Continuous Movement Monitoring of Daily Living Activities for Prevention of Diabetic Foot Ulcer: A Review of Literature.

Continuous movement monitoring daily lifestyle diabetic foot ulcer exercise therapy physical activity prevention

Journal

International journal of preventive medicine
ISSN: 2008-7802
Titre abrégé: Int J Prev Med
Pays: Iran
ID NLM: 101535380

Informations de publication

Date de publication:
2019
Historique:
received: 16 09 2017
accepted: 21 12 2017
entrez: 2 3 2019
pubmed: 2 3 2019
medline: 2 3 2019
Statut: epublish

Résumé

Lower extremity ulcers represent the most ominous, feared, and costly complications of diabetes mellitus. The aim of this review is to highlight the role of daily life physical activities (PAs) and continuous movement monitoring (CMM) in the prevention of foot ulcers. Peripheral neuropathy and peripheral vascular disease are the main causes of foot ulceration and contribute, in turn, to the development of additional risk factors such as foot deformities and/or joint and muscular alterations. Moreover, a deficit of balance, posture abnormalities, followed by gait alterations, increases the risk of ulceration. PA can play a key role in the management of patients with diabetes and in the prevention of ulcers; however, even if it has been reported that some of these risk factors significantly improve after a few weeks of exercise therapy (ET), the real preventive role of ET has not yet been demonstrated. These uncertain results can occur due to some limitations in the management of the same relationship between PA and diabetic foot prevention. Technological advances during the last years enable timely management of overall daily PA. The use of these modern technologies and devices allows CMM assessment and description of daily PA even in the long term. The data collected from these devices can be used to properly manage patients' PA and thus contribute to the prevention of foot ulcers.

Identifiants

pubmed: 30820309
doi: 10.4103/ijpvm.IJPVM_410_17
pii: IJPVM-10-22
pmc: PMC6390424
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

22

Déclaration de conflit d'intérêts

There are no conflicts of interest.

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Auteurs

Piergiorgio Francia (P)

Department of Clinical and Experimental Medicine, University of Florence, Florence, Italy.

Alessandra De Bellis (A)

Diabetes Unit, St. Jacopo Hospital, Pistoia, Italy.

Giuseppe Seghieri (G)

Tuscany Regional Health Agency, Florence, Italy.

Anna Tedeschi (A)

Diabetes Unit, St. Jacopo Hospital, Pistoia, Italy.

Giulia Iannone (G)

ANIMO Association, Reggello, Italy.

Roberto Anichini (R)

Diabetes Unit, St. Jacopo Hospital, Pistoia, Italy.

Massimo Gulisano (M)

Department of Clinical and Experimental Medicine, University of Florence, Florence, Italy.

Classifications MeSH