Effect of Buerger Allen exercises on foot perfusion among patient with diabetes mellitus: A systematic review & meta-analysis (and a video)

Effect of buerger allen exercise on foot perfusion among patient with diabetes mellitus: A systematic review & meta-analysis

For more information on how to do the exercises, see here

Highlights

Diabetes is associated with greater severity and more diffuse peripheral artery disease relative to non-diabetics.⁃

Elevation of lower extremities Feet movement Resting of the feet (Lie down with feet at an angle of 45°–90°) (Sit and perform feet dandling) (Lie down flat)⁃

Buerger Allen exercises increases the Ankle-brachial index value in diabetic patients and improves lower limb perfusion.⁃

Buerger Allen exercises could be utilized in clinical practices to promote peripheral circulation.

Aim

Buerger-Allen exercise includes set of activities like elevation, movement and rest of the lower extremities. This systematic review and meta-analysis aimed to assess the effectiveness of BAE on foot perfusion among patient with diabetes mellitus.

Material & methods

Five databases were searched for literatures published from inception to October 2020. Cochrane Collaboration Tool for RCTs and ROBINS-I tool for quasi-experimental studies were used for quality assessment.

Results

Four RCTs and six quasi-experimental studies were included, and pooled analysis have shown that the BAE was significantly effective in the improvement of ABI scores (MD = 0.14; 95% CI 0.08–0.19; I2 = 30%; p < 0.000).

Conclusions

Studies showed that BAE effectively improves foot perfusion among patients with diabetes mellitus.

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