Exercise interventions for diabetic foot complications

NewsBot · Jun 8, 2025

Effects of a 12-week lower limb resistance training with breathing regulation in patients with diabetes-related foot ulcers: A randomized controlled trial
Jia-Ling Wu et al
Appl Nurs Res. 2025 Apr:82:151911.

Patients with diabetes-related foot ulcers may require hospitalization and face an increased risk of amputation, which can significantly impact their quality of life. One potential solution is exercise, which can regulate blood glucose levels, improve wound healing, and enhance overall well-being. This randomized controlled trial aimed to evaluate the impact of a lower limb resistance training program combined with breathing-regulation techniques on glycemic control, wound healing, and quality of life in patients with diabetes-related foot ulcers. Patients hospitalized for type 2 diabetes-related foot ulcers were recruited from a single medical center and randomly divided into two groups. The control group (n = 31) received standard treatment, while the exercise group (n = 28) received standard treatment along with lower limb resistance training and breathing-regulation techniques. Assessments of fasting blood glucose levels, hemoglobin A1c (HbA1c) levels, wound healing, and quality of life were carried out at the start of the study and week 4, week 8, and week 12 of the intervention. The exercise group demonstrated significant improvements in fasting blood glucose and HbA1c levels, as well as in physical health, psychological well-being, social relationships, and environmental aspects of quality of life over the 12 weeks compared to both the control group and the baseline (p < .05). However, no significant change was observed in wound healing (p > .05). The resistance training program for the lower limbs, combined with breathing-regulation techniques, is recommended for improving blood glucose levels and quality of life over 12 weeks.
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NewsBot · Jun 13, 2025

The effect of health promotion on compliance with diabetic foot exercises in increasing foot sensitivity and controlling blood sugar levels
Sigit Priyanto et al
Vol. 2 (2025): The 6th BIS-STE 2024 in conjunction with The 2nd INTERCONNECTS 2024

The increasing global prevalence of diabetes mellitus and its severe complications, particularly diabetic neuropathy, necessitate effective interventions. Management of neuropathy typically involves patient education, pain management, and meticulous foot care. To prevent foot sensitivity disorders, robust health promotion initiatives focused on blood glucose control are crucial, especially diabetic foot exercises which prevent injuries and enhance peripheral circulation. This study utilized a quasi-experimental design with pre- and post-tests and a control group (n=124 total, 62 in each group via proportional random sampling) to assess the impact of health promotion on adherence to diabetic foot exercises, foot sensitivity, and blood sugar control among individuals with diabetes in Magelang Regency. Results showed a highly significant difference (p<0.001) in both adherences to exercises and foot sensitivity in both groups. These findings conclusively demonstrate that health promotion significantly improves compliance with diabetic foot exercises, leading to enhanced foot sensitivity and better blood sugar control, underscoring the need for appropriate health promotion models in diabetes management.
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NewsBot · Jun 18, 2025

The Effect of Exercise Program on Musculoskeletal Changes in Individuals with Diabetic Foot Syndrome
Source

Introduction Diabetic Foot Syndrome (DFS) is one of the most serious complications of Type 2 Diabetes Mellitus (T2DM) with severe health and socioeconomic consequences. It is defined as ulceration, infection, or tissue destruction of the foot associated with chronic angiopathy or neuropathy. Physical activity is considered an important part of treatment with positive impacts on all mentioned aspects and complications of DFS [1-7].

Methodology 12-weeks multicomponent movement intervention program examined changes in the musculoskeletal system (dynamometry, goniometry), fitness (Senior Fitness Test) and physical activity (IPAQ) in 38 patients with DFS in remission. The research population was divided into two groups (Based on stratified randomization): the experimental group (n = 19), which received the intervention program and the control group (n = 19), which was not instructed to do any physical activity.

Results In the experimental group, statistically significant improvements were found in joint flexibility (p = 0.012), dynamometry (plantar flexion strength) of lower right limb (p = 0.043) and lower left limb (p = 0.013), fitness and general physical activity after intervention (moderate PA (p = 0.06) and heavy PA (p = 0.03)). The change in weight distribution of the individual between forefoot and rearfoot of lower left limb (LLL) and lower right limb (LRL) was statistically significant in the experimental group (p = 0.04 LLL and p = 0.05 LRL).

Conclusions Research has demonstrated the possibility of positively influencing multiple factors directly associated with diabetic foot syndrome and thus highlighted the importance of physical therapy in T2DM, with key impacts on both individual health and treatment costs.
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NewsBot · Jun 18, 2025

Multifactorial balance rehabilitation in diabetic neuropathy elders: Randomized controlled trial
Garima Gupta et al
J Bodyw Mov Ther. 2025 Jun:42:736-744.

Objectives: Diabetic peripheral neuropathy (DPN) is a common complication of diabetes, particularly affecting the elderly and increasing their risk of falls due to impaired balance. This study investigates the effect of a multifactorial balance rehabilitation program on postural stability, fall risk, and quality of life in elderly individuals with DPN.

Methods: In a randomized controlled trial, 150 elderly participants (aged 60-80) diagnosed with DPN were enrolled. Comprehensive demographic data were collected, diabetic foot assessments were performed, and key outcome measures included postural sway parameters, fall risk, and quality of life. Participants were randomly assigned to two groups: the study group underwent a 12-week multifactorial balance rehabilitation program (3-5 days a week), while the control group received standard medical care and advice.

Results: The study identified statistically significant improvements in postural sway parameters (AP sway Z = -3.16, ML sway Z = -2.20, COP length Z = -6.27, COP area Z = -2.25), a substantial reduction in fall risk (F (1, 134) = 263.42), and enhanced quality of life, as measured by physical health domain of WHOQOL-BREF (D1F (1, 134) = 3.94) and MDQoL 17 (F (1, 134) = 7.67), among the study group participants (p < .05).

Conclusion: Following the 12-week multifactorial balance rehabilitation program, participants in the study group demonstrated notable improvements in postural stability, reduced risk of falls, and improved quality of life compared to the control group.
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NewsBot · Jul 9, 2025 at 9:15 PM

To Train or not to Train: Exercise in Diabetic Foot Ulceration. A Brief Narrative Review
Dimitrios Pantazopoulos, MD et al
Source

Diabetic foot ulcers (DFUs) are a serious and common complication of diabetes mellitus, contributing substantially to patient morbidity, reduced quality of life, and healthcare costs. Accumulating evidence highlights the potential benefits of exercise across various stages of DFUs. This review summarises current evidence on the role of exercise in DFUs management and emphasises the need for well-designed clinical trials to inform future rehabilitation guidelines. Exercise has been shown to improve glycaemic control, promote cardiovascular health, ameliorate neuropathic symptoms, and improve well-being. Importantly, appropriately selected and supervised physical activity may be safely implemented before ulcer onset, during the active ulceration phase, and following wound healing. Data show that exercise provides stage-specific benefits in DFUs by improving risk factors, reducing plantar pressures and foot pain prior to ulceration; enhancing wound healing as adjunctive therapy during ulceration; and lowering the risk of recurrence in the post-healing period. However, current research is limited by heterogeneity in exercise protocols, lack of consensus on training parameters, and exclusion of high-risk populations from trials.
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Exercise interventions for diabetic foot complications

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Exercise interventions for diabetic foot complications

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

Exercise interventions for the treatment of chronic low back pain

Effectiveness of exercise interventions to prevent sports injuries

Aquatic Exercise Program for Flat Feet

Best Exercises to Target Lower Lats for Muscle Growth?

Which exercises for which presentation.

Teaching foot strengthening exercises the easy way

Diagnosis of Exercise Induced Leg Pain

Share This Page

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