Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II
| Autor: | Danilo Pereira dos Santos, Asha Donini, Isabel C. N. Sacco, Érica Q. Silva, Raquel I. Beteli, Jane S. S. P. Ferreira, Jady L. Verissímo, Ronaldo H. Cruvinel-Júnior, Renan L. Monteiro, Eneida Yuri Suda |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Quality of life
medicine.medical_specialty Disease prevention Science 030209 endocrinology & metabolism Article 03 medical and health sciences 0302 clinical medicine Diabetic Neuropathies Diabetes mellitus Medicine Humans Single-Blind Method Musculoskeletal Diseases Exercise Gait Physical Therapy Modalities Multidisciplinary business.industry Foot Forefoot Endocrine system and metabolic diseases Patient education medicine.disease Home based Home Care Services Biomechanical Phenomena medicine.anatomical_structure Peripheral neuropathy Neurological manifestations Physical therapy Feasibility Studies Patient Compliance Ankle business Range of motion 030217 neurology & neurosurgery Foot (unit) |
| Zdroj: | Scientific Reports, Vol 11, Iss 1, Pp 1-11 (2021) Scientific Reports |
| ISSN: | 2045-2322 |
| Popis: | This study sought to assess the feasibility of design, adherence, satisfaction, safety and changes in outcomes followed by a home-based foot–ankle exercise guided by a booklet in individuals with diabetic peripheral neuropathy (DPN). 20 participants were allocated usual care [control group (CG)] or usual care plus home-based foot–ankle exercises [intervention group (IG)] for 8 weeks. For feasibility, we assessed contact, preliminary screening and recruitment rates, adherence, and using a 5-point Likert scale to satisfaction and safety of the booklet. In the IG, we assessed preliminary changes in DPN symptoms, DPN severity (classified by a fuzzy model) and foot–ankle range of motion between baseline and Week 8. In the first 20 weeks, 1310 individuals were screened for eligibility by phone contact. Contact rate was 89% (contacted participants/20w), preliminary screening success 28% (participants underwent screening/20w), and recruitment rate 1.0 participants/week (eligible participants/20w). The recruitment rate was less than the ideal rate of 5 participants/week. The adherence to the exercises programme was 77%, and the dropout was 11% and 9% for the IG and CG, respectively. In the IG, participants’ median level of satisfaction was 4 (IQR: 4–5) and perceived safety was 3 (IQR: 3–5). IG significantly decreased the DPN severity (p = 0.020), increased hallux relative to forefoot (first metatarsal) range of motion (ROM) (p Trial Registration ClinicalTrials.gov, NCT04008745. Registered 02/07/2019. https://clinicaltrials.gov/ct2/show/NCT04008745. |
| Databáze: | OpenAIRE |
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