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A case study on the effects of acupuncture and ankle exercises on leg swelling in an elderly person confined to a wheelchair

Examination of the effect of reducing lower limb edema by combining circular needle therapy and ankle plantar flexion and dorsiflexion exercises for wheelchair-bound elderly people - A case study using a multi- layered base design method - - Examination of the effect of reducing lower limb edema by combining circular needle therapy with ankle plantar and dorsiflexion exercises for wheelchair-bound elderly people - A case study using a multi-layered base design method -

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000059586
Enrollment
1
Registered
2025-10-29
Start date
2025-11-04
Completion date
Unknown
Last updated
2026-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

none

Interventions

During the baseline period, each subject will perform ankle plantar flexion and dorsiflexion exercises while sitting in a wheelchair for 1 to 5 weeks. Following the baseline period, the intervention

Sponsors

Waseda University Graduate School
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Men and women residing in the same nursing home for the elderly. 65 years of age or older. People who have difficulty walking and regularly use a wheelchair. People who spend more than half of their waking hours in a wheelchair. People who have not been diagnosed with dementia. People who can communicate clearly and willingly. People with localized pitting edema of the lower limbs of +1 or higher on the pitting test (AFTD- pitting-test). People who do not suffer from specific underlying diseases that significantly affect lower limb edema. People who have not been prescribed exercise restrictions by a doctor. People who can perform ankle plantar flexion (ankle plantar flexion range of motion 0-45 degrees) without pain while sitting in a wheelchair. People who can perform ankle dorsiflexion (ankle dorsiflexion range of motion 0-20 degrees) without pain while sitting in a wheelchair. At least 20 weeks have passed since the last acupuncture treatment at the time of intervention. People with no sensory impairments. People without metal allergies. People who do not have skin hypersensitivity caused by alcohol disinfectants. People who have never experienced contact dermatitis (bandage rash) caused by bandages.

Exclusion criteria

Exclusion criteria: Those who spend more than half of their waking hours outside of a wheelchair. Those under 65 years of age. Those who can walk independently. Those who have been diagnosed with dementia. Those who are unable to communicate clearly on their own. Those who do not have localized pitting edema in the lower limbs of +1 or higher on the pitting test. Those whose exercise has been restricted by a doctor. Those who are unable to perform ankle plantar flexion (ankle plantar flexion range of motion 0-45 degrees) without pain while sitting in a wheelchair. Those who are unable to perform ankle dorsiflexion (ankle dorsiflexion range of motion 0-20 degrees) without pain while sitting in a wheelchair. Those who have not yet received acupuncture treatment within 20 weeks at the time of intervention. Those with sensory impairments. Those with metal allergies. Those with skin hypersensitivity due to alcohol disinfectants. Those who experience contact dermatitis from bandages (bandage rash).

Design outcomes

Primary

MeasureTime frame
The maximum circumference of the lower leg was measured for 6 weeks.

Secondary

MeasureTime frame
Visual Analogue Scale measurements of swelling were taken for 6 weeks. The WHO-5 Mental Health Status Inventory (Short Version) (S-WHO-5-J) was measured for 7 weeks.

Countries

Japan

Contacts

Public ContactTakuya Komabayashi

Waseda University Graduate School Graduate School of Sports Science

komabayashi7@toki.waseda.jp090-6653-1978

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Jul 3, 2026