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Self-care associated with home exercises in patients with type 2 diabetes mellitus.

Iunes DH, Rocha CB, Borges NC, Marcon CO, Pereira VM, Carvalho LC - PLoS ONE (2014)

Bottom Line: The self-care guidelines and exercises changed the forefoot alignment (Right Foot - Initial vs Final, p = 0.04; Left Foot, P<0.01), the center of the force displacement in the mediolateral (Right Foot - Initial versus Final, p = 0.02; Left Foot, P<0.01), and the anterior-posterior (Right foot - Initial versus Final, p = 0.01) direction, and body balance (Initial versus Final, p = 0.02).There was no change in the remaining assessed parameters.Self-care associated with the guidelines for home exercises for the lower limbs in patients with type 2 DM are effective in maintaining and improving the alignment of the feet, mediolateral stability and prevention of complications.

View Article: PubMed Central - PubMed

Affiliation: Federal University of Alfenas, Alfenas, Brazil.

ABSTRACT

Unlabelled: The objective of this study was to verify self-care guidelines together with lower limb home exercises alter ankle and foot plantar pressure and alignment in patient with Type 2 Diabetes Mellitus (DM) measuring health and sociodemographic factors. The health factors analyzed were sensitivity and circulation aspects, risk rating, and neuropathy symptom score, ankle and foot alignment (photogrammetry), plantar pressures, and postural stability (baropodometry) before and after administering these guidelines and home exercises in 97 patients type 2 DM during 10 months. The self-care guidelines and exercises changed the forefoot alignment (Right Foot - Initial vs Final, p = 0.04; Left Foot, P<0.01), the center of the force displacement in the mediolateral (Right Foot - Initial versus Final, p = 0.02; Left Foot, P<0.01), and the anterior-posterior (Right foot - Initial versus Final, p = 0.01) direction, and body balance (Initial versus Final, p = 0.02). There was no change in the remaining assessed parameters. Self-care associated with the guidelines for home exercises for the lower limbs in patients with type 2 DM are effective in maintaining and improving the alignment of the feet, mediolateral stability and prevention of complications.

Trial registration: The Brazilian Clinical Trials Registry RBR-8854CD.

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Related in: MedlinePlus

Photogrammetric analysis (A) of the forefoot angle (B), the rear foot angle (C) and the plantar arch (D).
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pone-0114151-g002: Photogrammetric analysis (A) of the forefoot angle (B), the rear foot angle (C) and the plantar arch (D).

Mentions: We also collected photographs of the feet and ankles' anterior (Figure 2A and 2B), posterior (Figure 2C) and plant for photogrammetric analysis (Figure 2D). The individuals were initially positioned in a standing position with bare feet on a podoscope. Then, the photographic records were made with a digital camera, Nikon Coolpix 10 megapixels, positioned on a tripod that had been previously leveled in a perpendicular position (Object - camera distance  = 0.24 m; Camera height  = 0.45 m) in front of the photographed individual. The following anatomical landmarks were marked on the body of the individuals using self-adhesive labels: the heads of the first and fifth metatarsals; the tuberosity of the calcaneus at 0.03 m above the ground, and other markers, respectively positioned at 0.07, 0.13 and 0.22 m above the ground. These markings were used to check the alignment of the Achilles tendon [18].


Self-care associated with home exercises in patients with type 2 diabetes mellitus.

Iunes DH, Rocha CB, Borges NC, Marcon CO, Pereira VM, Carvalho LC - PLoS ONE (2014)

Photogrammetric analysis (A) of the forefoot angle (B), the rear foot angle (C) and the plantar arch (D).
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4257588&req=5

pone-0114151-g002: Photogrammetric analysis (A) of the forefoot angle (B), the rear foot angle (C) and the plantar arch (D).
Mentions: We also collected photographs of the feet and ankles' anterior (Figure 2A and 2B), posterior (Figure 2C) and plant for photogrammetric analysis (Figure 2D). The individuals were initially positioned in a standing position with bare feet on a podoscope. Then, the photographic records were made with a digital camera, Nikon Coolpix 10 megapixels, positioned on a tripod that had been previously leveled in a perpendicular position (Object - camera distance  = 0.24 m; Camera height  = 0.45 m) in front of the photographed individual. The following anatomical landmarks were marked on the body of the individuals using self-adhesive labels: the heads of the first and fifth metatarsals; the tuberosity of the calcaneus at 0.03 m above the ground, and other markers, respectively positioned at 0.07, 0.13 and 0.22 m above the ground. These markings were used to check the alignment of the Achilles tendon [18].

Bottom Line: The self-care guidelines and exercises changed the forefoot alignment (Right Foot - Initial vs Final, p = 0.04; Left Foot, P<0.01), the center of the force displacement in the mediolateral (Right Foot - Initial versus Final, p = 0.02; Left Foot, P<0.01), and the anterior-posterior (Right foot - Initial versus Final, p = 0.01) direction, and body balance (Initial versus Final, p = 0.02).There was no change in the remaining assessed parameters.Self-care associated with the guidelines for home exercises for the lower limbs in patients with type 2 DM are effective in maintaining and improving the alignment of the feet, mediolateral stability and prevention of complications.

View Article: PubMed Central - PubMed

Affiliation: Federal University of Alfenas, Alfenas, Brazil.

ABSTRACT

Unlabelled: The objective of this study was to verify self-care guidelines together with lower limb home exercises alter ankle and foot plantar pressure and alignment in patient with Type 2 Diabetes Mellitus (DM) measuring health and sociodemographic factors. The health factors analyzed were sensitivity and circulation aspects, risk rating, and neuropathy symptom score, ankle and foot alignment (photogrammetry), plantar pressures, and postural stability (baropodometry) before and after administering these guidelines and home exercises in 97 patients type 2 DM during 10 months. The self-care guidelines and exercises changed the forefoot alignment (Right Foot - Initial vs Final, p = 0.04; Left Foot, P<0.01), the center of the force displacement in the mediolateral (Right Foot - Initial versus Final, p = 0.02; Left Foot, P<0.01), and the anterior-posterior (Right foot - Initial versus Final, p = 0.01) direction, and body balance (Initial versus Final, p = 0.02). There was no change in the remaining assessed parameters. Self-care associated with the guidelines for home exercises for the lower limbs in patients with type 2 DM are effective in maintaining and improving the alignment of the feet, mediolateral stability and prevention of complications.

Trial registration: The Brazilian Clinical Trials Registry RBR-8854CD.

Show MeSH
Related in: MedlinePlus