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Exercise interventions for diabetic foot complications

Discussion in 'Diabetic Foot & Wound Management' started by NewsBot, May 10, 2014.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Exercise and Neuropathy: Systematic Review with Meta-Analysis
    Fiona Streckmann, Maryam Balke, Guido Cavaletti, Alexandra Toscanelli, Wilhelm Bloch, Bernhard F. Décard, Helmar C. Lehmann & Oliver Faude
    Sports Medicine volume 52, pages1043–1065 (2022)
     
  2. scotfoot

    scotfoot Well-Known Member

    An eye opening paper was published towards the end of last year which gives some solid results.

    The trial was controlled, randomized, and double- blind, and looked at a number of outcomes including "recurrence rate of plantar foot diabetic ulcers, HbA1c levels, diabetic neuropathy examination (DNE) scores, ankle brachial index (ABI), and walking speed within 12 and 24weeks."

    I only have access to the abstract but a couple of results jumped out at me :

    Ulcer recurrence at 24 weeks - intervention 16%, control 72% , that's a big difference, and
    "There were significant differences in the DNE score delta (P=0.000)" , DNE being a measure of neuropathy.


    doi: 10.1016/j.jdiacomp.2021.107968. Epub 2021 May 28.
    Effect of foot-ankle flexibility and resistance exercise in the secondary prevention of plantar foot diabetic ulcer

    Maria Suryani 1, Widiastuti Samekto 2, Heri-Nugroho 3, Hardhono Susanto 4, Luky Dwiantoro 4
    Affiliations expand
    Abstract

    Aims: The study aimed to evaluate the effects of foot-ankle flexibility and resistance exercises on the recurrence rate of plantar foot diabetic ulcers, HbA1c levels, diabetic neuropathy examination (DNE) scores, ankle brachial index (ABI), and walking speed within 12 and 24weeks.
    Methods: We conducted a double-blind randomized clinical trial. Fifty patients with recently healed plantar foot diabetic ulcers were randomized to an intervention group that performed foot-ankle flexibility and resistance exercise three times a week in their home (n=25) or a control group (n=25). Both groups were given foot care education. Outcomes were assessed at plantar foot diabetic ulcer recurrence or at 12 and 24weeks whichever came first. Outcome measures included plantar foot diabetic ulcer recurrence, changes of HbA1c levels, DNE scores, ankle brachial index ABI, and walking speed.
    Results: There were significant difference between groups in ulcer recurrence at either 12weeks (intervention 8%, control 68%, RR 0.288; 95% CI 0.156-0.534, P=0.000) within 12weeks. or 24weeks (intervention 16%, control 72%, RR 0.222; 95% CI 0.088-0.564, P=0.000).). There were significant differences in the DNE score delta (P=0.000) and walking speed delta (P=0.000), but there were no significant differences in the HbA1c delta and ABI delta between groups at either 12 or 24weeks.
    Conclusions: Foot-ankle flexibility and resistance exercises can reduce the recurrence of plantar foot diabetic ulcer incidence and improve diabetic neuropathy and walking speed. Clinical trial number: NCT04624516.
    Keywords: ABI; Diabetes; Diabetic foot ulcer; Diabetic neuropathy; Foot-ankle exercise; HbA1c.
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Foot-ankle therapeutic exercise program can improve gait speed in people with diabetic neuropathy: a randomized controlled trial
    Renan L Monteiro et al
    Sci Rep. 2022 May 9;12(1):7561
     
  4. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Physical Activity Participation in People With an Active Diabetic Foot Ulceration: A Scoping Review
    Magali Brousseau-Foley, Virginie Blanchette, François Trudeau, Julie Houle
    Can J Diabetes. 2022 Apr;46(3):313-327
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  6. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Weight-bearing physical activity in people with diabetes-related foot disease: A systematic review
    Jaap J van Netten, Vera M Fijen, Sicco A Bus
    Diabetes Metab Res Rev. 2022 Jun 6
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Should weight-bearing activity be reduced during healing of plantar diabetic foot ulcers, even when using appropriate offloading devices?
    Gustav Jarl et al
    Diabetes Res Clin Pract. 2021 May;175:108733
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effect of tap dance on plantar pressure, postural stability and lower body function in older patients at risk of diabetic foot: a randomized controlled trial
    Yanan Zhao et al
    BMJ Open Diabetes Research and Care 2021;9:e001909
     
  9. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effects of a 12-Week Interventional Exercise Programme on Muscle Strength, Mobility and Fitness in Patients With Diabetic Foot in Remission: Results From BIONEDIAN Randomised Controlled Trial
    Eliška Vrátná et al
    Front Endocrinol (Lausanne). 2022 Jul 5;13:869128
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Foot Exercise and Related Outcomes in Patient With Diabetes Mellitus: A Literature Review
    Theodehild M. Theresia Dee et al
    International Journal of Nursing and Health Services (IJHNS)
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Effectiveness of Neuromuscular Taping (NMT) And Foot Exercise in Improving Microsirculations in Diabetes Mellitus Patients
    Indah Susanti, Fitri Arofiati
    Source
     
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