PENGARUH AKTIVITAS PERLINDUNGAN KAKI TERHADAP SENSASI PROTEKSI DAN RANGE OF MOTION KAKI PADA PENDERITA DIBETES MELITUS TIPE 2 DENGAN NEUROPATI PERIFER

Istiroha, Elyana Stp, Harmayetty, Program, Magister Keperawatan, Fakultas Keperawatan, Universitas Airlangga, Kampus Mulyorejo
unpublished
The somatosensory deficit in diabetic peripheral neuropathy can include loss of movement perception at the ankle joint and loss of plantar cutaneous sensation. Foot protection activities can maintain balance and strength of the legs. The purpose of this study was to determine the effect of foot protection activity on foot sensation, ROM of ankle and 1 st MTP joint in type 2 diabetes with peripheral neuropathy. This research used pretest-postest control group design. Subjects used are patients
more » ... used are patients with type 2 diabetes outpatient in RSUD Ibnu Sina Gresik as many as 28 patients. The subjects of the treatment group were given foot protection activity for 30 minutes, 2 times each week for 4 weeks. The variables measured were sensation of protection, ROM of ankle and 1 st MTP joint. The instruments used are Semmes-Weinstein Monofilament Test (SWMT) 10g and goniometer. After 4 weeks of treatment, paired t test showed an increase in foot protection sensation, ROM of ankle and 1st MTP joint in the treatment group with p value SWMT = 0,000, ROM of ankle dorsiflexion p = 0,005, plantarflextion ankle p = 0,006, ankle eversion p = 0.002, ankle inversion p = 0,000, 1 st MTP flexion p = 0.009 and 1 st MTP extension p = 0.002. The independent t test value of foot protection sensation, ROM of ankle and 1st MTP joint between treatment and control group also showed significant differences in treatment group than control group. This study shows the effect of foot protection activity on the sensation of foot protection and ROM of the foot joint so that it can be used as an alternative intervention to prevent diabetic foot ulcers either independently or in health services. Abstrak: Gangguan somatosensori pada neuropati diabetik meliputi hilangnya persepsi pergerakan sendi ankle dan hilangnya sensasi proteksi kaki. Aktivitas perlindungan kaki dapat menjaga keseimbangan dan kekuatan tungkai. Tujuan penelitian adalah untuk untuk mengetahui pengaruh aktivitas perlindungan kaki terhadap sensasi proteksi kaki, ROM sendi ankle dan 1 st MTP pada penderita DM tipe 2 dengan neuropati perifer. Penelitian ini mengunakan desain control group pretest-postest. Subjek yang digunakan adalah penderita DM tipe 2 di Poli Penyakit Dalam RSUD Ibnu Sina Gresik sebanyak 28 orang. Subjek kelompok perlakuan diberikan aktivitas perlindungan kaki selama 30 menit, sebanyak 2 kali setiap minggu selama 4 minggu. Variabel yang diukur adalah sensasi proteksi, ROM sendi ankle dan 1 st MTP. Instrumen yang digunakan adalah Semmes-Weinstein Monofilament Test (SWMT) 10g dan goniometer. Setelah 4 minggu perlakuan, uji paired t test menunjukkan terdapat peningkatan pada sensasi proteksi kaki, ROM sendi ankle dan 1 st MTP pada kelompok perlakuan dengan nilai p SWMT= 0,000, ROM ankle dorsofleksi p=0,005, ankle plantarfleksi p=0,006, ankle eversi p=0,002, ankle inversi p=0,000, 1 st MTP fleksi p=0,009 dan 1 st MTP ekstensi p=0,002. Hasil uji independent t test nilai sensasi proteksi kaki, ROM sendi ankle dan 1 st MTP antara kelompok perlakuan dan pembanding juga menunjukkan perbedaan yang signifikan pada kelompok perlakuan. Penelitian ini menunjukkan adanya pengaruh aktivitas perlindungan kaki terhadap sensasi proteksi kaki dan ROM kaki sehingga
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