Combined Effects of Foot-Ankle Therapeutic Exercises and Mindful Walking in Patients With Diabetic Polyneuropathy
Combined Effects of Foot-Ankle Therapeutic Exercises and Mindful Walking on Pain, Foot and Ankle Disability and Quality of Life in Patients With Diabetic Polyneuropathy
Riphah International University
38 participants
Oct 17, 2024
INTERVENTIONAL
Conditions
Summary
The aim of this study is to investigate the combined effects of foot ankle therapeutic exercises and mindful walking on pain, foot and ankle disability, and quality of life in patients with diabetic polyneuropathy. This study seeks to evaluate the efficacy of these interventions in improving clinical outcomes and enhancing the overall well-being of individuals with diabetic polyneuropathy.
Eligibility
Inclusion Criteria7
- Diagnosed with diabetic polyneuropathy (DPN) confirmed by medical history and clinical examination.
- Experience pain and disability in foot/ankle, with a Numeric Pain Rating Scale (NPRS) score ≥ 4.
- Independent walking ability for at least 10 m.
- Age (40-75) years.
- Ability to understand and follow exercise instructions.
- A maximum of one amputated toe, not being the hallux.
- Willingness to participate in the study and provide informed consent.
Exclusion Criteria8
- Presence of an active plantar ulcer or gangrene.
- History of surgical procedure at the knee, ankle, or hip or indication of surgery throughout the intervention period.
- Arthroplasty and/or orthosis of lower limbs or indication of lower limb arthroplasty throughout the intervention period.
- Participating in other exercise programs or studies.
- Dementia or inability to give consistent information.
- Diagnosis of neurological diseases.
- Neuropathic pain due to other causes (e.g., HIV, chemotherapy).
- Major vascular complications and/or severe retinopathy.
Interested in this trial?
Get notified about updates and connect with the research team.
Interventions
The intervention consists of Foot-Ankle Therapeutic Exercises combined with Mindful Walking, specifically designed to address diabetic neuropathy symptoms. This 12-week program includes strengthening exercises such as toe spreads, toe curls, heel raises, calf raises, single leg stance, and ankle dorsiflexion, as well as flexibility exercises like ankle dorsiflexion stretch, plantar fascia stretch, calf stretch, toe flexion stretch, and Achilles tendon stretch. Alongside these exercises, participants will engage in mindful walking practices incorporating sensory cues (kinesthetic, visual, auditory, and tactile cues). The unique combination and structured progression of these exercises and mindfulness techniques distinguish this intervention from other therapeutic approaches.
The intervention consists of Foot-Ankle Therapeutic Exercises combined with Mindful Walking, specifically designed to address diabetic neuropathy symptoms. This 12-week program includes strengthening exercises such as toe spreads, toe curls, heel raises, calf raises, single leg stance, and ankle dorsiflexion, as well as flexibility exercises like ankle dorsiflexion stretch, plantar fascia stretch, calf stretch, toe flexion stretch, and Achilles tendon stretch. Alongside these exercises, participants will engage in mindful walking practices incorporating sensory cues (kinesthetic, visual, auditory, and tactile cues). The unique combination and structured progression of these exercises and mindfulness techniques distinguish this intervention from other therapeutic approaches.
Locations(1)
View Full Details on ClinicalTrials.gov
For the most up-to-date information, visit the official listing.
NCT07248631