Physiotherapy Counseling in Cases of Type II Diabetes Mellitus with Physical Exercise for the Elderly
Main Article Content
Abstract
Background: Diabetes mellitus, or ‘sugar diabetes’, is a chronic, lifelong condition. Type 2 diabetes mellitus is caused by genetic factors, insulin resistance, and environmental factors such as obesity, an unhealthy diet, lack of physical activity, stress and ageing. Therefore, the purpose of this community service activity is to provide physiotherapy counselling in cases of Type II Diabetes Mellitus through physical exercise programs for the elderly at the Elderly Posyandu in Colomadu District.
Methods: This community service activity applied an educational and exercise training approach for elderly Posyandu cadres in Colomadu District, Karanganyar Regency, from April to October 2025. The program included health education on Type II Diabetes Mellitus and diabetes exercise training consisting of warm-up, core, and cool-down sessions. Evaluation was conducted through observation of participants’ understanding and exercise performance.
Results: The community service project demonstrated a clear transition in participant outcomes. While the initial assessment showed a low level, post-intervention results showed improved knowledge and practical skills among posyandu cadres regarding diabetes prevention through physical activity, with correct performance of diabetes exercise increasing from 21.4% (3/14 cadres) before training to 92.9% (13/14 cadres) after training.
Conclusion: Diabetes exercise education improved participants’ knowledge and skills in performing appropriate physical activity for managing Type II Diabetes Mellitus. Regular exercise may help control blood glucose levels and improve physical fitness among elderly individuals.
Article Details
How to Cite
References
1. Lestari, Zulkarnain, Sijid, Aisyah S. Diabetes Melitus: Review Etiologi, Patofisiologi, Gejala, Penyebab, Cara Pemeriksaan, Cara Pengobatan dan Cara Pencegahan. UIN Alauddin Makassar. 2021;1(2):237–41.
2. Harefa EM, Lingga RT. Analisis Faktor Resiko Kejadian DM Tipe II. Journal of Health Research Science. 2023;7(26):316–24.
3. Widyasari N. Hubungan karakteristik responden dengan risiko diabetes melitus dan dislipidemia Kelurahan Tanah Kalikedinding. Jurnal Unair. 2017;5(1):131–41. https://doi.org/10.20473/jbe.v5i1.
3. Dinarqi AA, Purwanti OS. Gambaran Pengetahuan Neuropati Pada Penderita Diabetes Mellitus Di Kabupaten Kendal. Universitas Muhammadiyah Surakarta. 2021;1–2.
5. kirwan. E. HHS Public Access. Clinic, Cleveland. 2018;84:1–14. https://doi.org/10.3949/ccjm.84.s1.03.The
6. Wahidin M, Ika Agustiya R, Putro G. Beban Penyakit dan Program Pencegahan dan Pengendalian Penyakit Tidak Menular di Indonesia Burden of Diseases and Program for the Prevention and Control Of Non-Communicable Diseases in Indonesia. Junal Epidemiologi Kesehatan Indonesia. 2022;6:105–12.
7. P2P D. Saatnya Mengatur Si Manis. Kemenkes. 2024.
8. Amaravadi SK, Maiya GA, Vaishali K, Shastry BA. Effectiveness of structured exercise program on insulin resistance and quality of life in type 2 diabetes mellitus–A randomized controlled trial. PLoS One. 2024 May 1;19(5 May):1–18. https://doi.org/10.1371/journal.pone.0302831 PMID: 38771888
9. Blioumpa C, Karanasiou E, Antoniou V, Batalik L, Kalatzis K, Lanaras L, et al. Efficacy of supervised home-based, real time, videoconferencing telerehabilitation in patients with type 2 diabetes: A single-blind randomized controlled trial. Eur J Phys Rehabil Med. 2023 Oct 1;59(5):628–39. https://doi.org/10.23736/S1973-9087.23.07855-3 PMID: 37350165
10. kementrian kesehatan indonesia. files87035files8920231Final_Pedoman_Nasional_Penanggulangan_Krisis_Kesehatan. Pusat Krisis Kesehatan Kementerian Kesehatan RI. 2023 Jul 20;1(1):1–708.
11. Inda Mujisari K, Sididi M, Epidemiologi P, Kesehatan Masyarakat F. Senam Diabetes Terhadap Kadar Gula Darah Sewaktu Pada Lansia Yang Menderita Diabetes Melitus Tipe II. Stikesmu-SidrapE-JournalId. 2021;2(1):924–32.
12. Luther M, Haskas Y, Kadrianti E. Hubungan Self Care Dengan Quality Of Life Penderita Diabetes Melitus TIPE II. Jl P Kemerdekaan VIII. 2022;2(3):1–7.
13. Lestary S, Hasmar W, Suherman U. Penatalaksanaan Fisioterapi pada Kasus Diabetes Melitus Tipe 2 dengan Metode Body Weight Training dan Senam Diabetes. Seminar Kesehatan Nasional. 2022;1:49–54.
14. Fithri NK. Upaya Senam Diabetes Untuk Penderita Dm Tipe Ii Di Puskesmas Pondok Ranggon I Jakarta Timur. Jurnal Pengabdian Masyarakat AbdiMas. 2021;7(2):126–30. https://doi.org/10.47007/abd.v7i2.3961
15. the American Diabetes Association. Introduction and Methodology : Standards of Care in Diabetes — 2026. 2026;49(January):1–5. https://doi.org/https://doi.org/10.2337/dc26-SINT
16. Health P. Standards of Medical Care in Diabetes — 2022 Abridged for Primary Care Providers. 10 DIABETESJOURNALS. 2022; https://doi.org/https://doi.org/10.2337/cd22-as01
17. Corral-Pérez J, Mier A, Vázquez-Sánchez MÁ, Naranjo-Márquez M, Ponce-Gonzalez JG, Casals C. Multidimensional associations of physical performance, balance, wellness and daily activities with frailty in older adults with coexisting frailty and diabetes. J Clin Nurs. 2024 May 1;35(June):2116–29. https://doi.org/10.1111/jocn.17336
18. Martiskainen T, Lamidi ML, Venojärvi M, Tikkanen H, Laatikainen T. Factors affecting the effectiveness of the physical activity counselling intervention implemented in primary health care in adults with type 2 diabetes. BMC Endocr Disord. 2023 Dec 1;23(1):1–10. https://doi.org/10.1186/s12902-023-01428-w PMID: 37550678
19. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451–62. https://doi.org/10.1136/bjsports-2020-102955 PMID: 33239350