Effects of Foot Muscle Strengthening in Daily Activity in Diabetic Neuropathic Patients

NCT ID: NCT02790931

Last Updated: 2024-12-27

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

78 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-31

Study Completion Date

2020-12-31

Brief Summary

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The main objective of this trial is to investigate the effects of foot muscle strengthening in daily activity of patients with diabetic neuropathy.

Detailed Description

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A randomized controlled trial will be performed with 77 patients with diabetic neuropathy. The participants will be randomly assigned into either a control group (recommended foot care by international consensus with no exercises) or an intervention group which will receive 12-week physical therapy exercises, twice a week, under the supervision of a physiotherapist, and twice a week being remotely supervised by a software at home. Every exercise has its own progression depending on the subjects' execution, increasing in intensity and difficulty.

The subjects will be evaluated in 5 different moments (Baseline, 6 weeks, 12 weeks, 24 weeks and 1 year follow-up)

The hypothesis of this study is that the intervention group will increase daily activity levels, increase self-selected and rapid walking speed, reduce the incidence of plantar ulcers, increase foot health and functionality, improve symptoms, increase tactile and vibration sensitivity, increased passive range of motion, improved quality of life, increased isometric strength of the feet and production of beneficial biomechanical changes during walking compared to the control group after 12 weeks of intervention and follow-up year.

Conditions

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Diabetic Neuropathies

Keywords

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diabetic foot therapeutic exercises foot preventive care rehabilitation Diabetic Neuropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Intervention Group

Patients will receive a physical therapy intervention in groups twice/wk, and using a software twice/ wk for 3 months.

Group Type EXPERIMENTAL

Intervention Group

Intervention Type OTHER

Patients will receive a physical therapy intervention in groups twice/wk, and using a software twice/ wk for 3 months, for foot and ankle strengthening, stretching and functional training. They must continue to exercise at home twice a week with the software supervision for one year.

Control Group

Patients will not receive any exercise treatment, will not have acess to the software, but they will keep their recommended clinical treatment.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Intervention Group

Patients will receive a physical therapy intervention in groups twice/wk, and using a software twice/ wk for 3 months, for foot and ankle strengthening, stretching and functional training. They must continue to exercise at home twice a week with the software supervision for one year.

Intervention Type OTHER

Other Intervention Names

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Foot and ankle kinesiotherapy

Eligibility Criteria

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Inclusion Criteria

* Diabetes mellitus type 1 or 2
* Moderate or severe polyneuropathy confirmed with the fuzzy software
* Ability to walk independently in the laboratory
* Accessibility to electronic devices
* Loss of at least 4 degrees of ankle range of motion
* Loss of at least 1 degree of force in the clinical scale of the plantar interosseous or lumbrical muscles

Exclusion Criteria

* Ulceration not healed for at least 6 months
* Hallux amputation or total amputation of the foot
* Receiving any physiotherapy intervention or offloading devices
* Neurological or orthopedic impairments
* Major vascular complications
* Severe retinopathy
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Sao Paulo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Isabel de Camargo Neves Sacco

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Isabel CN Sacco, PhD

Role: PRINCIPAL_INVESTIGATOR

Associate Professor at São Paulo University

Locations

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Universidade de São Paulo

São Paulo, , Brazil

Site Status

Countries

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Brazil

References

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Monteiro RL, Ferreira JSSP, Silva EQ, Cruvinel-Junior RH, Verissimo JL, Bus SA, Sacco ICN. Foot-ankle therapeutic exercise program can improve gait speed in people with diabetic neuropathy: a randomized controlled trial. Sci Rep. 2022 May 9;12(1):7561. doi: 10.1038/s41598-022-11745-0.

Reference Type DERIVED
PMID: 35534614 (View on PubMed)

Monteiro RL, Sartor CD, Ferreira JSSP, Dantas MGB, Bus SA, Sacco ICN. Protocol for evaluating the effects of a foot-ankle therapeutic exercise program on daily activity, foot-ankle functionality, and biomechanics in people with diabetic polyneuropathy: a randomized controlled trial. BMC Musculoskelet Disord. 2018 Nov 14;19(1):400. doi: 10.1186/s12891-018-2323-0.

Reference Type DERIVED
PMID: 30428863 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Related Links

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http://www.usp.br/labimph

Laboratory of Biomechanics of Human Movement and Posture website

http://www.usp.br/

University of Sao Paulo website

Other Identifiers

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LaBiMPH

Identifier Type: -

Identifier Source: org_study_id