strength training in patients with diabetic neuropathy: acute responses and long term adaptations...
TRANSCRIPT
![Page 1: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/1.jpg)
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
![Page 2: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/2.jpg)
Overview
• Background – Neuropathy– Strength training
• Study aims• Methodology
– Study design– Methods– Intervention
![Page 3: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/3.jpg)
Introduction: Diabetes• Definition: Metabolic disorder resulting in
abnormally high blood sugar levels
Damaged Nerves
NEUROPATHY
Type I
Type II
![Page 4: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/4.jpg)
Introduction: Neuropathy
1. Walking – Neuropathy– Muscular weakness– Reduced ROM
2. Poor circulation
High foot pressures Tissue damage
ULCERSULCERS
![Page 5: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/5.jpg)
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= ???
![Page 6: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/6.jpg)
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)
![Page 7: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/7.jpg)
Study design
Baseline study Interventional study
HEALTH
DN
80
40
EX= 40
CON= 40
T1
T2
Pre- intervention Post- interventionINTERVENTION (16 weeks)
120
![Page 8: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/8.jpg)
Methods• Gait characteristics
– Foot pressure: Pressure distribution platform– Muscular activities: EMG– ROM: Electrogiometers
![Page 9: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/9.jpg)
Methods• Circulation
– Micro-circulation: Near infrared spectroscopy
VO rest Exercise Protocol VO Post- Exec
![Page 10: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/10.jpg)
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
![Page 11: Strength training in patients with diabetic neuropathy: Acute responses and long term adaptations Robert van Deursen 1, Alejandro Meana- Esteban 1, Patricia](https://reader037.vdocuments.site/reader037/viewer/2022110116/5516cb21550346b5748b4596/html5/thumbnails/11.jpg)
THANK YOU VERY MUCH FOR YOUR ATTENTION!!!!!!!!