Health-oriented fitness of type 2 diabetic patients with distal peripheral diabetic neuropathy
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Abstract
The physical culture professional contributes important contributions to the programs, applies rehabilitation using physical exercise to different diseases and contributes to their quality of life. The objective of this work was to develop a methodology to improve health-oriented physical condition in type 2 diabetic patients complicated with Distal Peripheral Diabetic Neuropathy (DPND). To this end, a quasi-experimental design study was carried out with pretest and posttest for two groups, lasting two years (2022-2023). The selected sample was carried out randomly, with the tombola procedure. Methods from the theoretical and empirical levels were used, such as: analysis and synthesis, inductive-deductive, systemic-structural-functional, measurement, experiment, and descriptive statistics, as well as research techniques, among which documentary analysis, observation, interview stand out. and survey respectively. The methodology was carried out through the implementation of therapeutic physical exercises. 20 patients with type 2 diabetes complicated by Distal Peripheral Diabetic Neuropathy (NDPD) from the municipality of Manzanillo, Granma participated. Based on the diagnosis made, it was determined that balance (85%) presented problems due to the alteration of the somatosensory system and the gait (55%) had a high risk of falling due to problems in their mobility, sway and balance. The study showed that health-oriented physical fitness can be improved in type 2 diabetic patients complicated with Distal Peripheral Diabetic Neuropathy.
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References
ALAD 2020. Colectivo de Autores. Guías Asociación Latinoamericana de Diabetes (ALAD) sobre el Diagnóstico, Control y Tratamiento de la Diabetes Mellitus Tipo 2 con Medicina Basada en Evidencia. Ed. 2019. Revista de la ALAD. 2020 [acceso 05/09/2021]. Disponible en: http://www.revistaalad.com/guias/5600AX191_guias_alad_2019.pdf
Aleh M. Effect of ankle proprioceptive training on gait and risk of falling in patients with diabetic neuropathy: A randomized controlled trial. 2020;(August).
American Diabetes Association. (A.D.A.) «Microvascular Complications and Foot Care: Standards of Medical Care in Diabetes-2020.» Diabetes Care XLIII, nº 1 (2020): 135-151. Recuperado de https://scholar.google.es/scholar?start=10&q=Neuropatia+Diabetica+Periferica+Distal+y+Actividad+Fisica&hl=es&lr=lang_es&as_sdt=0,5&as_ylo=2020&as_yhi=2023
Anichini R, Brocco E, Caravaggi CM, Da Ros R, Giurato L, Izzo V, et al. Physician experts in diabetes are natural team leaders for managing diabetic patients with foot complications. A position statement from the Italian diabetic foot study group. Nutrition, Metabolism and Cardiovascular Diseases. 2020 [acceso 15/08/2021];30(2):167-78. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0939475319304223
Cox ER, Gajanand T, Burton NW, Coombes JS, Coombes BK. Effect of different exercise training intensities on musculoskeletal and neuropathic pain in inactive individuals with type 2 diabetes Preliminary randomised controlled trial. Diabetes Res Clin Pract. 2020;164:021.
Días Valdez, J., & Herrera Fraga, E. (2020). Uso del ejercicio físico con fines profilácticos. Anatomía Digital, 1(3), 15-23. https://doi.org/10.33262/anatomiadigital.v1i3.1050
Ferreira JSSP, Id ICNS, Siqueira AA, Maria H, Almeida M, Sartor CD. Rehabilitation technology for self-care : Customised foot and ankle exercise software for people with diabetes. 2019;115.
Fernández Baños, Raúl. (2022). Prescripción del ejercicio físico en sujetos con diabetes mellitus tipo 2 y diabetes gestacional RETOS. Nuevas Tendencias en Educación Física, Deporte y Recreación, (29), enero junio, 2022, pp. 134-139 Federación Española de Docentes de Educación Física Murcia, España. https://recyt.fecyt.es/index.php/retos/article/view/35130
Kumar AS, Hazari A, Maiya AG, Shastry BA, Nagiri SK, Vaishali K. Structured exercise program on foot biomechanics & insulin resistance among people living with type 2 diabetes with and without peripheral neuropathy. Diabetes Mellit. 2019;22(1):5361.
International Diabetes Federation, Diabetes Atlas 8ed. Bélgica, Bruselas: IDF, 2022. [En línea]. [Consultado 19 sep 2023]. Disponible en: http://www.diabetesatlas.org/ across-the-globe.html
Melese H, Alamer A, Temesgen MH, Kahsay G. Effectiveness of exercise therapy on gait function in diabetic peripheral neuropathy patients: A systematic review of randomized controlled trials. Diabetes, Metab Syndr Obes Targets Ther. 2020;13:275364.
Monteiro RL, Ferreira JSSP, Silva ÉQ, Donini A, Cruvinel-Júnior RH, Verissímo JL, et al. Feasibility and preliminary efficacy of a foot-ankle exercise program aiming to improve foot-ankle functionality and gait biomechanics in people with diabetic neuropathy: A randomized controlled trial. Sensors (Switzerland). 2020;20(18):118.
Monteiro RL, Sartor CD, Ferreira JSSP, Dantas MGB, Bus SA, Sacco ICN. Protocol for evaluating the effects of a foot-ankle therapeutic exercise program on daily activity, foot- ankle functionality, and biomechanics in people with diabetic polyneuropathy: A randomized controlled trial. BMC Musculoskelet Disord. 2018;19(1):112.
Ministerio de Salud Pública. Anuario Estadístico 2020 [Internet]. La Habana: Dirección Nacional de Registros Médicos y Estadísticas de Salud; 2021 [citado 24 Abr 2021]. Disponible en: https://files.sld.cu/bvscuba/files/2021/08/Anuario-Estadistico-Espa%C3%B1ol -2020-Definitivo.pdf
Nadi M, Bambaeichi E, Marandi SM. Comparison of the effect of two therapeutic exercises on the inflammatory and physiological conditions and complications of diabetic neuropathy in female patients. Diabetes, Metab Syndr Obes Targets Ther. 2019;12:1493501.
Sánchez JH. Neuropatía diabética. Epidemiología, clasificación fisiopatología y tratamiento. Galenus MED Comunicación medica continua. 2020 [acceso 05/08/2021]. Disponible en: https://med-cmc.com/neuropatia-diabetica/
Shi QQ, Li PL, Yick KL, Jiao J, Liu QL. Influence of Contoured Insoles with Different Materials on Kinematics and Kinetics Changes in Diabetic Elderly during Gait. Int J Environ Res Public Health. 2022;19(19).
OMS 2020)". OMS. «Informe Mundial sobre la Diabetes.» Organización Mundial de la Salud. abril de 2016. https://apps.who.int/iris/bitstream/handle/10665/204877 /WHO_NMH_NVI_16.3_spa.pdf;jsessionid=21F19AD1FFF0B3A53794B617ACD4F619?sequence= 1 (último acceso: 19 de agosto de 2020).
Pérez A, Carreras G. Prescripción del ejercicio físico en la diabetes. Ajustes del tratamiento y adaptación a las complicaciones tardías. En Grupo de trabajo de Diabetes y Ejercicio de la Sociedad Española de Diabetes. Diabetes y Ejercicio. Ediciones Mayo; 2020: 89-108.)
Yang H, Sloan G, Ye Y, Wang S, Duan B, Tesfaye S, et al. New Perspective in Diabetic Neuropathy: From the Periphery to the Brain, a Call for Early Detection, and Precision Medicine. Front Endocrinol (Lausanne). 2020;10(January):113)
Vrátná E, Husáková J, Jarošíková R, Dubský M, Wosková V, Bém R, et al. Effects of a 12- Week Interventional Exercise Programme on Muscle Strength, Mobility and Fitness in Patients With Diabetic Foot in Remission: Results From BIONEDIAN Randomised Controlled Trial. Front Endocrinol (Lausanne). 2022;13(July):111.
