Effectiveness of Aerobic Exercise Combined with Resistance Exercise on Balance Performance in Diabetic Patients with Diabetic Foot

Main Article Content

Piyawan Plandee
Ratchanok Kraiwong

Abstract

Exercise reduces the risk of hyperglycemia that causes complications of foot, which results in decreased balance performance. The research objective was to study the effects of aerobic exercise combined with resistance exercise (ACRE) to balance performance in diabetic patients with diabetic foot (DF), and analyzed for differences of data were using the statistics of one-way and two-way mixed analysis of variance. Results: Timed Up and Go test was improved which is statistically significant (p-value = 0.002), Five Times Sit to Stand test was improved which is statistically significant (p-value = 0.001), Ankle-brachial Index was increased which is statistically significant (p-value <0.05), Joint Position Sense test was improved which is statistically significant (p-value <0.05) and Range of Motion was increased which is statistically significant (p-value <0.05). Conclusion: Aerobic exercise combined with resistance exercise significantly improve balance performance of diabetic patients with diabetic foot.

Article Details

How to Cite
1.
Plandee P, Kraiwong R. Effectiveness of Aerobic Exercise Combined with Resistance Exercise on Balance Performance in Diabetic Patients with Diabetic Foot. Health Sci J Thai [Internet]. 2024 Jan. 25 [cited 2024 Dec. 22];6(1):60-7. Available from: https://he02.tci-thaijo.org/index.php/HSJT/article/view/261762
Section
Original articles

References

Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. IDF Diabetes Atlas Committee. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract 2019; 157: 107843.

Bureau of Epidemiology, Department of Disease Control, Ministry of Public Health [Internet]. [cited 2022 September 9]; Available from: http://www.thaincd.com/2016/mission/documents-detail.php?id=14220&tid=32&gid=1-020

Ites KI, Anderson EJ, Cahill ML, Kearney JA, Post EC, Gilchrist LS. Balance interventions for diabetic peripheral neuropathy. J Geriatr Phys Ther 2011; 34(3): 109-16.

Van Schie CH. Neuropathy: mobility and quality of life. Diabetes Metab Res Rev 2008; 24(1): 45-51.

Kelly C, Fleischer A, Yalla S, Grewal GS, Albright R, Berns D, et al. Fear of falling is prevalent in older adults with diabetes mellitus but is unrelated to level of neuropathy. J Am Podiatr Med Assoc 2013; 103(6): 480-8.

Kanaley JA, Colberg SR, Corcoran MH, Malin SK, Rodriguez NR, Crespo CJ, et al. Exercise / Physical Activity in Individuals with Type 2 Diabetes: A Consensus Statement from the American College of Sports Medicine. Med Sci Sports Exerc 2022; 54(2): 353-68.

Colberg SR, Sigal RJ, Fernhall B, Regensteiner JG, Blissmer BJ, Rubin RR, et al. Exercise and type 2 diabetes: The American College of Sports Medicine and the American Diabetes Association: joint position statement. Diabetes Care 2010; 33(12): 147-67.

Yardley JE, Kenny GP, Perkins BA, Riddell MC, Balah N, Malcolm J, et al. Resistance versus aerobic exercise: Acute effects on glycemia in type 1 diabetes. Diabetes Care 2013; 36(3): 537-42.

Diabetes Association of Thailand. Clinical Practice Guideline for Diabetes 2017 [Internet]. [cited 2022 December 12]; Available from: https://w2.med.cmu.ac.th/nd/wp-content/uploads/2019/11/Dm60.pdf

Borm GF, Fransen J, Lemmens WA. A simple sample size formula for analysis of covariance in randomized clinical trials. J Clin Epidemiol 2007; 60(12): 1234-8.

Chen SM, Shen FC, Chen JF, Chang WD, Chang NJ. Effects of Resistance Exercise on Glycated Hemoglobin and Functional Performance in Older Patients with Comorbid Diabetes Mellitus and Knee Osteoarthritis: A Randomized Trial. Int J Environ Res Public Health 2019; 17(1): 224-36.

Podsiadlo D, Richardson S. The Timed “Up and Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc 1991; 39(1): 142-8.

Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern MS, Furman JM. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Phys Ther 2005; 85(10): 1034-45.

Aboyans V, Criqui MH, Abraham P, Allison MA, Creager MA, Diehm C, et al. Measurement and interpretation of the ankle-brachial index: a scientific statement from the American Heart Association. Circulation 2012; 126(24): 2890-909.

Sauto BP, Kiatkulanusorn S, Luangpon N. The relationship between proprioception and Time up and Go test (TUG) results in elderly people. BMJ 2019; 6(2): 78-87.

Clarkson HM, Gail BG. Musculoskeletal Assessment: Joint Range of Motion and Manual Muscle Strength. Baltimore: Williams & Wilkins. 1989.

Giles L, Webster KE, McClelland J, Cook JL. Quadriceps strengthening with and without blood flow restriction in the treatment of patellofemoral pain: a double-blind randomised trial. J Sports Med 2017; 51(23): 1688-94.

Toda N, Imamura T, Okamura T. Alteration of nitric oxide-mediated blood flow regulation in diabetes mellitus. Pharmacol Ther 2010; 127(3): 189-209.

Hamburg NM, Balady GJ. Exercise rehabilitation in peripheral artery disease: functional impact and mechanisms of benefits. Circulation 2011; 123(1): 87-97.

Mueller MJ, Tuttle LJ, Lemaster JW, Strube MJ, McGill JB, Hastings MK, et al. Weight-bearing versus nonweight-bearing exercise for persons with diabetes and peripheral neuropathy: a randomized controlled trial. Arch Phys Med Rehabil 2013; 94(5): 829-38.

Misra A, Alappan NK, Vikram NK, Goel K, Gupta N, Mittal K, et Al. Effect of supervised progressive resistance-exercise training protocol on insulin sensitivity, glycemia, lipids, and body composition in Asian Indians with type 2 diabetes. Diabetes Care 2008; 31(7): 1282-7.

Venkataraman K, Tai BC, Khoo EYH, Tavintharan S, Chandran K, Hwang SW, et al. Short-term strength and balance training does not improve quality of life but improves functional status in individuals with diabetic peripheral neuropathy: a randomised controlled trial. Diabetologia 2019; 62(12): 2200-10.

Donoghue OA, Savva GM, Börsch-Supan A, Kenny RA. Reliability, measurement error and minimum detectable change in mobility measures: a cohort study of community dwelling adults aged 50 years and over in Ireland. BMJ Open 2019; 9(11): e030475.