Presentation on theme: "Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia."— Presentation transcript:
Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia Price 2 and Keith Harding 2 1 Research Centre for Clinical Kinaesiology 2 Wound 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 ULCERS
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 studyInterventional study HEALTH DN EX= 40 CON= 40 T1 T2 Pre- interventionPost- intervention INTERVENTION (16 weeks) 120