• Mujasam Rasool
• Shridhar K.V
• Arshid Nazir Shah

Buerger‘s exercises or Buerger-Allen exercises were proposed by Leo Buerger and modified by Arthur Allen. The value of these exercises had frequently been emphasized by Allen, and many medical experts considered them as important adjuvant treatment and postoperative care for circulatory disturbances in the extremities. The mechanism of Buerger‘s exercises use gravitational changes in positions that are applied to the smooth musculature of vessels and to the vascular. Gravity helps alternately to empty and fill blood columns, which can eventually increase transportation of blood through them. The exercises involve the individual lying flat in bed with the legs elevated at 45 degrees until blanching occurs or for a maximum of 2 minutes. The patient then sits on the edge of the bed with the feet hanging down. Further exercises include dorsiflex, plantarflex, then inward and outward movement of the feet, followed by flexing and extending of the toes. This phase is maintained for a minimum of 2 minutes or until rubor has appeared. Finally, the individual lies supine with the feet covered with a warm blanket lasting 5 minutes. The whole cycle is repeated 3 to 6 times each session, and the complete sequence is repeated 2 - 4 times a day. The research design adopted was quasi experimental pre-test post-test design with control group. The study was conducted in tertiary care hospital Bathinda Punjab. Non-Probability Convenience sampling technique was adopted to select the desired sample. The sample size was 60. The data was collected using Ankle brachial pressure index (ABPI) to assess the lower extremity perfusion using hand held Doppler among patients with type 2 diabetes and administering buerger Allen exercise to only experimental group after obtaining consent from participants . The collected data were analyzed by using both descriptive and inferential statistical methods. The finding of the present study revealed that the pre interventional level of lower extremity perfusion was 0.75 with SD +/-0.130 for experimental group and 0.72 with S.D +/- 0.123 for control group and the mean score for Post interventional level of lower extremity perfusion among patients with type 2 diabetes mellitus was 0.79 with SD+/-0.128 for experimental group and 0.72 with SD+/- 0.125 for control group. In the present study paired and unpaired test was done to compare between pre test and post test to compute the mean lower extremity perfusion among patients with type 2 diabetes mellitus. The paired t test value was 6.092 higher than the table value (P<0.001) in experimental group and 0.000 in control group. An unpaired t test conducted to see whether the observed difference in Pre test mean scores of experimental and control group was statistically significant. The observed t value of 0.930 was less than table value indicating the difference in pre – test mean scores between the groups was not statistically significant. However the observed mean difference in post test scores of experimental and control group was statistically significant. The observed t value of 2.268 was higher than that of table value at level(P<0.001) of significance.

Effectiveness, buerger Allen exercise, lower extremity perfusion, type 2 diabetes mellitus

"A STUDY TO ASSESS THE EFFECTIVENESS OF BUERGER ALLEN EXERCISES ON LEVEL OF LOWER EXTREMITY PERFUSION AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS IN TERTIARY CARE HOSPITAL, BATHINDA PUNJAB ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.8, Issue 11, page no.b1-b6, November-2021, Available :http://www.jetir.org/papers/JETIR2111101.pdf

"A STUDY TO ASSESS THE EFFECTIVENESS OF BUERGER ALLEN EXERCISES ON LEVEL OF LOWER EXTREMITY PERFUSION AMONG PATIENTS WITH TYPE 2 DIABETES MELLITUS IN TERTIARY CARE HOSPITAL, BATHINDA PUNJAB ", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.8, Issue 11, page no. ppb1-b6, November-2021, Available at : http://www.jetir.org/papers/JETIR2111101.pdf