Effectiveness of tele-guidance for physiotherapy in older patients with type 2 diabetes: A randomized controlled trial

IF 3 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Journal of Diabetes Investigation Pub Date : 2025-04-11 DOI:10.1111/jdi.70047

Hiroaki Kataoka, Takuo Nomura, Hiroyuki Oka, Yukio Ikeda

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引用次数: 0

Abstract

Aims/Introduction

Whether regular intervention via modern communication tools is effective in older patients with type 2 diabetes is unclear. We aimed to determine the effects of tele-guidance for physiotherapy on muscle strength in such patients.

Materials and Methods

This randomized controlled trial was conducted at seven hospitals across Japan. The study participants were 74 older patients with type 2 diabetes randomly assigned to either the tele-guidance for physiotherapy group, which received weekly telephone interventions, or the non-intervention group. Both groups performed a combined aerobic and resistance exercise program. The intervention period was 6 months, during which the tele-guidance for physiotherapy and non-intervention groups received remote physiotherapy instruction once weekly and at the 3-month mark, respectively.

Results

Knee extension force was significantly increased in the tele-guidance for physiotherapy group (from 1.25 ± 0.52 to 1.34 ± 0.54 Nm/kg) but significantly decreased in the non-intervention group (from 1.28 ± 0.46 to 1.22 ± 0.43 Nm/kg). Hemoglobin A1c levels improved significantly in the tele-guidance for physiotherapy and non-intervention groups (from 9.5 ± 2.6 to 7.4 ± 1.6% and from 10.2 ± 2.5 to 7.6 ± 2.0%, respectively). Adherence to the physiotherapy program was significantly higher in the tele-guidance for physiotherapy group than in the non-intervention group (71.8% vs 48.6%).

Conclusions

Weekly tele-guidance for physiotherapy proved effective in improving knee extension force and increasing physiotherapy adherence in older patients with type 2 diabetes. Tele-guidance may be a valuable intervention to improve muscle strength in such patients, offering a cost-effective, accessible solution for healthcare management.

Abstract Image

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远程引导对老年2型糖尿病患者物理治疗的有效性：一项随机对照试验。

目的/简介：通过现代通讯工具进行定期干预对老年2型糖尿病患者是否有效尚不清楚。我们的目的是确定远程引导物理治疗对这类患者肌肉力量的影响。材料和方法：本随机对照试验在日本七家医院进行。研究参与者是74名老年2型糖尿病患者，随机分配到远程指导物理治疗组和非干预组，后者每周接受电话干预。两组都进行了有氧运动和抗阻运动的组合。干预期为6个月，其中远程指导物理治疗组和非干预组分别每周一次和第3个月进行远程物理治疗指导。结果：远程引导物理治疗组膝关节伸直力明显增加（从1.25±0.52 Nm/kg增加到1.34±0.54 Nm/kg），而非干预组膝关节伸直力明显降低（从1.28±0.46 Nm/kg减少到1.22±0.43 Nm/kg）。远程引导物理治疗组和非干预组的糖化血红蛋白水平显著提高（分别从9.5±2.6提高到7.4±1.6%和从10.2±2.5提高到7.6±2.0%）。远程指导物理治疗组对物理治疗方案的依从性明显高于非干预组（71.8% vs 48.6%）。结论：每周远程指导物理治疗可有效改善老年2型糖尿病患者膝关节伸展力，提高物理治疗依从性。远程指导可能是一种有价值的干预措施，可以改善这类患者的肌肉力量，为医疗保健管理提供一种成本效益高、易于获得的解决方案。

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

Journal of Diabetes Investigation ENDOCRINOLOGY & METABOLISM-

CiteScore

6.50

自引率

9.40%

发文量

218

审稿时长

6-12 weeks

期刊介绍： Journal of Diabetes Investigation is your core diabetes journal from Asia; the official journal of the Asian Association for the Study of Diabetes (AASD). The journal publishes original research, country reports, commentaries, reviews, mini-reviews, case reports, letters, as well as editorials and news. Embracing clinical and experimental research in diabetes and related areas, the Journal of Diabetes Investigation includes aspects of prevention, treatment, as well as molecular aspects and pathophysiology. Translational research focused on the exchange of ideas between clinicians and researchers is also welcome. Journal of Diabetes Investigation is indexed by Science Citation Index Expanded (SCIE).