Expert considerations to guide the development and delivery of an exercise intervention in people with type 2 diabetes‐related foot ulcer disease
Methodological detailsmultidisciplinary expert group, brief report, Expert group of multidisciplinary healthcare professionals (HCPs), researchers and individuals with DFUD reviewed available evidence and developed practical considerations for exercise assessment, prescription and monitoring within an ongoing RCT
- Multidisciplinary expert group
- Brief report
- Expert group of multidisciplinary HCPs, researchers and individuals with DFUD reviewed available evidence and developed practical considerations for exercise assessment, prescription and monitoring within an ongoing RCT
Recommendations
As issued by the authors
Screen for contraindications
Individualise exercise prescription
Determine weight-bearing status
Initial supervision by HCPs
Encourage self monitoring of exercise and appropriate foot protection advice and care
Prescribe non-weight bearing physical activity (e.g. arm ergometry or chair-based upper limb exercises) for those with active foot ulcers
Educate and encourage footcare self-management (how to check feet, when to seek advice)
Monitor glucose in participants at high risk of hypoglycaemia or hyperglycaemia
Reduce barriers to exercise
Determine level of pre-assessment and individualised monitoring based on clinical presentation and/or risk and on equipment and staff resource
Original publication
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