Foot Exercise Therapy to Alleviate Peripheral Neuropathy Severity in Elderly Patients with Diabetes Mellitus

Wahyu Nur Pratiwi; Giovanni Iga Firmanda; Rita Dewi Sunarno; Paramita Ratna Gayatri; Arshy Prodyanatasari

doi:10.37036/ahnj.v11i2.654

Wahyu Nur Pratiwi Nursing Profession Study Program, Faculty of Health, Institut Ilmu Kesehatan Bhakti Wiyata
Giovanni Iga Firmanda Bachelor of Nursing Study Program, Faculty of Health, Institut Ilmu Kesehatan Bhakti Wiyata
Rita Dewi Sunarno Bachelor of Nursing Study Program, Faculty of Health, Institut Ilmu Kesehatan Bhakti Wiyata
Paramita Ratna Gayatri Bachelor of Nursing Study Program, Faculty of Health, Institut Ilmu Kesehatan Bhakti Wiyata
Arshy Prodyanatasari Physiotherapy Department, Faculty of Health, Institut Ilmu Kesehatan Bhakti Wiyata Kediri

DOI: https://doi.org/10.37036/ahnj.v11i2.654

Abstract

Foot neuropathy is a common condition experienced by older adults with diabetes mellitus. This complication can be managed through physical activity, including foot exercises. This study aimed to evaluate the effect of foot exercises on the severity of foot neuropathy in older adults with diabetes mellitus at the Tarokan Community Health Center. This quasi-experimental study employed a non-equivalent control group design and involved 30 older adults with diabetes mellitus who exhibited neuropathic symptoms. Participants were divided into two groups: 15 individuals in the intervention group and 15 in the control group, selected through purposive sampling. The intervention group performed foot exercises three times per week for three weeks, with each session lasting 15–20 minutes. A 10 g monofilament and an observation sheet were used as instruments, and data were analyzed using the Wilcoxon and Mann–Whitney tests. The Wilcoxon test revealed a significant reduction in the degree of foot neuropathy in the intervention group (p = 0.001), whereas the control group showed no significant change (p = 0.527). The Mann–Whitney test indicated a significant difference between the two groups (p = 0.000). These findings demonstrate that foot exercises effectively reduce the severity of foot neuropathy in older adults with diabetes mellitus. Regular implementation of foot exercises is recommended as a non-pharmacological approach to decreasing the degree of foot neuropathy among older adults with diabetes mellitus.

References

Abdelhafiz, A. H., & Sinclair, A. J. (2022). Diabetic Neuropathy. In A. J. Sinclair, J. E. Morley, B. Vellas, M. Cesari, & M. Munshi (Eds.), Pathy’s Principles and Practice of Geriatric Medicine, Sixth Edition (6th ed.). Wiley. https://doi.org/https://doi.org/10.1002/9781119484288.ch55

Artina, A., & Aprilla, N. (2022). Efektifitas Senam Kaki Diabetik Dengan Koran Terhadap Tingkat Sensitivitas Kaki Pasien Diabetes Melitus Tipe 2 di Desa Rumbio Wilayah Kerja Puskesmas Kampar. Excellent Health Journal, 1(1). https://doi.org/https://doi.org/10.70437/excellent.v1i1.7

Dinas Kesehatan Provinsi Jawa Timur. (2023). Profil Kesehatan Provinsi Jawa Timur Tahun 2022.

Mildawati, M., Diani, N., & Wahid, A. (2019). Hubungan Usia, Jenis Kelamin dan Lama Menderita Diabetes dengan Kejadian Neuropati Perifer Diabetik. Caring Nursing Journal, 3(2), 30–37.

Monteiro, R. L., Ferreira, J. S. S. P., Silva, É. Q., Cruvinel-Júnior, R. H., Veríssimo, 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. https://doi.org/https://doi.org/10.1038/s41598-022-11745-0

Oktapiani, N. M. T., Suardana, I. K., Surasta, I. W., & Erawati, N. L. P. S. (2024). Pemberian Senam Kaki Menggunakan Bola Tennis Lebih Efektif Dibandingkan Menggunakan Koran Dalam Meningkatkan Sensitivitas Kaki Pasien DM. Jurnal Gema Keperawatan, 17(1). https://doi.org/DOI: https://doi.org/10.33992/jgk.v17i1.3345

Palewo, M. A., Syahid, M. R., Fadillah, M. R., & Milkhatun, M. (2021). Upaya Memperbaiki Sirkulasi Darah dengan Senam Kaki pada Penderita Diabetes Tipe 2 di Wilayah Kelurahan Makroman. Prosiding Seminar Nasional Pengabdian Kepada Masyarakat: Peduli Masyarakat: 2021, 1(1).

Prasetyani, D. (2019). Analisis Faktor Yang Mempengaruhi Kejadian Neuropati Diabetik Pada Pasien Diabetes Melitus Tipe 2. Jurnal Kesehatan, Kebidanan, Dan Keperawatan, 12(1), 40–49.

Putri, A. M., Hasneli, Y., & Safri, S. (2020). Faktor-Faktor Yang Mempengaruhi Derajat Keparahan Neuropati Perifer Pada Pasien Diabetes Melitus : Literature Review. Jurnal Ilmu Keperawatan, 8(1), 38–53.

Simamora, F. A., Siregar, H. R., & Hidayah, A. (2020). Pengaruh Senam Kaki Diabetik Terhadap Penurunan Neuropati Pada Penderita Diabetes Mellitus Tipe 2. Jurnal Education and Development Institut Pendidikan Tapanuli Selatan, 8(4). https://media.neliti.com/media/publications/561909-pengaruh-senam-kaki-diabetik-terhadap-pe-50447ad6.pdf

Sukartini, T., Asmoro, C. P., & Alifah, P. N. (2019). The Influence of Diabetic Foot Exercise in Sensory Peripheral Neuropathy with Monofilament Test on Diabetes Mellitus Clients. Jurnal Ners, 14(3). https://doi.org/http://dx.doi.org/10.20473/jn.v14i3(si).17263

Yang, Y., Zhao, B., Wang, Y., Lan, H., Liu, X., Hu, Y., & Cao, P. (2025). Diabetic neuropathy: cutting-edge research and future directions. Signal Transduction and Targeted Therapy, 10(132). https://doi.org/https://doi.org/10.1038/s41392-025-02175-1

Foot Exercise Therapy to Alleviate Peripheral Neuropathy Severity in Elderly Patients with Diabetes Mellitus

Abstract

References

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