Nutritional, Metabolic, Endocrine: Diabetes Nutritional, Metabolic, Endocrine Diabetes
Conditions
Interventions
A pilot pragmatic, randomised control trial will be undertaken to assess the effect of teaching stretching exercises to patients with limited joint movement. The primary outcomes will be the improveme
50% of recruits will be required to follow a set exercise programme twice weekly, for a total of 12 weeks.
Patients will be contacted fortnightly to monitor progress.
Sponsors
Department of Health (UK)
Eligibility
Inclusion criteria
Inclusion criteria: 1. Diabetic subjects attending the Diabetes and Vascular Centre and local chiropody clinics will be considered for the trial 2. Over 35 years of age 3. Diabetes mellitus 4. Peripheral sensory neuropathy
Exclusion criteria
Exclusion criteria: 1. Arthritic conditions (e.g., osteo/rheumatoid) 2. Partial amputation 3. Previous severe trauma (fracture/tendon rupture/charcots) 4. Excessive scar tissue 5. Surgical intervention 6. Severe gait disturbance 7. Peripheral vascular disease (PVD) 8. Known collagen disorders
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This is a pilot study that aims to provide preliminary data to test the hypothesis that regular stretching exercises of the foot and ankle will reduce the risk of ulceration in diabetic, neuropathic feet by improving the range of movement of the ankle and hence lower peak plantar pressures. We will evaluate using a randomised control study of a home treatment plan where diabetic patients with neuropathy and limited joint mobility are taught to use regular stretching exercises. Study endpoints: To assess if this treatment (compared to no treatment): 1. Increases the range of movement at the ankle joint 2. Reduces peak plantar pressure | — |
Secondary
| Measure | Time frame |
|---|---|
| Not provided at time of registration | — |
Countries
United Kingdom
Outcome results
None listed