[Effectiveness of a home kinesiology exercise plan on activity limitation in subjects with diabetic foot]

Q3 Medicine
Verónica Giménez, María Anahí Olsen
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Abstract

Introduction: diabetes has a strong association with an increased risk of disability. Activity limitation encompasses activities of daily living, balance and gait and, in subjects with diabetic foot (DF), foot self-management skills.

Objetive: to determine the effectiveness of a home kinesiology exercise plan on activity limitation in subjects with DF.

Methods: quasi-experimental design. The 47 subjects were divided into: group 1 (G1, n=21) included subjects with unilateral DF without prosthesis, and group 2 included subjects with bilateral DF (G2A, n=15) or unilateral (G2B, n=11) DF with prosthesis. Foot and footwear access and postural control on one foot with eyes open and closed were assessed. Moreover, in G2A and G2B functional mobility was assessed using the Timed Up and Go (TUG) test, ankle and foot function were evaluated using the Foot and Ankle Ability Measures (FAAM) questionnaire. The intervention involved a 14-day home kinesiology exercise plan.

Results: 39 subjects were evaluated. Postural control improved in 55% of G1 (n=11) with eyes closed (p= 0.0172) and, in G2A, in 100% (n=12) with eyes open (p= 0.00195) and in 50% (n=6) with eyes closed (p= 0.0313), in both cases on the right foot. TUG decreased in both groups (G2A p= 0.0049 and G2B p= 0.0384) and FAAM% increased in 94.73% of G2A (p= 0.0118).

Discussion: activity limitation was observed in all subjects with DF that improved with an exercise plan.

以家庭为基础的体育锻炼计划对糖尿病足患者活动限制的有效性。
导言:糖尿病与残疾风险增加有很强的相关性。活动限制包括日常生活活动、平衡和行走,对于糖尿病足患者(PD)来说,还包括足部自我管理技能。目的:确定家庭体育锻炼计划(PEK)对PD受试者活动限制的有效性。方法:准实验设计。47名受试者被分为:第一组(G1, n=21)无假体单侧PD患者和第二组(G2A, n=15)或单侧PD患者(G2B, n=11)。我们评估了足部和鞋子的接触,以及睁着眼睛闭着一只脚的姿势控制。在G2A和G2B中增加了功能性活动,包括起立步态测试(TUG)和踝关节和脚部功能问卷(FAAM)。干预是14天的PEK。结果:对39名受试者进行了评估。55%的G1患者(n=11)闭着眼睛(p= 0.0172), 100%的G2A患者(n=12)闭着眼睛(p= 0.00195), 50%的G2A患者(n=6)闭着眼睛(p= 0.0313),两种情况下都是右脚。总死亡率下降(G2A p= 0.0049, G2B p= 0.0384),总死亡率上升(G2A p= 0.0118) 94.73%。讨论:在PEK改善的所有受试者中观察到活动受限。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
60
审稿时长
20 weeks
期刊介绍: The Journal of the Faculty of Medical Sciences is a scientific publication of the Secretariat of Science and Technology of the Faculty of Medical Sciences of the National University of Cordoba. Its objective is to disseminate and promote research work related to Medical and Biological Sciences. It publishes scientific works of national and international professionals on different topics related to health sciences from the field of medicine, nursing, kinesiology, diagnostic imaging, phonoaudiology, nutrition, public health, chemical sciences, dentistry and related.
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