Evry Courcouronnes

Researchers are evaluating how adapted physical activity (APA), a non-drug treatment, affects blood sugar control in adults with poorly controlled Type 2 diabetes who are managing their condition with diet alone or non-insulin medications. This study compares the effects of APA when practiced independently after training versus when supervised by a qualified APA instructor. The main goal is to see how these approaches impact glycemic balance over time. Participants will receive initial training in adapted physical activity and then be asked to attend three APA sessions per week, preferably at a nearby Sport-Health center, with support from an APA instructor. Additional sessions, up to two more per week, can be arranged with the instructor. After three months, participants return for an assessment visit to evaluate the effects of their physical activity during the study period. During the study, participants will wear a FitBit Charge 6 bracelet to monitor their activity continuously and will have their blood sugar levels measured over 10 consecutive days after the three-month program using a continuous glucose monitoring device. Researchers will assess the average glycemic control at this time to compare the two groups. The study requires participants to be available for follow-up visits and to comply with activity monitoring throughout the study duration.

Researchers are studying how people with neuromuscular diseases sit in their wheelchairs, focusing on posture, pain, and pressure sores that can come from sitting. Neuromuscular diseases affect muscles or their nerve connections, causing difficulties with movement, breathing, and heart function, often requiring wheelchair use. Since there is no standard way to position patients in wheelchairs, this study aims to describe sitting posture, related pain, and evaluate how well recommended wheelchair equipment works over time. The study involves assessing wheelchair posture and related pain using validated tools such as the Measurement of Postural Control in Seated Postural Control Measure for Adults 2.0 and pain scales like the Simple Verbal Scale or Visual Analog Scale. Participants are evaluated during initial consultations and then again a few months later to see if the prescribed wheelchair accessories improve their sitting posture and comfort. This research could help develop guidelines for better wheelchair positioning in people with neuromuscular diseases. Participants will be assessed at the start and end of the study period, averaging about six months, to describe postural wheelchair disorders. Evaluations include posture measurements, pain assessments, and monitoring of pressure ulcers related to sitting. The study collects detailed data during consultations and follow-ups to understand the effectiveness of interventions and improve care strategies for wheelchair users with neuromuscular conditions.