Diabetes Mellitus, Plantar Fascia
Conditions
Keywords
stiffness, creep, plantar fascia, diabetes mellitus
Brief summary
As a result of glycation of collagen fibers in diabetes mellitus, an increase in thickness and stiffness is observed in the plantar fascia, which is a connective tissue. These changes in the plantar fascia affect the windlass mechanism of the foot, normal range of motion and foot plantar pressure distribution. These biomechanical effects may cause the development of diabetic foot ulcers in the later stages of the disease. We hypothesis that myofascial release technique and kinesiology taping methods have an effect on plantar fascia stiffness and plantar pressure distribution in diabetic patients. The aim of this study is to investigate the immediate effects of the two methods on the stiffness of the plantar fascia and foot sole pressure distribution in diabetic patients.
Interventions
OTHERKinesiology Taping Appliying
Kinesiology tape will be applied to left foot plantar fascia of the participants in diabetes mellitus and control group. During taping, participants will lie in the prone position while the knee joint will be kept 90 degrees of flexion and the ankle joint in a neutral position. A Palm Shape taping procedure will be applied to the plantar fascia.
OTHERMyofascial Release Technique Appliying
Myofascial release technique will be applied (during 5 minutes) to right foot plantar fascia of the participants in diabetes mellitus and control group During appliying technique, participants will lie in the prone position while the knee joint will be kept 90 degrees of flexion and the ankle joint in a neutral position.
Sponsors
Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Those with diabetic foot ulcer development risk groups 1 and 2 according to the International Working Group on the Diabetic Foot (IWGDF) * Those who have diabetes for at least 5 years * Ambulation independently without using an assistive device
Exclusion criteria
* Those with foot posture deformity * Having another disease that will affect connective tissue properties * Presence of orthopedic or neurological disorders that will affect plantar load distribution * History of surgery and fractures from the ankle-foot in the last 6 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of relaxation time | Change from baseline relaxation time properties of the plantar fascia at following kinesiologic tape appliying and at 30min. | Relaxation time of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia). |
| Evaluation of stiffness | Change from baseline stiffness of the plantar fascia at following kinesiologic tape appliying and at 30min. | Stiffness (N/m) of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia). |
| Evaluation of decrement | Change from baseline decrement properties of the plantar fascia at following kinesiologic tape appliying and at 30min. | Decrement of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia). |
| Evaluation of creep | Change from baseline creep properties of the plantar fascia at following kinesiologic tape appliying and at 30min. | Creep of the plantar fascia will be mesured using a digital handheld myometer (MyotonPro, Myoton AS, Tallinn, Estonia). |
| Evaluation of foot plantar pressure distribution | Change from baseline plantar presure distrubution at following kinesiologic tape appliying and at 30min. | Plantar pressure distrubution (gr/ cm²) on the force platform will be measured. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of foot sole pain | Change from baseline foot sole pain at following kinesiologic tape appliying and at 30min. | Pain was evaluated by Visual Analog Scale between 0 (no pain) and 10 (the most severe pain). |
| Evaluation of skin temperature | Change from baseline foot sole temperature at following kinesiologic tape appliying and at 30min. | Plantar skin temperature will be measured by thermal imaging machine (Flir Sistem, ThermaCAM, Sweden) |
| Evaluation of range of motion of ankle | Change from baseline range of motion at following kinesiologic tape appliying and at 30min. | Range of motion of ankle was measured with goniometer |
Countries
Turkey (Türkiye)
Outcome results
None listed