Buerger Allen Exercise In Type 2 Diabetes Mellitus Patients: A Literature Review

Mutmainnah Sari(1), Ahmad Jamaluddin(2*), Muhammad Anwar Hafid(3), Risnah Risnah(4)


(1) Registered Nurse at The La Patarai General Hospital, Barru Regency, South Sulawesi, Indonesia.
(2) Department of Nursing, Faculty of Medicine and Health Sciences, Alauddin State Islamic University of Makassar, Gowa, Indonesia.
(3) Department of Nursing, Faculty of Medicine and Health Sciences, Alauddin State Islamic University of Makassar, Gowa, Indonesia.
(4) Department of Nursing, Faculty of Medicine and Health Sciences, Alauddin State Islamic University of Makassar, Gowa, Indonesia.
(*) Corresponding Author

Abstract


An effort that might be made to prevent complications of Diabetes Mellitus (DM) is by increasing peripheral blood circulation through the Buerger Allen exercise (BAE). Previous studies recommend reviewing the standard procedure of the BAE. Research related to the review of the effectiveness of BAE application on type 2 DM, which is summarized from various studies in latest original research is still lacking. The aim of this study is to describe the standard form of the Buerger Allen implementation that has been evaluated its effectiveness in patients with type 2 DM patients with complications. This literature review was performed with PICO keywords in 4 databases, including PubMed, Springer Link, Wiley Online Library, and Google Scholar in 2011-2022. We have concluded that the standard procedure for implementing the BAE consists of 5 stages and three main steps for each cycle. The steps are supine position (pre-exercise), elevation, Hanging, flexion-extension, and horizontal (post-exercise) steps. Each session consists of at least 3 to 6 cycles with approximately 30 minutes. Fifteen articles analyzed showed significant changes in lower peripheral perfusion of patients with type 2 DM. BAE is a simple non-pharmacological intervention that is considered an effective method for managing lower peripheral perfusion.

Keywords


Buerger Allen exercise; Peripheral perfusion; Type 2 diabetes mellitus

Full Text:

PDF

References


United Nations. UN health agency calls for global action to halt rise in and improve care for people with diabetes 2016. https://www.un.org/sustainabledevelopment/blog/2016/04/wolrdhealthday2016/ (accessed October 10, 2021).

WHO. Noncommunicable diseases. Newsroom 2021. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases (accessed October 10, 2021).

WHO. Diabetes. Health Topics 2021. https://www.who.int/health-topics/diabetes#tab=tab_1 (accessed October 10, 2021).

IDF. IDF Diabetes Atlas 10th Edition. 2021.

IDF. Diabetes Complications. About Diabetes 2020. https://www.idf.org/aboutdiabetes/complications.html (accessed October 10, 2021).

Goyal R, Jialal I. Diabetes Mellitus Type 2. Statpearls 2021. https://www.statpearls.com/ArticleLibrary/viewarticle/36052#ref_32090126 (accessed October 10, 2021).

Amour AA, Chamba N, Kayandabila J, Lyaruu IA, Marieke D, Shao ER, et al. Prevalence , Patterns , and Factors Associated with Peripheral Neuropathies among Diabetic Patients at Tertiary Hospital in the Kilimanjaro Region : Descriptive Cross-Sectional Study from North-Eastern Tanzania. Int J Endocrinol 2019;2019. https://doi.org/10.1155/2019/5404781.

Katuuk ME, Mulyadi. Pengaruh senam kaki diabetes terhadap nilai ankle brachial index pada pasien diabetes mellitus tipe II Rumah Sakit Pacaran Kasih GMIM Manado. Jurnal Keperawatan 2017;5. https://doi.org/10.35790/jkp.v5i1.25150.

Chang C, Chang C, Chen M. Effect of Buerger ’ s Exercises on Improving Peripheral Circulation : A Systematic Review. Open J Nurs 2015;5:120–8. https://doi.org/10.4236/ojn.2015.52014.

Sari A, Wardy A, Sofiani Y. The Comparison Effectiveness of Buerger Allen Exercise and Foot Gymnastics on ABI Value in Type II DM Patients. Journal of Telenursing 2019;1:1–16. https://doi.org/10.31539/joting.v1i1.492.

Maggio LA, Sewell JL, Artino AR. The Literature Review: A Foundation for High-Quality Medical Education Research. Journal of Gradute Medical Education 2016;8:297–303. https://doi.org/10.4300/JGME-D-16-00175.1.

Eriksen MB, Frandsen TF. The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: a systematic review. Journal of the Medical Library Association 2018;106. https://doi.org/10.5195/jmla.2018.345.

Joanna Briggs Institute. Critical Appraisal Tools 2020. https://joannabriggs.org/ebp/critical_appraisal_tools.

Chang CC, Chen MY, Shen JH, Lin Y Bin, Hsu WW, Lin BS. A quantitative real-time assessment of Buerger exercise on dorsal foot peripheral skin circulation in patients with diabetes foot. Medicine (United States) 2016;95:1–5. https://doi.org/10.1097/MD.0000000000005334.

Kumari A, Rai K, Kumari V, Sarin J. A Study to Assess the Effectiveness of Buerger Allen Exercise on Foot Perfusion among Patients with Diabetes Mellitus Admitted in Selected Hospital of Ambala, Haryana. Int J Health Sci Res 2019;9.

Chen ML, Lin BS, Su CW, Lin Y Bin, Chen MY, Shen JH, et al. The application of wireless near infrared spectroscopy on detecting peripheral circulation in patients with diabetes foot ulcer when doing Buerger’s exercise. Lasers Surg Med 2017;49:652–7. https://doi.org/10.1002/lsm.22667.

Chang CF, Chang CC, Hwang SL, Chen MY. Effects of Buerger Exercise Combined Health-Promoting Program on Peripheral Neurovasculopathy Among Community Residents at High Risk for Diabetic Foot Ulceration. Worldviews Evid Based Nurs 2015;12:145–53. https://doi.org/10.1111/wvn.12091.

Hassan ZM, El-din SAB, Elrasek A, Mohammed I. Impact of Buerger Allen Exercise on Improving Selected Clinical Features of Peripheral Vascular Disease among Diabetic Patients. Journal of Nursing and Health Science 2020;9:4–13. https://doi.org/10.9790/1959-0902070413.

Sasi RK, Islam R, Sunil A, Markose A. Lower Extremity Perfusion among Patient with Type 2 Diabetes Mellitusin a Tertiary Care Hospital, Kochi. Indian J Public Health Res Dev 2020;11:319–24. https://doi.org/10.37506/v11/i1/2020/ijphrd/193837.

Lin B-S, Chang C-C, Su C-L, Li J-R, Chen M-L, Chen M-Y, et al. The assessment of Buerger’s exercise on dorsal foot skin circulation in patients with vasculopathic diabetic foot ulcer by using wireless near-infrared spectroscope: a cohort prospective study. Lasers Med Sci 2018;33:977–82. https://doi.org/10.1007/s10103-017-2420-6 LK.

Thakur P, Sharma K. A Study to Assess the Effectiveness of Buerger Allen Exercise in Improving the Peripheral Circulation among Patients with Diabetes Mellitus Admitted in Sharda Hospital, Greater Noida. International Journal of Nursing Education 2019;11:27–31. https://doi.org/10.5958/0974-9357.2019.00034.5.

El-Fattah HSA, Garas AF, Hanna NE, Elsayed NM. Effect of Buerger Exercises on Improving Peripheral Circulation of the Lower Extremities among Patients with Type 2 Diabetes Mellitus at Selected University Hospital–Egypt. Indian J Public Health Res Dev 2019;10:719–24.

Satyha, Karthi. A Study to Assess the Effectiveness of Buerger Allen Exercise to Prevent Risk of Diabetic Foot by Improving Lower Extremity Perfusion among Clients With Type-2 Diabetes Mellitus in Selected Hospitals at Villupuram District, Tamilnadu. International Journal of Research and Review 2019;6:83–8.

Mellisha MSES. Effectiveness of Buerger Allen Exercise on Lower Extremity Perfusion and Pain among Patients with Type 2 Diabetes Mellitus in Selected Hospitals in Chennai. International Journal of Science and Research (IJSR) 2016;5:1822–6.

Radhika J, Poomalai G, Nalini S, Revathi R. Effectiveness of buerger-allen exercise on lower extremity perfusion and peripheral neuropathy symptoms among patients with diabetes mellitus. Iran J Nurs Midwifery Res 2020;25:291–5. https://doi.org/10.4103/ijnmr.IJNMR_63_19.

Lamkang TS, Aruna, Gowri M. Effectiveness of Buerger Allen Exercise on Level of Lower Extremity Perfusion among Patient with Type 2 Diabetes Mellitus Saveetha Medical College and Hospital. International Journal of Development Research 2017;7:14723–6.

Bhuvaneshwari S, Tamilselvi. A study to assess the effectiveness of Buerger Allen exercise on lower extremity perfusion among patients with type 2 diabetes mellitus in Saveetha Medical College and Hospital in Chennai. International Journal of Advance Research and Development 2018;3:15–20.

Mayangsari M, Lutfi M. The Effectiveness Of Buerger Allen Exercise On Decreasing ABI Value In Diabetes Mellitus Patients With Virginia Henderson ’ s Nursing Model Theory Approach In The Covid-19 Pandemic. Strada Jurnal Ilmiah Kesehatan 2021;10:1541–6. https://doi.org/10.30994/sjik.v10i2.860.

White H, Sabarwal S. Quasi-Experimental Design and Methods 2014.

Bärnighausen T, Tugwell P, Røttingen J-A, Shemilt I, Rockers P, Geldsetzer P, et al. Quasi-experimental study designs series-paper 4: uses and value. Journal of Clininal Epidemiology 2017;89:21–9. https://doi.org/10.1016/j.jclinepi.2017.03.012.

Faber J, Fonseca LM. How sample size influences research outcomes. Dental Press J Orthod 2014;19:27–9. https://doi.org/10.1590/2176-9451.19.4.027-029.ebo.

Benskin L. Diabetic Foot Ulcers and Peripheral Arterial Disease: Clinical Education. USA: Ferris Mfg. Corp; 2018.

Potter, Perry, Stockert, Hall. Fundamentals of Nursing. Ninth edit. St. Louis, Missouri: Elsevier; 2017.

Hassan ZM, EL-Din SAB, ElRasek A, Mohammed, Mohammed I. Impact of Buerger Allen Exercise on Improving Selected Clinical Features of Peripheral Vascular Disease among Diabetic Patients. IOSR Journal of Nursing and Health Science (IOSR-JNHS) 2020;9:4–13. https://doi.org/10.9790/1959-0902070413.

Kumari A, Rai K, Kumari V, Sarin J. A Study to Assess the Effectiveness of Buerger Allen Exercise on Foot Perfusion among Patients with Diabetes Mellitus Admitted in Selected Hospital of Ambala, Haryana. Int J Health Sci Res 2019;9.

Lamkang TS, Aruna, Gowri M. Effectiveness of Buerger Allen Exercise on Level of Lower Extremity Perfusion among Patient with Type 2 Diabetes Mellitus Saveetha Medical College and Hospital. International Journal of Development Research 2017;7:14723–6.

Buso G, Aboyans V, Mazzolai L. Lower Extremity Artery Disease in Patients with Type 2 Diabetes. Eur J Prev Cardiol 2019;26:114–24. https://doi.org/10.1177/2047487319880044.

Qomariyah SN, Lin C-H. The Effect of Buerger Allen Exercise Towards Physical Health Performance of Peripheral Neuropathy Patients. Critical Medical and Surgical Nursing Journal 2023;12.

Trisnawati I, Sudiana IK, Supriyanto S. Effect of Leg Exercise on the Lower Limb Circulation of Patients with Diabetes Mellitus: A Systematic Review. Jurnal Ners 2020;15.


Article Metrics

Abstract view : 60 times
PDF - 1 times

DOI: https://doi.org/10.26714/mki.7.2.2024.175-185

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Mutmainnah Sari, Ahmad Jamaluddin, Muhammad Anwar Hafid, Risnah Risnah

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This journal is indexed by:

              

 

View My Stats 

Universitas Muhammadiyah Semarang and PPNI Jawa Tengah

Kedungmundu Raya No. 18 Semarang NRC Building Universitas Muhammadiyah Semarang

Phone: 02476740287
Fax: 02476740287
Email: [email protected]