The Improvement of Neuropathy and Balance after Combination of Indonesian Diabetic and Indonesian Diabetic Foot Exercise on Diabetic Peripheral Neuropathy

Abstract

Background: Half of people with Type 2 Diabetes Mellitus (Type 2 DM) developed diabetic neuropathy
at 25 years after being diagnosed and around 75% of the neuropathy were diabetic peripheral neuropathy
(DPN), that associated with balance disturbance. This study aimed to know the effect of combining Indonesian
diabetic exercise (Senam Diabetes Indonesia/SDI) and Indonesian diabetic foot exercise (Senam Kaki Diabetes
Indonesia/SKDI) on improvement of diabetic neuropathy and balance score in people with Type 2 diabetic
peripheral neuropathy.
Methods: Design study was a quasi-experimental study with pre-posttest design. The participants were Type 2
DM patients aged 40-65 years old, with DPN confirmed based on Indonesian version of Diabetic Neuropathy
Symptom (DNS-INA) >1 or Indones ian version of Diabetic Neuropathy Exmination (DNE-INA) >3, who did
not do exercise regularly. All participants had Berg Balance Scale (BBS) score within 41-55, and the random
peripheral blood glucose within 100-250mg/dL. The BBS, DNE-INA, and DNS-INA score were evaluated
before and after 12 weeks of excercise.
Results: There were 6 women aged 52-65 years. The mean of BBS, DNS-INA, and DNE-INA scores before
and after intervention were 54.33±1.032 and 55.16±1.329 (p=0.025), 2.50±1.048 and 1.50±0.836 (p=0.063),
3.66±1.505 and 1.33±0.816 (p=0.041), respectively.
Conclusion: There were improvement of Berg Balance Score and Diabetic Neuropathy Score after the
combination of Diabetic exercises.
Keywords: Berg Balance Score, diabetic neuropathy score, Indonesian Diabetic Exercise, Indonesian Foot
Diabetic Exercise