A focused exercise regimen improves clinical measures of balance in patients with peripheral neuropathy

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

“…ABC Scale -combined (resistance/balance) exercise vs. control by the ABC Scale, there was no significant change in the groups for the study of Richardson et al 8 , but a significant improvement was shown in the intervention group for isolated activities, such as up and down stairs, activities such as standing up to pick up an object, staying on tiptoe, among others. In the analysis of the study of Sartor et al 9 , we can observe that there was significant improvement in the balance between the intervention and control groups after 12 weeks of intervention.…”

“…We analyzed five studies, two RCTs that compared combined exercises versus control evaluated the balance by ABC scale 8,9 , two RCTs that compared combined exercises versus control that evaluated the balance by Berg Balance Scale and evaluated the muscle strength of LL 10,11 , and one RCTs that compared aerobic exercise versus control evaluated the postprandial and fasting glycemic indexes 12 .…”

“…The evidence available from the meta-analysis of these two RCTs (71 individuals), which compared exercise combined (resistance/balance) versus control, maintains that the combined exercise significantly improved the balance of individuals with DN 8,9 .…”

“…Both evaluated the combined exercise (resistance/balance) versus (vs.) control 8,9 (n=71) (Figure 2).…”

Contribuições da biomecânica para o estudo da neuropatia diabética e suas consequências para o movimento plantar

“…A maioria dos estudos da literatura reportam aplicação do uso de recursos de eletro (Peters et al, 2001;Oyibo et al, 2004) e fototerapia (Ennis et al, 2005;Lawson e Petrofsky, 2007) na cicatrização de úlceras, bem como uso de órteses para esta cicatrização (Bus et al, 2008) (a), ou ainda relatam o efeito fisiológico e metabólico de exercícios aeróbios moderados no controle da diabetes (Balducci et al, 2006;Fisher et al, 2007). Porém ainda assim, há alguns estudos que investigaram o efeito da cinesioterapia na melhora da função musculoesquelética e do equilíbrio funcional (Richardson et al, 2001), embora ainda sejam restritas as suas conclusões. (Maluf et al, 2004b).…”