Buerger Allen Exercise terhadap Sirkulasi dan Sensori Perifer pada Pasien dengan Diabetes Melitus
Abstract
This study aims to systematically evaluate the results of studies assessing the effectiveness of the Buerger Allen Exercise (BAE) in improving circulation and peripheral sensory status in patients with Diabetes Mellitus (DM). The method used is a systematic review in which researchers carry out a comprehensive and systematic search based on PRISMA's recommendations for research articles using randomized controlled trial (RCT) methods, quasi-experiments, and cohorts using the keywords "diabetes," "Buerger Allen, "perfusion," "neuropathy," and related MeSH terms published in international journals over the last five years. The results showed that of the nine articles included, six proved the effectiveness of BAE in improving peripheral circulation, two reports showed their effectiveness in improving peripheral neurosensory, and one other showed the efficacy of BAE in improving peripheral circulation and neurosensory. In conclusion, BAE can significantly improve DM patients' circulation and peripheral sensory status.
Keywords: Buerger Allen Exercise (BAE), Diabetes Mellitus, Peripheral Sensory, Peripheral Circulation
References
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Baum, P., Toyka, K. V., Blüher, M., Kosacka, J., & Nowicki, M. (2021). Inflammatory Mechanisms in the Pathophysiology of Diabetic Peripheral Neuropathy (DN)—New Aspects. International Journal of Molecular Sciences, 22(19). https://doi.org/10.3390/ijms221910835
Bus, S. A., Lavery, L. A., Monteiro-Soares, M., Rasmussen, A., Raspovic, A., Sacco, I. C., & van Netten, J. J. (2020). Guidelines on the Prevention of Foot Ulcers in Persons with Diabetes (IWGDF 2019 update). Diabetes/Metabolism Research and Reviews, 36(S1). https://doi.org/10.1002/dmrr.3269
Cornelis, N., Chatzinikolaou, P., Buys, R., Fourneau, I., Claes, J., & Cornelissen, V. (2021). The Use of Near-Infrared Spectroscopy to Evaluate the Effect of Exercise on Peripheral Muscle Oxygenation in Patients with Lower-Extremity Artery Disease: A Systematic Review. European Journal of Vascular and Endovascular Surgery, 61(5), 837–847. https://doi.org/10.1016/j.ejvs.2021.02.008
Daiber, A., & Chlopicki, S. (2020). Revisiting Pharmacology of Oxidative Stress and Endothelial Dysfunction in Cardiovascular Disease: Evidence for Redox-Based Therapies. Free Radical Biology and Medicine, 157, 15–37. https://doi.org/10.1016/j.freeradbiomed.2020.02.026
Laxmi, M. S., & Prabhakar, O. (2021). Inflammatory Biomarkers as a Part of Diagnosis in Diabetic Peripheral Neuropathy. Journal of Diabetes and Metabolic Disorders, 20(1), 869–882. https://doi.org/10.1007/s40200-021-00734-1
Leitzelar, B. N., & Koltyn, K. F. (2021). Exercise and Neuropathic Pain: A General Overview of Preclinical and Clinical Research. Sports Medicine - Open, 7(1), 1–16. https://doi.org/10.1186/s40798-021-00307-9
Liu, L., Sun, H., Nie, F., & Hu, X. (2020). Prognostic Value of Abnormal Ankle–Brachial Index in Patients with Coronary Artery Disease: A Meta-Analysis. Angiology, 71(6), 491–497. https://doi.org/10.1177/0003319720911582
Mannucci, E., Bonifazi, A., & Monami, M. (2021). Comparison between Different Types of Exercise Training in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Network Metanalysis of Randomized Controlled Trials. Nutrition, Metabolism and Cardiovascular Diseases, 31(7), 1985–1992. https://doi.org/10.1016/j.numecd.2021.02.030
McDermott, K., Fang, M., Boulton, A. J. M., Selvin, E., & Hicks, C. W. (2023). Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers. Diabetes Care , 46 (1), 209–221. https://doi.org/10.2337/dci22-0043
Melese, H., Alamer, A., Temesgen, M. H., & Kahsay, G. (2020). Effectiveness of Exercise Therapy on Gait Function in Diabetic Peripheral Neuropathy Patients: A Systematic Review of Randomized Controlled Trials. Diabetes, Metabolic Syndrome and Obesity, 2020(13), 2753–2764. https://doi.org/10.2147/DMSO.S261175
Metsios, G. S., Moe, R. H., & Kitas, G. D. (2020). Exercise and Inflammation. Best Practice and Research Clinical Rheumatology, 34(2), 1–12. https://doi.org/https://doi.org/10.1016/j.berh.2020.101504
Monteiro, R. L., Ferreira, J. S. S. P., Silva, É. Q., Cruvinel-Júnior, R. H., VerÃssimo, J. L., Bus, S. A., & Sacco, I. C. N. (2022). Foot-Ankle Therapeutic Exercise Program Can Improve Gait Speed in People with Diabetic Neuropathy: A Randomized Controlled Trial. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-11745-0
Mumpuni, M., Purnamawati, D., Arip, M., Masadah, M., & Lorenza, C. (2022). The Effect of Buerger Allen Exercises on Diabetes Mellitus Patients’ Foot Sensitivity of Mantang Health Center Working Area in 2021. International Journal of Social Service and Research, 2(6), 569–576. https://doi.org/10.46799/ijssr.v2i6.126
Ozbeyaz, N. B., Gokalp, G., Algul, E., Sahan, H. F., Aydinyilmaz, F., Guliyev, I., Kalkan, K., & Erken Pamukcu, H. E. (2022). Platelet-Hemoglobin Ratio Predicts Amputation in Patients with Below-Knee Peripheral Arterial Disease. BMC Cardiovascular Disorders, 22(1), 1–7. https://doi.org/10.1186/s12872-022-02788-2
Papachristoforou, E., Lambadiari, V., Maratou, E., & Makrilakis, K. (2020). Association of Glycemic Indices (Hyperglycemia, Glucose Variability, and Hypoglycemia) with Oxidative Stress and Diabetic Complications. Journal of Diabetes Research, 2020, 1–17. https://doi.org/10.1155/2020/7489795
Patel, R., Patel, C., Patel, M., Patel, M., Parmar, R., Parmar, V., & Das, N. (2022). 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, Gujarat. Journal of Pharmaceutical Negative Results, 13(9), 2390–2398. https://doi.org/10.47750/pnr.2022.13.S09.283
Paul, S., Ali, A., & Katare, R. (2020). Molecular Complexities Underlying the Vascular Complications of Diabetes Mellitus – A Comprehensive Review. Journal of Diabetes and its Complications, 34 (8), 1–12. https://doi.org/10.1016/j.jdiacomp.2020.107613
Radhika, J., Poomalai, G., Nalini, S. J., & Revathi, R. (2020). Effectiveness of Buerger-Allen Exercise on Lower Extremity Perfusion and Peripheral Neuropathy Symptoms among Patients with Diabetes Mellitus. Iranian Journal of Nursing and Midwifery Research, 25(4), 291–295. https://doi.org/10.4103/IJNMR.IJNMR_63_19
Rahmadiya, S., & Dahlia, D. (2022). Physical Activity, Exercise dan Kontrol Glikemik pada Pasien Diabetes Mellitus. Jurnal Penelitian Kesehatan Suara Forikes, 13(2), 284–289. https://doi.org/: http://dx.doi.org/10.33846/sf13205
Reardon, R., Simring, D., Kim, B., Mortensen, J., Williams, D., & Leslie, A. (2020). The Diabetic Foot Ulcer. Australian Journal of General Practice, 49(5), 250–255. https://doi.org/10.31128/AJGP-11-19-5161
Rosyid, L. S., & Angraini, N. A. (2022). The Effect of Foot Exercise on Lower Extremity Sensory Neuropathy Status and Blood Glucose Levels Patients Type 2 Diabetes Mellitus. Lux Mensana Journal of Scientific Health, 1(4), 261–271. https://doi.org/https://doi.org/10.56943/jsh.v1i4.195
Sepriadi, S., Jannah, K., & Eldawaty. (2020). The Effect of Jogging Exercise to Improve Hemoglobin Levels. Journal of Physics: Conference Series, 1481(1), 1–4. https://doi.org/10.1088/1742-6596/1481/1/012028
Sleijser Koehorst, M. L. S., Koop, M. A., Coppieters, M. W., Schipholt, I. J. L., Radisic, N., Hooijmans, C. R., & Scholten Peeters, G. G. M. (2023). The Effects of Aerobic Exercise on Neuroimmune Responses in Animals with Traumatic Peripheral Nerve Injury: A Systematic Review with Meta-Analyses. Journal of Neuroinflammation, 20(104), 1–27. https://doi.org/https://doi.org/10.1186/s12974-023-02777-y
Soo, J., Raman, A., Lawler, N. G., Goods, P. S. R., Deldicque, L., Girard, O., & Fairchild, T. J. (2023). The Role of Exercise and Hypoxia on Glucose Transport and Regulation. European Journal of Applied Physiology, 123(6), 1147–1165. https://doi.org/10.1007/s00421-023-05135-1
Sukartini, T., Asmoro, C. P., & Alifah, N. (2020). The Influence of Diabetic Foot Exercise in Sensory Peripheral Neuropathy with Monofilament Test on Diabetes Mellitus Clients. Jurnal Ners, 14(3), 340–344. https://doi.org/10.20473/jn.v14i3.17263
Suryawan, I. P. A., Dahlia, D., Yona, S., & Kurnia, D. A. (2022). Dampak Resistance Exercise terhadap Sirkulasi Perifer, Glycaemic Control dan Neuropati pada Pasien Diabetes Mellitus. Jurnal Penelitian Kesehatan Suara Forikes, 13(3), 568–574. https://doi.org/http://dx.doi.org/10.33846/sf13301
Thakur, A., Sharma, R., Sharma, S. K., Thakur, K., & Jelly, P. (2022). Effect of Buerger Allen Exercise on Foot Perfusion among Patient with Diabetes Mellitus: A Systematic Review & Meta-analysis. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 16(2). https://doi.org/10.1016/j.dsx.2022.102393
Tuesta, M., Yáñez-Sepúlveda, R., Verdugo-Marchese, H., Mateluna, C., & Alvear-Ordenes, I. (2022). Near-Infrared Spectroscopy Used to Assess Physiological Muscle Adaptations in Exercise Clinical Trials: A Systematic Review. Biology, 11(7). https://doi.org/10.3390/biology11071073
van Netten, J. J., Bus, S. A., Apelqvist, J., Lipsky, B. A., Hinchliffe, R. J., Game, F., Rayman, G., Lazzarini, P. A., Forsythe, R. O., Peters, E. J. G., Senneville, E., Vas, P., Monteiro-Soares, M., & Schaper, N. C. (2020). Definitions and Criteria for Diabetic Foot Disease. Diabetes/ Metabolism Research and Reviews, 36(S1), 1–6. https://doi.org/10.1002/dmrr.3268
Zhang, Y., Lazzarini, P. A., McPhail, S. M., van Netten, J. J., Armstrong, D. G., & Pacella, R. E. (2020). Global Disability Burdens of Diabetes-Related Lower-Extremity Complications in 1990 and 2016. Diabetes Care, 43(5), 964–974. https://doi.org/10.2337/dc19-1614
Alyafei, A., Albaker, W., & Almuraikhi, H. (2020). Review on the Effect of Regular Physical Exercise on the Diabetic Peripheral Neuropathy. Research International Journal of Community Medicine and Public Health, 1(1), 1–9. https://doi.org/10.37179/rijcmph.000001
Baum, P., Toyka, K. V., Blüher, M., Kosacka, J., & Nowicki, M. (2021). Inflammatory Mechanisms in the Pathophysiology of Diabetic Peripheral Neuropathy (DN)—New Aspects. International Journal of Molecular Sciences, 22(19). https://doi.org/10.3390/ijms221910835
Bus, S. A., Lavery, L. A., Monteiro-Soares, M., Rasmussen, A., Raspovic, A., Sacco, I. C., & van Netten, J. J. (2020). Guidelines on the Prevention of Foot Ulcers in Persons with Diabetes (IWGDF 2019 update). Diabetes/Metabolism Research and Reviews, 36(S1). https://doi.org/10.1002/dmrr.3269
Cornelis, N., Chatzinikolaou, P., Buys, R., Fourneau, I., Claes, J., & Cornelissen, V. (2021). The Use of Near-Infrared Spectroscopy to Evaluate the Effect of Exercise on Peripheral Muscle Oxygenation in Patients with Lower-Extremity Artery Disease: A Systematic Review. European Journal of Vascular and Endovascular Surgery, 61(5), 837–847. https://doi.org/10.1016/j.ejvs.2021.02.008
Daiber, A., & Chlopicki, S. (2020). Revisiting Pharmacology of Oxidative Stress and Endothelial Dysfunction in Cardiovascular Disease: Evidence for Redox-Based Therapies. Free Radical Biology and Medicine, 157, 15–37. https://doi.org/10.1016/j.freeradbiomed.2020.02.026
Laxmi, M. S., & Prabhakar, O. (2021). Inflammatory Biomarkers as a Part of Diagnosis in Diabetic Peripheral Neuropathy. Journal of Diabetes and Metabolic Disorders, 20(1), 869–882. https://doi.org/10.1007/s40200-021-00734-1
Leitzelar, B. N., & Koltyn, K. F. (2021). Exercise and Neuropathic Pain: A General Overview of Preclinical and Clinical Research. Sports Medicine - Open, 7(1), 1–16. https://doi.org/10.1186/s40798-021-00307-9
Liu, L., Sun, H., Nie, F., & Hu, X. (2020). Prognostic Value of Abnormal Ankle–Brachial Index in Patients with Coronary Artery Disease: A Meta-Analysis. Angiology, 71(6), 491–497. https://doi.org/10.1177/0003319720911582
Mannucci, E., Bonifazi, A., & Monami, M. (2021). Comparison between Different Types of Exercise Training in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Network Metanalysis of Randomized Controlled Trials. Nutrition, Metabolism and Cardiovascular Diseases, 31(7), 1985–1992. https://doi.org/10.1016/j.numecd.2021.02.030
McDermott, K., Fang, M., Boulton, A. J. M., Selvin, E., & Hicks, C. W. (2023). Etiology, Epidemiology, and Disparities in the Burden of Diabetic Foot Ulcers. Diabetes Care , 46 (1), 209–221. https://doi.org/10.2337/dci22-0043
Melese, H., Alamer, A., Temesgen, M. H., & Kahsay, G. (2020). Effectiveness of Exercise Therapy on Gait Function in Diabetic Peripheral Neuropathy Patients: A Systematic Review of Randomized Controlled Trials. Diabetes, Metabolic Syndrome and Obesity, 2020(13), 2753–2764. https://doi.org/10.2147/DMSO.S261175
Metsios, G. S., Moe, R. H., & Kitas, G. D. (2020). Exercise and Inflammation. Best Practice and Research Clinical Rheumatology, 34(2), 1–12. https://doi.org/https://doi.org/10.1016/j.berh.2020.101504
Monteiro, R. L., Ferreira, J. S. S. P., Silva, É. Q., Cruvinel-Júnior, R. H., VerÃssimo, J. L., Bus, S. A., & Sacco, I. C. N. (2022). Foot-Ankle Therapeutic Exercise Program Can Improve Gait Speed in People with Diabetic Neuropathy: A Randomized Controlled Trial. Scientific Reports, 12(1). https://doi.org/10.1038/s41598-022-11745-0
Mumpuni, M., Purnamawati, D., Arip, M., Masadah, M., & Lorenza, C. (2022). The Effect of Buerger Allen Exercises on Diabetes Mellitus Patients’ Foot Sensitivity of Mantang Health Center Working Area in 2021. International Journal of Social Service and Research, 2(6), 569–576. https://doi.org/10.46799/ijssr.v2i6.126
Ozbeyaz, N. B., Gokalp, G., Algul, E., Sahan, H. F., Aydinyilmaz, F., Guliyev, I., Kalkan, K., & Erken Pamukcu, H. E. (2022). Platelet-Hemoglobin Ratio Predicts Amputation in Patients with Below-Knee Peripheral Arterial Disease. BMC Cardiovascular Disorders, 22(1), 1–7. https://doi.org/10.1186/s12872-022-02788-2
Papachristoforou, E., Lambadiari, V., Maratou, E., & Makrilakis, K. (2020). Association of Glycemic Indices (Hyperglycemia, Glucose Variability, and Hypoglycemia) with Oxidative Stress and Diabetic Complications. Journal of Diabetes Research, 2020, 1–17. https://doi.org/10.1155/2020/7489795
Patel, R., Patel, C., Patel, M., Patel, M., Parmar, R., Parmar, V., & Das, N. (2022). 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, Gujarat. Journal of Pharmaceutical Negative Results, 13(9), 2390–2398. https://doi.org/10.47750/pnr.2022.13.S09.283
Paul, S., Ali, A., & Katare, R. (2020). Molecular Complexities Underlying the Vascular Complications of Diabetes Mellitus – A Comprehensive Review. Journal of Diabetes and its Complications, 34 (8), 1–12. https://doi.org/10.1016/j.jdiacomp.2020.107613
Radhika, J., Poomalai, G., Nalini, S. J., & Revathi, R. (2020). Effectiveness of Buerger-Allen Exercise on Lower Extremity Perfusion and Peripheral Neuropathy Symptoms among Patients with Diabetes Mellitus. Iranian Journal of Nursing and Midwifery Research, 25(4), 291–295. https://doi.org/10.4103/IJNMR.IJNMR_63_19
Rahmadiya, S., & Dahlia, D. (2022). Physical Activity, Exercise dan Kontrol Glikemik pada Pasien Diabetes Mellitus. Jurnal Penelitian Kesehatan Suara Forikes, 13(2), 284–289. https://doi.org/: http://dx.doi.org/10.33846/sf13205
Reardon, R., Simring, D., Kim, B., Mortensen, J., Williams, D., & Leslie, A. (2020). The Diabetic Foot Ulcer. Australian Journal of General Practice, 49(5), 250–255. https://doi.org/10.31128/AJGP-11-19-5161
Rosyid, L. S., & Angraini, N. A. (2022). The Effect of Foot Exercise on Lower Extremity Sensory Neuropathy Status and Blood Glucose Levels Patients Type 2 Diabetes Mellitus. Lux Mensana Journal of Scientific Health, 1(4), 261–271. https://doi.org/https://doi.org/10.56943/jsh.v1i4.195
Sepriadi, S., Jannah, K., & Eldawaty. (2020). The Effect of Jogging Exercise to Improve Hemoglobin Levels. Journal of Physics: Conference Series, 1481(1), 1–4. https://doi.org/10.1088/1742-6596/1481/1/012028
Sleijser Koehorst, M. L. S., Koop, M. A., Coppieters, M. W., Schipholt, I. J. L., Radisic, N., Hooijmans, C. R., & Scholten Peeters, G. G. M. (2023). The Effects of Aerobic Exercise on Neuroimmune Responses in Animals with Traumatic Peripheral Nerve Injury: A Systematic Review with Meta-Analyses. Journal of Neuroinflammation, 20(104), 1–27. https://doi.org/https://doi.org/10.1186/s12974-023-02777-y
Soo, J., Raman, A., Lawler, N. G., Goods, P. S. R., Deldicque, L., Girard, O., & Fairchild, T. J. (2023). The Role of Exercise and Hypoxia on Glucose Transport and Regulation. European Journal of Applied Physiology, 123(6), 1147–1165. https://doi.org/10.1007/s00421-023-05135-1
Sukartini, T., Asmoro, C. P., & Alifah, N. (2020). The Influence of Diabetic Foot Exercise in Sensory Peripheral Neuropathy with Monofilament Test on Diabetes Mellitus Clients. Jurnal Ners, 14(3), 340–344. https://doi.org/10.20473/jn.v14i3.17263
Suryawan, I. P. A., Dahlia, D., Yona, S., & Kurnia, D. A. (2022). Dampak Resistance Exercise terhadap Sirkulasi Perifer, Glycaemic Control dan Neuropati pada Pasien Diabetes Mellitus. Jurnal Penelitian Kesehatan Suara Forikes, 13(3), 568–574. https://doi.org/http://dx.doi.org/10.33846/sf13301
Thakur, A., Sharma, R., Sharma, S. K., Thakur, K., & Jelly, P. (2022). Effect of Buerger Allen Exercise on Foot Perfusion among Patient with Diabetes Mellitus: A Systematic Review & Meta-analysis. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 16(2). https://doi.org/10.1016/j.dsx.2022.102393
Tuesta, M., Yáñez-Sepúlveda, R., Verdugo-Marchese, H., Mateluna, C., & Alvear-Ordenes, I. (2022). Near-Infrared Spectroscopy Used to Assess Physiological Muscle Adaptations in Exercise Clinical Trials: A Systematic Review. Biology, 11(7). https://doi.org/10.3390/biology11071073
van Netten, J. J., Bus, S. A., Apelqvist, J., Lipsky, B. A., Hinchliffe, R. J., Game, F., Rayman, G., Lazzarini, P. A., Forsythe, R. O., Peters, E. J. G., Senneville, E., Vas, P., Monteiro-Soares, M., & Schaper, N. C. (2020). Definitions and Criteria for Diabetic Foot Disease. Diabetes/ Metabolism Research and Reviews, 36(S1), 1–6. https://doi.org/10.1002/dmrr.3268
Zhang, Y., Lazzarini, P. A., McPhail, S. M., van Netten, J. J., Armstrong, D. G., & Pacella, R. E. (2020). Global Disability Burdens of Diabetes-Related Lower-Extremity Complications in 1990 and 2016. Diabetes Care, 43(5), 964–974. https://doi.org/10.2337/dc19-1614
Published
2023-06-30
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Articles
Copyright (c) 2023 Fina Mahardini, Debie Dahlia, Dikha Ayu Kurnia, Etty Rekawati
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