Foot-ankle therapeutic exercise program can improve gait speed in people with diabetic neuropathy: a randomized controlled trial.

Autor: Monteiro RL; Physical Therapy, Speech and Occupational Therapy Department, Faculdade de Medicina, Universidade de São Paulo, Rua Cipotânea, 51-Cidade Universitária, São Paulo, São Paulo, 05360-160, Brazil.; Department of Biological Science and Health, Federal University of Amapá, Macapá, Brazil., Ferreira JSSP; Physical Therapy, Speech and Occupational Therapy Department, Faculdade de Medicina, Universidade de São Paulo, Rua Cipotânea, 51-Cidade Universitária, São Paulo, São Paulo, 05360-160, Brazil., Silva ÉQ; Physical Therapy, Speech and Occupational Therapy Department, Faculdade de Medicina, Universidade de São Paulo, Rua Cipotânea, 51-Cidade Universitária, São Paulo, São Paulo, 05360-160, Brazil., Cruvinel-Júnior RH; Physical Therapy, Speech and Occupational Therapy Department, Faculdade de Medicina, Universidade de São Paulo, Rua Cipotânea, 51-Cidade Universitária, São Paulo, São Paulo, 05360-160, Brazil., Veríssimo JL; Physical Therapy, Speech and Occupational Therapy Department, Faculdade de Medicina, Universidade de São Paulo, Rua Cipotânea, 51-Cidade Universitária, São Paulo, São Paulo, 05360-160, Brazil., Bus SA; Department of Rehabilitation Medicine, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands., Sacco ICN; Physical Therapy, Speech and Occupational Therapy Department, Faculdade de Medicina, Universidade de São Paulo, Rua Cipotânea, 51-Cidade Universitária, São Paulo, São Paulo, 05360-160, Brazil. icnsacco@usp.br.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2022 May 09; Vol. 12 (1), pp. 7561. Date of Electronic Publication: 2022 May 09.
DOI: 10.1038/s41598-022-11745-0
Abstrakt: This study sought to determine whether a foot-ankle therapeutic exercise program can improve daily physical activity (i.e. number of steps) and fast and self-selected gait speed in people with diabetic peripheral neuropathy (DPN). In this single-blind randomized controlled trial and intention-to-treat analysis, 78 volunteers with DPN were allocated into a control group, which received usual care, and an intervention group (IG), which received usual care plus a 12-week foot-ankle exercise program. The adherence at 12 weeks rate in the IG was 92.3% (36 participants) and the dropout was 5.1% in the control group (2 participants). The number of steps and self-selected gait speed did not change significantly in either group (p > 0.05), although a 1,365-step difference between groups were observed at 1-year followup. The 12-week foot-ankle therapeutic exercises improved significantly fast-gait speed (primary outcome) (p = 0.020), ankle range of motion (p = 0.048), and vibration perception (secondary outcomes) (p = 0.030), compared with usual-care at 12 weeks. At 24 weeks, the IG showed better quality of life than controls (p = 0.048). At 1-year, fast-gait speed and vibration perception remained higher in the IG versus controls. Overall, the program may be a complementary treatment strategy for improving musculoskeletal and functional deficits related to DPN.Trial registration ClinicalTrials.gov NCT02790931 (06/06/2016).
(© 2022. The Author(s).)
Databáze: MEDLINE
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