From treatment to preventive actions: improving function in patients with diabetic polyneuropathy

Detalhes bibliográficos
Autor(a) principal: Sacco, Isabel C. N.
Data de Publicação: 2016
Outros Autores: Sartor, Cristina D. [UNIFESP]
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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spelling 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
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