Combination diabetic foot spa, rubber band resistance exercise and music therapy in patients with diabetes mellitus

Introduction: People lack physical activity, while food substances that enter the body and are not used for activities cannot be burned but will be burned by the body as fat and sugar, which can cause DM. Non-pharmacological therapies can be done through physical therapy. The study aimed to determine the effectiveness of the combination diabetic foot spa, rubber band resistance exercise and music therapy in patients with diabetes mellitus.Methods: This research was a pre-experimental design. They included 230 DM patients, and the sample was finalized at 150 respondents. The independent variable was diabetic foot spa, rubber band resistance exercise and music therapy, while the dependent variables were blood glucose levels, the ankle-brachial index, and foot sensitivity. The data was analyzed using a t-test and Wilcoxon rank test.Results: Diabetic foot spa, rubber band resistance exercise and music therapy in early neuropathy detection testing have a blood glucose level of t=15.808 and p value=0.000. This therapy also significantly affects an ankle-brachial index (ABI) with p<0.001 and foot sensitivity with a p-value<0.001.Conclusion: Diabetic foot spa, rubber band resistance exercise and music therapy done regularly and independently can reduce complication rate in DM patients such as tingling and pain in the feet can be reduced or even disappear and prevent complications of foot infections that can often lead to amputation. Health workers can use this innovation to improve the health status of DM patients.