Effects of foot and ankle mobilisations combined with home stretches in people with diabetic peripheral neuropathy: a proof-of-concept RCT.
Diabetes
Limited joint mobility syndrome
Mobilisations
Neuropathy
Peak planar pressures
Journal
Journal of foot and ankle research
ISSN: 1757-1146
Titre abrégé: J Foot Ankle Res
Pays: England
ID NLM: 101471610
Informations de publication
Date de publication:
06 Dec 2023
06 Dec 2023
Historique:
received:
02
08
2023
accepted:
22
11
2023
medline:
11
12
2023
pubmed:
7
12
2023
entrez:
7
12
2023
Statut:
epublish
Résumé
People with diabetic peripheral neuropathy (DPN) and limited joint mobility syndrome (LJMS) can experience increased forefoot peak plantar pressures (PPPs), a known risk factor for ulceration. The aim of this study was to investigate whether ankle and 1st metatarsophalangeal (MTP) joint mobilisations and home-based stretches in people with DPN improve joint range of motion (ROM) and reduce forefoot PPPs. Sixty-one people with DPN (IWGDF risk 2), were randomly assigned to a 6-week programme of ankle and 1 At T1 and T2 there was no difference between both groups in ankle dorsiflexion in stance phase, plantar pressure and balance. Compared to the control group, the intervention group showed a statistically significant increase in static ankle dorsiflexion range (Left 1.52 cm and 2.9cms, Right 1.62 cm and 2.7 cm) at 6 (T1) and 18 weeks (T2) respectively p < 0.01). Between group differences were also seen in left hallux dorsiflexion (2.75°, p < 0.05) at T1 and in right hallux dorsiflexion ROM (4.9°, p < 0.01) at T2 follow up. Further, functional reach showed a significant increase in the intervention group (T1 = 3.13 cm p < 0.05 and T2 = 3.9 cm p < 0.01). Intervention adherence was high (80%). Combining ankle and 1 https://classic. gov/ct2/show/NCT03195855 .
Identifiants
pubmed: 38057930
doi: 10.1186/s13047-023-00690-4
pii: 10.1186/s13047-023-00690-4
pmc: PMC10699018
doi:
Banques de données
ClinicalTrials.gov
['NCT03195855']
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
88Subventions
Organisme : Chartered Society of Physiotherapy Charitable Trust
ID : PRF/16/B07
Informations de copyright
© 2023. The Author(s).
Références
Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3266
pubmed: 32176447
Clin Biomech (Bristol, Avon). 2005 Nov;20(9):892-9
pubmed: 15996799
Semergen. 2015 Mar;41(2):70-5
pubmed: 24906788
Musculoskelet Sci Pract. 2018 Aug;36:92-95
pubmed: 29428292
Clin Biomech (Bristol, Avon). 2019 Oct;69:52-57
pubmed: 31302489
BMC Musculoskelet Disord. 2014 Apr 27;15:137
pubmed: 24767584
Diabetologia. 2005 Jun;48(6):1225-8
pubmed: 15868136
Arch Gerontol Geriatr. 2011 Sep-Oct;53(2):135-40
pubmed: 20940076
J Mot Behav. 2009 Mar;41(2):172-90
pubmed: 19201687
Diabetes Metab Syndr Obes. 2013 May 07;6:197-207
pubmed: 23690694
J Bodyw Mov Ther. 2019 Jan;23(1):194-201
pubmed: 30691752
Neurology. 2003 Jan 14;60(1):31-6
pubmed: 12525714
Diabetes Care. 2002 Jun;25(6):1066-71
pubmed: 12032116
BMJ Open. 2013 May 28;3(5):
pubmed: 23793699
Int J Immunopathol Pharmacol. 2010 Oct-Dec;23(4):997-1003
pubmed: 21244749
J Am Podiatr Med Assoc. 2016 May;106(3):189-200
pubmed: 27269974
Aust J Physiother. 1998;44(3):175-180
pubmed: 11676731
J Orthop Res. 2011 Mar;29(3):326-32
pubmed: 20886654
J Foot Ankle Surg. 1998 Jul-Aug;37(4):303-7
pubmed: 9710782
Orthopedics. 1996 May;19(5):465-75
pubmed: 8727341
BMJ. 2010 Mar 23;340:c332
pubmed: 20332509
Psychol Health. 2015;30(8):897-910
pubmed: 25601425
Diabet Med. 2019 Aug;36(8):995-1002
pubmed: 31004370
Diabetes Metab Res Rev. 2020 Mar;36 Suppl 1:e3269
pubmed: 32176451
Phys Ther Sport. 2021 Mar;48:91-100
pubmed: 33401232
Diabetes Care. 1997 Sep;20(9):1360-2
pubmed: 9283779
J Biomech. 2019 Mar 6;85:50-58
pubmed: 30655078
J Orthop Sports Phys Ther. 1998 Jul;28(1):3-14
pubmed: 9653685
J Orthop Res. 2012 Nov;30(11):1798-804
pubmed: 22610971
Diabetes Res Clin Pract. 2019 Nov;157:107843
pubmed: 31518657
Front Surg. 2016 Jul 27;3:38
pubmed: 27512692
Clin Biomech (Bristol, Avon). 2005 Jun;20(5):532-9
pubmed: 15836941
J Foot Ankle Res. 2022 Jan 29;15(1):7
pubmed: 35093130
Diabetes Care. 2013 Jun;36(6):1613-8
pubmed: 23321218
Indian J Public Health. 2014 Jan-Mar;58(1):40-4
pubmed: 24748356
Clin Biomech (Bristol, Avon). 2009 Oct;24(8):687-92
pubmed: 19497649
Foot Ankle Clin. 2014 Dec;19(4):637-47
pubmed: 25456713
J Bone Joint Surg Am. 1999 Apr;81(4):535-8
pubmed: 10225799
Knee Surg Sports Traumatol Arthrosc. 2007 Jul;15(7):915-21
pubmed: 17333123
J Orthop Sports Phys Ther. 2000 Feb;30(2):85-90
pubmed: 10693086
J Exerc Nutrition Biochem. 2017 Sep 30;21(3):55-61
pubmed: 29036767
J Rehabil Med. 2003 Jan;35(1):26-30
pubmed: 12610845
Diabetes Care. 2004 Jul;27(7):1668-73
pubmed: 15220244
J Am Podiatr Med Assoc. 2002 Oct;92(9):479-82
pubmed: 12381796
Man Ther. 2011 Oct;16(5):516-9
pubmed: 21429784
Phys Ther. 2001 Apr;81(4):984-94
pubmed: 11276181
Med Eng Phys. 2014 Feb;36(2):212-8
pubmed: 24262799
Foot Ankle Int. 1998 Oct;19(10):668-73
pubmed: 9801080
J Athl Train. 2015 Jan;50(1):30-5
pubmed: 25329350
J Am Geriatr Soc. 1992 Mar;40(3):203-7
pubmed: 1538035
Health Technol Assess. 2014 Aug;18(49):vii-xxvii, 1-105
pubmed: 25098959
J Diabetes Complications. 2014 Sep-Oct;28(5):632-8
pubmed: 24877985
Diabetes Ther. 2017 Dec;8(6):1253-1264
pubmed: 28864841
Man Ther. 2015 Aug;20(4):524-32
pubmed: 25704110
J Bone Joint Surg Am. 2003 Aug;85(8):1436-45
pubmed: 12925622
Diabetes Metab Res Rev. 2023 Nov;39(8):e3692
pubmed: 37431167
Indian J Endocrinol Metab. 2013 Jul;17(4):769-70
pubmed: 23961509
Diabetes Metab Res Rev. 2004 May-Jun;20 Suppl 1:S37-40
pubmed: 15150812
Gait Posture. 2007 Mar;25(3):469-74
pubmed: 16876414
J Physiol. 2007 Oct 15;584(Pt 2):661-75
pubmed: 17823209
Indian J Plast Surg. 2016 Sep-Dec;49(3):302-313
pubmed: 28216809
J Am Podiatr Med Assoc. 1996 Nov;86(11):538-46
pubmed: 8961656
Arch Phys Med Rehabil. 2013 May;94(5):829-38
pubmed: 23276801
Diabetes Metab Res Rev. 2023 May 2;:e3649
pubmed: 37132203
J Am Podiatr Med Assoc. 2008 Jul-Aug;98(4):268-77
pubmed: 18685046
J Biomech. 1993;26 Suppl 1:23-40
pubmed: 8505350
Gait Posture. 2014;39(1):501-5
pubmed: 24074730
Gait Posture. 2011 Jun;34(2):275-8
pubmed: 21683600
Acta Clin Croat. 2021 Jun;60(2):191-200
pubmed: 34744268
Surg Clin North Am. 2003 Jun;83(3):707-26
pubmed: 12822733
J Med Signals Sens. 2011 Jan;1(1):55-61
pubmed: 22606659
J Appl Physiol (1985). 2007 Dec;103(6):2068-76
pubmed: 17901242
J Physiother. 2017 Apr;63(2):67-75
pubmed: 28433236