Efeitos da cinesioterapia na força muscular e equilíbrio de diabéticos com neuropatia periférica: uma revisão de literatura

Abstract

Peripheral neuropathy is one of the main chronic complications of diabetes mellitus, characterized by the progressive impairment of the fibers of the peripheral nervous system, causing sensorimotor deficits, such as the development of paresis and balance deficits. Therefore, physiotherapy is part of the treatment of this condition aiming at the rehabilitation and maintenance of functional capabilities and can make use of therapeutic exercises and their various training modalities. Therefore, this study aims to analyze the effects of kinesiotherapy on muscle strength and balance in diabetic patients with peripheral neuropathy. This study is an exploratory and descriptive literature review, with a qualitative approach. To this end, a search for articles from the last five years was carried out through the Medline, Cochrane and PEDro databases. At the end of the reading, evaluation, and exclusion process, 11 original randomized clinical trials were selected. The data found demonstrated that resistance and aerobic exercises are capable of increasing muscle activation and strength. Furthermore, along with proprioceptive training, Core strengthening training has also been shown to be effective in increasing static and dynamic balance. Therefore, it can be concluded that kinesiotherapy brought positive effects on muscular strength and balance, increasing the importance of physiotherapeutic action in the management of diabetic peripheral neuropathy.