The Effect of Diabetic Foot Exercise Using a Plastic Ball on Diabetic Neuropathy and Capillary Refill Time in People with Diabetes Mellitus Type 2
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Keywords

Diabetic foot
Neuropathy
Plastic Ball Exercise

How to Cite

Wiyono, J., Pramata Putri, D. C., Hidayah, N., & Diah Ciptaningtyas, M. (2025). The Effect of Diabetic Foot Exercise Using a Plastic Ball on Diabetic Neuropathy and Capillary Refill Time in People with Diabetes Mellitus Type 2. Jurnal Kesehatan Manarang, 11(2), 222–229. https://doi.org/10.33490/jkm.v11i2.1506

Abstract

Complications of Type 2 DM can cause peripheral nerve disorders or diabetic neuropathy and decreased blood circulation in the legs. Managing chronic complications in people with Type 2 DM involves performing diabetic foot exercises using a plastic ball. However, using a plastic ball is rarely taught to people with diabetes. This study aims to analyze the effect of diabetic foot exercises using a plastic ball on diabetic neuropathy and capillary refill time in people with Type 2 diabetes mellitus at the Mojolangu Public Health Center in Malang. This research is a quasi-experiment with a pretest-posttest control group design and used purposive sampling with 36 respondents. Data collection was done using the DNS-score questionnaire and physical examination of CRT. Analysis was conducted using the Wilcoxon signed ranks test. The result of the Wilcoxon signed ranks test for pretest-posttest neuropathy was a p-value of 0.012 (p < 0.05) and for pretest-posttest CRT, a p-value of 0.046 (p < 0.05). The conclusion of this study is that there is an effect of diabetic foot exercises using a plastic ball on diabetic neuropathy and capillary refill time in people with Type 2 DM at the Mojolangu Public Health Center in Malang. It is hoped that health workers will provide education and support to people with DM to perform diabetic foot exercises using a plastic ball correctly and regularly to help prevent the severity of neuropathy complications.

https://doi.org/10.33490/jkm.v11i2.1506
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References

Hasina, S. N., Shodiq, M., Ikwan, M., Putri, R. A., Noventi, I., & Masithah, D. (2022). Pengaruh

Edukasi Kesehatan Terapi Buerger Allen Exercise Terhadap Pengetahuan Penderita Diabetes

Mellitus Dalam Upaya Menurunkan Resiko Gangguan Perfusi Jaringan Perifer. Jurnal Ilmiah

Permas: Jurnal Ilmiah STIKES Kendal, 12(4), 871–876.

http://repository.unusa.ac.id/9097/20/Pengaruh Edukasi Kesehatan Terapi Buerger Allen Exercise

Terhadap Pengetahuan Penderita Diabetes Mellitus Dalam Upaya Menurunkan Resiko Gangguan

Perfusi Jaringan Perifer.pdf

Heru Purnomo, Mu’awanah, M.Nor Mudhofar, Ajeng T Normawati, L. S. (2020). Pengaruh Latihan

Peregangan Kaki Terhadap Pengisian Kapiler Pada Penderita Luka Ulkus Diabetes. Jurnal Studi

Keperawatan, 1(2), 17–22.

https://download.garuda.kemdikbud.go.id/article.php?article=3049369&val=27726&title=Pengar

uh Latihan Peregangan Kaki Terhadap Pengisian Kapiler Pada Penderita Luka Ulkus Diabetes

Hikmat Permana. (2016). Komplikasi Kronik dan Penyakit Penyerta Pada Diabetesi. Jurnal Ilmiah.

Division of Endocrinology and Metabolism Department of Internal MedicinePadjadjaran

University Medical School. Hasan Sadikin Hospital. Bandung. https://adoc.pub/komplikasikronik-

dan-penyakit-penyerta-pada-diabetesi.html

Maelina Ariyanti, Hapipah, Heri Bahtiar, R. A. (2019). Pengaruh Senam Kaki Diabetes Dengan Bola

Plastik Terhadap Perubahan Kadar Gula Darah Pada Pasien Diabetes Mellitus Tipe 2. Jurnal

CARING (Center of Research Publication in Midwifery and Nursing).

https://core.ac.uk/outputs/352145568/?utm_source=pdf&utm_medium=banner&utm_campaign=

pdf-decoration-v1

Mardastuti, Y., Asmedi, A., Gofir, A. (2016). Diabetic neuropathy symptom-versi Indonesia dan

diabetic neuropathy examination-versi Indonesia sebagai skor diagnostik. Berkala Neurosains,

15(2), 55–65. https://journal.ugm.ac.id/bns/article/view/55750

Mildawati, M., Diani, N, Wahid, A. (2019). Hubungan usia, jenis kelamin dan lama menderita

diabetes dengan kejadian neuropati perifer diabetic. CNJ: Caring Nursing Journal, 3(2), 30–37.

https://download.garuda.kemdikbud.go.id/article.php?article=1220877&val=10400&title=Hubun

Oktaviah, D., Hasneli, Y. (2014). Efektifitas senam kaki diabetik dengan bola plastik terhadap tingkat

sensitivitas kaki pada pasien diabetes melitus tipe 2. J Urnal Online Mahasiswa Program Studi

Ilmu Keperawatan Universitas Riau. https://www.neliti.com/publications/186150/efektifitassenam-

kaki-diabetik-dengan-bola-plastik-terhadap-tingkat-sensitivita

Ratanto, D. S. (n.d.). Pengaruh Senam Diabetik Dengan Bola Tenis Terhadap Tingkat Sensitivitas

Kaki Pasien Dm Tipe II. Mahakam Nursing Journal, 2(5). https://ejournalperawat.poltekkeskaltim.

ac.id/ojs/index.php/nursing/article/view/148

Riska Kurnia Pratiwi. (2022). Pengaruh Senam Kaki Diabetic Terhadap Neuropathy Diabeticum

Pada Penderita Diabetes Mellitus. https://repository.uds.ac.id/423/

Saputri, S., Minarningtyas, A., Puspitasari, I. (2023). Penerapan Buerger Allen Exercise terhadap

Nilai Capillary Refill Time (CRT) pada Klien Diabetes Melitus Tipe 2. Jurnal Gema Keperawatan,

16(1), 99–110. https://ejournal.poltekkes-denpasar.ac.id/index.php/JGK/article/view/2411

Setianingrum. (2020). Pengembangan Protokol Intervensi Senam Kaki Diabetik Terhadap Tingkat

Sensitifitas Kaki Pada Pasien Diabetes Melitus Tipe 2.

Simamora, F. A., Siregar, H. R.,Hidayah, A. (2020). Pengaruh Senam Kaki Diabetik terhadap

penurunan neuropati pada penderita diabetes melitus tipe 2. Jurnal Education and Development,

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Copyright (c) 2025 Joko Wiyono, Diva Calista Pramata Putri, Nurul Hidayah, Maria Diah Ciptaningtyas