| The use and safety of combined resistance and aerobic training in a patient with complications related to type 2 diabetes: a case report. | |
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MedLine Citation:
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PMID: 22376163 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Purpose: No guidelines for tailoring exercise programs for patients with diabetic complications are available. The purpose of this case report is to report our experiences with a tailored exercise program including safety precautions for a patient with complications related to type 2 diabetes and exercise related regulation issues. Case Description: A patient with multiple diabetic complications, poor glycemic control, and a history of foot ulceration participated in a 12-week exercise program with multiple safety precautions. Outcomes: Hypoglycemic events required adjustments in training intensity and insulin dosage. Periodic foot screening revealed no ulceration. Target training intensity was achieved at the end of the program, although exercise load could not be increased according to the planned protocol. Training effects were observed in muscle strength increased, perceived limitations in daily functioning diminished and no change in sub maximal exercise capacity. Conclusion: This patient with severe diabetic complications participated safely and successfully in an exercise program. Problems with glycemic control occurred but did not preclude adherence to incremental exercise. We recommend a medical screening, the availability of a network of specialists, and a physical therapist with sufficient knowledge of diabetic complications and exercise physiology to guide training in this patient population. [Box: see text]. |
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Authors:
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Nicoline M Otterman; Marike van der Schaaf; Tessa E Busch-Westbroek; Carine H M van Schie; Frans Nollet |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-2-29 |
Journal Detail:
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Title: Disability and rehabilitation Volume: - ISSN: 1464-5165 ISO Abbreviation: - Publication Date: 2012 Feb |
Date Detail:
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Created Date: 2012-3-1 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9207179 Medline TA: Disabil Rehabil Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Department of Rehabilitation, Academic Medical Center Amsterdam, University of Amsterdam , Amsterdam , The Netherlands. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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