Neuromuscular taping treatment of diabetic foot: a concept analysis

Abstract

Objective
The definition of neuromuscular taping (NMT) has yet to be specifically analyzed through cases of diabetic foot from several theoretical views and results of existing research. This can lead to varying perceptions of the definition of NMT on diabetic foot. This article aims to analyze the definition of the NMT concept on diabetic foot, specifically as a basis for further research development.

Methods
The procedure for the search of reference sources include the searches on data centers with the keywords "neuromuscular taping" and "diabetic foot" for the period of 2010-2019. The concept analysis uses an 8-step approach with the Walker and Avant's method.

Results
Analysis of the NMT concept on diabetic foot obtained the attributes of elastic tape, skin, pain, edema, injury, sensorimotor, circulation, drainage, relaxation, local, proprioceptive, motion function, strength, contraction, stabilization, reflex, rehabilitation, care, musculoskeletal, nerve, muscles, tendons, fascia, joints, lymphatic, longitudinal, wrinkles. There were four groups of attributes, namely the inflammatory response, vascularity, neuromusculoskeletal function and musculoskeletal system. NMT application on diabetic foot can provide benefits in improving walking function, leg position, decreasing pain response, improving body function index, improving leg muscle strength and motor function, increasing range of movement (ROM), maintaining stability of leg joint function, preventing injury, increasing strength and improving position ankle joints, reducing stiffness, reducing edema and helping the wound healing process.

Conclusions
NMT is an application of elastic tape on the skin of diabetic foot that has the effect of reducing the inflammatory response, improving vascularity and neuromusculoskeletal function. It aims to work on the neuromusculoskeletal and lymphatic system due to the presence of wrinkles with local effects on the sensorimotor and proprioceptive senses in conditions of care, rehabilitation or injury.

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