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手部和脚部运动治疗糖尿病周围神经病变:一项随机对照试验。

Hand and foot exercises for diabetic peripheral neuropathy: A randomized controlled trial.

机构信息

Graduate School of Health Sciences, Okayama University, Okayama, Japan.

Department of Fundamental Nursing, University of Nursing, Yangon, Myanmar.

出版信息

Nurs Health Sci. 2020 Jun;22(2):416-426. doi: 10.1111/nhs.12676. Epub 2019 Dec 26.

Abstract

Exercises for diabetic peripheral neuropathy remain controversial, especially with regard to recommended precautions and weightbearing exercises for individuals. We aimed to investigate the effect of 8 weeks of simple hand, finger, and foot exercises in patients with diabetic peripheral neuropathy. After randomization, exercise (n = 51) and control (n = 53) groups received usual care and diabetic foot care education; only the exercise group performed exercises. Primary outcomes, including activities of daily living (assessed using the Patient Neurotoxicity Questionnaire), neuropathy severity (monofilament and vibration test), and pain (behavioral rating scale and Visual Analog Scale), and secondary outcomes, including physical function of the hand and foot (grip, pinch, finger counting time, and Timed Up and Go tests), were assessed at baseline, after the 8-week intervention, and at the 16-week follow-up. The exercise group showed significantly stronger improvements in motor score and specific activities of daily living, such as climbing stairs and performing work or chores. Our exercises can be used to improve limb function in patients with diabetic neuropathy.

摘要

针对糖尿病周围神经病变患者的运动疗法仍存在争议,特别是在推荐预防措施和承重运动方面。我们旨在研究 8 周单纯手部、手指和足部运动对糖尿病周围神经病变患者的影响。随机分组后,运动组(n=51)和对照组(n=53)均接受常规治疗和糖尿病足护理教育;仅运动组进行运动。主要结局指标包括日常生活活动(采用患者神经毒性问卷评估)、神经病变严重程度(单丝和振动试验)和疼痛(行为评分和视觉模拟评分),次要结局指标包括手和脚的身体功能(握力、捏力、手指计数时间和计时起立行走测试),在基线、8 周干预后和 16 周随访时进行评估。运动组在运动评分和特定日常生活活动(如爬楼梯和工作或家务活动)方面的改善明显更强。我们的运动疗法可用于改善糖尿病神经病变患者的肢体功能。

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