Physical Therapy articles from November 2008

Physical Therapy archives from November 2008

People with diabetes: a population desperate for movement.(Editorial)
November 1, 2008... "Good stories," said APTA President Scott Ward, "contain complex situations and challenges." (1(p1555)) In that spirit, welcome to PTJ's special issue on diabetes and to the unfolding epic tale of a pervasive metabolic disease that has an...

Epidemiology of diabetes and diabetes-related complications.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Diabetes and its complications are a major cause of morbidity and mortality in the United States and contribute substantially to health care costs. Although we have already seen an epidemic of diabetes in the United States over the past 2...

Intricacies of fat.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Intricacies of Fat It is no surprise that excess adipose tissue is unhealthful. Even before scientific data explained the pathological consequences of excessive weight gain, it was intuitively known that being overweight was not healthful....

Skeletal muscle insulin resistance: roles of fatty acid metabolism and exercise.(Diabetes Special Issue)(Clinical report)
November 1, 2008... The purpose of this review is to provide information about the role of exercise in the prevention of insulin resistance. In particular, the review focuses on the association of insulin resistance with the storage of lipids in skeletal muscle...

Exercise and glycemic control in diabetes: benefits, challenges, and adjustments to pharmacotherapy.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Exercise and diet are cornerstones of therapy in diabetes mellitus. In most patients with diabetes, the addition of pharmacologic therapy is required for the management of plasma glucose levels. In type 1 diabetes, the etiology of which...

Diabetes-related microvascular and macrovascular diseases in the physical therapy setting.(Diabetes special Issue)(Clinical report)
November 1, 2008... Diabetes mellitus (DM) is a global health issue affecting children, adolescents, and adults. According to the World Health Organization, approximately 180 million people worldwide currently have type 2 DM (formerly called adult-onset diabetes);...

Excessive adipose tissue infiltration in skeletal muscle in individuals with obesity, diabetes mellitus, and peripheral neuropathy: association with performance and function.(Diabetes Special Issue)(Clinical report)
November 1, 2008... The incidence and prevalence of obesity, diabetes mellitus (DM), and their attendant complications are rising to epidemic levels. (1-3) Obesity is a condition characterized by excessive fat accumulation, resulting in metabolic impairments, and...

Comparison of combined aerobic and high-force eccentric resistance exercise with aerobic exercise only for people with type 2 diabetes mellitus.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Type 2 diabetes mellitus (T2DM) is a chronic illness marked by decreased insulin sensitivity and overall poor glucose control. A universally accepted component of the nonpharmacologic treatment for T2DM is exercise. (1) Historically, aerobic...

Clinical measures of physical fitness predict insulin resistance in people at risk for diabetes.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Insulin Resistance and Physical Fitness The prevalence of type 2 diabetes is increasing worldwide in adults of all ages. (1,2) The disease and the associated complications, such as macrovascular disease (coronary artery disease,...

Diabetes mellitus and gait dysfunction: possible explanatory factors.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Diabetes Mellitus and Gait Dysfunction Gait characteristics differ in individuals with diabetes compared with those who do not have diabetes. (1-3) Individuals with diabetes walk slower and with shorter step lengths, a longer stance phase,...

Plantar stresses on the neuropathic foot during barefoot walking.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Plantar Stresses on the Neuropathic Foot A number of important physiological and physical factors combine to contribute to skin breakdown on the feet of people with diabetes mellitus and peripheral neuropathy. The most important factors,...

Effect of weight-bearing activity on foot ulcer incidence in people with diabetic peripheral neuropathy: feet first randomized controlled trial.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Foot Ulcer Incidence in Diabetic Peripheral Neuropathy In 2000-2002, approximately 60% of lower-extremity amputations in the United States were diabetes-related, and the majority were preceded by a foot ulcer. (1) During their lifetimes,...

Inflammatory osteolysis in diabetic neuropathic (Charcot) arthropathies of the foot.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Objective. Osteolysis and low bone mineral density (BMD) are underappreciated consequences of several chronic diseases that may elevate the risk for fracture. The purpose of this study was to assess tarsal BMD associated with acute inflammation...

Diabetes and associated risk factors in patients referred for physical therapy in a national primary care electronic medical record database.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Diabetes mellitus is a chronic disease in which the body does not regulate blood glucose concentrations properly. (1) Diabetes is the sixth leading cause of death in the United States due to complications such as high blood pressure, blindness,...

Economic realities associated with diabetes care: opportunities to expand delivery of physical therapist services to a vulnerable population.(Diabetes Special Issue)(Clinical report)
November 1, 2008... The American Diabetes Association (ADA) estimates that diabetes affects more than 20 million Americans and costs employers more than $132 billion annually in direct and indirect costs, including hospitalization, emergency department visits,...

Physical activity and diabetes: opportunities for prevention through policy.(Diabetes Special Issue)(Clinical report)
November 1, 2008... Diabetes and its complications are major causes of morbidity and mortality in the United States and contribute substantially to health care costs. The first article in this special issue reviews what is currently known about the pathophysiology...

Reprint--comprehensive foot examination and risk assessment: a report of the task force of the foot care interest group of the American diabetes association, with endorsement by the American association of clinical endocrinologists.(Brief article)
November 1, 2008... The following article (1) is the report of an American Diabetes Association task force that summarizes the recent literature on tests and measures to identify people at risk for foot ulceration and to recommend what should be included in the...

Comprehensive foot examination and risk assessment a report of the task force of the Foot Care Interest Group of the American Diabetes Association, with endorsement by the American Association of Clinical Endocrinologists.(TASK FORCE REPORT: Reviews/Commentaries/ADA Statements)(Clinical report)
November 1, 2008... It is now 10 years since the last technical review on preventative foot care was published (1), which was followed by an American Diabetes Association (ADA) position statement on preventive foot care in diabetes (2). Many studies have been...

Training Bench.(Product News)(Brief article)
November 1, 2008... Bailey Manufacturing Company [ILLUSTRATION OMITTED] Bailey's Model 3050 Wheelchair Vestibular Training Bench is designed to provide stability for both patient and therapist during balance rehabilitation. The bench is 60 in long with a...

Cycle with biofeedback.(Product News)(Brief article)
November 1, 2008... Accelerated Care Plus [ILLUSTRATION OMITTED] The Omnicycle system allows patients with physical limitations to exercise their upper or lower body. The Omnicycle uses biofeedback and power-assist technology to "sense" physical...

Personal mobility.(Product News)(Brief article)
November 1, 2008... Dashaway Company [ILLUSTRATION OMITTED] The Dashaway is designed to promote positive posture and improved body mechanics, allow safe walking, and encourage exercise. It functions as a preventive device, a mobility aid, a mobile...

Flexitouch system.(Product News)(Brief article)
November 1, 2008... Tactile Systems Inc [ILLUSTRATION OMITTED] The Flexitouch system has received FDA clearance for the treatment of lymphedema and chronic wounds and, according to the company, is currently the only pneumatic device that follows the...

Software.(Product News)(Brief article)
November 1, 2008... BioEx Systems [ILLUSTRATION OMITTED] Fitness Maker is an integrated software system designed specifically to aid in fitness assessment, testing, goal achievement, and development of fitness programs. The software can create and store...

Moist heat.(Product News)(Brief article)
November 1, 2008... North Coast Medical [ILLUSTRATION OMITTED] MediBeads Moist Heat Packs offer convenient, medicine-free pain relief. These reusable packs can be microwaved for 1-2 minutes for deep, penetrating, moist heat therapy without added water....

Web site update.(Product News)(Brief article)
November 1, 2008... OPTP [ILLUSTRATION OMITTED] The company announces an update of its Web site, optp.com, designed for customer ease of use. Product information and photos have been added to assist in making purchasing decisions. A "My Wish List"...

Orthotic insoles.(Product News)(Brief article)
November 1, 2008... KLM Laboratories [ILLUSTRATION OMITTED] SUPERSTEP orthotic insoles are based on System Rx Technology. The insoles feature a "poly" shell and a shock-absorbing top and bottom cover. They are available in 3 levels of flexibility and...

Exercise and balance.(Product News)(Brief article)
November 1, 2008... BalanceGym LLC [ILLUSTRATION OMITTED] The BalanceGym allows active older adults and those with balance problems to participate in individual and group exercise programs designed specifically for fall prevention; balance training;...