Successful Aspects and Impacts of Diabetic Foot Exercise Among Indonesian Type 2 Diabetes Mellitus Patients: A Literature Review

Backgrounds: Prevalence of diabetic foot among patient remains high worldwide, including in Indonesia. Foot exercise becomes one solution to prevent this health issue. However, the procedure seems simple but many factors influence the successful of this intervention. Numerous studies had been published related to the successful aspects and the outcomes of diabetic foot exercise but those are still dispersed. So that, the comprehensive information of diabetic foot exercise is still puzzled and do not utilize maximally by clinicians. Purposes: This study aims to review and synthesis previous information related to successful aspects and impacts of diabetic foot exercise among Indonesian Type 2 Diabetes Mellitus patients. The present comprehensive review compile and synthesize the information on diabetic foot exercise, which can serve as a source for future studies or be utilized for clinical practices. Methods: A literature review had been chosen in this study with PRISMA approach to sort the articles from EBSCOHost, Google Scholar, Science Direct, Wiley Online and ProQuest. We used a Mixed Method Appraisal Tool to determine the eligibility of articles that included to this study. Results: We harvested 1,481 articles and synthesized 20 selected articles. Our findings revealed intrinsic and extrinsic aspects of diabetic foot exercise were the key to improve the intervention’s outcome. Most outcomes of diabetic foot exercise were related to physical benefits. Although, mental benefits also captured in this study. Interestingly, our review found a unique finding, which in the Indonesia context, the spiritual outcome was also mentioned by diabetic patients after received diabetic foot exercise. Conclusion: By deliberate our findings, clinicians may scale up and aware the supporting aspects of diabetic foot exercise when providing this therapy to diabetes