An exercise program for people with severe peripheral neuropathy and diabetic foot ulcers – a case series on feasibility and safety

Lindberg, Kajsa; Møller, Britt Sundekilde; Kirketerp‐Møller, Klaus; Kristensen, Morten Tange

doi:10.1080/09638288.2018.1494212

Cited by 19 publications

(33 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Because of this dilemma, patients with plantar DFUs are commonly recommended to restrict their weight-bearing activity and increase non-weight-bearing activity, such as stationary cycling [1,4,[11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Should weight-bearing activity be reduced during healing of plantar diabetic foot ulcers, even when using appropriate offloading devices?

Jarl

Netten

Lazzarini

et al. 2021

Diabetes Research and Clinical Practice

View full text Add to dashboard Cite

Physical activity is an essential part of general health and diabetes management. However, recommending weight-bearing physical activity for people with plantar diabetic foot ulcers is controversial, even when gold standard offloading devices are used, as it is commonly thought to delay healing. We aimed to narratively review relevant studies investigating the relationship between plantar diabetic foot ulcer healing and weight-bearing activity, plantar pressure and device adherence. We defined relevant studies as those from two systematic reviews, along with those identified since using a similar updated Pubmed search strategy. We identified six studies. One study found that more daily steps were associated

show abstract

Section: Introductionmentioning

confidence: 99%

Should weight-bearing activity be reduced during healing of plantar diabetic foot ulcers, even when using appropriate offloading devices?

Jarl

Netten

Lazzarini

et al. 2021

Diabetes Research and Clinical Practice

View full text Add to dashboard Cite

show abstract

“…35 Moreover, an educational booklet for foot care is a tool that enables patients to perform exercises and increase foot muscle strengthening. 36 Exercise improves muscle weakness which is associated with physical disability, less daily walking activity, balance deficit and higher risk of falls 33 thus indirectly improving QoL. Developing interventions to safely increase exercise in this vulnerable population may help patients to attain control of ulceration and ultimately improve QoL.…”

Section: Discussionmentioning

confidence: 99%

“…32 After, a 10-week non-weight bearing exercise program, the ability to perform activities of daily living was improved in men with severe peripheral neuropathy and active foot ulcer and specifically more, maximal isometric knee-extension muscle strength improved by 23%. 33 A non-weight bearing exercise should be encouraged as part of treatment of DFU. 34 Increasing the strength of foot ankle and mobility is included in recommendation for people at risk of a DFU.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life and Self-care Activities in Diabetic Ulcer Patients, Grade 3: Gender Differences

et al. 2021

View full text Add to dashboard Cite

Introduction: Diabetic foot ulcer (DFU) is a common complication of diabetes mellitus associated with increased morbidity and mortality and diminished quality of life (QoL). This study aimed to explore the effect of gender differences on QoL and adherence to self-care activities. Methods: In this cross-sectional study, we enrolled 135 male and 135 female patients with DFU. Data was collected using the Short Form Health Survey (SF-36) and a questionnaire that measured self-care activities (Diet, Exercise, Blood Examination, and Foot Check). Data analysis was performed using SPSS version 20. Results: In terms of QoL, male participants had moderate to high levels in the categories of energy/fatigue, emotional well-being, social functioning, and bodily pain, whereas they had low levels in physical functioning, physical role, and emotional role. Female patients had moderate QoL in the categories of energy/fatigue and social functioning, whereas they had low QoL in physical functioning, physical role, emotional role, emotional well-being, and bodily pain. Finally, regarding general health, male participants had moderate QoL and females had moderate to low QoL. Both males and females had low adherence to exercise and high in blood-examinations. For both genders, adherence to exercise had a statistically significant association with all sub-categories of QoL apart from those of role (physical and emotional). Conclusion: It is essential for health care professionals to provide gender-specific approaches in treatment of ulceration.

show abstract

“…In the management of patients with high risk of ulcer, movement is usually severely restricted. For preventing and healing foot ulceration, one of the main goals is to reduce high foot pressure also with the use of offloading devices [6,[40][41][42]. As proposed by recent studies, for these patients the early introduction of ET protocols may be important also to avoid over protecting the foot and the possible negative consequences associated with that.…”

Section: Exercise Training and Diabetic Footmentioning

confidence: 99%

The Role of New Technological Opportunities and the Need to Evaluate the Activities Performed in the Prevention of Diabetic Foot with Exercise Therapy

et al. 2021

View full text Add to dashboard Cite

The diabetic foot (DF) is one of the most feared conditions among chronic complications of diabetes, which affects a growing number of patients. Although exercise therapy (ET) has always been considered a pillar in the treatment of patients at risk of DF it is not usually used. Several causes can contribute to hindering both the organization of ET protocols for Diabetes Units and the participation in ET programs for patients at different levels of risk of foot ulceration. The risk of favoring the occurrence of ulcers and the absence of clear evidence on the role played by ET in the prevention of ulcers could be considered among the most important causes leading to the low application of ET. The increased availability of new technologies and in particular of systems and devices equipped with sensors can enable the remote monitoring and management of physical activity performed by patients. Consequently, they can become an opportunity for introducing the systematic use of ET for the treatment of patients at risk. Considering the complexity of the clinical conditions that patients at risk or with diabetic foot ulcer can show, the evaluation of how patients perform the ET proposed can consequently be very important. All this can contribute to improving the treatment of patients and avoiding possible adverse effects. The aim of this brief review was to describe that the use of new technologies and the assessment of the execution of the ET proposed allows an important step forward in the management of patients at risk.

show abstract

An exercise program for people with severe peripheral neuropathy and diabetic foot ulcers – a case series on feasibility and safety

Cited by 19 publications

References 33 publications

Should weight-bearing activity be reduced during healing of plantar diabetic foot ulcers, even when using appropriate offloading devices?

Should weight-bearing activity be reduced during healing of plantar diabetic foot ulcers, even when using appropriate offloading devices?

Quality of Life and Self-care Activities in Diabetic Ulcer Patients, Grade 3: Gender Differences

The Role of New Technological Opportunities and the Need to Evaluate the Activities Performed in the Prevention of Diabetic Foot with Exercise Therapy

Contact Info

Product

Resources

About