None listed
Conditions
Brief summary
Diabetes related foot ulcers are a condition with significant financial and physical burden. New guidelines highlight a concerning lack of evidence related to the role of exercise in the management of this condition and that, given the well-known benefits of participation in exercise, it should be considered an important area of future research. However, there may be a number of physical and psychological barriers which prevent patients participating in physical activity and exercise, particularly when admitted to hospital. This project aims to explore and describe current barriers to activity and exercise in this patient group. We will also investigate the feasibility and safety of prescribing an exercise programme to patients who are admitted to hospital with diabetes related foot ulcers.
Interventions
The intervention in this study was one session of supervised aerobic and resistance exercise in the hospital inpatient setting during admission. Exercise was supervised by a Physiotherapist.
The exercise session was up to 40mins in duration, consisting of an aerobic exercise and resistance exercise component.
Aerobic exercise up to 20 mins dependent upon participant tolerance. Exercise was completed using upper limb ergometry, single or double leg cycling or treadmill walking dependent upon w
The intervention in this study was one session of supervised aerobic and resistance exercise in the hospital inpatient setting during admission. Exercise was supervised by a Physiotherapist. The exercise session was up to 40mins in duration, consisting of an aerobic exercise and resistance exercise component. Aerobic exercise up to 20 mins dependent upon participant tolerance. Exercise was completed using upper limb ergometry, single or double leg cycling or treadmill walking dependent upon which exercise was able to be compliant with weight bearing status. Resistance exercise up to 20 mins: total of 2-3 sets of 8-15 repetitions of each exercise. Exercises were selected from the following list dependent on the patient's weight bearing status and tolerance ; bicep curl, shoulder press, deltoid fly, seated or bent over row, leg press, sit to stands, squats, bridging, heel raise, side lying or standing hip abduction and seated knee extensions. Participants were instructed to work to a moderate intensity on the BORG Category-Ratio scale of perceived effort (CR-10) and exercise was prescribed to achieve this intensity. On hospital discharge, an individually prescribed home exercise programme was provided and consisted of a selection of pre-determined exercises similar to those utilised in the inpatient session. This exercise programme was 20 minutes in duration. Participants were asked to complete this daily until follow up review 2 weeks after discharge from hospital. This home exercise programme was completed without supervision. A log book was provided to monitor compliance.
Sponsors
Paul Gittings
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Treatment
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Over the age of 18 2. Had a diagnosis of diabetes mellitus 3. Currently admitted to hospital with a Diabetes related foot ulcer
Exclusion criteria
1. unable to consent due to language or cognitive impairment 2. acute myocardial infarction 3. unstable angina 4. severe heart failure (New York Heart Association Functional Classification IV) 5. cardiac arrhythmias causing haemodynamic compromise 6. musculoskeletal or neurological conditions precluding exercise 7. otherwise determined not to be in their best interest to participate
Outcome results
None listed