Can Weight Bearing Aerobic Exercise be Done Safely with an Active Diabetic Plantar
Foot Ulcer and Can It Improve Healing Time.
Diabetic foot ulcer is a huge economic burden on the National Health Service.
Research on the benefits of aerobic exercise on the vascular system in diabetics is vast,
however research on the benefits of aerobic exercise on diabetics with active plantar DFU is slim.
The purpose of this review is to determine whether weight bearing aerobic exercise
can be safely undertaken with an active plantar DFU and whether exercise can in fact
improve ulcer healing time.
Five papers that included patients with active DFU taking part in weight bearing or semi
weight bearing aerobic exercise.
Non weight bearing or semi-weight bearing exercise in the presence of DFU alongside
severe diabetic neuropathy is safer and more feasible in the aim to try and stop
the regression of diabetic complications.
Intervention group will take part in fully supervised 12-week semi weight bearing
aerobic/resistance-based exercise programme: 3×per week working
at 40-60% heart rate reserve at the rehabilitation gym, Manchester Royal Infirmary.
Participants will wear a removable air cast walker or equivalent.
Outcome Measures: Baseline, 6, 12-weeks: transparent ruler measurement,
toe brachial pressure index toe pressures.
Diabetes Res Open J. 2023; 9(1):1-16. doi: 10.17140/DROJ-9-157