Development of a customized booklet of foot-ankle exercises for people with diabetes mellitus as a management and prevention tool for musculoskeletal complications

Veríssimo, Jady L.; Sacco, Isabel de Camargo Neves; Almeida, Maria Helena Morgani de; Sartor, Cristina Dallemole; Suda, Eneida Yuri

doi:10.1016/j.bjpt.2022.100402

Cited by 3 publications

(3 citation statements)

References 66 publications

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“…Each exercise comes with a description explaining how it should be performed and illustrative photos. The selection of the six foot exercises and the inclusion of progression parameters are based on results from previous clinical studies 26. The exercises will be performed in the order suggested by the booklet using objects such as cotton, pencil, balls and chairs.…”

Section: Methods and Analysismentioning

confidence: 99%

“…The selection of the six foot exercises and the inclusion of progression parameters are based on results from previous clinical studies. 26 The exercises will be performed in the order suggested by the booklet using objects such as cotton, pencil, balls and chairs. The foot exercises will first be performed in the sitting position in one set with 12 repetitions.…”

Section: Methods and Analysismentioning

confidence: 99%

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Implementing a contextually appropriate foot-ankle exercise programme in primary care for the prevention of modifiable risk factors for ulcers in people with diabetes: protocol for a hybrid type 2 study

Rodrigues,

Soares,

Schmitt

et al. 2024

BMJ Open

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IntroductionDiabetes is a highly prevalent disease that negatively impacts people’s health and quality of life. It can result in diabetic peripheral neuropathy (DPN) and foot complications, which in turn lead to ulcers and amputations. The international guidelines on diabetic foot included specific foot-ankle exercises as preventive strategy capable of modifying the risk factors for ulcers. Our aim is to test the effectiveness and to implement a contextually appropriate preventive intervention—a foot-ankle exercises programme alongside educational strategies—in a primary care setting to improve range of motion (ROM), strength, functionality of foot-ankle, and quality of life in people with diabetes.Methods and analysisThis is a hybrid type 2 implementation-effectiveness study organised in four phases, being undertaken in Limeira, São Paulo. Phase 1, preimplementation, aims to gather information about the contextual characteristics, barriers, and facilitators and to form the implementation team. In phase 2, the implementation team will structure the foot-ankle programme, adapting it to the context of primary healthcare, and develop the training for health professionals. In phase 3, effectiveness of the 12 week group-based intervention will be tested by a cluster randomised controlled trial. Primary care units (18 clusters) will be randomly allocated to a control or intervention group, with a total sample of 356 people. Primary outcomes will be DPN symptoms and ankle and first metatarsal phalangeal joint ROM. Reach, adoption, and implementation will be evaluated by Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. In phase 4, maintenance and expansion of the programme in the municipality will be assessed.Ethics and disseminationThis protocol and the informed consent to be signed by the participants were approved by the Ethics Committee of the School of Medicine of the University of São Paulo (CAAE:63457822.0.0000.0068, 29 November 2022). The project will generate and share data in a public repository. Results will be disseminated through peer-reviewed journals, conference proceedings, and electronic communications for health professionals.Trial registration numberNCT05639478.

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Section: Methods and Analysismentioning

confidence: 99%

Section: Methods and Analysismentioning

confidence: 99%

Implementing a contextually appropriate foot-ankle exercise programme in primary care for the prevention of modifiable risk factors for ulcers in people with diabetes: protocol for a hybrid type 2 study

Rodrigues,

Soares,

Schmitt

et al. 2024

BMJ Open

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show abstract

“…Dalam penanganan penyakit DM, salah satu faktor penting yang harus diperhatikan ialah melibatkan rejimen perilaku perawatan diri dan pengobatan, serta kepatuhan dalam melakukan perawatan diri . Serangkaian prosedur dari senam kaki jika dilakukan secara rutin dapat membuat relaksasi dari otot plantar kaki, meningkatkan mobilisasi pergelangan kaki dan sendi metatarsophlangeal, meningkatkan gerakan inversi dan eversi, penguatan otot intrinsik kaki, serta dapat meningkatkan daya tahan pada otot pergelangan kaki (Veríssimo et al, 2022).…”

Section: Edukasiunclassified

Edukasi Pemberian Senam Kaki Untuk Mencegah Ulkus Kaki Pada Penderita Diabetes Melitus Di Posyandu Lansia Sekar Wangi

Muhammad Lukman Hakim,

Pristianto,

Rahim

2023

PKMSISTHANA

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Diabetes Mellitus (DM) is the most common non-communicable disease (NCD) in the world. This disease is a heterogeneous disease, characterized by high glucose levels. DM is the 4th cause of death in most developing countries. One of the complications of DM is neuropathy, which is reduced sensation in the feet and is often associated with ulcers on the feet. The aim of this community service is to provide information and knowledge about promotive and preventive efforts in dealing with DM. This outreach method is pre-test, education and post-test which is carried out using leaflets and questionnaires containing questions to measure the level of community knowledge. From this counseling, results were obtained through comparison charts between the pre-test and post-test, namely that there was an increase in knowledge from before the education was carried out and after the education about diabetes mellitus and treating foot ulcers using foot exercises. It is hoped that this counseling will continue to have a good impact on participants and can change healthy living behavior for the better.

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Effects of a Home-Based Foot–Ankle Exercise Program with Educational Booklet for Foot Dysfunctions in People with Diabetic Neuropathy: Results of the FOCA-II Randomized Controlled Clinical Trial

et al. 2023

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Exercise rehabilitation and education are important strategies for preventing the progression of diabetic neuropathy-related musculoskeletal deficits. The purpose of this randomized controlled trial was to investigate the effect of an 8-week home-based foot–ankle exercise program using an educational booklet on clinical outcomes (foot muscle strength and functionality; functional balance; diabetic neuropathy symptoms and severity; tactile and vibratory sensitivities; plantar pressure distribution; and foot–ankle, knee, and hip biomechanics during gait). Fifty participants with neuropathy were randomly allocated into an intervention group (59.1 ± 6.4 years, 23.5 ± 4.8 kg/m2, males = 6, females = 19) that performed the exercises for 8 weeks and a control group (56.5 ± 9.4 years, 22.9 ± 3.6 kg/m2, males = 5, females = 20) that received usual care recommendations. Generalized estimating equation method and intention-to-treat approaches were adopted. No significant differences were found for any clinical outcome after 8 weeks. Heel contact area increased in the intervention group compared to controls (p = 0.043, mean difference = 2.7 cm) and heel peak pressure was increased in controls compared to intervention (group effect p = 0.020, mean difference = -64.16 kPa) at 8 weeks. Controls showed increased joint moments for the hip at heel strike (p = 0.007) and for the knee and hip at push off over 8 and 16 weeks (p < 0.001 and p = 0.009, respectively). Although the intervention is easy to perform and showed a good adherence (72%), home-based foot–ankle exercise programs are unlikely to sufficiently modify the main risk factors related to foot ulcers and to change foot–ankle kinematics and kinetics.

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Development of a customized booklet of foot-ankle exercises for people with diabetes mellitus as a management and prevention tool for musculoskeletal complications

Cited by 3 publications

References 66 publications

Implementing a contextually appropriate foot-ankle exercise programme in primary care for the prevention of modifiable risk factors for ulcers in people with diabetes: protocol for a hybrid type 2 study

Implementing a contextually appropriate foot-ankle exercise programme in primary care for the prevention of modifiable risk factors for ulcers in people with diabetes: protocol for a hybrid type 2 study

Edukasi Pemberian Senam Kaki Untuk Mencegah Ulkus Kaki Pada Penderita Diabetes Melitus Di Posyandu Lansia Sekar Wangi

Effects of a Home-Based Foot–Ankle Exercise Program with Educational Booklet for Foot Dysfunctions in People with Diabetic Neuropathy: Results of the FOCA-II Randomized Controlled Clinical Trial

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