Francia Piergiorgio, De Bellis Alessandra, Iannone Giulia, Sinopoli Rosy, Bocchi Leonardo, Anichini Roberto
Diabetes Unit and Diabetes Foot Unit, General Hospital of Pistoia, 51100 Pistoia, Italy.
Diabetes and Metabolic Diseases Unit, San Giovanni di Dio Hospital, 50143 Florence, Italy.
Medicines (Basel). 2021 Dec 2;8(12):76. doi: 10.3390/medicines8120076.
The diabetic foot (DF) is one of the most feared conditions among chronic complications of diabetes, which affects a growing number of patients. Although exercise therapy (ET) has always been considered a pillar in the treatment of patients at risk of DF it is not usually used. Several causes can contribute to hindering both the organization of ET protocols for Diabetes Units and the participation in ET programs for patients at different levels of risk of foot ulceration. The risk of favoring the occurrence of ulcers and the absence of clear evidence on the role played by ET in the prevention of ulcers could be considered among the most important causes leading to the low application of ET. The increased availability of new technologies and in particular of systems and devices equipped with sensors can enable the remote monitoring and management of physical activity performed by patients. Consequently, they can become an opportunity for introducing the systematic use of ET for the treatment of patients at risk. Considering the complexity of the clinical conditions that patients at risk or with diabetic foot ulcer can show, the evaluation of how patients perform the ET proposed can consequently be very important. All this can contribute to improving the treatment of patients and avoiding possible adverse effects. The aim of this brief review was to describe that the use of new technologies and the assessment of the execution of the ET proposed allows an important step forward in the management of patients at risk.
糖尿病足（DF）是糖尿病慢性并发症中最令人担忧的病症之一，且影响着越来越多的患者。尽管运动疗法（ET）一直被视为糖尿病足高危患者治疗的支柱，但它通常未被采用。有几个原因会导致糖尿病科难以制定ET方案，以及不同足部溃疡风险水平的患者难以参与ET项目。导致ET应用率低的最重要原因可能包括引发溃疡的风险以及缺乏ET在预防溃疡方面作用的明确证据。新技术，特别是配备传感器的系统和设备的可用性增加，能够实现对患者进行的身体活动的远程监测和管理。因此，它们可以成为引入系统性ET治疗高危患者的契机。考虑到高危或患有糖尿病足溃疡的患者可能表现出的临床情况的复杂性，评估患者如何进行所建议的ET就显得非常重要。所有这些都有助于改善患者的治疗并避免可能的不良反应。本简要综述的目的是描述新技术的使用以及对所建议的ET执行情况的评估，能够在高危患者管理方面向前迈出重要一步。
