A systematic review and meta-analysis on effect of different exercise training on grip strength and upper extremity muscle strength in patients with type 2 diabetes mellitus.

IF 1.5 Q3 REHABILITATION

Physiotherapy Research International Pub Date : 2024-10-01 DOI:10.1002/pri.2130

Mamta Boora, Manoj Malik, Jaspreet Kaur

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引用次数: 0

Abstract

Background: Individuals with type 2 diabetes mellitus (T2DM) are prone to musculoskeletal complications, particularly in the upper extremities (UE), which can significantly impair their grip strength and UE muscle strength. This review will provide valuable insights for developing optimized exercise interventions aimed at enhancing upper limb functionality and improving patient outcomes.

Aim: To determine the effect of different exercise training on grip strength & UE muscle strength in patients suffering from T2DM.

Methodology: A comprehensive search from electronic databases was performed based on the selection criteria and 13 randomized controlled trials (RCT's) were included in the study. Mean changes in grip strength and UE muscle strength were the primary outcome measures. Included studies ranked high on the PEDro rating scale and eta-analysis was performed by Rev Man 5.4 software.

Results: Meta-analysis results indicated that there was a statistically significant improvement in UE muscle strength of experimental group when compared to control group (mean differences [MD] = 2.91, 95% confidence interval = 0.12, 5.71; p = 0.04) with moderate heterogeneity (I² = 49%, p < 0.07). Grip strength improved significantly in the experimental group when compared to the control group with (MD = 2.93, 95% CL = -0.00, 5.86; p = 0.05) and moderate heterogeneity (I² = 66%, p < 0.08).

Conclusion: This review indicated a positive role of supervised resistance & aerobic exercises on UE muscle strength in patients with T2DM. Due to lack of RCT's, grip strength needs to be explored by further investigations in these patients.

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关于不同运动训练对 2 型糖尿病患者握力和上肢肌力影响的系统综述和荟萃分析。

背景：2型糖尿病（T2DM）患者容易出现肌肉骨骼并发症，尤其是上肢（UE）并发症，会严重影响患者的握力和上肢肌力。目的：确定不同运动训练对 T2DM 患者握力和上肢肌力的影响：根据选择标准对电子数据库进行了全面搜索，13 项随机对照试验（RCT）被纳入研究。握力和上肢肌力的平均变化是主要的结果测量指标。纳入的研究在 PEDro 评级表中排名靠前，并使用 Rev Man 5.4 软件进行了 eta 分析：元分析结果表明，与对照组相比，实验组的上举肌力有统计学意义上的显著改善（平均差 [MD] = 2.91，95% 置信区间 = 0.12，5.71；P = 0.04），异质性适中（I2 = 49%，P 2 = 66%，P 结论：实验组的上举肌力与对照组相比有统计学意义上的显著改善（平均差 [MD] = 2.91，95% 置信区间 = 0.12，5.71；P = 0.04），异质性适中（I2 = 49%，P 2 = 66%）：本综述表明，有监督的阻力和有氧运动对 T2DM 患者的上肢肌力有积极作用。由于缺乏相关研究，需要对这些患者的握力进行进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.