The hypothesis is that a physical therapy intervention for foot and ankle of diabetic neuropathic individuals would affect positively the way they walk, lowering the harmful forces that these segments receive, that are associated mainly with lower range of movement, muscle weakness and loss of sensation. The participants will be randomly assigned into control group (regular treatment prescribed by their medical group) or into treatment group, that will receive 12 weeks of physical therapy intervention, twice a week, for 45 minutes each session. This will aim for increasing foot and ankle range of movement, muscle strength and improving sensory inputs.
In this study, were included subjects diagnosed with diabetic neuropathy, aged between 45 and 65 years old. We aimed to assess the effect of a physical therapy program on biomechanics of lower limbs during gait.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
55
strengthening passive and active stretching balance training gait training
Department of Speech, Physical Therapy and Occupational Therapy
São Paulo, São Paulo, Brazil
Peak pressure at lateral forefoot
Time frame: 12 weeks
Peak pressure
In 5 foot areas: heel, midfoot, medial forefoot, hallux and toes.
Time frame: 12 weeks
Peak pressure
In foot areas: heel, midfoot, medial forefoot, lateral forefoot, hallux and toes.
Time frame: 24 weeks
Time-to-peak pressure
In 6 foot areas: heel, midfoot, lateral forefoot, medial forefoot, hallux and toes.
Time frame: 12 weeks
Time-to-peak pressure
In 6 foot areas: heel, midfoot, lateral forefoot, medial forefoot, hallux and toes.
Time frame: 24 weeks
Pressure-time integral
In 6 foot areas: heel, midfoot, lateral forefoot, medial forefoot, hallux and toes.
Time frame: 12 weeks
Pressure-time integral
In 6 foot areas: heel, midfoot, lateral forefoot, medial forefoot, hallux and toes.
Time frame: 24 weeks
Mean velocity of center of pressure displacement
In 7 foot areas: heel, midfoot, lateral forefoot, medial forefoot, hallux, toes and total area.
Time frame: 12 weeks
Mean velocity of center or pressure displacement
In 7 foot areas: heel, midfoot, lateral forefoot, medial forefoot, hallux, toes and total area.
Time frame: 24 weeks
Sagittal range of motion of ankle
Time frame: 12 weeks
Sagittal range of motion of ankle
Time frame: 24 weeks
Sagittal peak of extensor moment of ankle
Time frame: 12 weeks
Sagittal peak of extensor moment of ankle
Time frame: 24 weeks
Sagittal peak of flexor moment of ankle
Time frame: 12 weeks
Sagittal peak of flexor moment of ankle
Time frame: 24 weeks
Michigan Neuropathy Screening Instrument score for symptoms
Time frame: 12 weeks
Michigan Neuropathy Screening Instrument score for symptoms
Time frame: 24 weeks
Michigan Neuropathy Screening Instrument score for physical assessment
Time frame: 12 weeks
Michigan Neuropathy Screening Instrument score for physical assessment
Time frame: 24 weeks
Functional tests score
Time frame: 12 weeks
Functional tests score
Time frame: 24 weeks
Muscle function score
Time frame: 12 weeks
Muscle function score
Time frame: 24 weeks
Activities-Specific Balance Confidence Scale (ABC)
Time frame: 12 weeks
Activities-Specific Balance Confidence Scale (ABC)
Time frame: 24 weeks
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