Health Condition 1: F- Physical Rehabilitation and Diagnostic Audiology
Conditions
Interventions
Intervention1: MYOFASCIAL RELEASE: Functional exercises
Intervention2: Myofascial Release: To evaluate the effectiveness of myofascial release in calf muscles to reducing pain Diabetic Neuropathy pati
Sponsors
ACS Medical College and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults aged 30-70 years diagnosed with type 2 diabetes mellitus. 2. Confirmed diagnosis of diabetic neuropathy (based on clinical tests like Michigan Neuropathy Screening Instrument or nerve conduction studies). 3. Presence of calf muscle dysfunction, including symptoms such as pain, stiffness, reduced strength, or limited range of motion. 4. Pain intensity in the calf region rated as greater than 4 on the Numeric Pain Rating Scale(NRS). 5. Ability to walk independently or with minimal assistance. 6. Willingness to participate and provide written informed consent.
Exclusion criteria
Exclusion criteria: 1 Diagnosis of type 1 diabetes or other non-diabetic neuropathies 2 Presence of severe peripheral arterial disease ankle-branchial index is lesser than 0.7 3 History of lower limb fractures surgeries or conditions like Achilles tendonitis or plantar fasciitis in the past 6 months 4 Severe musculoskeletal disorders affecting the lower limbs arthritis or joint deformities 5 Any coexisting neurological conditions eg stroke multiple sclerosis) that may interfere with functional assessment 6 Active foot ulcers, infections, or other diabetic foot complications 7 Use of opioids or other strong analgesics that may alter pain perception during the study period. 8. Participation in another clinical trial or physical therapy program in the last 3 months. 9. Pregnancy or lactation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Calf Muscle PainTimepoint: Calf Muscle Function Improvement in muscle strength, as measured by a handheld dynamometer. Increased range of motion (ROM) in the ankle joint, assessed using a goniometer. Enhanced flexibility of the calf muscles, as determined by standard flexibility Tests. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 To evaluate the impact of myofascial release versus conventional exercise on pain intensity in the calf muscles, as measured by the Numeric Pain Rating Scale NRS 2 To assess the changes in functional activity using the Lower Extremity Functional Scale LEFS in both intervention groups 3 To determine the effects of the interventions on muscle stiffness & tension in the calf muscles 4 To analyses participant-reported satisfaction & perceived benefits of each intervention. 5 To investigate the potential role of myofascial release & conventional exercise in reducing the risk of falls & improving balance in individuals with diabetic neuropathy 6. To compare the long-term sustainability of the functional & pain-relief benefits provided by the two interventions Timepoint: 18 session of six week period;Improvement in muscle strength, as measured by a handheld dynamometer. Increased range of motion (ROM) in the ankle joint, assessed using a goniometer. Enhanced flexibility of the calf muscles, as determined by standard flexibility Timepoint: LEFS BIOTHESIOMETER GONIOMETER | — |
Countries
India
Contacts
Public ContactSARAVANAN
Dr MGR Educational and Research institute
Outcome results
None listed