{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T01:16:10Z","timestamp":1792718170614,"version":"4.5.0"},"reference-count":41,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,4,11]],"date-time":"2025-04-11T00:00:00Z","timestamp":1744329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["15K01440"],"award-info":[{"award-number":["15K01440"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["23K24692"],"award-info":[{"award-number":["23K24692"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Diabetes Invest"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Aims\/Introduction<\/jats:title><jats:p>Whether regular intervention via modern communication tools is effective in older patients with type 2 diabetes is unclear. We aimed to determine the effects of tele\u2010guidance for physiotherapy on muscle strength in such patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>This randomized controlled trial was conducted at seven hospitals across Japan. The study participants were 74 older patients with type 2 diabetes randomly assigned to either the tele\u2010guidance for physiotherapy group, which received weekly telephone interventions, or the non\u2010intervention group. Both groups performed a combined aerobic and resistance exercise program. The intervention period was 6\u2009months, during which the tele\u2010guidance for physiotherapy and non\u2010intervention groups received remote physiotherapy instruction once weekly and at the 3\u2010month mark, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Knee extension force was significantly increased in the tele\u2010guidance for physiotherapy group (from 1.25\u2009\u00b1\u20090.52 to 1.34\u2009\u00b1\u20090.54\u2009Nm\/kg) but significantly decreased in the non\u2010intervention group (from 1.28\u2009\u00b1\u20090.46 to 1.22\u2009\u00b1\u20090.43\u2009Nm\/kg). Hemoglobin A1c levels improved significantly in the tele\u2010guidance for physiotherapy and non\u2010intervention groups (from 9.5\u2009\u00b1\u20092.6 to 7.4\u2009\u00b1\u20091.6% and from 10.2\u2009\u00b1\u20092.5 to 7.6\u2009\u00b1\u20092.0%, respectively). Adherence to the physiotherapy program was significantly higher in the tele\u2010guidance for physiotherapy group than in the non\u2010intervention group (71.8% vs 48.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Weekly tele\u2010guidance for physiotherapy proved effective in improving knee extension force and increasing physiotherapy adherence in older patients with type 2 diabetes. Tele\u2010guidance may be a valuable intervention to improve muscle strength in such patients, offering a cost\u2010effective, accessible solution for healthcare management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdi.70047","type":"journal-article","created":{"date-parts":[[2025,4,12]],"date-time":"2025-04-12T02:41:56Z","timestamp":1744425716000},"page":"1284-1291","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Effectiveness of tele\u2010guidance for physiotherapy in older patients with type 2 diabetes: A randomized controlled trial"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4686-4678","authenticated-orcid":false,"given":"Hiroaki","family":"Kataoka","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Faculty of Health Sciences Okayama Healthcare Professional University  Okayama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8781-2877","authenticated-orcid":false,"given":"Takuo","family":"Nomura","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Rehabilitation Kansai Medical University  Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Oka","sequence":"additional","affiliation":[{"name":"Division of Musculoskeletal AI System Development, Faculty of Medicine The University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukio","family":"Ikeda","sequence":"additional","affiliation":[{"name":"Diabetes Center Kochi Memorial Hospital  Kochi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,11]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"IDF Diabetes Atlas 10th edition. Available fromhttps:\/\/diabetesatlas.org\/idfawp\/resource\u2010files\/2021\/07\/IDF_Atlas_10th_Edition_2021.pdf. Accessed October 10 2024."},{"key":"e_1_2_8_3_1","unstructured":"Ministry of Health Labour and Welfare. Available fromhttps:\/\/www.mhlw.go.jp\/english\/wp\/wp\u2010hw4\/dl\/general_welfare_and_labour\/P5.pdfAccessed October 10 2024."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-0264"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-2537"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2010.03118.x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-2310"},{"key":"e_1_2_8_8_1","article-title":"Telerehabilitation: Exploring the untapped potential","volume":"16","author":"Agnihotri S","year":"2024","journal-title":"Cureus"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13340-014-0166-y"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.10945"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.7600\/jpfsm.9.89"},{"key":"e_1_2_8_12_1","first-page":"9","article-title":"A randomized controlled trial of short\u2010term toe resistance training to improve toe pinch force in patients with type 2 diabetes","volume":"72","author":"Kataoka H","year":"2018","journal-title":"Acta Med Okayama"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e318213fefb"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13340-015-0206-2"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40200-020-00505-4"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12199-016-0512-8"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13340-018-0354-2"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/45.6.M192"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.27.1503"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41105-018-0194-2"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.3390\/s23031354"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2019.03.007"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.23.07855-3"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-022-01032-4"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.25122\/jml-2019-0006"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.2196\/24687"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.23736\/S0022-4707.21.11880-8"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc09-1699"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-5491.2010.03113.x"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3181915670"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200737030-00004"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.13007"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjdrc-2021-002595"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11010137"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.12956"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-012-2681-3"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc06-2537"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(20)30014-3"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/jdi.12658"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/MED.0000000000000311"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0126769"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.3803\/EnM.2019.34.3.247"}],"container-title":["Journal of Diabetes Investigation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jdi.70047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T09:47:33Z","timestamp":1754905653000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jdi.70047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,11]]},"references-count":41,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["10.1111\/jdi.70047"],"URL":"https:\/\/doi.org\/10.1111\/jdi.70047","archive":["Portico"],"relation":{},"ISSN":["2040-1116","2040-1124"],"issn-type":[{"value":"2040-1116","type":"print"},{"value":"2040-1124","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,11]]},"assertion":[{"value":"2025-01-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-01","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}