Structured exercise program on Foot Biomechanics & Insulin Resistance among people living with type 2 diabetes with and without peripheral neuropathy

Kumar, Sampath A and Hazari, Animesh and Maiya, Arun G and Shastry, BA and Shivashankara, KN and Vaishali, K (2018) Structured exercise program on Foot Biomechanics & Insulin Resistance among people living with type 2 diabetes with and without peripheral neuropathy. Diabetes Mellitus, 22 (6). pp. 1-9. ISSN 2072-0351

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Abstract

Background: The biomechanical changes in foot among people with type 2 diabetes mellitus often leads to various foot complications which could further add to diabetes related morbidity & mortality. These changes could be seen due to musculoskeletal factor like reduction in intrinsic foot muscle strength, tightness of lower limb muscles, postural changes, etc.Aim: To design and determine the efficacy of a structured exercise program on foot kinetics and kinematics among type 2 participants Methods: A total of 35 participants with type 2 diabetes (n=15, type 2 diabetes mellitus without neuropathy and n=20, type 2 diabetes with peripheral neuropathy) were recruited. All participants were screened clinically & biochemically and given a set of structured exercise program, three times a week for 12weeks along with standard medical care.Results: The mean age of the participants was 56±10.5 (Non neuropathy) 62.3±7.35 (Neuropathy) years, mean duration of diabetes was 8.7±8.95 (Non neuropathy), 10.97±8 (Neuropathy) years, mean Body mass index was 26.54± 4.83 Non neuropathy), 24.39±3.58 (Neuropathy), Significant differences have been observed in kinetic and kinematic variables. Conclusion: The present study shows that the structured exercise protocol is very effective in improving the biomechanics of foot in people with type 2 diabetes with and without neuropathy. It could help to correct the structure and function of the foot and eventually could reduce the risk of foot complications like diabetic foot ulcers.

Item Type: Article
Uncontrolled Keywords: Plantar pressure; Homa-ir; Exercise training; Peripheral neuropathy; Diabetic foot
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Medicine > KMC Manipal > Medicine
Depositing User: KMC Library
Date Deposited: 01 Jan 2019 10:43
Last Modified: 01 Jan 2019 10:43
URI: http://eprints.manipal.edu/id/eprint/152588

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