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The purpose of the study was designed leg resistance training combined with breathing approach, and evaluated its effect on wound healing, blood sugar control and quality of life in type 2 diabetic patients with foot ulcers.
A randomized controlled trial was used. type 2 diabetic patients who suffered from foot ulcers were recruited from one medical center of Northern Taiwan, and randomly assigned into the exercise or control group. The control group received usual care for diabetic foot. The exercise group received usual care and breathing-based leg resistance exercise program for 12 weeks. Outcomes were measured by wound healing area, the fasting of blood glucose, hemoglobin A1c (HbA1c), and the World Health Organization quality of life-BREF (WHOQOL-BREF) before the intervention as baseline, and the 4th, 8th and 12th weeks during the intervention period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| The exercise group | Experimental | The exercise group received usual care and breathing-based leg resistance exercise program for 12 weeks. |
|
| The control groups | No Intervention | The control group received usual care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| leg resistance combined with breathing exercise training | Behavioral | The exercise group was provided breathing and leg resistance exercise manuals. The exercise involved 5 minutes of abdominal breathing in a relaxed sitting position, followed by 10 minutes of leg resistance training. |
| Measure | Description | Time Frame |
|---|---|---|
| wound healing | wound size(cm2) | during 12 weeks the intervention period. |
| blood sugar control-fasting blood sugar | fasting blood sugar(mg/dl ) using a blood glucose meter | during 12 weeks the intervention period. |
| quality of life measured by the World Health Organization Quality of Life-BREF | Quality of life was measured using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) in the Taiwan version | during 12 weeks the intervention period. |
| blood sugar control-HbA1c | The levels of hemoglobin A1c (%)(HbA1c) were monitored blood sugar in the long term | during 12 weeks the intervention period. |
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Inclusion Criteria:
Exclusion Criteria:
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|
| ID | Term |
|---|---|
| D017719 | Diabetic Foot |
| D006943 | Hyperglycemia |
| ID | Term |
|---|---|
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016523 | Foot Ulcer |
| D007871 | Leg Ulcer |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |
| D003929 | Diabetic Neuropathies |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
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