Abstract:
Diabetes mellitus (DM) is a metabolic disease whose prevalence continues to increase.
One of the chronic complications of type II diabetes mellitus is hyperglycemia which tends to
progress to diabetic ulcers which are preceded by decreased sensitivity in the feet, due to
impaired perfusion and peripheral neuropathy. Range of Motion (ROM) exercises to reduce
blood sugar circulation, prevent nerve damage, increase blood circulation and improve foot
sensitivity, have not been widely practiced by patients with type II diabetes. The purpose of this
study was to determine the effect of the range of motion diabetic exercise on the level of foot
sensitivity using 10 gram monofilament in type II DM. The population is type II DM patients in
the Peterongan Public Health Center, Jombang Regency. Sampling in this study using purposive
sampling. Respondents in this study were 80 respondents. Data collection was carried out before
and after treatment, namely the range of motion diabetic execise using a 10 gram monofilament
foot sensitivity examination. Based on the results of the study, the measurement of foot sensitivity
before treatment was obtained by more than some respondents (65%) with the category of no foot
sensitivity, while the foot sensitivity after treatment was obtained by more than some respondents
in the normal category, namely 48 respondents (60%). Based on data analysis, there is a
difference in the level of foot sensitivity of patients with type II DM between the pretest and
posttest, as indicated by the results of the Mann-Whitney test, namely p = 0.000. Regular range
of motion diabetic exercise can improve lower extremity blood circulation, increase foot
sensitivity and flex the peripheral nervous system, thereby reducing the risk of diabetic foot ulcers
in type II DM patients
