Implementation of physiotherapeutic shares in the prevention of diabetes complications in a Family Health Strategy

Fisioterapia em Movimento

Ana Paula Coelho Figueira Freire¹  Mariana Romanholi Palma¹  João Carlos Aranha Lacombe¹  Rodolpho Mauricio Leonardo Martins¹  Renata Aparecida De Oliveira Lima¹  Francis Lopes Pacagnelli¹ 

关键词: Physical Therapy;    Diabetes Mellitus;    Family health;    Diabetic foot;    Diabetic neuropathies;    Fisioterapia;    Diabetes Mellitus;    Saúde da família;    Pé diabético;    Neuropatias diabéticas;   

DOI  :  10.1590/0103-5150.028.001.AO07

来源: SciELO

【 摘 要 】

Introduction In the Family Health Strategy (FHS), the treatment of Diabetes Mellitus (DM) includes education and lifestyle change strategies. Physiotherapists have a key role in this health setting. Objectives To implement actions of evaluation and guidelines for patients with type 2 DM who attend a Family Health Strategy (FHS), regarding diabetic foot and the practice of regular physical exercise in the control and prevention of the complications of Diabetes Mellitus. Methods 17 individuals from an FHS were evaluated, with the following procedures: clinical and anthropometric parameters, inspection, a questionnaire on diabetic neuropathy, tests of vibratory and tactile sensitivity, muscle function, range of motion, functional analysis, questions about exercise practice and guidance regarding controlling blood glucose and foot care. Results Deformities, dry skin, calluses, dehydration, ulceration, cracking and brittle nails were found. Peripheral neuropathy was not observed; tactile sensitivity was altered in the heel region and the vibratory sense was absent in 5% of individuals. A decrease in functionality of ankle movements was verified. Of the participants, 76% were sedentary, 24% knew about the benefits of practicing regular exercise, 25% had undergone a medical evaluation prior to performing physical exercise and, of these, 25% were supervised by a qualified professional. Discussion The implementation of physiotherapy actions in diabetics from an FHS was important for highlighting the presence of risk factors for diabetic complications. Conclusions Individuals attending the FHS need more information and programs for the prevention of diabetic complications.

【 授权许可】

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