None listed
Conditions
Brief summary
Adolescents with diabetes display limited joint mobility. Because of the association with high pressures under the feet, poor sensation and foot ulceration with disease progression, limited joint mobility assessment is a standard procedure in diabetic foot care. Clinical interventions to reduce high pressures under the feet include orthoses, footwear and surgical correction. While stretching has been reported to improve ankle joint range of motion in the general population, limited evidence is available for individuals with diabetes. The evidence for calf stretching in adolescents where prevention of contractures and high plantar pressures in the early stages of disease may be most beneficial have not been investigated. This study will use a randomised control study to investigate the efficacy of stretching on the ankle and big toe joints to reduce high pressures under the feet and contractures of the ankle and foot joints.
Interventions
Intervention group 1
20 minutes of static stretching for the ankle joint and the great toe. Stretches to be performed at the end range of motion 3 times a week for 6 weeks
Intervention group 2
20 minutes of dynamic stretches through the range of motion of the ankle joint and the great toe. Stretches to be performed 3 times a week for 6 weeks.
Sponsors
University of Western Sydney
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
13 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
adolescents with diabetes of at least one year duration
Exclusion criteria
Major musculoskeletal problems which result in atypical walking patterns, the use of walking aids and previous ulcerations. Back injuries/ pain and neurological deficiencies in the foot were stretching may be contraindicated
Outcome results
None listed