title: Self-care associated with home exercises in patients with type 2 diabetes mellitus.
abstract: The objective of this study was to verify self-care guidelines together with lower limb home exercises alter ankle and foot plantar pressure and alignment in patient with Type 2 Diabetes Mellitus (DM) measuring health and sociodemographic factors. The health factors analyzed were sensitivity and circulation aspects, risk rating, and neuropathy symptom score, ankle and foot alignment (photogrammetry), plantar pressures, and postural stability (baropodometry) before and after administering these guidelines and home exercises in 97 patients type 2 DM during 10 months. The self-care guidelines and exercises changed the forefoot alignment (Right Foot - Initial vs Final, p = 0.04; Left Foot, P<0.01), the center of the force displacement in the mediolateral (Right Foot - Initial versus Final, p = 0.02; Left Foot, P<0.01), and the anterior-posterior (Right foot - Initial versus Final, p = 0.01) direction, and body balance (Initial versus Final, p = 0.02). There was no change in the remaining assessed parameters. Self-care associated with the guidelines for home exercises for the lower limbs in patients with type 2 DM are effective in maintaining and improving the alignment of the feet, mediolateral stability and prevention of complications.
  
  
  BACKGROUND
  The Brazilian Clinical Trials Registry RBR-8854CD.
authors.affiliation: Federal University of Alfenas, Alfenas, Brazil.
authors.forename: Denise H
authors.initials: DH
authors.lastname: Iunes
authors.affiliation: Federal University of Alfenas, Alfenas, Brazil.
authors.forename: Carmélia B J
authors.initials: CB
authors.lastname: Rocha
authors.affiliation: Federal University of Alfenas, Alfenas, Brazil.
authors.forename: Nathália C S
authors.initials: NC
authors.lastname: Borges
authors.affiliation: Federal University of Alfenas, Alfenas, Brazil.
authors.forename: Caroline O
authors.initials: CO
authors.lastname: Marcon
authors.affiliation: Health of the Municipal State of Alfenas, Alfenas, Brazil.
authors.forename: Valéria M
authors.initials: VM
authors.lastname: Pereira
authors.affiliation: Federal University of Alfenas, Alfenas, Brazil.
authors.forename: Leonardo C
authors.initials: LC
authors.lastname: Carvalho
mesh_terms: D000368:Aged; D001938:Brazil; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology / Q000628:therapy*; D017719:Diabetic Foot; D003929:Diabetic Neuropathies / Q000503:physiopathology / Q000628:therapy*; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010361:Patients; D055070:Resistance Training; D012648:Self Care