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Comparison of Exercise Intensity of Strengthening Exercise Program for Stroke Patients with Type II Diabetes Mellitus

근력강화 운동프로그램의 운동 강도 적용방법에 따른 제2형 당뇨를 동반한 뇌졸중 환자의 보행 및 균형 능력, 혈당에 미치는 영향 비교

  • Kim, Dong-Gyu (Department of Physical Therapy, Graduate School of Health and Medicine, Daejeon University) ;
  • Choi, Yu-Ran (Department of Physical Therapy, Graduate School, Daejeon University) ;
  • Cha, Yong-Jun (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • 김동규 (대전대학교 보건의료대학원 물리치료학과) ;
  • 최유란 (대전대학교 대학원 물리치료학과) ;
  • 차용준 (대전대학교 보건의료과학대학 물리치료학과)
  • Received : 2018.10.09
  • Accepted : 2018.11.06
  • Published : 2018.11.30

Abstract

PURPOSE: Strengthening training is effective at improving the function of stroke patients. This study was conducted to compare the effects of exercise intensity on walking, balancing ability, and blood glucose in stroke patients with type 2 diabetes mellitus and to suggest more effective exercise intensity for stroke patients. METHODS: Twenty-two patients with type 2 diabetes mellitus were divided into an experimental group (n=11) and a control group (n=11). In the experimental group, a 40-70% strength of 1RM exercise program was applied for 40 minutes a day, three times a week for 4 weeks. The control group received a 50% intensity of 1RM for the same number and duration of interventions as the experimental group. RESULTS: Both the experimental group and the control group showed significant improvement in the gait function, balance ability, and blood glucose level after the intervention compared to before the intervention. In the FGA (functional gait assessment), the experimental group showed a 52.4% greater increase than the control group, and the fasting blood glucose level was 16.7% greater in the experimental group than the control group. CONCLUSION: The strengthening exercise program, which gradually increases exercise intensity, seems to be effective at improving the function of stroke patients with type 2 diabetes.

Keywords

References

  1. An KH. The effects of exercise type on body composition, cardiovascular fitness, physical performance and biochemical variables in type 2 diabetic patients. Korean J Phys Edu. 2005;44(5):451-62.
  2. Baechle TR, Earle RW. Essentials of strength training and conditioning. Champaign IL. 2000.
  3. Brzycki M. Strength testing predicting a one-rep max from reps to fatigue. J Phys Edu Rec Dance. 1993;64(1): 88-90. https://doi.org/10.1080/07303084.1993.10606684
  4. Choi PB. Effect of long-term regular exercise and drug therapy on diabetes indicators, lipid profiles, and bone mineral density in patients with type II diabetes mellitus. Korean J Phys Edu. 2011;50(3):513-22.
  5. Colberg SR, Parson HK, Nunnold T, et al. Effect of an 8-week resistance training program on cutaneous perfusion in type 2 diabetes. Microvasc Res. 2006;71(2):121-7. https://doi.org/10.1016/j.mvr.2005.11.005
  6. Ghigiarelli JJ, Nagle EF, Gross FL, et al. The effects of a 7-week heavy elastic band and weight chain program on upper-body strength and upper-body power in a sample of division 1-AA football players. J Strength Cond Res. 2009;23(3):756-64. https://doi.org/10.1519/JSC.0b013e3181a2b8a2
  7. Hawley JA, Gibala MJ. Exercise intensity and insulin sensitivity: how low can you go? Diabetologia. 2009;52(9): 1709-13. https://doi.org/10.1007/s00125-009-1425-5
  8. Jung SR, Kim WS. Exercise intervention on blood glucose control of type 2 diabetes with obestity: a systemic review. J Korean Soc Phys Med. 2018;13(1):11-26.
  9. Kang J, Kelly DE, Robertson RJ, et al. Substrate utilization and glucose turnover during exercise of varing intensities in individuals with NIDDM. Med Sci Sports Exerc. 1999;31(1):82-9. https://doi.org/10.1097/00005768-199901000-00014
  10. Kang TW, Kim BR. The effect of backward walking exercise using a mirror on balance and gait in patients with stroke. J Korean Soc Phys Med. 2018;13(2):53-60. https://doi.org/10.13066/kspm.2018.13.2.53
  11. Kim YB. The Study on cognitive function, balance ability and quality of life according to diabetic control factor after stroke. Master's degree. Nambu University. 2017.
  12. Kirkness CS, Marcus RL, LaStayo PC, et al. Diabetesand associated risk factors in patients referred for physical therapy in a national primary care electronic medical record database. Phys Ther. 2008;88(11):1408-16. https://doi.org/10.2522/ptj.20080129
  13. Lee AY. The effects of exercise program on blood glucose and medication in non-insulin-dependent diabetics. Master's Degree. Yonsei University. 2000.
  14. Lee SH, Park DH. Blood Glucose Response to Various Exercise Intensities in Children and Adolescence with Type 1 Diabetes. Exer Sci. 2014;23(2):139-47. https://doi.org/10.15857/ksep.2014.23.2.139
  15. Lee YR, Kang ME, Moon JS, et al. The effects of walking exercise on blood glucose level and motivation of exercise in the diabetes mellitus patient. J Korean Pub Health Nurs. 2001;15(1):172-81.
  16. Marcus RL, Smith S, Morrell G, et al. Comparison of combined aerobic and high-force eccentric resistance exercise with aerobic exercise only for people with type 2 diabetes mellitus. Phys Ther. 2008;88(11):1345-54. https://doi.org/10.2522/ptj.20080124
  17. Nathan DM, Buse JB, Davidson MB, et al. Medical management of hyperglycemia in type 2 diabetes: a consensus algorithm for the initiation and adjustment of therapy: a consensus statement of the American diabetes association and the European association for the study of diabetes. Diabetes Care. 2009;32(1):193-203. https://doi.org/10.2337/dc08-9025
  18. Podsiadlo D, Richardson S. The timed Up & Go: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  19. Pulungan AB, Afifa IT, Annisa D. Type 2 diabetes mellitus in children and adolescent: an Indonesian perspective. Ann Pediatr Endocrinol Metab. 2018;23(3):119-25. https://doi.org/10.6065/apem.2018.23.3.119
  20. Ruderman, Neil, Devlin, et al. Handbook of exercise in diabetes. American Diabetes Association. 2002.
  21. Shorr RI, Franse LV, Resnick HE, et al. Glycemic control of older adults with type 2 diabetes: findings from the third national health and nutrition examination survey, 1988-1994. J Am Geriatr Soc. 2000;48(3): 264-7. https://doi.org/10.1111/j.1532-5415.2000.tb02644.x
  22. Son AH, Koh JY, Lee DK, et al. Review of Domestic Experimental Studies of Korean Medicine Treatment for Diabetes Mellitus Since 2013. J Korean Orient Inter Med. 2017;38(1):10-9. https://doi.org/10.22246/jikm.2017.38.1.10
  23. Son WS. The effect on blood glucose levels according to aerobic exercise intensity in Non-Insulin dependent diabetes melitus patients. Master's Degree. Kongju University. 2004.
  24. Van Loo MA, Moseley AM, Bosman JM, et al. Test-re-test reliability of walking speed, step length and step width measurement after traumatic brain injury: a pilot study. Brain Inj. 2004;18(10):1041-8. https://doi.org/10.1080/02699050410001672314
  25. Walker ML, Austin AG, Banke GM, et al. Reference group data for the functional gait assessment. Phys Ther. 2007;87(11):1468-77. https://doi.org/10.2522/ptj.20060344
  26. Wrisley DM, Marchetti GF, Kuharsky DK, et al. Reliability, internal consistency, and validity of data obtained with the fuctional gait assessment. Phys Ther. 2004;84(10):906-18.
  27. Yoon BG. The comparison of different exercise intensities on fat oxidation rate in type II diabetes female patients. Korean Journal of Wellness. 2013;8(1):169-77.

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