Chasanah, N. (2019). Body Mass Index to
Predict Pre-Diabetes. Ethiopian Journal of Health Development, 33(1), 38-45.

Sayilan, S., Çetinkaya, E., & Karandere, F. (2021). The Relationship between the Ankle-Brachial Index and Glycemic Control in Patients with Diabetes Mellitus. Annals of Medical & Health Sciences Research, 11(6), 1492–1495.

Setyawati, A. D., Ngo, T. H. L., Padila, P., & Andri, J. (2020). Obesity and Heredity for Diabetes Mellitus among Elderly. JOSING: Journal of Nursing and Health, 1(1), 26–31.

Silaban, R., Rasyidah, A. Z., & Astuti, A. (2021) . Korelasi Kadar Glukosa Darah dengan Nilai ABI pada Diabetes Melitus Tipe II. Real in Nursing Journal, 3(3), 84–94.

Suza, D. E., Hijriana, I., Ariani, Y., & Hariati, H. (2020). Effects of Lower Extremity Exercises on Ankle-Brachial Index Values among Type 2 Diabetes Mellitus Patients. Open Access Macedonian Journal of Medical Sciences, 8(E), 1–6.

Umer, A., Khan, K. A., Naz, S., Mushtaq, S., Khan, S. N., Raza, T., & Khan, Z. A. (2018). Frequency of Peripheral Arterial Disease in High Risk Type 2 Diabetes Mellitus Using Ankle-Brachial Index and Its Association With the Risk Factors Among Patients Presenting in Jinnah Hospital, Lahore. Pakistan Armed Forces Medical Journal, 68(4), 761–766.

Wardani, E. M., Zahroh, C., & Ainiyah, N. (2019). Diabetic Foot Spa Implementation in Early Neuropathy Diagnosis Based on Blood Glucose Levels, Foot Sensitivity and the Ankle Brachial Index in Patients with Diabetes Mellitus. Jurnal Ners, 14(1), 106.
How to Cite
hijriana, isni, & Miniharianti, M. (2022). Foot Massage dan Joint Mobility Exercises terhadap Nilai Ankle Brachial Index (ABI) pada Pasien DM Tipe 2. Jurnal Keperawatan Silampari, 5(2), 650-658.
Abstract viewed = 0 times
pdf downloaded = 0 times