Abstract:Objective: The aim of this study was to evaluate the upper extremity functions of individuals with type 2 diabetes mellitus and to compare them with those of healthy subjects.
Methods:The study included 36 diabetic patients (mean age: 55.05±5.85 years; 21 female, 15 male) and 36 healthy control subjects (mean age: 53.52±7.74 years; 20 female, 16 male). Grip strength was evaluated using a hand dynamometer. Upper extremity endurance was evaluated using the Unsupported Upper Limb Exercise Test (UULEX), and upper … Show more
“…In a comparative study between functions of the upper extremity of subjects with T2DM and with healthy individuals, the authors included 36 diabetes subjects and 36 healthy subjects. Strength grip was assessed using a hand dynamometer, endurance was evaluated through the Unsupported Upper Limb Exercise Test (UULEX), and disability with Disabilities of Arm Shoulder and Hand Test (DASH-T) [ 23 ]. In another study, the authors randomized 25 subjects with diabetes and divided them into two groups, 13 subjects with scheduled physical exercise and 12 subjects with a usual treatment program.…”
It has been suggested that regular physical activity has become a part of rehabilitation in controlling blood glucose levels in type 2 diabetes mellitus patients. In type 2 diabetes mellitus the cells become resistant to insulin, which leads to elevated blood glucose over time and leads to prediabetes and type 2 diabetes mellitus (T2DM). The typical adult's blood contains about 5-10 grams of glucose when their blood glucose content is 100 milligrams per decilitre. About half a billion individuals are at risk for diabetes worldwide. Physical exercise has been proved to be better therapy for controlling blood glucose in persons at risk for diabetes, preventing further body complications. Three significant interests in exercising to delay the onset of T2DM. First, increased blood flow into the muscle is triggered by skeletal muscle activity, which promotes glucose absorption from the bloodstream. Second, it reduces abdominal adipose tissue, a well-known risk of metabolic disease. Third, physical exercise with moderate intensity has been proven to boost glucose uptake by 40 percent. Globally and in developing nations like India, the burden of diabetes is expanding, attributable to a rise in overweight/obesity and sedentary lifestyles. It is difficult to provide healthcare for diseases like diabetes since it requires a consistent commitment to the prescribed course of treatment. Based on the correlation between fasting plasma glucose (FPG) or hemoglobin A1c (HbA1c) and retinopathy, cutoff values for glucose and HbA1c are estimated.
“…In a comparative study between functions of the upper extremity of subjects with T2DM and with healthy individuals, the authors included 36 diabetes subjects and 36 healthy subjects. Strength grip was assessed using a hand dynamometer, endurance was evaluated through the Unsupported Upper Limb Exercise Test (UULEX), and disability with Disabilities of Arm Shoulder and Hand Test (DASH-T) [ 23 ]. In another study, the authors randomized 25 subjects with diabetes and divided them into two groups, 13 subjects with scheduled physical exercise and 12 subjects with a usual treatment program.…”
It has been suggested that regular physical activity has become a part of rehabilitation in controlling blood glucose levels in type 2 diabetes mellitus patients. In type 2 diabetes mellitus the cells become resistant to insulin, which leads to elevated blood glucose over time and leads to prediabetes and type 2 diabetes mellitus (T2DM). The typical adult's blood contains about 5-10 grams of glucose when their blood glucose content is 100 milligrams per decilitre. About half a billion individuals are at risk for diabetes worldwide. Physical exercise has been proved to be better therapy for controlling blood glucose in persons at risk for diabetes, preventing further body complications. Three significant interests in exercising to delay the onset of T2DM. First, increased blood flow into the muscle is triggered by skeletal muscle activity, which promotes glucose absorption from the bloodstream. Second, it reduces abdominal adipose tissue, a well-known risk of metabolic disease. Third, physical exercise with moderate intensity has been proven to boost glucose uptake by 40 percent. Globally and in developing nations like India, the burden of diabetes is expanding, attributable to a rise in overweight/obesity and sedentary lifestyles. It is difficult to provide healthcare for diseases like diabetes since it requires a consistent commitment to the prescribed course of treatment. Based on the correlation between fasting plasma glucose (FPG) or hemoglobin A1c (HbA1c) and retinopathy, cutoff values for glucose and HbA1c are estimated.
Amaç: Bu çalışmanın amacı ülkemizde Tip 2 diyabetli bireylerin üst ekstremite etkilenimini ve performansını ortaya koymak amacıyla fizyoterapistler tarafından tamamlanmış lisansüstü tezleri incelemektir. Gereç ve Yöntem: Çalışmada nitel araştırma yöntemlerinden döküman incelemesi tekniği kullanılarak tanımlayıcı türde tasarlandı. Aralık 2022 tarihinde Yükseköğretim Kurumu Başkanlığı Tez Merkezi veri tabanında ‘’Tip 2 diyabet’’, ‘’Tip II diyabet’’, ‘’Tip 2 diabetes mellitus’’, ‘’Tip II diabetes mellitus’’ anahtar sözcükler kullanılarak fizyoterapistlerin gerçekleştirdiği lisansüstü çalışmalara ulaşıldı. Bu tezlerden üst ekstremite üzerine fizyoterapistler tarafından yapılmış olanları filtrelendi ve dahil edilme kriterlerini sağlayan 4 lisansüstü çalışma incelendi. Bulgular: 2021-2022 tarihleri arasında fizyoterapistler tarafından Tip 2 diyabetli bireylerde üst ekstremite etkilenimini ortaya koyan 4 yüksek lisans tez çalışması olduğu tespit edildi. Araştırmaların inceleme/karşılaştırma çalışması olarak tasarlandığı; çalışmalarda literatürde de sıklıkla kullanılan üst ekstremite değerlendirme yöntemlerinin kullanıldığı, omuz ve elin fonksiyonelliğini ortaya koyan değerlendirme parametrelerinin tercih edildiği belirlendi. Sonuç: Diyabetik bireylerde çeşitli kategoride sınıflandırmalar yapılarak (nöropati, insülin kullanımı, medikal tedavi vb) bireylerin etkilenim düzeyleri multidisipliner bir yaklaşımla ortaya konmalıdır. Araştırmacılar diyabet nedeniyle gelişebilecek muhtemel üst ekstremite komplikasyonlarını ortaya koyarak diyabetik el gibi olası risklere karşı hastaları bilgilendirmelidir. Günlük yaşam aktiviteleri için oldukça önemli fonksiyonları olan üst ekstremitenin etkilenim düzeyinin tespit edilmesi ile rehabilitasyon yaklaşımlarının etkinliğinin arttırılabileceği, sağlık harcamalarının ve bireylerin özür durumlarının azaltılabileceği kanısındayız.
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