Penatalaksanaan Fisioterapi pada Pasien Diabetic Peripheral Neuropaty dengan Metode Sensorimotor Exercise
Penatalaksanaan Fisioterapi pada Pasien Diabetic Peripheral Neuropaty dengan Metode Sensorimotor Exercise
DOI:
https://doi.org/10.53770/amhj.v1i3.53Kata Kunci:
Sensorimotor, Neuropati, KeseimbanganAbstrak
Pendahuluan: Diabetic peripheral neuropati mengakibatkan gangguan sensorik seperti berkurangnya sensasi getaran, tekanan, nyeri dan posisi sendi, hal ini akan mengakibatkan berkurangnya kemampuan keseimbangan dan koordinasi gaya berjalan seseorang, sensory motor exercise merupakan metode latihan yang digunakan untuk memperbaiki ketidakseimbangan otot melalui input sensorik. Penelitian ini bertujuan untuk mengetahui efek terapi latihan terhadap perbaikan sensoris, keseimbangan dan kemampuan fungsional dengan menggunakan metode sensori motor exercise pada pasien dengan diabetic peripheral neuropaty. Metode penelitian yang digunakan pada studi ini merupakan eksperimen dengan metode case report, dan sampel di ambil dengan teknik insindental. Hasil: setelah diberikan terapi latihan dengan metode sensory motor exercise didapatkan hasil berupa peningkatan sensitifitas input sensorik, peningkatan keseimbangan statis dan peningkatan keseimbangan dinamis serta peningkatan dari kemampuan fungsional pasien berupa pola berjalan yang lebih baik. Kesimpulan: terapi latihan dengan metode sensory motor exercise efektif untuk meningkatkan keseimbangan dan memperbaiki pola berjalan pada pasien dengan diabetic peripheral neuropaty. Saran: latihan peningkatan kemampuan gerak fungsi sensoris dan fungsional dapat dikombinasikan dengan latihan sensomotori pada penderita diabetic peripheral neuropaty.
Referensi
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.
Ahmad, I., Noohu, M. M., Verma, S., Singla, D., & Hussain, M. E. (2019). Effect of sensorimotor training on balance measures and proprioception among middle and older age adults with diabetic peripheral neuropathy. Gait & Posture, 74, 114–120. https://doi.org/10.1016/j.gaitpost.2019.08.018
Ahmad, I., Verma, S., Noohu, M. M., Shareef, M. Y., & Hussain, M. E. (2020). Sensorimotor and gait training improves proprioception, nerve function, and muscular activation in patients with diabetic peripheral neuropathy: a randomized control trial. Journal of Musculoskeletal & Neuronal Interactions, 20(2), 234–248. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/32481239
Chiles, N. S., Phillips, C. L., Volpato, S., Bandinelli, S., Ferrucci, L., Guralnik, J. M., & Patel, K. V. (2014). Diabetes, peripheral neuropathy, and lower-extremity function. Journal of Diabetes and Its Complications, 28(1), 91–95. https://doi.org/10.1016/j.jdiacomp.2013.08.007
Dabholkar, A., Gala, M., & Yardi, S. (2014). Correlation of Foot Posture, Foot Function with Balance and Gait in Patients with Diabetic Neuropathy. Indian Journal of Physiotherapy and Occupational Therapy - An International Journal, 8(2), 23. https://doi.org/10.5958/j.0973-5674.8.2.053
Deli, G., Bosnyak, E., Pusch, G., Komoly, S., & Feher, G. (2013). Diabetic neuropathies: Diagnosis and management. Neuroendocrinology, 98(4), 267–280. https://doi.org/10.1159/000358728
Feldman, E. L., Callaghan, B. C., Pop-Busui, R., Zochodne, D. W., Wright, D. E., Bennett, D. L., … Viswanathan, V. (2019). Diabetic neuropathy. Nature Reviews Disease Primers, 5(1). https://doi.org/10.1038/s41572-019-0092-1
Iacobini, C., Vitale, M., Pesce, C., Pugliese, G., & Menini, S. (2021). Diabetic complications and oxidative stress: A 20‐year voyage back in time and back to the future. Antioxidants, 10(5). https://doi.org/10.3390/antiox10050727
Manuscript, A. (2014). Daibetic neruopathy: clinical. 11(6), 521–534. https://doi.org/10.1016/S1474-4422(12)70065-0.Diabetic
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: Targets and Therapy, 13, 2753–2764. https://doi.org/10.2147/DMSO.S261175
Nightingale, C. J., Mitchell, S. N., & Butterfield, S. A. (2019). Validation of the timed up and go test for assessing balance variables in adults aged 65 and older. Journal of Aging and Physical Activity, 27(2), 230–233. https://doi.org/10.1123/japa.2018-0049
Papalia, G. F., Papalia, R., Balzani, L. A. D., Torre, G., Zampogna, B., Vasta, S., … Denaro, V. (2020). The effects of physical exercise on balance and prevention of falls in older people: A systematic review and meta-analysis. Journal of Clinical Medicine, 9(8), 1–19. https://doi.org/10.3390/jcm9082595
Qin, J., Zhao, K., Chen, Y., Guo, S., You, Y., Xie, J., … Tao, J. (2021). The Effects of Exercise Interventions on Balance Capacity in Patients with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis. Inquiry (United States), 58. https://doi.org/10.1177/00469580211018284
Roza, R. L., Afriant, R., & Edward, Z. (2015). Faktor Risiko Terjadinya Ulkus Diabetikum pada Pasien Diabetes Mellitus yang Dirawat Jalan dan Inap di RSUP Dr. M. Djamil dan RSI Ibnu Sina Padang. Jurnal Kesehatan Andalas, 4(1), 243–248. https://doi.org/10.25077/jka.v4i1.229
Selvarajah, D., Kar, D., Khunti, K., Davies, M. J., Scott, A. R., Walker, J., & Tesfaye, S. (2019). Diabetic peripheral neuropathy: advances in diagnosis and strategies for screening and early intervention. The Lancet Diabetes and Endocrinology, 7(12), 938–948. https://doi.org/10.1016/S2213-8587(19)30081-6
Yang, X., Liu, L., Yang, L., Li, W., & Zhang, J. (2020). Effect of resistance exercise on peripheral neuropathy in Type 2 diabetes mellitus. Journal of Central South University (Medical Sciences), 45(10), 1185–1192. https://doi.org/10.11817/j.issn.1672-7347.2020.190505
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