PERBEDAAN SIRKULASI DARAH EKSTREMITAS BAWAH DENGAN PEMERIKSAAN ANKLE BRACHIAL INDEKS (ABI) SEBELUM DAN SESUDAH SENAM KAKI PADA PASIEN DM TIPE II DI CLUB SENAM DM

Background: Type II Diabetes Mellitus is a disease characterized by
hyperglycemia based on increased insulin resistance or increased pancreatic beta
cell dysfunction. Ankle Brachial Index (ABI) examination is used to detect
symptoms of decreased peripheral perfusion in the legs, while leg exercises are
one of the appropriate treatments in preventing complications of DM such as
Peripheral Artery Disease (PAD). By doing leg exercises 2 times you can improve
blood circulation in the legs, improve blood circulation in the lower extremities
and strengthen the leg muscles.
Objective: To analyze the difference in lower extremity blood circulation values
with ABI examination before and after diabetic leg exercises.
Method: Quantitative research with an Experimental approach with a Pre�experiment one group pre-test post-test design, with a total sampling of 43
respondents according to the inclusion criteria. Analysis using the Wilcoxon test.
Results: The frequency distribution of the majority of elderly age was 19
respondents (44.2%), the distribution of female gender was 36 respondents
(83.7%), the distribution of education was mostly high school as many as 20
respondents (46.5%), the distribution of occupation was mostly housewives as
many as 24 respondents (55.8%). Bivariate analysis showed a p value of 0.000
(<0.005), meaning that there was a difference in lower extremity blood
circulation with ABI examination before and after exercise. Suggestion: DM
sufferers routinely do diabetic foot exercises to prevent blood circulation
problems in the lower extremities.