Effects of a program of supervising physical exercise on joint mobility, muscle strength and aerobic capacity in individuals with Diabetes Mellitus type 2 and association with glycemic control

• Grant number: 17/14281-2
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: December 01, 2017
• End date: November 30, 2018
• Field of knowledge: Health Sciences - Physiotherapy and Occupational Therapy
• Principal Investigator: Camila Gimenes
• Grantee: Leonardo Garbin Bueno
• Host Institution: Centro de Ciências da Saúde. Universidade do Sagrado Coração (USC). Bauru , SP, Brazil

Abstract

Introduction: Diabetes mellitus (DM) is a syndrome that often has complications in various organs and tissues. The onset of complications is associated with duration and metabolic control, and may have musculoskeletal impairment with decreased joint mobility and muscle strength. The practice of aerobic exercise has been recommended for the treatment of individuals with type 2 diabetes (DM2), for glycemic control, improvement of insulin sensitivity and glucose tolerance. In addition, recent studies have shown that resistance exercise is also beneficial for glycemic control, mainly by increasing strength and muscle mass. Few studies address the effects of exercise on joint mobility, especially in upper limbs. Objectives: The objectives will be to evaluate the effects of a supervised exercise program on joint mobility, muscle strength and aerobic capacity in individuals with DMT2 and to associate with glycemic control. Methods: This is a randomized, controlled clinical trial of non-probabilistic sampling for convenience. Evaluations will be performed before and after the intervention protocol, containing socio-demographic data, such as blood pressure (BP), heart rate (HR), body mass, stature, body mass index (BMI), glycemia and glycated hemoglobin, (FPM) with a hydraulic isometric dynamometer (Saehan), six minute walk test (TC6), evaluation of the prayer signal and the table top signal in two ways: clinical evaluation (observation) and with the Signal Prayer Analyzer Fontana (SPAF). The intervention protocol will consist of aerobic exercises (40-60% of training HR / Borg 4-6), general and hands-specific strengthening and stretching exercises. The data distribution will be verified by the Shapiro-Wilk normality test. For analysis between the moments will be used t - Student or Wilcoxon test for paired samples and for analysis between the groups will be used t - Student or Mann - Whitney test, for the data with normal and non - normal distribution, respectively. For the study of correlations will be used the correlation coefficient of Pearson or Spearman, for the data with normal distribution and nonnormal, respectively. A significance level of p <0.05 will be considered. (AU)