Effect of 12-week Tai Chi Chuan exercise on peripheral nerve modulation in patients with type 2 diabetes mellitus

Hung, Jen-Wen; Liou, Chia‐Wei; Wang, Pei‐Wen; Yeh, Shu-Hui; Lin, Li‐Wei; Lo, Sing Kai; Tsai, Fu-Mian

doi:10.2340/16501977-0445

Cited by 66 publications

(59 citation statements)

References 20 publications

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“…DPN is frequently associated with pain, infection, and sensory loss in affected patients, leading to a variety of complications including falls. 20 The present study found significant improvements in the TSS for neuropathy and balance at the completion of the 12-week TCD program. In previous studies, diabetic patients who practiced TC exercise for more than 12 weeks reported higher cutaneous vascular conductance 14 as well as better peripheral nerve conduction velocities of the bilateral median and tibial nerves.…”

Section: Discussionmentioning

confidence: 58%

“…17 Previous studies looking at the effects of TC exercise on glucose control in diabetic patients have produced conflicting results. The findings of several studies support the beneficial effects of TC exercise on glucose control, 20,23 but a randomized study with the TCD program found no significant improvement on either glucose homeostasis or insulin sensitivity. 22 Tsang et al 22 found a small and nonsignificant effect size ( -0.07 -0.4%) on HbA1c levels after a 16-week TCD program.…”

Section: Discussionmentioning

confidence: 61%

“…In previous studies, diabetic patients who practiced TC exercise for more than 12 weeks reported higher cutaneous vascular conductance 14 as well as better peripheral nerve conduction velocities of the bilateral median and tibial nerves. 20 These findings suggest that sensory function and neuropathy-related symptoms can be improved by TC exercise. The previous study also showed plantar sensation improvement after 24 weeks of Tai Chi exercise among older adults with peripheral neuropathy.…”

Section: Discussionmentioning

confidence: 74%

“…20 We provided the 12-week TCD program along with diabetic counseling and education to diabetic patients at the outpatient clinic, and their FBS and HbA1c decreased by 12.85 mg/ dL and 0.43%, respectively. The differences shown in the TC group differed significantly from those of their control.…”

Section: Discussionmentioning

confidence: 99%

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Effects of Tai Chi Exercise on Glucose Control, Neuropathy Scores, Balance, and Quality of Life in Patients with Type 2 Diabetes and Neuropathy

Ahn

Song

2012

The Journal of Alternative and Complementary Medicine

111

150

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Purpose: The aim of this study was to determine the effects of Tai Chi exercise on glucose control, neuropathy scores, balance, and quality of life in patients with type 2 diabetes and neuropathy. Methods: A pretest-posttest design with a nonequivalent control group was utilized to recruit 59 diabetic patients with neuropathy from an outpatient clinic of a university hospital. A standardized Tai Chi for diabetes program was provided, which comprised 1 hour of Tai Chi per session, twice a week for 12 weeks. Outcome variables were fasting blood glucose and glycosylated hemoglobin for glucose control, the Semmes-Weinstein 10-g monofilament examination scores and total symptom scores for neuropathy, single leg stance for balance, and the Korean version of the SF-36v2 for quality of life. Thirty-nine patients completed the posttest measures after the 12-week Tai Chi intervention, giving a 34% dropout rate. Results: The mean age of the participants was 64 years, and they had been diagnosed with type 2 diabetes for more than 12 years. The status was significantly better for the participants in the Tai Chi group (n = 20) than for their control (i.e., nonintervention) counterparts (n = 19) in terms of total symptom scores, glucose control, balance, and quality of life. Conclusion: Tai Chi improved glucose control, balance, neuropathic symptoms, and some dimensions of quality of life in diabetic patients with neuropathy. Further studies with larger samples and long-term follow-up are needed to confirm the effects of Tai Chi on the management of diabetic neuropathy, which may have an impact on fall prevention in this population.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 99%

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Effects of Tai Chi Exercise on Glucose Control, Neuropathy Scores, Balance, and Quality of Life in Patients with Type 2 Diabetes and Neuropathy

Ahn

Song

2012

The Journal of Alternative and Complementary Medicine

111

150

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“…It develops early in the disease and tends to get worse over time with a prevalence ranging from 5 to 80%. It is associated with pain, infection and loss of sensitivity in affected patients 2,3 .…”

Section: Introductionmentioning

confidence: 99%

Exercícios físicos em portadores de neuropatia diabética: revisão sistemática e metanálise de ensaios clínicos randomizados

et al. 2016

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RESUMEN | Este estudio tiene por objeto revisar sistemáticamente los efectos en el tratamiento con la práctica de ejercicios físicos aerobios, resistivos o combinados (resistido/aerobio/equilibrio) en el equilibrio, en la fuerza muscular y el índice de la glucemia de sujetos con neuropatía diabética. Se llevó a cabo una búsqueda de estudios clínicos controlados en los que fueron empleados ejercicio aerobio, ejercicio resistido o ejercicio combinado en sujetos con neuropatía diabética comparados con un grupo control en las siguientes bases de datos: MEDLINE (vía PubMed), Cochrane CENTRAL, LILACS (vía Bireme) y PEDro. Se consideraron los términos: equilibrio, evaluación desde la escala AB, índice de la glucemia a través del valor de la glucemia en ayuno y después de la comida, y la fuerza muscular, evaluada según la dinamometría y el test Five-times-sit-to-stand. De los 389 estudios encontrados, se incluyeron cinco, con un total de 292 sujetos. Se observó que el ejercicio combinado (resistido/equilibrio) comparado con el del control presentó una significativa mejora en el equilibrio (8; IC 95%: 1,12 a 14,88; I2=0%). De estos cinco estudios incluidos, dos evaluaron la fuerza muscular de MMII (n=116), ambos estudios con ejercicios combinados (resistido/equilibrio) versus control, sin embargo no se realizó el metaanálisis, debido a que se evaluó la fuerza muscular de distintas formas. Solamente un estudio evaluó el índice de la glucemia después de la comida y en ayuno (n=87), por lo que impidió el metaanálisis. En dicho estudio, el índice de la glucemia después de la comida y en ayuno, cuando comparados en los dos grupos, no presentaron diferencias significativas. Los datos evaluados en esta revisión mostraron que el equilibrio en pacientes con neuropatía diabética presentó una mejora durante la práctica de ejercicios combinados.Palabras clave | Neuropatías Diabéticas; Ejercicio; Ensayo Clínico.

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Aerobic exercise training may improve nerve function in type 2 diabetes and pre‐diabetes: A systematic review

Dennis

Kiernan

et al. 2018

Diabetes Metabolism Res

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Summary Diabetic neuropathy is a major complication of type 2 diabetes. Emerging evidence also suggests that people with pre‐diabetes may develop similar symptoms related to nerve dysfunction. While regular exercise provides many benefits to patients with diabetes, whether exercise influences nerve function has not been established. As such, the aim of this systematic review was to evaluate current evidence regarding the effect of exercise training on the progression and development of diabetic neuropathy. A systematic search of MEDLINE (Ovid), CINAHL, AMED, PEDro, the Cochrane Library, Embase, and Scopus databases identified a total of 12 studies that were eligible for inclusion in this systematic review. Quality rating and data extraction were performed by two independent reviewers. The 12 included studies examined people with pre‐diabetes (n = 1) and with type 2 diabetes (n = 11). There was heterogeneity of study quality and exercise type and dosage among these studies. Eleven studies reported that exercise training had a positive influence on nerve function or neuropathy‐related symptoms; and only one study reported mild adverse events. Evidence from this systematic review suggests aerobic exercise training may positively influence nerve function among people with type 2 diabetes, with minimal risk of adverse events. Further research will be required to determine the optimal dosage of exercise training and the effect on nerve function in pre‐diabetes and in women with previous gestational diabetes. This review is registered on PROSPERO (CRD42018088182).

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Effect of 12-week Tai Chi Chuan exercise on peripheral nerve modulation in patients with type 2 diabetes mellitus

Abstract: Results from this study suggest that fasting blood glucose and peripheral nerve conduction velocities in diabetic patients can be improved by 12 weeks tai chi chuan exercise. A further larger randomized controlled clinical trial with longer follow-up time is needed.

Cited by 66 publications

References 20 publications

Effects of Tai Chi Exercise on Glucose Control, Neuropathy Scores, Balance, and Quality of Life in Patients with Type 2 Diabetes and Neuropathy

Effects of Tai Chi Exercise on Glucose Control, Neuropathy Scores, Balance, and Quality of Life in Patients with Type 2 Diabetes and Neuropathy

Exercícios físicos em portadores de neuropatia diabética: revisão sistemática e metanálise de ensaios clínicos randomizados

Aerobic exercise training may improve nerve function in type 2 diabetes and pre‐diabetes: A systematic review

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