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Buerger-Allen Exercise on Foot Perfusion among Patients with Diabetes Mellitus

Sathish Rajamani, Navreet Kaur Saini, Sathish Rajamani

Abstract


Background of the study: Diabetes Mellitus (DM) is a metabolic disorder which is characterized with
increased glucose level in the blood, resulting from defect in the insulin secretion, insulin action, or
both. In advance stage of the disease, foot perfusion of patients is decreased. It can be assessed by
Ankle Brachial Index (ABI), Capillary Refill Time (CRT) and Peripheral pulse rate. Buerger-Allen
exercise is an effective intervention for improving the foot perfusion of diabetes mellitus patients.
Material and method: 60 patients were selected by convenience sampling technique and randomized

into two groups experimental (n=30) and control (n=30) by computer generated code method. Buerger-
Allen exercise was administered in experimental group two times a day for 5 days. The pre and post

interventional foot perfusion score was assessed in both the groups by using a foot perfusion scale i.e.,
by ABI, CRT and Peripheral pulse rate. The data was collected by record analysis and biophysiological
measurement. Result: The study findings revealed that: The post intervention means ABI score in
experimental group (Right Mean=0.95, Left Mean=0.94) was significantly higher than control group
(Right Mean=0.86, Left Mean=0.85) (p=0.001***). The post intervention CRT was lower in

experimental group than control group (p=0.001***) respectively. Conclusion: The use of Buerger-
Allen exercise is effective in improving the foot perfusion in terms of ABI score, reducing the CRT.

Therefore, it is recommended that ‘Buerger-Allen exercise’ can be used to improve the foot perfusion
of diabetes mellitus patients.


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DOI: https://doi.org/10.37628/ijgn.v4i2.1999

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