International Journal of Preventive Medicine (Int J Prev Med)2008-78021022019021920087802ENDepartment of Clinical and Experimental Medicine, University of Florence, FlorenceDiabetes Unit, St. Jacopo Hospital, PistoiaTuscany Regional Health Agency, FlorenceDiabetes Unit, St. Jacopo Hospital, PistoiaANIMO Association, ReggelloDiabetes Unit, St. Jacopo Hospital, PistoiaDepartment of Clinical and Experimental Medicine, University of Florence, Florence20190218<p><span class="fontstyle0">Lower extremity ulcers represent the most ominous, feared, and costly complications of diabetes mellitus. The aim of this review is to highlight the role of daily life physical activities (PAs) and continuous movement monitoring (CMM) in the prevention of foot ulcers. Peripheral neuropathy<br />and peripheral vascular disease are the main causes of foot ulceration and contribute, in turn, to the development of additional risk factors such as foot deformities and/or joint and muscular alterations. Moreover, a defcit of balance, posture abnormalities, followed by gait alterations, increases the<br />risk of ulceration. PA can play a key role in the management of patients with diabetes and in the prevention of ulcers; however, even if it has been reported that some of these risk factors signifcantly improve after a few weeks of exercise therapy (ET), the real preventive role of ET has not yet<br />been demonstrated. These uncertain results can occur due to some limitations in the management of the same relationship between PA and diabetic foot prevention. Technological advances during the last years enable timely management of overall daily PA. The use of these modern technologies and devices allows CMM assessment and description of daily PA even in the long term. The data collected from these devices can be used to properly manage patients’ PA and thus contribute to the<br />prevention of foot ulcers.<br /></span></p><p><span class="fontstyle2"><strong>Keywords</strong>: </span><span class="fontstyle3">Continuous movement monitoring, daily lifestyle, diabetic foot ulcer, exercise therapy, physical activity, prevention</span></p>http://ijpm.mui.ac.ir/index.php/ijpm/article/view/2010http://ijpm.mui.ac.ir/index.php/ijpm/article/download/2010/717717830