People with type 2 diabetes improved muscular strength
Type 2 diabetes is associated with numerous health complications, including decreased muscle strength and exercise capacity. Studies show that a decrease in muscle strength increases the risk of loss of physical function and decreased exercise capacity increases the risk of cardiovascular disease and all-cause mortality. “Improving muscle strength and exercise capacity in people with type 2 diabetes is crucial to prevent loss of physical function and decreased morbidity and mortality in these patients,” said researcher David J. Taylor, PT, PhD, CSCS, assistant professor in the Department of Physical Therapy at the University of Central Arkansas.
Supervised exercise programs improve both muscle strength and exercise capacity in people with type 2 diabetes, however, Medicare and other health insurance programs do not currently reimburse physical therapists and other clinicians for these exercise programs.
In this study, 24 people with type 2 diabetes were randomly assigned to experimental or one that received two months of physiotherapist-led exercise counseling and fitness center based on training exercises or a comparison group that received two months of laboratory based in the monitoring exercise. Exercise training for all participants consisted of endurance training (bench press, row and leg press exercises) and aerobic training (walking or running on a treadmill) as recommended for people with type 2 diabetes American Diabetes Association and American College of Sports Medicine. Participants in the experimental group received a face to face at the beginning of the counseling session and one month after onset, 10-minute weekly phone calls, and seven days a week at a local gym. Each participant in the comparison group received the same prescribed exercise program, as the experimental group, but in a supervised setting.
Although both groups had significant improvements in muscle strength and exercise capacity after training, the results showed no significant difference in improvement between these two groups. “The fact that there was no significant difference in improvement between patients receiving therapy and exercise in a supervised program that suggests that physical therapists can make a choice based on the evidence of combined exercise prescription and advice is with fitness center-based or supervised exercise training for patients with type 2 diabetes, “said Taylor.
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