Evidence map›Paper›PMID 24807636›Full record

ReviewCurrent diabetes reviews2014

Diabetic foot and exercise therapy: step by step the role of rigid posture and biomechanics treatment.

Piergiorgio Francia, Massimo Gulisano, Roberto Anichini, Giuseppe Seghieri

2 registry-linked trialsOpen access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Current diabetes reviews, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04064996 nacompletednot on this mapstarted 2019, after this paper: background citation

Effectiveness of Foot Exercise Training on Patients With Type 2 Diabetes and Peripheral Neuropathy

TypeinterventionalSponsorIstanbul UniversityRan2019 to 2019Enrolled34ConditionsDiabetes Mellitus, Type 2, Peripheral NeuropathyArmsRoutine rehabilitation program patient education, Routine rehabilitation program + foot exercise training
NCT04624516 nacompletednot on this mapstarted 2019, after this paper: background citation

Effect of Self-structured Foot Exercise on the Incidence of Plantar Foot Diabetic Ulcer Recurrence Post Healing at Least One Month

TypeinterventionalSponsorMaria SuryaniRan2019 to 2020Enrolled50ConditionsDiabetic Foot Ulcer, Diabetic FootArmsself-structured foot exercise
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Musculoskeletal complications in patients with diabetes mellitus.The Korean journal of internal medicine · 2022
    Review
  9. Review
  10. The role of rehabilitation in the management of diabetic foot wounds.Turkish journal of physical medicine and rehabilitation · 2021
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Plantar Fasciitis in Diabetic Foot Patients: Risk Factors, Pathophysiology, Diagnosis, and Management.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Review
  17. Article
  18. Review
  19. Article
  20. Diabetic Neuropathy and Gait: A Review.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Piergiorgio Francia
Massimo Gulisano
Roberto Anichini
Giuseppe SeghieriDepartment of Experimental and Clinical Medicine, University of Florence, Largo Brambilla, 3 - 50134 Florence, Italy. piergiorgiofrancia@libero.it.
University of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lower extremity ulcers represent a serious and costly complication of diabetes mellitus. Many factors contribute to the development of diabetic foot. Peripheral neuropathy and peripheral vascular disease are the main causes of foot ulceration and contribute in turn to the growth of additional risk factors such as limited joint mobility, muscular alterations and foot deformities. Moreover, a deficit of balance, posture and biomechanics can be present, in particular in patients at high risk for ulceration. The result of this process may be the development of a vicious cycle which leads to abnormal distribution of the foot's plantar pressures in static and dynamic postural conditions. This review shows that some of these risk factors significantly improve after a few weeks of exercise therapy (ET) intervention. Accordingly it has been suggested that ET can be an important weapon in the prevention of foot ulcer. The aim of ET can relate to one or more alterations typically found in diabetic patients, although greater attention should be paid to the evaluation and possible correction of body balance, rigid posture and biomechanics. Some of the most important limitations of ET are difficult access to therapy, patient compliance and the transitoriness of the results if the training stops. Many proposals have been made to overcome such limitations. In particular, it is important that specialized centers offer the opportunity to participate in ET and during the treatment the team should work to change the patient's lifestyle by improving the execution of appropriate daily physical activity.

Indexed as

Exercise TherapyPostureAnkleBiomechanical PhenomenaDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic FootFootHumansMuscle, SkeletalProprioceptionRisk FactorsSensory ThresholdsVibration

Identifiers

PMID24807636
PMCPMC5750747
OpenAlexW2109196179

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.