Structured exercise program on Foot Biomechanics & Insulin Resistance among people living with type 2 diabetes with and without peripheral neuropathy.

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Abstract

Background: The biomechanical changes in foot among people with type 2 diabetes mellitus often leads to various foot complications which could further add to diabetes related morbidity & mortality. These changes could be seen due to musculoskeletal factor like reduction in intrinsic foot muscle strength, tightness of lower limb muscles, postural changes, etc.

Aim: To design and determine the efficacy of a structured exercise program on foot kinetics and kinematics among type 2 participants

Methods: A total of 35 participants with type 2 diabetes (n=15, type 2 diabetes mellitus without neuropathy and n=20, type 2 diabetes with peripheral neuropathy) were recruited. All participants were screened clinically & biochemically and given a set of structured exercise program, three times a week for 12weeks along with standard medical care.

Results: The mean age of the participants was 56±10.5 (Non neuropathy) 62.3±7.35 (Neuropathy) years, mean duration of diabetes was 8.7±8.95 (Non neuropathy), 10.97±8 (Neuropathy) years, mean Body mass index was 26.54± 4.83(Non neuropathy), 24.39±3.58 (Neuropathy), Significant differences have been observed in kinetic and kinematic variables.

Conclusion: The present study shows that the structured exercise protocol is very effective in improving the biomechanics of foot in people with type 2 diabetes with and without neuropathy. It could help to correct the structure and function of the foot and eventually could reduce the risk of foot complications like diabetic foot ulcers.

About the authors

Sampath kumar Amaravadi

Manipal Academy of Higher Education

Email: sampathkpt@gmail.com
ORCID iD: 0000-0002-4744-0180

Department of Physiotherapy

India, Department of Physiotherapy, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal-576104

Arun Maiya

Manipal Academy of Higher Education

Author for correspondence.
Email: arun.maiya.g@gmail.com
ORCID iD: 0000-0001-7573-0137

Department of Physiotherapy

India, Department of Physiotherapy, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal-576104

Animesh Hazari

Manipal Academy of Higher Education

Email: animeshh8@gmail.com
ORCID iD: 0000-0001-8057-8803

Department of Physiotherapy

India, Department of Physiotherapy, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal-576104

B A Shastry

Manipal Academy of Higher Education

Email: shastryba@yahoo.co.in
ORCID iD: 0000-0001-7630-5028

Department of General Medicine

India, Kasturba Medical College, Manipal-576104

Shiva shankara KN

Manipal Academy of Higher Education

Email: shi.sha@manipal.edu
ORCID iD: 0000-0003-2466-9457

Department of General Medicine

India, Kasturba Medical College, Manipal-576104

Vaishali k

Manipal Academy of Higher Education

Email: vaishali.kh@manipal.edu
ORCID iD: 0000-0003-4150-5729

Department of Physiotherapy

India, Department of Physiotherapy, School of Allied Health Sciences, Manipal Academy of Higher Education, Manipal-576104

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Copyright (c) Amaravadi S., Maiya A., Hazari A., Shastry B., KN S., k V.

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