Volume 39 Issue 7
Jul.  2023
Turn off MathJax
Article Contents
Guo QJ,Gu Y,Ouyang J,et al.Summary of the best evidence on exercise for the prevention and treatment of diabetic foot[J].Chin J Burns Wounds,2023,39(7):671-678.DOI: 10.3760/cma.j.cn501225-20220822-00354.
Citation: Guo QJ,Gu Y,Ouyang J,et al.Summary of the best evidence on exercise for the prevention and treatment of diabetic foot[J].Chin J Burns Wounds,2023,39(7):671-678.DOI: 10.3760/cma.j.cn501225-20220822-00354.

Summary of the best evidence on exercise for the prevention and treatment of diabetic foot

doi: 10.3760/cma.j.cn501225-20220822-00354
Funds:

Nursing Fund Project of Affiliated Hospital of Guizhou Medical University GYHLB202219

More Information
  •   Objective   To summarize the best evidence on exercise for the prevention and treatment of diabetic foot.   Methods   A bibliometric approach was used. Systematic searches were carried out to retrieve all the publicly published evidences till July 2022 on exercise for the prevention and treatment of diabetic foot, including guidelines, evidence summary, recommended practices, expert consensus, systematic review, and original research, from foreign language databases including BMJ Best Practice, UpToDate, Joanna Briggs Institute Evidence-Based Practice Database, Cochrane Library, Embase, PubMed, Guideline International Network, National Guideline Clearinghouse, Chinese databases including China National Knowledge Infrastructure, Wanfang Database, VIP Database, China Biology Medicine disc, China Clinical Guidelines Library, and the official websites of relevant academic organizations including National Institute for Health and Care Excellence of the United Kingdom, Registered Nurses' Association of Ontario of Canada, the International Working Group on the Diabetic Foot, International Diabetes Federation, American College of Sports Medicine, American Diabetes Association, and Chinese Diabetes Society. The literature was screened and evaluated for the quality, from which the evidences were extracted and evaluated to summarize the best evidences.   Results   Nine guidelines, three expert consensuses, one evidence summary (with two systematic reviews being traced), two systematic reviews, 6 randomized controlled trials were retrieved and included, with good quality of literature. Totally 33 pieces of best evidences on exercise for the prevention and treatment of diabetic foot were summarized from the aspects of appropriate exercise prevention of diabetic foot, exercise therapy of diabetic foot, precautions for exercise, health education, and establishment of a multidisciplinary limb salvage team.   Conclusions   Totally 33 pieces of best evidences on exercise for the prevention and treatment of diabetic foot were summarized from 5 aspects, providing decision-making basis for clinical guidance on exercise practice for patients with diabetic foot.

     

  • loading
  • [1]
    XieT,YeJ,RerkasemK,et al.The venous ulcer continues to be a clinical challenge: an update[J/OL].Burns Trauma,2018,6:18[2022-08-22].https://pubmed.ncbi.nlm.nih.gov/29942813/.DOI: 10.1186/s41038-018-0119-y.
    [2]
    IbrahimA.IDF clinical practice recommendation on the diabetic foot: a guide for healthcare professionals[J].Diabetes Res Clin Pract,2017,127:285-287.DOI: 10.1016/j.diabres.2017.04.013.
    [3]
    CrewsRT,SchneiderKL,YallaSV,et al.Physiological and psychological challenges of increasing physical activity and exercise in patients at risk of diabetic foot ulcers: a critical review[J].Diabetes Metab Res Rev,2016,32(8):791-804.DOI: 10.1002/dmrr.2817.
    [4]
    胡雁.循证护理学[M].北京:人民卫生出版社,2012.
    [5]
    卢福长,沈鸣雁,沈涛,等.成人重度烧伤术后低体温复温的证据总结[J].中华烧伤杂志,2020,36(7):582-586.DOI: 10.3760/cma.j.cn501120-20190402-00158.
    [6]
    中华医学会糖尿病学分会.中国糖尿病运动治疗指南[M].北京:中华医学电子音像出版社,2012.
    [7]
    中国糖尿病足细胞与介入治疗技术联盟,中国介入医师分会介入医学与生物工程技术委员会,国家放射与治疗临床医学研究中心.糖尿病足介入综合诊治临床指南(第六版)[J].介入放射学杂志,2020,29(9):853-866. DOI: 10.3969/j.issn.1008-794X.2020.09.001.
    [8]
    中国医师协会中西医结合医师分会内分泌与代谢病学专业委员会.糖尿病足病中医病证结合诊疗指南[J].中医杂志,2021,62(12):1099-1104.DOI: 10.13288/j.11-2166/r.2021.12.017.
    [9]
    中华医学会糖尿病学分会.中国2型糖尿病防治指南(2020年版)[J].中华糖尿病杂志,2021,13(4):315-409. DOI: 10.3760/cma.j.cn115791-20210221-00095.
    [10]
    中国医疗保健国际交流促进会糖尿病足病分会,国际血管联盟中国分部糖尿病足病专家委员会.中国糖尿病足诊治指南[J].中国临床医生杂志,2020,48(1):19-27.DOI: 10.3969/j.issn.2095-8552.2020.01.007.
    [11]
    中华医学会糖尿病学分会,中华医学会感染病学分会,中华医学会组织修复与再生分会.中国糖尿病足防治指南(2019版)(Ⅱ)[J].中华糖尿病杂志,2019,11(3):161-189.DOI: 10.3760/cma.j.issn.1674-5809.2019.03.005.
    [12]
    Registered Nurses' Association of Ontario Assessment and management of foot ulcers for people with diabetes best practice guideline: a focus on total contact casting 2021-03-25 2023-06-10 https://rnao.ca/video/assessment-and-management-of-foot-ulcers-for-people-with-diabetes-best-practice-guideline-a

    Registered Nurses' Association of Ontario. Assessment and management of foot ulcers for people with diabetes best practice guideline: a focus on total contact casting [EB/OL].(2021-03-25)[2023-06-10]. https://rnao.ca/video/assessment-and-management-of-foot-ulcers-for-people-with-diabetes-best-practice-guideline-a.

    [13]
    SchaperNC,van NettenJJ,ApelqvistJ,et al.Practical guidelines on the prevention and management of diabetic foot disease (IWGDF 2019 update)[J].Diabetes Metab Res Rev,2020,36Suppl 1:Se3266.DOI: 10.1002/dmrr.3266.
    [14]
    KanaleyJA,ColbergSR,CorcoranMH,et al.Exercise/physical activity in individuals with type 2 diabetes: a consensus statement from the American College of Sports Medicine[J].Med Sci Sports Exerc,2022,54(2):353-368.DOI: 10.1249/MSS.0000000000002800.
    [15]
    中国中西医结合学会周围血管病专业委员会.中西医结合防治糖尿病足中国专家共识(第1版)[J].血管与腔内血管外科杂志,2019,5(5):379-402.DOI: 10.19418/j.cnki.issn2096-0646.2019.05.002.
    [16]
    中国微循环学会糖尿病与微循环专业委员会,中国研究型医院学会创面防治与损伤组织修复专业委员会.糖尿病足基层筛查与防治专家共识[J].中国糖尿病杂志,2019,27(6):401-407. DOI: 10.3969/j.issn.1006?6187.2019.06.001.
    [17]
    《多学科合作下糖尿病足防治专家共识(2020版)》编写组.多学科合作下糖尿病足防治专家共识(2020版)全版[J].中华烧伤杂志,2020,36(8):E01-E52.DOI: 10.3760/cma.j.cn501120-20200217-01000.
    [18]
    耿怡丹,田建丽,胡佳琪,等.糖尿病足患者运动干预的最佳证据总结[J].中华护理教育,2022,19(7):640-645. DOI: 10.3761/j.issn.1672-9234.2022.07.012.
    [19]
    ThakurA,SharmaR,SharmaSK,et al.Effect of Buerger Allen exercise on foot perfusion among patient with diabetes mellitus: a systematic review & meta-analysis[J].Diabetes Metab Syndr,2022,16(2):102393.DOI: 10.1016/j.dsx.2022.102393.
    [20]
    TranMM,HaleyMN.Does exercise improve healing of diabetic foot ulcers? A systematic review[J].J Foot Ankle Res,2021,14(1):19.DOI: 10.1186/s13047-021-00456-w.
    [21]
    McCarthyM,YatesT,WebbD,et al.Health impacts of seated arm ergometry training in patients with a diabetic foot ulcer: protocol for a randomised controlled trial[J].BMJ Open,2020,10(6):e039062.DOI: 10.1136/bmjopen-2020-039062.
    [22]
    PerrinBM,SouthonJ,McCaigJ,et al.The effect of structured exercise compared with education on neuropathic signs and symptoms in people at risk of neuropathic diabetic foot ulcers: a randomized clinical trial[J].Medicina (Kaunas),2021,58(1):59.DOI: 10.3390/medicina58010059.
    [23]
    SuryaniM,SamektoW,Heri-Nugroho,et al.Effect of foot-ankle flexibility and resistance exercise in the secondary prevention of plantar foot diabetic ulcer[J].J Diabetes Complications,2021,35(9):107968.DOI: 10.1016/j.jdiacomp.2021.107968.
    [24]
    ZhaoY,CaiK,WangQ,et al.Effect of tap dance on plantar pressure, postural stability and lower body function in older patients at risk of diabetic foot: a randomized controlled trial[J].BMJ Open Diabetes Res Care,2021,9(1):e001909.DOI: 10.1136/bmjdrc-2020-001909.
    [25]
    WinMMTM,FukaiK,NyuntHH,et al.Hand and foot exercises for diabetic peripheral neuropathy: a randomized controlled trial[J].Nurs Health Sci,2020,22(2):416-426.DOI: 10.1111/nhs.12676.
    [26]
    SilvaEQ,SudaEY,SantosDP,et al.Effect of an educational booklet for prevention and treatment of foot musculoskeletal dysfunctions in people with diabetic neuropathy: the FOotCAre (FOCA) trial II, a study protocol of a randomized controlled trial[J].Trials,2020,21(1):180.DOI: 10.1186/s13063-020-4115-8.
    [27]
    MatosM,MendesR,SilvaAB,et al.Physical activity and exercise on diabetic foot related outcomes: a systematic review[J].Diabetes Res Clin Pract,2018,139:81-90.DOI: 10.1016/j.diabres.2018.02.020.
    [28]
    LiaoF,AnR,PuF,et al.Effect of exercise on risk factors of diabetic foot ulcers: a systematic review and meta-analysis[J].Am J Phys Med Rehabil,2019,98(2):103-116.DOI: 10.1097/PHM.0000000000001002.
    [29]
    吴然,白姣姣,赵楠,等.纠正可改变的足溃疡的危险因素是预防糖尿病足的关键[J].中华糖尿病杂志,2021,13(5):454-456.DOI: 10.3760/cma.j.cn115791-20200807-00488.
    [30]
    WuX,HeW,MuX,et al.Macrophage polarization in diabetic wound healing[J/OL].Burns Trauma,2022,10:tkac051[2022-08-22].https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9797953/.DOI: 10.1093/burnst/tkac051.
    [31]
    王宗华,范姜珊,米元元,等.严重烧伤患者脉搏轮廓心输出量监测的最佳证据总结[J].中华烧伤与创面修复杂志,2023,39(6):573-580.DOI: 10.3760/cma.j.cn501225-20220825-00363.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(5)

    Article Metrics

    Article views (361) PDF downloads(58) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return