From treatment to preventive actions: improving function in patients with diabetic polyneuropathy
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | https://doi.org/10.1002/dmrr.2737 http://repositorio.unifesp.br/handle/11600/49624 |
Resumo: | Diabetic polyneuropathy is an insidious and long-term complication of this disease. Synergistic treatments and preventive actions are crucial because there are no clear boundaries for determining when health professionals should intervene or what intervention would best avoid the consequences of neuropathy. Until now, most therapies to any diabetic individual were applied only after the patient's limb was ulcerated or amputated. The loss of muscle and joint functions is recognized as the main cause of plantar overloading. However, if foot and ankle exercises are performed following the early diagnosis of diabetes, they can enable the patient to maintain sufficient residual function to interact with the environment. This article summarizes the current knowledge about the musculoskeletal deficits and biomechanical alterations caused by neuropathy. It also describes the potential benefits of foot and ankle exercises for any diabetic patient that is not undergoing the plantar ulcer healing process. We concentrate on the prevention of the long-term deficits of neuropathy. We also discuss the main strategies and protocols of therapeutic exercises for joints and muscles with deficits, which are applicable to all diabetic patients with mild to moderate neuropathy. We describe further efforts in exploiting the applicability of assistive technologies to improve the adherence to an exercise program. Following the contemporary trends towards self-monitoring and self-care, we developed a software to monitor and promote personalized exercises with the aim of improving autonomous performance in daily living tasks. Initiatives to prevent the complications of functional diabetes are highly recommended before it is too late for the patient and there is no longer an opportunity to reverse the tragic consequences of neuropathy progression. Copyright (c) 2016 John Wiley & Sons, Ltd. |
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From treatment to preventive actions: improving function in patients with diabetic polyneuropathyDiabetic FootTherapeutic ExercisesFootBiomechanicsPreventive CareRehabilitationRandomized Controlled-TrialLimited Joint MobilityIntrinsic Muscle AtrophyCustom-Made FootwearPeripheral NeuropathyPlantar PressuresGait CharacteristicsWeight-BearingToe DeformityIndividualsDiabetic polyneuropathy is an insidious and long-term complication of this disease. Synergistic treatments and preventive actions are crucial because there are no clear boundaries for determining when health professionals should intervene or what intervention would best avoid the consequences of neuropathy. Until now, most therapies to any diabetic individual were applied only after the patient's limb was ulcerated or amputated. The loss of muscle and joint functions is recognized as the main cause of plantar overloading. However, if foot and ankle exercises are performed following the early diagnosis of diabetes, they can enable the patient to maintain sufficient residual function to interact with the environment. This article summarizes the current knowledge about the musculoskeletal deficits and biomechanical alterations caused by neuropathy. It also describes the potential benefits of foot and ankle exercises for any diabetic patient that is not undergoing the plantar ulcer healing process. We concentrate on the prevention of the long-term deficits of neuropathy. We also discuss the main strategies and protocols of therapeutic exercises for joints and muscles with deficits, which are applicable to all diabetic patients with mild to moderate neuropathy. We describe further efforts in exploiting the applicability of assistive technologies to improve the adherence to an exercise program. Following the contemporary trends towards self-monitoring and self-care, we developed a software to monitor and promote personalized exercises with the aim of improving autonomous performance in daily living tasks. Initiatives to prevent the complications of functional diabetes are highly recommended before it is too late for the patient and there is no longer an opportunity to reverse the tragic consequences of neuropathy progression. Copyright (c) 2016 John Wiley & Sons, Ltd.Physical Therapy, Speech and Occupational Therapy Department, School of Medicine, University of Sao Paulo, Sao Paulo, BrazilHuman Movement Science Department, Federal University of Sao Paulo, Sao Paulo, BrazilHuman Movement Science Department, Federal University of Sao Paulo, Sao Paulo, BrazilWeb of ScienceSao Paulo Research Foundation [FAPESP 2011/19304-4, 2013/05580-5]National Council for Scientific and Technological Development [CNPq 151531/2013-7]FAPESP: 2011/19304-4FAPESP: 2013/05580-5CNPq: 151531/2013-7Wiley-blackwell2019-01-21T10:30:10Z2019-01-21T10:30:10Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/conferenceObjectinfo:eu-repo/semantics/publishedVersion206-212https://doi.org/10.1002/dmrr.2737Diabetes-Metabolism Research And Reviews. Hoboken, v. 32, n. 1, p. 206-212, 2016.10.1002/dmrr.27371520-7560http://repositorio.unifesp.br/handle/11600/49624WOS:000369134100021engDiabetes-Metabolism Research And Reviewsinfo:eu-repo/semantics/openAccessSacco, Isabel C. N.Sartor, Cristina D. [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2021-08-09T21:54:51Zoai:repositorio.unifesp.br/:11600/49624Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652021-08-09T21:54:51Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
From treatment to preventive actions: improving function in patients with diabetic polyneuropathy |
title |
From treatment to preventive actions: improving function in patients with diabetic polyneuropathy |
spellingShingle |
From treatment to preventive actions: improving function in patients with diabetic polyneuropathy Sacco, Isabel C. N. Diabetic Foot Therapeutic Exercises Foot Biomechanics Preventive Care RehabilitationRandomized Controlled-Trial Limited Joint Mobility Intrinsic Muscle Atrophy Custom-Made Footwear Peripheral Neuropathy Plantar Pressures Gait Characteristics Weight-Bearing Toe Deformity Individuals |
title_short |
From treatment to preventive actions: improving function in patients with diabetic polyneuropathy |
title_full |
From treatment to preventive actions: improving function in patients with diabetic polyneuropathy |
title_fullStr |
From treatment to preventive actions: improving function in patients with diabetic polyneuropathy |
title_full_unstemmed |
From treatment to preventive actions: improving function in patients with diabetic polyneuropathy |
title_sort |
From treatment to preventive actions: improving function in patients with diabetic polyneuropathy |
author |
Sacco, Isabel C. N. |
author_facet |
Sacco, Isabel C. N. Sartor, Cristina D. [UNIFESP] |
author_role |
author |
author2 |
Sartor, Cristina D. [UNIFESP] |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Sacco, Isabel C. N. Sartor, Cristina D. [UNIFESP] |
dc.subject.por.fl_str_mv |
Diabetic Foot Therapeutic Exercises Foot Biomechanics Preventive Care RehabilitationRandomized Controlled-Trial Limited Joint Mobility Intrinsic Muscle Atrophy Custom-Made Footwear Peripheral Neuropathy Plantar Pressures Gait Characteristics Weight-Bearing Toe Deformity Individuals |
topic |
Diabetic Foot Therapeutic Exercises Foot Biomechanics Preventive Care RehabilitationRandomized Controlled-Trial Limited Joint Mobility Intrinsic Muscle Atrophy Custom-Made Footwear Peripheral Neuropathy Plantar Pressures Gait Characteristics Weight-Bearing Toe Deformity Individuals |
description |
Diabetic polyneuropathy is an insidious and long-term complication of this disease. Synergistic treatments and preventive actions are crucial because there are no clear boundaries for determining when health professionals should intervene or what intervention would best avoid the consequences of neuropathy. Until now, most therapies to any diabetic individual were applied only after the patient's limb was ulcerated or amputated. The loss of muscle and joint functions is recognized as the main cause of plantar overloading. However, if foot and ankle exercises are performed following the early diagnosis of diabetes, they can enable the patient to maintain sufficient residual function to interact with the environment. This article summarizes the current knowledge about the musculoskeletal deficits and biomechanical alterations caused by neuropathy. It also describes the potential benefits of foot and ankle exercises for any diabetic patient that is not undergoing the plantar ulcer healing process. We concentrate on the prevention of the long-term deficits of neuropathy. We also discuss the main strategies and protocols of therapeutic exercises for joints and muscles with deficits, which are applicable to all diabetic patients with mild to moderate neuropathy. We describe further efforts in exploiting the applicability of assistive technologies to improve the adherence to an exercise program. Following the contemporary trends towards self-monitoring and self-care, we developed a software to monitor and promote personalized exercises with the aim of improving autonomous performance in daily living tasks. Initiatives to prevent the complications of functional diabetes are highly recommended before it is too late for the patient and there is no longer an opportunity to reverse the tragic consequences of neuropathy progression. Copyright (c) 2016 John Wiley & Sons, Ltd. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016 2019-01-21T10:30:10Z 2019-01-21T10:30:10Z |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/conferenceObject |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.1002/dmrr.2737 Diabetes-Metabolism Research And Reviews. Hoboken, v. 32, n. 1, p. 206-212, 2016. 10.1002/dmrr.2737 1520-7560 http://repositorio.unifesp.br/handle/11600/49624 WOS:000369134100021 |
url |
https://doi.org/10.1002/dmrr.2737 http://repositorio.unifesp.br/handle/11600/49624 |
identifier_str_mv |
Diabetes-Metabolism Research And Reviews. Hoboken, v. 32, n. 1, p. 206-212, 2016. 10.1002/dmrr.2737 1520-7560 WOS:000369134100021 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Diabetes-Metabolism Research And Reviews |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
206-212 |
dc.publisher.none.fl_str_mv |
Wiley-blackwell |
publisher.none.fl_str_mv |
Wiley-blackwell |
dc.source.none.fl_str_mv |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268415464964096 |