Mobilidade articular de tornozelo e qualidade de vida em portadores de Diabetes mellitus tipo II: efeitos de um programa de autocuidado e exercícios

Abstract

The aging process is a period of life with a high prevalence of functional and structural changes, naturally and progressively, leading to loss of physical capacity. When associated with diabetes mellitus (DM), a very common chronic complication is the limitation of joint mobility (AML) in the hands, wrists, elbows, spine, knees, hips and ankles. Thus, the objective of this study was to evaluate the range of motion (ROM) of the ankle dorsiflexion and plantar flexion and the quality of life of people over 52 years old with type 2 DM, before and after intervention with self-care booklet and exercises. Volunteers diagnosed with type 2 DM, not practicing physical activity regularly, were evaluated using computerized biophotogrammetry to measure the ankle dorsiflexion and plantar flexion of the dominant lower limb, and the WHOODAS 2.0 questionnaire to analyze functional performance and quality of life. The Wilcoxon test was used for pre and post-intervention comparisons and the Shapiro Wilk test for data normality analysis. The mean dorsiflexion ROM increased significantly after intervention (p≤0.05), however, in the plantar flexion ROM, there was a medium but not significant increase. In addition, according to WHOODAS 2.0, there was a significant improvement in the total score. Thus, the use of the exercise booklet and the management of self-care with the feet increased the mobility of the ankle joint, allowing to infer a relation with the functional performance's improvement and the quality of life of these individuals.