INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS
Vol. 4 No. 3 (2018), Original Research Article
Vol. 4 No. 3 (2018)

INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS

Original Research Article
Categories: Adult Nursing (Medical-Surgical Nursing) | Diabetes Mellitus
https://doi.org/10.33546/bnj.414
Iskandar Iskandar
Faculty of Nursing, University of Sumatera Utara, Medan, Indonesia
Ridha Dharmajaya
Faculty of Medicine, University of Sumatera Utara, Medan, Indonesia
Yesi Ariani
Department of Medical Surgical Nursing, Faculty of Nursing, University of Sumatera Utara, Medan, Indonesia
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Keywords

electrical stimulation
 foot circulation
 diabetes mellitus

How to Cite

Iskandar, I., Dharmajaya, R., & Ariani, Y. (2018). INCREASING FOOT CIRCULATION WITH ELECTRICAL STIMULATION IN PATIENTS WITH DIABETES MELLITUS. Belitung Nursing Journal, 4(3), 343–349. https://doi.org/10.33546/bnj.414
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Accepted for publication: 2018-05-13
Peer reviewed: Yes

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Abstract

Background: Peripheral arterial disorders in diabetes mellitus is a common complication that often occurs and can develop into diabetic foot ulcers. High blood sugar levels in people with diabetes mellitus can cause increased blood viscosity resulting in thickening of the capillary membrane, where erythrocytes, platelets and leucocytes are attached to the blood vessels. Electrical stimulation by placing electrodes in the calf muscle is one of the measures to increase foot blood flow that can reduce the poor foot circulation.

Objective: This study aims to determine the effect of electrical stimulation in improving blood flow of patients with diabetes mellitus.

Methods: The research used pre-experimental design with one-group pretest-posttest. Sampling technique using purposive sampling as many as 62 patients with diabetes mellitus. Electrical stimulation was done by attaching electrodes to left and right calf muscles for 20 minutes, with frequency 3 times a week for 2 weeks. Before and after electrical stimulation performed foot circulation examination by ankle brachial index technique. Data were analyzed using Wilcoxon signed rank test.

Results: The results showed that before the stimulation was obtained the mean ankle brachial index 0.82 mmHg and after stimulation it was 0.95 mmHg (p = 0.000). There was an effect of electrical stimulation in increasing foot blood flow. A calf muscle contraction during stimulation leads to increased leg blood flow through the addition of vascular endothelial growth factor and increased nitric oxide as a vasodilator of blood vessels. Electrical stimulation can be applied in increasing the blood flow of the foot, thus preventing the occurrence of diabetic foot ulcers.

Conclusion: Stimulation is one therapy that can be done to prevent poor foot circulation of patients with diabetes mellitus.

https://doi.org/10.33546/bnj.414
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Supporting Agencies

Faculty of Nursing, University of Sumatera Utara, Medan, Indonesia

Copyright

Copyright (c) 2018 Iskandar, Ridha Dharmajaya, Yesi Ariani

Creative Commons License

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

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References

Aldayel, A., Jubeau, M., McGuigan, M., & Nosaka, K. (2010). Comparison between alternating and pulsed current electrical muscle stimulation for muscle and systemic acute responses. Journal of Applied Physiology, 109(3), 735-744.

Asadi, M., Torkaman, G., Mohajeri-Tehrani, M., & Hedayati, M. (2015). Effects of electrical stimulation on the management of ischemic diabetic foot ulcers. Journal of Babol University of Medical Sciences, 17(7), 7-14.

Association, A. D. (2017). Standards of medical care in diabetes—2017 abridged for primary care providers. Clinical Diabetes, 35(1), 5-26.

Beckman, J. A., Creager, M. A., & Libby, P. (2002). Diabetes and atherosclerosis: epidemiology, pathophysiology, and management. JAMA, 287(19), 2570-2581.

Francia, P., Anichini, R., De Bellis, A., Seghieri, G., Lazzeri, R., Paternostro, F., & Gulisano, M. (2015). Diabetic foot prevention: The role of exercise therapy in the treatment of limited joint mobility, muscle weakness and reduced gait speed. Italian Journal of Anatomy and Embryology, 120(1), 21-32.

Ghosh, A., Sherpa, M. L., Yazum Bhutia, R. P., & Dahal, S. (2011). Serum nitric oxide status in patients with type 2 diabetes mellitus in Sikkim. International Journal of Applied and Basic Medical Research, 1(1), 31.

Hingorani, A., LaMuraglia, G. M., Henke, P., Meissner, M. H., Loretz, L., Zinszer, K. M., . . . Marston, W. (2016). The management of diabetic foot: a clinical practice guideline by the Society for Vascular Surgery in collaboration with the American Podiatric Medical Association and the Society for Vascular Medicine. Journal of Vascular Surgery, 63(2), 3S-21S.

Pamungkas, R. A., Limansyah, D., Sudarman, S., & Siokal, B. (2016). Self management program among type 2 diabetes mellitus patients: A literature review. Belitung Nursing Journal, 2(3), 34-39.

Park, R. J., Son, H., Kim, K., Kim, S., & Oh, T. (2011). The effect of microcurrent electrical stimulation on the foot blood circulation and pain of diabetic neuropathy. Journal of Physical Therapy Science, 23(3), 515-518.

Petrofsky, J. S. (2011). The effect of type-2-diabetes-related vascular endothelial dysfunction on skin physiology and activities of daily living: Journal of Diabetes Science and Technology, 5(3), 657-667.

Riskesdas. (2013). Basic health research report. Jakarta: Ministry of Health of Indonesia.

Sandberg, M. L., Sandberg, M. K., & Dahl, J. (2007). Blood flow changes in the trapezius muscle and overlying skin following transcutaneous electrical nerve stimulation. Physical Therapy, 87(8), 1047-1055.

Sharma, D., Shenoy, S., & Singh, J. (2010). Effect of electrical stimulation on blood glucose level and lipid profile of sedentary type 2 diabetic patients. International Journal of Diabetes in Developing Countries, 30(4), 194.

Thakral, G., LaFontaine, J., Najafi, B., Talal, T. K., Kim, P., & Lavery, L. A. (2013). Electrical stimulation to accelerate wound healing. Diabetic foot & Ankle, 4(1), 22081.

Toda, M., & Morimoto, K. (2008). Effect of lavender aroma on salivary endocrinological stress markers. Archives of Oral Biology, 53(10), 964-968.

Valiatti, F. B., Crispim, D., Benfica, C., Valiatti, B. B., Kramer, C. K., & Canani, L. H. (2011). The role of vascular endothelial growth factor in angiogenesis and diabetic retinopathy. Arquivos Brasileiros de Endocrinologia & Metabologia, 55(2), 106-113.

WHO. (2016). Global report on diabetes. Geneva: World Health Organization.

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