strength training in patients with diabetic neuropathy: acute responses and long term adaptations...
TRANSCRIPT
Strength training in patients with diabetic neuropathy: Acute
responses and long term adaptations
Robert van Deursen1, Alejandro Meana-Esteban1, Patricia Price2 and Keith Harding2
1Research Centre for Clinical Kinaesiology2Wound Healing Research Unit
Overview
• Background – Neuropathy– Strength training
• Study aims• Methodology
– Study design– Methods– Intervention
Introduction: Diabetes• Definition: Metabolic disorder resulting in
abnormally high blood sugar levels
Damaged Nerves
NEUROPATHY
Type I
Type II
Introduction: Neuropathy
1. Walking – Neuropathy– Muscular weakness– Reduced ROM
2. Poor circulation
High foot pressures Tissue damage
ULCERSULCERS
Why strength training in neuropathic patients?
• Why neuropathic patients– PA neuropathic patients = ???
• Why strength training– PA guidelines– Strength training improves glycemic control– Muscle weakness– ST diabetic patients= ???
Aims• To determine whether and to what extent ST
has a positive effect in:– Gait characteristics (ROM, foot pressures,
EMG)
– Circulation• Micro-circulation (Blood flow)
Study design
Baseline study Interventional study
HEALTH
DN
80
40
EX= 40
CON= 40
T1
T2
Pre- intervention Post- interventionINTERVENTION (16 weeks)
120
Methods• Gait characteristics
– Foot pressure: Pressure distribution platform– Muscular activities: EMG– ROM: Electrogiometers
Methods• Circulation
– Micro-circulation: Near infrared spectroscopy
VO rest Exercise Protocol VO Post- Exec
Intervention• 4 times per week throughout 16 weeks
– 2 gym- based sessions (1 h)• 2-3 sets of 8-10 rep (60-80% 1RM)• Flexibility
– 2 home- based sessions (30min)• ROM
THANK YOU VERY MUCH FOR YOUR ATTENTION!!!!!!!!