A systematic review and meta‐analysis on effect of different exercise training on grip strength and upper extremity muscle strength in patients with type 2 diabetes mellitus

Background Individuals with type 2 diabetes mellitus (T2DM) are prone to musculoskeletal complications, particularly in the upper extremities (UE), which can significantly impair their grip strength and UE muscle strength. This review will provide valuable insights for developing optimized exercise...

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Published in:Physiotherapy research international : the journal for researchers and clinicians in physical therapy 2024-10, Vol.29 (4), p.e2130-n/a
Main Authors: Boora, Mamta, Malik, Manoj, Kaur, Jaspreet
Format: Article
Language:English
Subjects:
aerobic exercises
Diabetes Mellitus, Type 2 - physiopathology
Diabetes Mellitus, Type 2 - rehabilitation
Exercise Therapy - methods
grip strength
Hand Strength - physiology
Humans
Muscle Strength - physiology
Randomized Controlled Trials as Topic
resistance training
type 2 diabetes mellitus
Upper Extremity - physiopathology
upper extremity muscle strength
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creator Boora, Mamta
Malik, Manoj
Kaur, Jaspreet
description Background Individuals with type 2 diabetes mellitus (T2DM) are prone to musculoskeletal complications, particularly in the upper extremities (UE), which can significantly impair their grip strength and UE muscle strength. This review will provide valuable insights for developing optimized exercise interventions aimed at enhancing upper limb functionality and improving patient outcomes. Aim To determine the effect of different exercise training on grip strength & UE muscle strength in patients suffering from T2DM. Methodology A comprehensive search from electronic databases was performed based on the selection criteria and 13 randomized controlled trials (RCT's) were included in the study. Mean changes in grip strength and UE muscle strength were the primary outcome measures. Included studies ranked high on the PEDro rating scale and eta‐analysis was performed by Rev Man 5.4 software. Results Meta‐analysis results indicated that there was a statistically significant improvement in UE muscle strength of experimental group when compared to control group (mean differences [MD] = 2.91, 95% confidence interval = 0.12, 5.71; p = 0.04) with moderate heterogeneity (I2 = 49%, p 
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This review will provide valuable insights for developing optimized exercise interventions aimed at enhancing upper limb functionality and improving patient outcomes. Aim To determine the effect of different exercise training on grip strength &amp; UE muscle strength in patients suffering from T2DM. Methodology A comprehensive search from electronic databases was performed based on the selection criteria and 13 randomized controlled trials (RCT's) were included in the study. Mean changes in grip strength and UE muscle strength were the primary outcome measures. Included studies ranked high on the PEDro rating scale and eta‐analysis was performed by Rev Man 5.4 software. Results Meta‐analysis results indicated that there was a statistically significant improvement in UE muscle strength of experimental group when compared to control group (mean differences [MD] = 2.91, 95% confidence interval = 0.12, 5.71; p = 0.04) with moderate heterogeneity (I2 = 49%, p &lt; 0.07). Grip strength improved significantly in the experimental group when compared to the control group with (MD = 2.93, 95% CL = −0.00, 5.86; p = 0.05) and moderate heterogeneity (I2 = 66%, p &lt; 0.08). Conclusion This review indicated a positive role of supervised resistance &amp; aerobic exercises on UE muscle strength in patients with T2DM. Due to lack of RCT's, grip strength needs to be explored by further investigations in these patients.</description><identifier>ISSN: 1358-2267</identifier><identifier>ISSN: 1471-2865</identifier><identifier>EISSN: 1471-2865</identifier><identifier>DOI: 10.1002/pri.2130</identifier><identifier>PMID: 39291293</identifier><language>eng</language><publisher>United States</publisher><subject>aerobic exercises ; Diabetes Mellitus, Type 2 - physiopathology ; Diabetes Mellitus, Type 2 - rehabilitation ; Exercise Therapy - methods ; grip strength ; Hand Strength - physiology ; Humans ; Muscle Strength - physiology ; Randomized Controlled Trials as Topic ; resistance training ; type 2 diabetes mellitus ; Upper Extremity - physiopathology ; upper extremity muscle strength</subject><ispartof>Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2024-10, Vol.29 (4), p.e2130-n/a</ispartof><rights>2024 John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2120-a7387c63eb23e0a904700136282c1ce0a43031b739a332555d5a8a3ca141087f3</cites><orcidid>0000-0001-5901-0682 ; 0000-0002-9480-5154 ; 0000-0002-7399-3803</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39291293$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Boora, Mamta</creatorcontrib><creatorcontrib>Malik, Manoj</creatorcontrib><creatorcontrib>Kaur, Jaspreet</creatorcontrib><title>A systematic review and meta‐analysis on effect of different exercise training on grip strength and upper extremity muscle strength in patients with type 2 diabetes mellitus</title><title>Physiotherapy research international : the journal for researchers and clinicians in physical therapy</title><addtitle>Physiother Res Int</addtitle><description>Background Individuals with type 2 diabetes mellitus (T2DM) are prone to musculoskeletal complications, particularly in the upper extremities (UE), which can significantly impair their grip strength and UE muscle strength. This review will provide valuable insights for developing optimized exercise interventions aimed at enhancing upper limb functionality and improving patient outcomes. Aim To determine the effect of different exercise training on grip strength &amp; UE muscle strength in patients suffering from T2DM. Methodology A comprehensive search from electronic databases was performed based on the selection criteria and 13 randomized controlled trials (RCT's) were included in the study. Mean changes in grip strength and UE muscle strength were the primary outcome measures. Included studies ranked high on the PEDro rating scale and eta‐analysis was performed by Rev Man 5.4 software. Results Meta‐analysis results indicated that there was a statistically significant improvement in UE muscle strength of experimental group when compared to control group (mean differences [MD] = 2.91, 95% confidence interval = 0.12, 5.71; p = 0.04) with moderate heterogeneity (I2 = 49%, p &lt; 0.07). Grip strength improved significantly in the experimental group when compared to the control group with (MD = 2.93, 95% CL = −0.00, 5.86; p = 0.05) and moderate heterogeneity (I2 = 66%, p &lt; 0.08). Conclusion This review indicated a positive role of supervised resistance &amp; aerobic exercises on UE muscle strength in patients with T2DM. 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This review will provide valuable insights for developing optimized exercise interventions aimed at enhancing upper limb functionality and improving patient outcomes. Aim To determine the effect of different exercise training on grip strength &amp; UE muscle strength in patients suffering from T2DM. Methodology A comprehensive search from electronic databases was performed based on the selection criteria and 13 randomized controlled trials (RCT's) were included in the study. Mean changes in grip strength and UE muscle strength were the primary outcome measures. Included studies ranked high on the PEDro rating scale and eta‐analysis was performed by Rev Man 5.4 software. Results Meta‐analysis results indicated that there was a statistically significant improvement in UE muscle strength of experimental group when compared to control group (mean differences [MD] = 2.91, 95% confidence interval = 0.12, 5.71; p = 0.04) with moderate heterogeneity (I2 = 49%, p &lt; 0.07). 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subjects aerobic exercises
Diabetes Mellitus, Type 2 - physiopathology
Diabetes Mellitus, Type 2 - rehabilitation
Exercise Therapy - methods
grip strength
Hand Strength - physiology
Humans
Muscle Strength - physiology
Randomized Controlled Trials as Topic
resistance training
type 2 diabetes mellitus
Upper Extremity - physiopathology
upper extremity muscle strength
title A systematic review and meta‐analysis on effect of different exercise training on grip strength and upper extremity muscle strength in patients with type 2 diabetes mellitus
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