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New statistics reveal that as many as 39 percent of physicians are overweight or obese.1. Chances are a number of your patients with diabetes have previously undergone a cardiac rehabilitation program. The effects of a home exercise program on ankle range of motion and step length in people with type 2 diabetes: A blinded cross-over design pilot study. Z Gerontol Geriatr 2009;42(6):465-469. One can personally customize a series of games to suit his or her particular fitness needs. Design: Prospective, randomized controlled study. I have exercised regularly since I was in grade school, whether it was via after school pick-up games, high school sports, or later in life as a fitness instructor in a commercial health club and as a competitive men’s softball player. 8. The simplest exercise would be to encourage individuals to walk at a vigorous pace while wearing appropriate footwear. The frequency and intensity should be tailored based on an individual’s perceived ability to maintain the program.1, In addition to cardiovascular and strengthening exercise, people with DM should participate in a flexibility program. How is it possible to encourage these patients to exercise when they may have never exercised before or simply do not see the potential benefits of getting off the couch? 19. 6. Resistance on the machine is adjustable. Exercise should be spread over the entire week with sessions divided into 10 minute intervals. 1 INTRODUCTION. Non-weightbearing exercise is the key challenge when managing a patient with a diabetic foot ulcer. Exercise scientists know we can’t do this alone,” explains Dr. Keylock.2. Diabetes makes you more likely to have sores and ulcers. Cardiovascular rehabilitation in patients with diabetes. People can be instructed in exercises that use bodyweight as resistance or machines for resistance. The individual grips the device’s handles and begins pedaling with hands and arms. Kirwan JP, Solomon TP, Wojta DM, et al. This also holds true for a patient with diabetes who has a non-healing foot ulcer. The medical term is called Charcot neuroarthropathy (pronounced shark-o). The Dermapace System (Sanuwave, Inc., Suwanee, GA) sends shock waves to mechanically stimulate the wound. A Closer Look At Exercise For Patients With Diabetic Wounds, http://www.medscape.com/features/slideshow/lifestyle/2012/public?src=so…, http://www.bgsu.edu/offices/mc/news/2011/news94622.html. It can be intense. He is measuring CRP in people with high and low levels of activity as well as inflammation levels in wounds in diabetic laboratory animals. Suggested Exercises For Patients With Diabetic Wounds. Aylin K, Arzu D, Sabri S, et al. Either pattern eliminates the energy conserving and force attenuating motion that occurs at the ankle and subtalar joint during a normal gait cycle. Poor circulation in the feet can cause unbearable pain in your legs and feet. The effects of resistance training on muscle and body fat mass and muscle strength in type 2 diabetic women. Lower Extremity Review or LER Magazine fills the lower extremity injury information gap for lower extremity practitioners in the fields of lower limb orthotics, lower limb prosthetics, lower limb O&P, podiatry, pedorthic, lower extremity physical therapy, foot and ankle, pediatric, sports medicine, orthopedic and athletic trainer markets interested in prefabricated and custom ankle and knee bracing, ACL, off-the-shelf and custom ligament knee bracing, osteoarthritis knee bracing, insoles, full contact diabetic foot inserts, orthotic materials, multi-density inserts, dual density insoles, custom foot orthotics, night splints, standard and hinged AFOs, diabetic footwear, diabetic socks, pressure measurement, sports medicine, neuromuscular disorders, stroke, drop foot, PTTD, flat foot, rehabilitation and biomechanics. Sit and Be Fit. 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