Hand functions in response to a designed occupational therapy program in juvenile diabetes mellitus

Fatma M. Abd El Aziz, Nanees E. Mohamed, Ola A. Taha, Gehan H. El-Meniawy

Fatma M. Abd El Aziz, Nanees E. Mohamed, Ola A. Taha, Gehan H. El-Meniawy – Hand functions in response to a designed occupational therapy program in juvenile diabetes mellitus –  Fizjoterapia Polska 2025; 25(1); 306-312

DOI: https://doi.org/10.56984/8ZG007D6TB3

Abstract
Purpose. This study was conducted to verify the influence of an occupational therapy program on hand grip, pinch grip, and manual dexterity in children with type 1 diabetes.
Methods. Sixty children diagnosed with type 1 diabetes, including 31 girls and 29 boys aged 6 to 8 years, participated in the study. They were randomly divided into two equal groups. Group A received a traditional physiotherapy program, while group B received the same traditional physiotherapy program combined with a designed occupational therapy program. All participants underwent laboratory investigation of standardized hemoglobin A1c (HbA1c) levels. Hand grip was measured using a JAMAR hand-held dynamometer. Manual dexterity and pinch strength (tip, tripod, and key strength) were evaluated using the Bruininks-Oseretsky Test of Motor Proficiency, second edition, and the Baseline Mechanical Pinch Gauge, respectively, before and after the treatment over a 3-month period with three weekly sessions.
Results. After the treatment, the study group exhibited significant improvements in manual dexterity as well as hand and pinch grip strength compared to their baseline levels (p < 0.01). Additionally, post-treatment comparisons between the study and control groups showed significant enhancements in manual dexterity, hand grip, and pinch grip strength in the study group (p < 0.001). Both groups also demonstrated significant reductions in HbA1c levels post-treatment compared to their pre-treatment measurements (p < 0.001).
Conclusions. A designed occupational therapy program can enhance hand functions in children with type 1 diabetes.
Key words
diabetes, hand functions, manual dexterity, occupational therapy, rehabilitation, pinch grip
Pobierz/Download/下載/Cкачиваете Pobierz bezpłatnie artykuł w j. angielskim

Effects of yoga interventions on cardiac autonomic function in patients with diabetes: a randomized controlled study

Mariappan Mahalingam, Nitin Sehgal Shweta Chugh, Yashpal, Tushar Kakasaheb Savale, Rajshree Yadav, Beulah Sebastian, Yuni Astuti

Ari Septiyanto, Suharjana, Agus Sumhendartin Suryobroto – Effects of yoga interventions on cardiac autonomic function in patients with diabetes: a randomized controlled study –  Fizjoterapia Polska 2025; 25(1); 138-143

DOI: https://doi.org/10.56984/8ZG007DE1RR

Abstract
Background. Diabetes mellitus is a chronic condition often accompanied by autonomic neuropathy and reduced heart rate variability (HRV), which is associated with increased cardiovascular risk. Yoga has shown promise as a non-pharmacological intervention to improve autonomic function in various populations.
Objectives. The primary objective of this randomized controlled trial was to evaluate the effects of a 12-week yoga intervention on cardiac autonomic function, as measured by HRV parameters, in patients with type 2 diabetes.
Methods. Ninety adults with type 2 diabetes were randomly assigned to either a yoga intervention group (n = 45) or a control group (n = 45). The yoga group participated in a 60-minute yoga session three times per week for 12 weeks, while the control group maintained their usual care. Short-term HRV was assessed at baseline and post-intervention using time-domain (SDNN, RMSSD, pNN50) and frequency-domain (LF, HF, LF/HF ratio) parameters. Additional cardiometabolic risk factors were also evaluated.
Results. The yoga group demonstrated significant improvements in time-domain HRV parameters, including mean RR, mean HR, SDNN, RMSSD, and pNN50 (p < 0.05). In the frequency domain, the yoga group showed a significant increase in HF power (p = 0.03) and reductions in LF power (p = 0.02) and LF/HF ratio (p = 0.04), suggesting enhanced parasympathetic activity and better autonomic balance. The control group showed a decline in SDNN and pNN50 over the study period.
Conclusions. A 12-week yoga program significantly improved cardiac autonomic function in individuals with type 2 diabetes, as demonstrated by positive shifts in both time-domain and frequency-domain HRV measures. These results indicate that yoga could serve as a helpful complementary approach to standard diabetes treatment, potentially lowering the risk of cardiovascular issues by enhancing autonomic regulation.
Keywords
diabetes, yoga, breathing, autonomic function, HRV
Pobierz/Download/下載/Cкачиваете Pobierz bezpłatnie artykuł w j. angielskim

Effectiveness of aerobic exercise intervention and butterfly pea flower tea on reducing blood glucose levels in type II diabetes mellitus patients

Sri Gusti Handayani, Anton Komaini, Ati Dhea Putri, Siska Alicia Farma, Elsa Yuniarti, Deby Tri Mario, Mohammed Aljunaid, Cyuzuzo Callixte, Novadri Ayubi

 

Sri Gusti Handayani et al – Effectiveness of aerobic exercise intervention and butterfly pea flower tea on reducing blood glucose levels in type II diabetes mellitus patients –  Fizjoterapia Polska 2024; 24(3); 95-99

DOI: https://doi.org/10.56984/8ZG020ACRM

Abstract:
The aim of this research is to analyze the effectiveness of the combination of aerobic exercise and butterfly pea flower tea as a therapy for type 2 diabetes mellitus. This research uses experimental research methods with pre and post design. This research uses only one group as a sign of the existence of a comparison group. A total of 36 adult women suffering from Type II Diabetes Mellitus participated in this study. The inclusion criteria in this study were women suffering from type II diabetes mellitus. The exclusion criteria in this study were elderly women. The initial procedure in this research is preparing research administration. Next, screen respondents who are research subjects based on inclusion and exclusion criteria and fill out Informed Consent. Subjects took pre‑test data to measure blood glucose levels. Next, the intervention was carried out within 4 weeks and aerobic exercise treatment was carried out 8 times (2x/week) and butterfly pea flower tea intervention for Type II Diabetes Mellitus sufferers. Telang flower tea is packaged in the form of tea bags which already have BPOM. Subjects collected post‑test data to measure blood glucose levels. Blood glucose levels are measured using a Point Of Care Testing (POCT) device. The first statistical analysis in this research is a descriptive test to obtain the mean, standard deviation and standard error. Next, the normality test was carried out using the Shapiro‑Wilk method, if the data was normally distributed, a difference test was carried out using the paired t test, but if the data was not normally distributed then a difference test was carried out using the Wilcoxon signed rank test. The results of this study report that providing aerobic exercise and butterfly pea flower tea intervention for 4 weeks was able to significantly reduce blood glucose levels in DM sufferers. In this case, aerobic exercise and butterfly pea flower tea are categorized as effective in reducing blood glucose levels in people with type II diabetes mellitus. We hope that future research will examine the effects of exercise with varying intensity and giving butterfly pea flower tea.

Keywords:
butterfly pea flower tea, aerobics, diabetes, mellitus

Pobierz/Download/下載/Cкачиваете Download the article for free in English

Effect of exercise versus diet on visceral adiposity indicators in obese postmenopausal diabetic women: A comparative study

Doaa A. Osman, Abdullah M. Al-Shenqiti, Hamada Ahmed Hamada, Mohamed Ibrahim Mabrouk


Doaa A. Osman, Abdullah M. Al-Shenqiti, Hamada Ahmed Hamada, Mohamed Ibrahim Mabrouk – Effect of exercise versus diet on visceral adiposity indicators in obese postmenopausal diabetic women: A comparative study. Fizjoterapia Polska 2022; 22(2); 42-48

Abstract
Objective. To evaluate the effect of aerobic exercise versus dietary modification on visceral adiposity indicators in obese postmenopausal diabetic women. Design. A prospective, randomized, controlled comparative study.
Methods. Thirty-six obese postmenopausal women, suffering from type 2 diabetes (T2D), participated in this study. They were randomized into two equal groups. The exercise group received aerobic exercise program for 8 weeks (n = 18), whereas the diet group received dietary modification for 8 weeks (n = 18). The anthropometric parameters, fasting blood glucose (FBG), triglyceride (TG), high density lipoprotein (HDL) and visceral adiposity indicators were evaluated for all women in the two groups before and following 8 weeks of treatment.
Results. All outcome measures showed statistically significant improvements within both groups (p < 0.05), with statistically non-significant differences between both groups after treatment (p > 0.05).
Conclusion. Aerobic exercise and dietary modification have similar positive effects on visceral adiposity indicators in obese postmenopausal diabetic women.
Key words:
aerobic exercise, dietary modification, visceral adiposity indicators, postmenopausal women, diabetes, obesity
Pobierz/Download/下載/Cкачиваете Download for free (only English version)

Safe physical effort for diabetic patients

Paulina Głowacka, Marcela Przyłudzka

Paulina Głowacka, Marcela Przyłudzka – Safe physical effort for diabetic patients. Fizjoterapia Polska 2018; 18(3); 86-93

 

Abstract
Systematic undertaking of regular, competitive physical exercise is an important component of the treatment of diabetes. Good metabolic control of diabetes is a key element in the effectiveness of physical training and sports success. A person who is active in sports with type 1 diabetes requires very precise insulin dosing as well as extensive knowledge and the ability to interpret metabolic phenomena occurring in the body during physical training. Errors in insulin therapy increase the risk of acute complications of diabetes, hypoglycaemia, ketoacidosis and negatively affect sports performance.

Key words:
diabetes, professional sport, insulin – dosage, carbohydrate metabolism

Pobierz/Download/下載/Cкачиваете Pobierz artykuł w j. angielskim/Available only English version/下載英文版

Is insulin the only viable option? The role of physical therapy in type 1 and 2 diabetes

Rita Hansdorfer-Korzon, Jacek Teodorczyk, Michał Korzon,
Maja Nowacka-Kłos, Agnieszka Drozd, Karolina Studzińska

R. Hansdorfer-Korzon, J. Teodorczyk, M. Korzon, M. Nowacka-Kłos, A. Drozd, K. Studzińska – Is insulin the only viable option? The role of physical therapy in type 1 and 2 diabetes. FP 2017; 17(1); 80-87

Abstract

Diabetes is a fast becoming one of the most challenging health concerns in the 21st century. Chronic hyperglycemia is the underlying cause of frequent complications such as micro- and macroangiopathy, neuropathy and diabetic foot syndrome. First-line therapy for diabetes includes blood glucose regulation, weight control, self-management, and physical activity. The aim of this article is to highlight the often forgotten fact, that physical therapy forms an integral part of any successful diabetes treatment program. Here, we discuss the recommended guidelines for the use of physical therapy in the treatment of diabetes and diabetes-associated impairments. We examine the benefits and risks associated with this therapy and also evaluate applied kinesiology as potential new treatment.

Key words:
diabetes, physical exertion, exercise, benefits in therapy

Pobierz/Download/下載/Cкачиваете Download for free (only English version)