V. A. Vasileva, L. Marchenkova, D. Otvetchikova, E. A. Rozhkova, A. D. Fesyun
{"title":"糖尿病患者下肢受伤后的医疗康复:综述","authors":"V. A. Vasileva, L. Marchenkova, D. Otvetchikova, E. A. Rozhkova, A. D. Fesyun","doi":"10.38025/2078-1962-2024-23-3-61-68","DOIUrl":null,"url":null,"abstract":"INTRODUCTION. Diabetes mellitus (DM) in patients with lower extremity injuries is a global health problem. The combination of these pathologies in one patient requires rehabilitation measures to restore maximum functional activity and maintain the patients’ initial quality of life. Diabetes as an independent pathology has a negative impact on the patient’s health and also aggravates the recovery period after traumatic bone injury, increasing the risk of adverse outcomes in the early and late postoperative periods. \nAIM. To analyze the scientific data of the last ten years on the use of medical rehabilitation methods in patients with lower extremity injuries and diabetes mellitus. \nMAIN CONTENT. The search was conducted in Web of Science, PubMed, and Scopus according to PRISMA guidelines and initially identified 181 records. Of these, 45 articles were included in the study with publication periods 2013–2023. Key words used: lower limb injuries, diabetes mellitus, rehabilitation, mechanotherapy, physical therapy, physiotherapy. The literature review analyzes publications on the basis of which a description is made that in case of injuries of the lower extremities in patients with diabetes, the participation of specialists from a multidisciplinary team is necessary to draw up an optimal rehabilitation program aimed at preventing the occurrence of complications and their progression, achieving a speedy and complete recovery of lost functions. A personalized approach, individually selected therapy methods and the use of modern technologies will help achieve the best results in the recovery of patients with diabetes and lower extremity injuries. \nCONCLUSION. The review formulated a conclusion about the main objectives of rehabilitation: which include: control of glucose levels and metabolic disorders; examination and care of damaged tissues in order to prevent the development of ulcers and infection of injured skin; gradual increase in physical activity; goals should take into account the individual characteristics of the patient; the use of physiotherapy methods to improve microcirculation and activate tissue regeneration (transcutaneous electrical nerve stimulation (TENS), electrophoresis, magnetic fields, ultratonotherapy, cryotherapy, laser therapy, darsonvalization, pulsed electric fields, ultrasound therapy, ozokerite therapy and peloid therapy); the use of mechanotherapy with biofeedback and robotic systems to increase overall endurance, strength, improve balance function and form the correct walking stereotype (rehabilitation track with visual feedback about walking C-Mill).","PeriodicalId":397121,"journal":{"name":"Bulletin of Rehabilitation Medicine","volume":"163 2","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Medical rehabilitation after lower limb injuries in patients with diabetes mellitus: a review\",\"authors\":\"V. A. Vasileva, L. Marchenkova, D. Otvetchikova, E. A. Rozhkova, A. D. Fesyun\",\"doi\":\"10.38025/2078-1962-2024-23-3-61-68\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"INTRODUCTION. Diabetes mellitus (DM) in patients with lower extremity injuries is a global health problem. The combination of these pathologies in one patient requires rehabilitation measures to restore maximum functional activity and maintain the patients’ initial quality of life. Diabetes as an independent pathology has a negative impact on the patient’s health and also aggravates the recovery period after traumatic bone injury, increasing the risk of adverse outcomes in the early and late postoperative periods. \\nAIM. To analyze the scientific data of the last ten years on the use of medical rehabilitation methods in patients with lower extremity injuries and diabetes mellitus. \\nMAIN CONTENT. The search was conducted in Web of Science, PubMed, and Scopus according to PRISMA guidelines and initially identified 181 records. Of these, 45 articles were included in the study with publication periods 2013–2023. Key words used: lower limb injuries, diabetes mellitus, rehabilitation, mechanotherapy, physical therapy, physiotherapy. The literature review analyzes publications on the basis of which a description is made that in case of injuries of the lower extremities in patients with diabetes, the participation of specialists from a multidisciplinary team is necessary to draw up an optimal rehabilitation program aimed at preventing the occurrence of complications and their progression, achieving a speedy and complete recovery of lost functions. A personalized approach, individually selected therapy methods and the use of modern technologies will help achieve the best results in the recovery of patients with diabetes and lower extremity injuries. \\nCONCLUSION. 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引用次数: 0
摘要
简介。下肢受伤患者的糖尿病(DM)是一个全球性的健康问题。这些病症同时出现在一名患者身上,需要采取康复措施,以最大限度地恢复患者的功能活动,并维持患者最初的生活质量。糖尿病作为一种独立的病症会对患者的健康产生负面影响,还会加重创伤性骨伤后的恢复期,增加术后早期和晚期出现不良后果的风险。目的分析近十年来在下肢损伤合并糖尿病患者中使用医疗康复方法的科学数据。主要内容。根据 PRISMA 指南在 Web of Science、PubMed 和 Scopus 上进行了搜索,初步确定了 181 条记录。其中,45 篇文章被纳入研究,发表时间为 2013-2023 年。关键词:下肢损伤、糖尿病、康复、机械疗法、物理疗法、物理治疗。文献综述分析了相关出版物,并在此基础上说明,在糖尿病患者下肢受伤的情况下,需要多学科团队专家的参与,以制定最佳康复计划,旨在预防并发症的发生和发展,实现迅速、完全地恢复丧失的功能。个性化的方法、单独选择的治疗方法和现代技术的使用将有助于糖尿病合并下肢损伤患者的康复取得最佳效果。结论。综述总结了康复治疗的主要目标,其中包括控制血糖水平和代谢紊乱;检查和护理受损组织,以防止受伤皮肤出现溃疡和感染;逐步增加体力活动;目标应考虑到患者的个体特征;使用物理疗法改善微循环和激活组织再生(经皮神经电刺激疗法(TENS)、电泳疗法、磁场疗法、超音波疗法、冷冻疗法、激光疗法、Darsonvalization、脉冲电场、超声波疗法、奥沸石疗法和痔疮疗法);使用带有生物反馈的机械疗法和机器人系统,以增强整体耐力和力量,改善平衡功能,形成正确的行走模式(带有行走视觉反馈的康复轨道 C-Mill)。
Medical rehabilitation after lower limb injuries in patients with diabetes mellitus: a review
INTRODUCTION. Diabetes mellitus (DM) in patients with lower extremity injuries is a global health problem. The combination of these pathologies in one patient requires rehabilitation measures to restore maximum functional activity and maintain the patients’ initial quality of life. Diabetes as an independent pathology has a negative impact on the patient’s health and also aggravates the recovery period after traumatic bone injury, increasing the risk of adverse outcomes in the early and late postoperative periods.
AIM. To analyze the scientific data of the last ten years on the use of medical rehabilitation methods in patients with lower extremity injuries and diabetes mellitus.
MAIN CONTENT. The search was conducted in Web of Science, PubMed, and Scopus according to PRISMA guidelines and initially identified 181 records. Of these, 45 articles were included in the study with publication periods 2013–2023. Key words used: lower limb injuries, diabetes mellitus, rehabilitation, mechanotherapy, physical therapy, physiotherapy. The literature review analyzes publications on the basis of which a description is made that in case of injuries of the lower extremities in patients with diabetes, the participation of specialists from a multidisciplinary team is necessary to draw up an optimal rehabilitation program aimed at preventing the occurrence of complications and their progression, achieving a speedy and complete recovery of lost functions. A personalized approach, individually selected therapy methods and the use of modern technologies will help achieve the best results in the recovery of patients with diabetes and lower extremity injuries.
CONCLUSION. The review formulated a conclusion about the main objectives of rehabilitation: which include: control of glucose levels and metabolic disorders; examination and care of damaged tissues in order to prevent the development of ulcers and infection of injured skin; gradual increase in physical activity; goals should take into account the individual characteristics of the patient; the use of physiotherapy methods to improve microcirculation and activate tissue regeneration (transcutaneous electrical nerve stimulation (TENS), electrophoresis, magnetic fields, ultratonotherapy, cryotherapy, laser therapy, darsonvalization, pulsed electric fields, ultrasound therapy, ozokerite therapy and peloid therapy); the use of mechanotherapy with biofeedback and robotic systems to increase overall endurance, strength, improve balance function and form the correct walking stereotype (rehabilitation track with visual feedback about walking C-Mill).