Diabetic patients with and without peripheral neuropathy reveal different hip and ankle biomechanical strategies during stair descent

Picon, Andreja Paley; Sartor, Cristina Dallemole; Roveri, Maria Isabel; Pássaro, Anice de Campos; Ortega, Neli Regina Siqueira; Sacco, Isabel de Camargo Neves

doi:10.1590/s1413-35552012005000048

Cited by 7 publications

(6 citation statements)

References 26 publications

(41 reference statements)

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“…Muscle weakness and alterations to muscle structure may lead to altered walking ability even in people without diabetic neuropathy . Slower walking speed, shorter step length and wider step width have all been demonstrated in people without diabetic neuropathy , and we have recently shown reduced lower limb strength and altered muscle structure in people with Type 2 diabetes and minimal neuropathy .…”

Section: Introductionmentioning

confidence: 80%

“…Walking impairment is perceived to be a late complication of diabetes, as it has been described primarily in people with established neuropathy ; however, a number of studies have shown walking impairment in people with diabetes before the onset of large‐fibre neuropathy . This suggests that either neuropathy may not be the only contributor to this abnormality or that small‐ rather than large‐fibre neuropathy may be a contributing factor.…”

Section: Introductionmentioning

confidence: 99%

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Altered walking strategy and increased unsteadiness in participants with impaired glucose tolerance and Type 2 diabetes relates to small‐fibre neuropathy but not vitamin D deficiency

et al. 2017

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Section: Introductionmentioning

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Altered walking strategy and increased unsteadiness in participants with impaired glucose tolerance and Type 2 diabetes relates to small‐fibre neuropathy but not vitamin D deficiency

et al. 2017

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“…(13) . O exercício apresenta benefícios, tais como os níveis mais elevados de flexibilidade, função cardiorrespiratória e neuromuscular que permitem ao ser humano ser mais ativo e aumentar o nível de atividades realizadas, obtendo maior autonomia (2) .…”

Section: Resultsunclassified

“…Os pressupostos de normalidade foram confirmados pelo teste de Kolmogorov-Smirnov a análise de variância fatorial (ANOVA para medidas repetidas) foi utilizada para a comparação intra e intergrupos, sendo considerados significantes valores de P < 0,05. Calculou-se o effect size por meio do teste "d de Cohen" a fim de quantificar a magnitude dos efeitos entre os grupos, no qual o valor foi classificado como pequeno se 0,20≤d≤0,5; médio 0,5≤d≤0,8; grande d≥0,8 (13)(14) . Foram utilizados os programas Microsoft Excel® 2003 e GraphPadPrism®.…”

Section: Figura 1 Fluxograma Do Estudounclassified

Análise Da Funcionalidade E Flexibilidade De Mulheres Em Exercícios De Pilates No Solo

Mendes¹,

Santos²,

Mesquita³

et al. 2015

ACS

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Introduction: Aging is a physiological process, which is characterized by successive wear and tear. However, it has been found that physical activity delays and/or minimizes those effects. The Pilates method proposes aphysical conditioning of the entire body.The Pilates method of body conditioning has low-intensity and low-impact exercise programs associated to long-standing exercise sessions. Objectives: The study aims to analyze and compare the functionality and flexibility of both adult women and elderly women groups before and after performing Pilates exercises on the ground. Patients and Methods: The current study is a clinical trial involving 14 sedentary women who attend dance groups incommunity gyms in the city of Teresina -Piaui State. They were divided into two groups: the adult women group (AW) and the elderly women group (EW). Both groups have performed a training program, including 12 sessions of Pilates exercises on the ground within 4 weeks, 3 times per week, 50 minutes long. The exercises took place in a public square they used to attend. At the beginning and at the end of t study, all volunteers were tested through the protocol developed by the Latin-American Development to the Maturity Group (GDLAM'S Protocol) and the distance hand-ground test. Data were analyzedusing the Kolmogorov-Smirnov test andanalysis of variance (ANOVA) for repeated measurements and effect size. A P value < 0,05 was considered as statistically significant. Results: According to the functional autonomy classification, both adult women and elderly women showed improvement ranging from weak to regular regarding the levels of physical activity. Conclusion: This study concludes that Pilates exercises performed in 12 sessions promoted improvement inthe functional autonomy and retained the flexibility in bothgroups of adult women and elderly women.Descriptors: Exercise; Physical Therapy Specialty; Aging. IntroduçãoO envelhecimento é caracterizado por um conjunto de alterações fisiológicas desfavoráveis que prejudicam principalmente aspectos relacionados ao desempenho (1)(2)(3) . Um estilo de vida saudável, com uma alimentação adequada e exercícios físicos regulares estão associados à melhora da qualidade de vida e diminuição da incidência de doenças crônicas (4) . A participação de adultas 22(3) 53-57

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“…39 The inclusion of occupational therapists, physical therapists, and registered nutritionists further facilitates the respective home environment augmentation, mobility, dietary, and health style modifications necessary to reach the personalized goals of the high-risk diabetic patient. [40][41][42] …”

Section: The Role Of the Multidisciplinary Teammentioning

confidence: 99%

How Can I Maintain My Patient With Diabetes and History of Foot Ulcer in Remission?

Miller

Salloum

Button³

et al. 2014

The International Journal of Lower Extremity Wounds

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Patients with diabetes and previous history of ulceration occupy the highest category of risk for reulceration and amputation. Annual recurrence rates of diabetic ulcerations have been reported as high as 34%, 61%, and 70% at 1, 3, and 5 years, respectively, with studies reporting 20% to 58% recurrence rate within 1 year. As the ever growing epidemic of diabetes expands globally, this sequelae of diabetic complication will continue to require increasing resources from the healthcare community to effectively manage. Recent data suggest that removal of preventative podiatric care from statewide reimbursement systems lead to significant and sustained increases in hospital admission (37%), charges (38%), length of stay (23%), and severe aggregate outcomes including amputation, sepsis and death (49%). The addition of comorbidities such as peripheral artery disease, poor nutrition, and non-adherence to preventive therapies not only increase a patient's likelihood for ulcer recurrence, but also cost of care and certainty of hospital admission. Currently, numerous efforts, guidelines, and industry generated products exist to prolong remission from ulceration; however, the clinical science for treating this patient population calls for much more effort. Despite this, data continue to suggest to demonstrate that appropriate follow-up care, shoe and insole modification, and patient education play a central role in reducing reulceration and amputation. Novel modalities for offloading and wearable sensor technologies offer the advantage of round-the-clock, patient specific and active response healthcare. These have the potential to detect, or even prevent, many wounds before they begin.

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Diabetic patients with and without peripheral neuropathy reveal different hip and ankle biomechanical strategies during stair descent

Abstract: Background: The progression of diabetes and the challenge of daily tasks may result in changes in biomechanical strategies.

Cited by 7 publications

References 26 publications

Altered walking strategy and increased unsteadiness in participants with impaired glucose tolerance and Type 2 diabetes relates to small‐fibre neuropathy but not vitamin D deficiency

Altered walking strategy and increased unsteadiness in participants with impaired glucose tolerance and Type 2 diabetes relates to small‐fibre neuropathy but not vitamin D deficiency

Análise Da Funcionalidade E Flexibilidade De Mulheres Em Exercícios De Pilates No Solo

How Can I Maintain My Patient With Diabetes and History of Foot Ulcer in Remission?

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