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Role Of Physical Therapy In Diabetes

Functional Diabetes Program

Functional Diabetes Program

Has your doctor advised you to exercise to control weight and blood sugar levels? Are you trying to eat healthier? Do you want to improve your functional capacity? Are activities such as walking, getting in/out of bed, going up stairs, or even participating in a particular sport a struggle? Are you wondering how to get started or does it HURT? Does any of this sound familiar? In addition to eating healthier, a proper pain-free functional exercise program designed just for you will help control and reduce the effects of diabetes. Reduce blood pressure/cholesterol and overall risk for heart disease Education on the relationship between physical activity and diabetes Strength and flexibility testing to identify areas of weakness that limit your function Pain-free exercise program designed just for you to enhance and maximize your ability to function Screening for sensitive areas inhibiting current participation in activities and suggestions/ treatments to address these issues One-on-one consultation with a physical therapist sensitive to your individual metabolic system Regular follow ups to ensure long-term functional gains Improve cardiovascular and functional capacity measured through standardized testing Achieve the recommended levels of exercise suggested by the American Diabetes Association and American college of Sports Medicine Discuss this option with your doctor and have them provide you with a referral for physical therapy that requests your participation in the Functional Diabetes Program. Also have your doctor note any other conditions or problems that may be limiting your functional capacity. Continue reading >>

The Role Of Physical Therapy In Managing Diabetes

The Role Of Physical Therapy In Managing Diabetes

The role of physical therapy in managing diabetes Written by by Jim Berger. Posted in November Ihave been writing the last few months about specific diseases such as Alzheimers and cancer and the role physical therapy plays in addressing the individuals ability to perform functional daily living tasks. This month Ill continue to focus on the role of physical therapy in the management of chronic disease, specifically diabetes. I want to start by defining the term chronic disease. A chronic disease is a disease that persists for a long time, lasting three months or more by the definition of the US National Center for Health Statistics. Chronic diseases generally cannot be prevented by vaccines or cured by medication, nor do they just disappear. Before getting into the role that physical therapy has in chronic disease management, I want to share some facts on chronic disease and specifically on diabetes. Chronic diseases are responsible for seven of ten deaths each year, and treating people with chronic diseases accounts for most of our nations healthcare costs according to the Centers for Disease Control. What is diabetes? Diabetes is a chronic disease that affects how your body turns food into energy. Most of the food you eat will be broken down into sugar (also called glucose) and released into your bloodstream. Insulin, a hormone produced by the pancreas, acts like a gatekeeper or key to let the blood sugar into your bodys cells for use as energy. If you have diabetes, your body either doesnt make enough insulin or cant use the insulin it makes as well as it should. When there isnt enough insulin or cells arent responding and not using the insulin, then too much sugar stays in your bloodstream, which over time can cause serious health problems. Diabetes is broken into Continue reading >>

Physical Therapist’s Guide To Diabetes

Physical Therapist’s Guide To Diabetes

According to the Centers for Disease Control, almost 26 million children and adults are living with diabetes (about 8% of the population). Of these, an estimated 19 million have been diagnosed, whereas 7 million are unaware that they have the disease. About 79 million people have “pre-diabetes,” a condition in which blood sugar (glucose) levels are abnormal but are not yet considered diabetic. What Is Diabetes? In diabetes, the body does not produce or properly use insulin. Produced by the pancreas, insulin is a hormone needed to allow glucose (sugar) to enter the cell and provide the energy necessary for daily activities. When the pancreas doesn’t produce adequate amounts of insulin, or when the muscle, fat and liver cells don’t respond to insulin properly, glucose builds up in the blood (hyperglycemia). This can be toxic to your cells. In addition, because of the reduced glucose uptake into the cells, they can use an abnormal amount of fats for fuel (ketoacidosis) and may become undernourished. There are 3 main types of diabetes: Type 1 diabetes – develops most often in children and young adults; the immune system destroys insulin-producing cells (beta cells) of the pancreas. Type 2 diabetes – can develop at any age and can largely be preventable; the cells of the body become resistant to insulin, and the pancreas can’t produce enough insulin to override the resistance. Gestational diabetes – develops in women during pregnancy; it occurs more often in African Americans, American Indians, Hispanic Americans, and women with a family history of diabetes and also is associated with obesity and inactivity. Although the exact cause of diabetes is unknown, factors such as obesity and lack of exercise play important roles in type 2 diabetes. Diabetes can resul Continue reading >>

Diabetes And Associated Risk Factors In Patients Referred For Physical Therapy In A National Primary Care Electronic Medical Record Database

Diabetes And Associated Risk Factors In Patients Referred For Physical Therapy In A National Primary Care Electronic Medical Record Database

The prevalence of diabetes (type 2) in the general population has increased dramatically over the last decade, yet patients with diabetes are rarely referred for physical therapy management of their condition. The majority of patients referred for outpatient physical therapy have musculoskeletal-related conditions. Secondary conditions, such as diabetes, may be prevalent in this population, and physical therapists need to be aware of this to adjust interventions and treatment. The purpose of this article is to describe the prevalence of diabetes and the associated risk factors in adults referred for physical therapy in a primary care outpatient setting. Patients aged 18 years or older referred for physical therapy were identified from the Centricity Electronic Medical Records database during the period of December 13, 1995, to June 30, 2007. Patients were evaluated on the basis of clinical (height, weight, blood pressure, laboratory values), treatment (prescriptions), and diagnostic (ICD-9 codes) criteria to identify the presence of diabetes or associated risk factors (eg, hypertension, elevated triglycerides, low high-density lipoprotein, body mass index, and prediabetes). There were 52,667 patients referred for physical therapy, the majority of whom were referred for a musculoskeletal-related condition. Approximately 80% of the total study population had diabetes, prediabetes, or risk factors associated with diabetes. The prevalence of diabetes in the study population was 13.2%. Of the diabetes-associated risk factors evaluated, hypertension was the most prevalent (70.4%), and less than half (39.1%) of the study population had an elevated body mass index. Only 20% of the study population had values within normal limits for all clinical, treatment, and diagnostic crit Continue reading >>

Diabetes - Moveforwardpt.com

Diabetes - Moveforwardpt.com

Diabetes is diagnosed by a physician, based on a test of your blood glucose level. This test is often ordered by a physician when a person reports some of the signs and symptoms listed in the previous section, or has risk factors determined by a physician. If you are diagnosed with diabetes, a physical therapist can evaluate your symptoms and problems associated with the condition. A physical therapist will identify physical problems that can be helped with an individualized exercise program, and provide specialized treatments based on your needs and goals. Physical therapists help people with diabetes participate in safe, effective exercise programs to improve their ability to move, perform daily activities, reduce their pain, and possibly lower their blood glucose levels. Physical therapy treatments also can help people with diabetes heal any associated skin problems faster than they would without treatment. Your physical therapist will examine your record of blood glucose levels, and will check your skin for wounds. Your physical therapist will conduct a complete assessment of your strength, flexibility, endurance, and balance, and use the results of the testing to design an individualized treatment program that addresses your problems and needs. Your treatment program can help improve your: Motion. Your physical therapist will choose specific activities and treatments to help restore normal movement. These might begin with passive motions that the physical therapist performs for you to gently move your joints, and progress to active exercises and stretches that you do yourself. Strength. Your physical therapist will choose and teach you the correct exercises and equipment to use to steadily and safely restore your strength. Flexibility. Your physical therapist will Continue reading >>

Study: Pt-designed Exercise Improved Strength For People With Type 2 Diabetes

Study: Pt-designed Exercise Improved Strength For People With Type 2 Diabetes

Study: PT-Designed Exercise Improved Strength for People with Type 2 Diabetes Study: PT-Designed Exercise Improved Strength for People with Type 2 Diabetes Exercise Counseling and Fitness Center Training Equally Effective as Supervised Exercise Program ALEXANDRIA, VA, September 22, 2009 Physical therapist-directed exercise counseling combined with fitness center-based exercise training can improve muscular strength and exercise capacity in people with type 2 diabetes, with outcomes similar to those of supervised exercise, according to a randomized clinical trial published in the September issue of Physical Therapy, the scientific journal of the American Physical Therapy Association (APTA). Type 2 diabetes is associated with numerous health complications, including a decline in muscular strength and exercise capacity. Studies show that a decline in muscular strength increases the risk of loss of physical function and that a decline in exercise capacity increases the risk of cardiovascular and all-cause mortality. "Improving muscular strength and exercise capacity in people with type 2 diabetes is crucial to preventing loss of physical function and decreasing comorbidity and mortality in these patients," said lead researcher J. David Taylor, PT, PhD, CSCS, assistant professor in the Department of Physical Therapy at the University of Central Arkansas. Supervised exercise programs improve both muscular strength and exercise capacity in people with type 2 diabetes; however, Medicare and other health insurance programs do not currently reimburse physical therapists and other clinicians for these exercise programs. In this study, 24 people with type 2 diabetes were randomly allocated to either an experimental group that received two months of physical therapist-directed exer Continue reading >>

How Does Physical Therapy Help With Diabetes?

How Does Physical Therapy Help With Diabetes?

How Does Physical Therapy Help with Diabetes? How Does Physical Therapy Help with Diabetes? You probably know someone with diabetes. It always hits the top list of conditions that affect both children and adults across America. Most people know that medication can help diabetes, but a less known fact is how physical therapy can help manage it. Here is a few things PTs can do to help not only manage but improve a diabetic condition. Diabetes usually falls into 2 categories: Type 1 Diabetes Mellitus or Type 2 Diabetes Mellitus. The difference between the two is the way the body produces and responds to a hormone called insulin. Insulin is important because it is responsible for helping the body absorb sugars. In type 1 diabetes the body is not able produce insulin, but this type is not as prevalent. In type 2 diabetes the body makes insulin, howeverthe body cant use nor respond to it normally. In either condition, without your bodys ability to use sugars and other carbohydrates, your organs and vital body processes cannot function well. There at least 3 areas that a PT can help with when seeing a patient that has diabetes: One of the primary causes of diabetes especially with type 2 is obesity. A PT can help assess body mass and use those measurements to track progress throughout the course of an exercise program. This will also help create achievable goals and help losing weight for decreased diabetes symptoms. A good resistance exercise program along with proper diet has been known to reverse the effects of type 2 diabetes. The effects are reversed because resistance exercise causes muscles to respond to insulin many times more than when at rest. This increased ability for the body to use insulin allows sugars to be absorbed instead of staying in the blood stream. Phys Continue reading >>

Exercise Assessment And Prescription In Patients With Type 2 Diabetes In The Private And Home Care Setting: Clinical Recommendations From Axxon (belgian Physical Therapy Association)

Exercise Assessment And Prescription In Patients With Type 2 Diabetes In The Private And Home Care Setting: Clinical Recommendations From Axxon (belgian Physical Therapy Association)

Exercise Assessment and Prescription in Patients With Type 2 Diabetes in the Private and Home Care Setting: Clinical Recommendations From AXXON (Belgian Physical Therapy Association) D. Hansen, PT, PhD, Hasselt University, Faculty of Medicine and Life Sciences, Agoralaan, Building A, 3590, Diepenbeek, Belgium; Heart Centre Hasselt, Jessa Hospital, Hasselt, Belgium; and Flemish Working Group from AXXON (Belgian Physical Therapy Association), Antwerp, Belgium. Search for other works by this author on: S. Peeters, PT, Flemish Working Group from AXXON. Search for other works by this author on: B. Zwaenepoel, PT, Flemish Working Group from AXXON; Ghent University, Faculty of Medicine and Life Sciences, Ghent, Belgium; and Department of Cardiopulmonary Rehabilitation, Algemeen Ziekenhuis Jan Palfijn, Ghent, Belgium. Search for other works by this author on: D. Verleyen, PT, Flemish Working Group from AXXON. Search for other works by this author on: C. Wittebrood, PT, Flemish Working Group from AXXON. Search for other works by this author on: N. Timmerman, PT, MSc, Flemish Working Group from AXXON. Search for other works by this author on: M. Schotte, PT, Flemish Working Group from AXXON. Search for other works by this author on: Physical Therapy, Volume 93, Issue 5, 1 May 2013, Pages 597610, Dominique Hansen, Stefaan Peeters, Bruno Zwaenepoel, Dirk Verleyen, Carla Wittebrood, Nicole Timmerman, Michel Schotte; Exercise Assessment and Prescription in Patients With Type 2 Diabetes in the Private and Home Care Setting: Clinical Recommendations From AXXON (Belgian Physical Therapy Association), Physical Therapy, Volume 93, Issue 5, 1 May 2013, Pages 597610, Type 2 diabetes mellitus (T2DM) is a disease associated with many complications: the likelihood for the development of heart Continue reading >>

Diabetes

Diabetes

Diabetes is a metabolic disorder in which the body is unable to appropriately regulate the level of sugar, specifically glucose, in the blood, either by poor sensitivity to the protein insulin, or due to inadequate production of insulin by the pancreas. Type 2 diabetes accounts for 90-95% of all diabetes cases. Diabetes itself is not a high-mortality condition (1.3 million deaths globally), but it is a major risk factor for other causes of death and has a high attributable burden of disability. Diabetes is also a major risk factor for cardiovascular disease, kidney disease and blindness.[1] Be sure to also read: Clinically Relevant Anatomy and Pathophysiology Diabetes Mellitus primarily affects the Islets of Langerhans of the pancreas, where glucagon (from the alpha cells) and insulin (from the beta cells) are produced. Glucagon raises the blood glucose level, while insulin lowers it. In Type 1 DM (Insulin Dependent), the loss of function of the beta cells leads to an absolute insulin deficiency. In Type 2 DM (Non-insulin Dependent), the impaired production and secretion of insulin by the beta cells is concommitant with the impaired ability of the tissues to utilize insulin (termed insulin resistance). The resulting accumulation of glucose in the blood is further elevated by the greater synthesis of glucose in the liver, which releases it to the general circulation. Diabetes Mellitus (both Type 1 and Type 2) is now a global epidemic. Usually correlated with being overweight and obese, a sedentary lifestyle and familial history are also being considered as risk factors. According to the research entiltled "Global Prevalence of Diabetes" by Sarah Wild, MB, BCHIR, PhD and associates[2], "the total number of people with diabetes is projected to rise from 171 million in 2000 Continue reading >>

Diabetes Rehabilitation

Diabetes Rehabilitation

Kitsap physical therapy offers a program for individuals with Diabetes to assist with managing the condition and restoring a healthy lifestyle. Diabetes results from impaired insulin production (type 1) or impaired cellular sensitivity/utilization of insulin (type 2). The body uses insulin to get sugar (glucose) into the cells to be used for energy. When that process is disrupted and the body cant get glucose into the cells, the excess sugar remains in the bloodstream and causes damage throughout the body. This damage includes: Peripheral (leads to impaired sensation and poor balance) More severe neurological deficits following The good news is that exercise allows glucose to enter the cell without the use of insulin. So, whether your diabetes is caused by a lack of insulin or a lack of cellular sensitivity to insulin, exercise can bridge the gap and assist in controlling glucose levels within the blood stream. Exercise can help lower blood glucose levels, assist in weight loss (decrease BMI), help lower blood pressure, improve balance and decrease risk of falls, improve energy levels and activity tolerance, and decrease joint pain. The challenge is getting started with a safe and effective exercise program.At Kitsap Physical Therapy, your physical therapist can help design an exercise program specific to your individual needs, that takes into consideration your current fitness level, and any joint pain or injuries you may already have. We will work with you throughout this process, answering any questions/concerns that arise along the way. This program will consist of multiple components that may include: Cardiovascular exercise for endurance to improve activity tolerance Upper and lower body strengthening to assist with performing functional tasks Balance exercises t Continue reading >>

Diabetes Rehabilitation

Diabetes Rehabilitation

Kitsap physical therapy offers a program for individuals with Diabetes to assist with managing the condition and restoring a healthy lifestyle. Diabetes results from impaired insulin production (type 1) or impaired cellular sensitivity/utilization of insulin (type 2). The body uses insulin to get sugar (glucose) into the cells to be used for energy. When that process is disrupted and the body cant get glucose into the cells, the excess sugar remains in the bloodstream and causes damage throughout the body. This damage includes: Peripheral (leads to impaired sensation and poor balance) More severe neurological deficits following The good news is that exercise allows glucose to enter the cell without the use of insulin. So, whether your diabetes is caused by a lack of insulin or a lack of cellular sensitivity to insulin, exercise can bridge the gap and assist in controlling glucose levels within the blood stream. Exercise can help lower blood glucose levels, assist in weight loss (decrease BMI), help lower blood pressure, improve balance and decrease risk of falls, improve energy levels and activity tolerance, and decrease joint pain. The challenge is getting started with a safe and effective exercise program.At Kitsap Physical Therapy, your physical therapist can help design an exercise program specific to your individual needs, that takes into consideration your current fitness level, and any joint pain or injuries you may already have. We will work with you throughout this process, answering any questions/concerns that arise along the way. This program will consist of multiple components that may include: Cardiovascular exercise for endurance to improve activity tolerance Upper and lower body strengthening to assist with performing functional tasks Balance exercises t Continue reading >>

Does Physical Therapy And Rehabilitation Improve Outcomes For Diabetic Foot Ulcers?

Does Physical Therapy And Rehabilitation Improve Outcomes For Diabetic Foot Ulcers?

Does physical therapy and rehabilitation improve outcomes for diabetic foot ulcers? Yasemin Turan , Bulent M Ertugrul , Benjamin A Lipsky , and Kevser Bayraktar Yasemin Turan, Kevser Bayraktar, Department of Physical Therapy and Rehabilitation, Faculty of Medicine, University of Adnan Menderes, 09100 Aydin, Turkey Bulent M Ertugrul, Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, University of Adnan Menderes, 09100 Aydin, Turkey Benjamin A Lipsky, Department of Medicine, University of Washington (Emeritus), Seattle, WA 98195, United States Benjamin A Lipsky, Department of Medicine, University of Oxford, OX1 3PT Oxford, United Kingdom Author contributions: Turan Y wrote and designed the paper; Ertugrul BM wrote and designed the paper; Lipsky BA wrote and revised the paper; Bayraktar K wrote the paper. Correspondence to: Bulent M Ertugrul, MD, Associate Professor, Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, University of Adnan Menderes, 09100 Aydin, Turkey. [email protected] Telephone: +90-256-4441256 Fax: +90-256-2146495 Received 2014 Nov 7; Revised 2015 Jan 5; Accepted 2015 Jan 18. Copyright The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved. One of the most common and serious complications of diabetes mellitus is ulceration of the foot. Among persons with diabetes, 12%-25% will present to a healthcare institution for a foot disorder during their lifespan. Despite currently available medical and surgical treatments, these are still the most common diabetes-related cause of hospitalization and of lower extremity amputations. Thus, many adjunctive and complementary treatments have been developed in an attempt to improve outcomes. We herein review the available li Continue reading >>

Diabetes | The Chartered Society Of Physiotherapy

Diabetes | The Chartered Society Of Physiotherapy

An estimated 2.7 million people in the UK have been diagnosed with Type 2 diabetes, and the numbers are rising. More people are believed to have the condition without knowing it. In Type 2 diabetes, the body either fails to produce enough of the hormone insulin, or is unable to use that insulin properly. Insulin is a hormone in our body that allows the glucose (sugars from the food we eat) in the blood stream to enter our bodys cells, where it is converted into energy. So, people with diabetes have an abnormally high blood sugar level. The main symptoms are excessive thirst; urinating frequently, particularly at night; fatigue; and loss of weight and muscle mass. If untreated or not properly controlled, diabetes can cause damage to the blood vessels, nerves and organs such as the kidneys, or the eyes, leading to serious problems. However, with a healthy lifestyle and the right treatment people with diabetes can lead full and normal lives. There is no single known cause of diabetes, but there are several associated risk factors. These include being overweight, particularly around the waist, while genetics, age and ethnicity also play a big part. Type 2 diabetes is most common in people over 40 but in people from South Asia, who are at greater risk, it often develops in the late 20s and 30s. There is no cure for Type 2 diabetes. Treatment, then,aims to help people manage lifestyle changes in order to control their blood glucose levels. This minimises the risk of complications in people with the condition, or can prevent Type 2 diabetes developing in the first place. Exercise and a healthy diet are recommended both for prevention and for people already diagnosed. People with diabetes often have other medical problems or risk factors for ill health, such as heart disease, Continue reading >>

Role Of Exercise In The Management Of Diabetes Mellitus: The Global Scenario

Role Of Exercise In The Management Of Diabetes Mellitus: The Global Scenario

Role of Exercise in the Management of Diabetes Mellitus: the Global Scenario 1 Department of Anatomy, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia, 2 Physiotherapy Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia, Iran University of Medical Sciences, Iran (Islamic Republic Of), Competing Interests: The authors have declared that no competing interests exist. Conceived and designed the experiments: ZCT SD. Performed the experiments: ZCT SD LJH. Analyzed the data: ZCT SD. Contributed reagents/materials/analysis tools: ZCT SD LJH. Wrote the manuscript: ZCT SD LJH. Received 2013 Jun 17; Accepted 2013 Oct 2. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. This article has been cited by other articles in PMC. Exercise training programs have emerged as a useful therapeutic regimen for the management of type 2 diabetes mellitus (T2DM). Majority of the Western studies highlighted the effective role of exercise in T2DM. Therefore, the main aim was to focus on the extent, type of exercise and its clinical significance in T2DM in order to educate the clinicians from developing countries, especially in Asians. Pubmed, Science Direct, Scopus, ISI Web of Knowledge and Google scholar were searched using the terms type 2 diabetes mellitus, type 2 DM, exercise, and/or physical activity, and type 2 diabetes mellitus with exercise. Only clinical or human studies published in English language between 2000 and 2012 were included. Certain criteria were assigned to achieve appropriate results. Twenty five studies met the sel Continue reading >>

Diabetes Mellitus Type 2

Diabetes Mellitus Type 2

Diabetes is caused by a problem in the way your body makes or uses insulin[1]. Insulin moves blood sugar (glucose) into cells where it is stored and later used for energy. There are two main types of diabetes: type 1 and type 2 [1]. Type 1 diabetes is also called insulin dependent diabetes mellitus (IDDM), whereas Type 2 diabetes is also called adult onset diabetes or non-insulin dependent diabetes mellitus (NIDDM)[1]. Diabetes is a chronic condition that affects how the body metabolizes glucose[1]. When you have type 2 diabetes, your fat, liver, and muscle cells do not respond correctly to insulin, known as insulin resistance[1]. As a result, blood sugar does not get transported into these cells to be stored for energy and builds up in the bloodstream; this is known as hyperglycemia[1]. In a healthy person, blood glucose levels are normalized by insulin secretion and tissue sensitivity to insulin [1]. With Type 2 diabetes, the mechanisms become faulty; the pancreatic beta-cell, which releases insulin, becomes impaired and tissues develop insulin resistance[1][2]. This pathology has a genetic link, although it is somewhat unclear[1]. Risk factors for developing Type 2 diabetes include: background of African-Caribbean, Black African, Chinese, or South-Asian, and over 25 years old, or other ethnic background over 40 years old[3] According to the International Diabetes Federation (2014), 8.3% of the population or 387 million people are living with diabetes worldwide.[4] Diabetes prevalence increases with age across all regions worldwide and income groups.[5] This number is expected to increase by 205 million by the year 2035.[6] Diabetes is most prevalent in people aged 60-79 years, with 18.6%, though those aged 40-59 have the highest number (184 million) of people living Continue reading >>

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