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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

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

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Author(s):
Sacco, Isabel C. N. [1] ; Sartor, Cristina D. [1, 2]
Total Authors: 2
Affiliation:
[1] Univ Sao Paulo, Sch Med, Phys Therapy Speech & Occupat Therapy Dept, Sao Paulo - Brazil
[2] Univ Fed Sao Paulo, Dept Human Movement Sci, Sao Paulo - Brazil
Total Affiliations: 2
Document type: Journal article
Source: DIABETES-METABOLISM RESEARCH AND REVIEWS; v. 32, n. 1, p. 206-212, JAN 2016.
Web of Science Citations: 7
Abstract

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. (AU)

FAPESP's process: 13/05580-5 - Dynamic muscles recruitment patterns using high-density EMG of diabetic patients in different severity degrees classified by a fuzzy system
Grantee:Isabel de Camargo Neves Sacco
Support type: Regular Research Grants
FAPESP's process: 11/19304-4 - Influence of physical therapy intervention on foot and ankle biomechanics of gait in diabetic neuropatic individuals: a randomized controlled trial
Grantee:Cristina Dallemole Sartor
Support type: Scholarships in Brazil - Doctorate (Direct)