If a diabetic client has peripheral neuropathy, which of the following exercises should be avoided? Select one: a. Machine chest press b. Seated ball adductor stretch c. Incline prone iso-abs d. Foam roll calves

Foam roll calves

Explanation:

A diabetes patient with peripheral neuropathy would have loss of sending or numbness in the hand or leg. Foam roll calves should not be recommended because it could increase the sugar buildups for the already diabetic patient

D

Explanation:

Foam Roll calves exercise is a type of exercise performed by using the body weight to exert pressure on a particular body part through an  object placed between the soft tissue covering part of the(Calves) and the floor. By continuously  rolling on the object with the applied pressure of body weight , the myofascial connective tissues which encapsulated the contact part ( e.g muscles ) is softened/ massaged.Thus the primary aim is to  increase myofacial mobiltity, by stretching the myofacial  connective tissues and it encapsulated structure.

Diabetic Peripheral Neuropathy; is loss of nerves sensitivity in part of the body   due to  the failure of insulin to increase cellular  utilisation of  glucose, and therefore accumulation of glucose in the cell.It is marked with pain, numbness  in  the  lower limbs.

Therefore ,any exercise that applied mechanical pressures on the nerves or  spike up  blood glucose levels,  should not be undertaken by Diabetes with peripheral nephropathy.

Foam roll Calves, is an anaerobic exercise, which  exert  high mechanical pressure on the nerves, blood vessels and facial connectives tissues of the contact part(calves), thus causing further damages  to the nerves and aggravating  the neuropathic nerve pain.

The continuous application of pressure  produces  heat from  intense metabolic activity in the calves leading to  glycogenlysis, (breaking down of stored glycogen in the muscles);release of glucose to the blood stream with corresponding spikes in blood glucose. Thus the above two risks effects provided reasons why this exercise is not recommended.

Explanation: