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The Effect of Leg Stretching Exercises with A Tennis Ball on Ankle Brachial Index as A Predictor of Diabetic Foot Ulcer Yuliartini, Henny; Arwani, Arwani; Widiyanto, Budi
Indonesian Journal of Global Health Research Vol 6 No 4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i4.3348

Abstract

Diabetic foot ulcers are caused by impaired peripheral circulation of the lower extremities due to peripheral arterial disease (PAD) that can be assessed by measuring the ankle brachial index. Leg stretching exercises with a tennis ball have an effect on increasing ABI values and predict the incidence of diabetic foot ulcers. Objective : This stydy aims to improve the effect of leg stretching exercises with a tennis ball on the ABI value as a predictor of the incidence of diabetic foot ulcers. Method: Quasi experimental quantitative research with a pretest-posttest with control group design. The total sample was 46 respondents using a purposive sampling technique to determine the Intervention group and Control group in 2 Puskesmas work areas that have plenary accreditation. After selecting each group, identification was carried out according to the inclusion criteria and exclusion criteria, resulting in 23 respondents in the Intervention group and 23 respondents in the Control group. The intervention group was given leg stretching exercises with a tennis ball for 15 minutes 14 times in 2 weeks and the control group received treatment from the Community Health Center, namely PROLANIS exercises. Data analysis uses univariate analysis and bivariate analysis, Paired Sample t-Test and Independent t-Test. Results: The ankle brachial index average increased to 0,300 mmHg and the prediction of the incidence of foot ulcers were decreased on the Intervention group (p=0,000) wheras the Control group ankle brachial index average decreased to 0,082 mmHg and the prediction of the incidence of foot ulcers were increased (p=0,008). Conclusion: Leg stretching exercises with a tennis ball have an effect on increasing ankle brachial index and can be used as a predictor of diabetic foot ulcers in type 2 diabetes mellitus.
The Effect of Regular Exercise and Probiotic Milk Consumption on Blood Glucose Levels in Diabetes Mellitus Patients Somad, Abdul; Detiana, Detiana; Lusiana, Lusiana; Yuliartini, Henny
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.5256

Abstract

Diabetes Mellitus (DM) is a chronic condition characterized by elevated blood glucose levels due to defects in insulin secretion or action. Type 2 Diabetes Mellitus (T2DM) is the most prevalent form, contributing to complications such as cardiovascular diseases, neuropathy, and retinopathy. Managing T2DM often involves lifestyle changes, including physical activity and dietary adjustments. Probiotic milk, containing beneficial microorganisms, has been studied for its potential to improve glycemic control in diabetic patients. However, while exercise and probiotics have been researched separately, their combined impact on blood glucose management remains underexplored. This study aimed to assess the effects of regular exercise and probiotic milk consumption on blood glucose levels in T2DM patients. Specifically, it sought to examine blood glucose changes before and after exercise, and after consuming probiotic milk. A quasi-experimental design with a one-group pre-test post-test approach was used. Fifty participants with T2DM were recruited using purposive sampling from the SP6 Sari Bungamas Community Health Center, Lahat Regency, Indonesia. Participants engaged in light physical activity three times a week for three months. After each session, they consumed probiotic milk, and their blood glucose levels were measured pre-exercise, post-exercise, and two hours after consumption. Paired t-tests were used to analyze the data. Regular exercise significantly lowered blood glucose levels (p-value = 0.016). However, probiotic milk consumption did not show a statistically significant effect on blood glucose levels (p-value = 0.55). Regular exercise significantly reduces blood glucose levels in T2DM patients. However, the effect of probiotic milk on blood glucose levels was inconsistent, warranting further research to determine its potential benefits.