Diabetic Foot, Hyperglycemia, Quality of Life, Resistance Exercise, Wound Healing
Conditions
Brief summary
The purpose of the study was designed leg resistance training combined with breathing approach, and evaluated its effect on wound healing, blood sugar control and quality of life in type 2 diabetic patients with foot ulcers.
Detailed description
A randomized controlled trial was used. type 2 diabetic patients who suffered from foot ulcers were recruited from one medical center of Northern Taiwan, and randomly assigned into the exercise or control group. The control group received usual care for diabetic foot. The exercise group received usual care and breathing-based leg resistance exercise program for 12 weeks. Outcomes were measured by wound healing area, the fasting of blood glucose, hemoglobin A1c (HbA1c), and the World Health Organization quality of life-BREF (WHOQOL-BREF) before the intervention as baseline, and the 4th, 8th and 12th weeks during the intervention period.
Interventions
BEHAVIORALleg resistance combined with breathing exercise training
The exercise group was provided breathing and leg resistance exercise manuals. The exercise involved 5 minutes of abdominal breathing in a relaxed sitting position, followed by 10 minutes of leg resistance training.
Sponsors
Taipei Veterans General Hospital, Taiwan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* patients 20 years or older * who were diagnosed with type 2 diabetic foot * ulcers of Meggitt-Wagner Grade 1-2 * who were conscious and could perform the prescribed exercise.
Exclusion criteria
* peripheral arterial occlusion disease * osteomyelitis * inability to perform exercise as assessed by physicians.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| wound healing | during 12 weeks the intervention period. | wound size(cm2) |
| blood sugar control-fasting blood sugar | during 12 weeks the intervention period. | fasting blood sugar(mg/dl ) using a blood glucose meter |
| quality of life measured by the World Health Organization Quality of Life-BREF | during 12 weeks the intervention period. | Quality of life was measured using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) in the Taiwan version |
| blood sugar control-HbA1c | during 12 weeks the intervention period. | The levels of hemoglobin A1c (%)(HbA1c) were monitored blood sugar in the long term |
Outcome results
None listed