On diabetic foot, wound healing, amputation prevention, and the merger of consumer tech with medical devices
A new accelerometer-based study from Michigan and Oxford shows that moderate-to-vigorous physical activity is associated with significantly lower odds of diabetic peripheral neuropathy — with vigorous activity cutting the odds by 60%.
What happens when one of the oldest prescriptions in medicine—movement—is withheld from one of the most at-risk patient populations? This important question is tackled head-on in a recent review by Sutkowska, Korzon-Burakowska, and Biernat, titled “On the Merits of Targeted and Individualized Physical Exercise in Persons with Diabetic Foot Disease – From Controversies to Consensus” . In... Continue Reading →
Great idea and RCT from our SALSAmigos from IKEM in Prague. Objectives: Diabetic foot syndrome (DFS) is a serious late diabetic complication characterised by limited joint mobility and other biomechanical and muscle abnormalities. Aim: To evaluate the effect of an interventional exercise programme on anthropometric parameters, muscle strength, mobility and fitness in patients with diabetic foot in... Continue Reading →
While only about 10-15% of the patients had peripheral neuropathy and were, therefore, at risk for ulceration, these data from Ren and coworkers are nonetheless compelling. Perhaps a subsequent study for high risk patients? Objective: Exercise has been reported to be beneficial for people with type 2 diabetes (T2DM), but exercise, especially weight-bearing exercise, may increase... Continue Reading →
Terrific work by our colleagues from Kobe, Tokyo, Nara and Osaka, respectively! High plantar pressure is a risk factor for diabetic foot ulcers, and it is known that restriction of ankle dorsiflexion range of motion (ROM) causes high plantar pressure. Stretching is a non-invasive and general means to improve ROM; however, the effect of stretching... Continue Reading →
