| Full text | |
| Author(s): |
Silva, Erica Q.
[1]
;
Santos, Danilo P.
[1]
;
Beteli, Raquel I.
[1]
;
Monteiro, Renan L.
[2, 1]
;
Ferreira, Jane S. S. P.
[1]
;
Cruvinel-Junior, Ronaldo H.
[1]
;
Donini, Asha
[1]
;
Verissimo, Jady L.
[1]
;
Suda, Eneida Y.
[3, 1]
;
Sacco, Isabel C. N.
[1]
Total Authors: 10
|
| Affiliation: | [1] Univ Sao Paulo, Dept Phys Therapy Speech & Occupat Therapy, Fac Med, Rua Cipotanea 51, Cidade Univ, BR-05360160 Sao Paulo, SP - Brazil
[2] Univ Fed Amapa, Dept Phys Therapy, Amapa - Brazil
[3] Univ Ibirapuera, Dept Phys Therapy, Sao Paulo, SP - Brazil
Total Affiliations: 3
|
| Document type: | Journal article |
| Source: | SCIENTIFIC REPORTS; v. 11, n. 1 JUN 11 2021. |
| Web of Science Citations: | 0 |
| Abstract | |
This study sought to assess the feasibility of design, adherence, satisfaction, safety and changes in outcomes followed by a home-based foot-ankle exercise guided by a booklet in individuals with diabetic peripheral neuropathy (DPN). 20 participants were allocated usual care {[}control group (CG)] or usual care plus home-based foot-ankle exercises {[}intervention group (IG)] for 8 weeks. For feasibility, we assessed contact, preliminary screening and recruitment rates, adherence, and using a 5-point Likert scale to satisfaction and safety of the booklet. In the IG, we assessed preliminary changes in DPN symptoms, DPN severity (classified by a fuzzy model) and foot-ankle range of motion between baseline and Week 8. In the first 20 weeks, 1310 individuals were screened for eligibility by phone contact. Contact rate was 89% (contacted participants/20w), preliminary screening success 28% (participants underwent screening/20w), and recruitment rate 1.0 participants/week (eligible participants/20w). The recruitment rate was less than the ideal rate of 5 participants/week. The adherence to the exercises programme was 77%, and the dropout was 11% and 9% for the IG and CG, respectively. In the IG, participants' median level of satisfaction was 4 (IQR: 4-5) and perceived safety was 3 (IQR: 3-5). IG significantly decreased the DPN severity (p=0.020), increased hallux relative to forefoot (first metatarsal) range of motion (ROM) (p<0.001) and decreased maximum forefoot relative to hindfoot (midfoot motion) dorsiflexion during gait (p=0.029). The home-based programme was feasible, satisfactory, safe and showed preliminary positive changes in DPN severity and foot motion during gait.Trial Registration ClinicalTrials.gov, NCT04008745. Registered 02/07/2019. https://clinicaltrials.gov/ct2/show/NCT04008745. (AU) | |
| FAPESP's process: | 19/02624-8 - Effect of the use of a rehabilitation technology tool for self-care, prevention and treatment of the foot of people with diabetes mellitus: randomized controlled trial |
| Grantee: | Danilo Pereira dos Santos |
| Support Opportunities: | Scholarships in Brazil - Scientific Initiation |
| FAPESP's process: | 17/15449-4 - Biomechanical and functional aspects of the musculoskeletal system of runners: chronic effects of therapeutic exercise and aging |
| Grantee: | Eneida Yuri Suda |
| Support Opportunities: | Scholarships in Brazil - Post-Doctoral |
| FAPESP's process: | 19/02522-0 - Rehabilitation technology for prevention of musculoskeletal and foot dysfunctions of people with Diabetes Mellitus: FootCAre (FoCa) prevention randomized controlled trial |
| Grantee: | Jane Suelen Silva Pires Ferreira |
| Support Opportunities: | Scholarships in Brazil - Doctorate |
| FAPESP's process: | 17/17848-3 - Effects of foot muscle strengthening in daily activity and functionality of foot and ankle in diabetic polyneuropathy patients: a randomized controlled trial |
| Grantee: | Renan Lima Monteiro |
| Support Opportunities: | Scholarships in Brazil - Doctorate |
| FAPESP's process: | 19/06405-9 - Rehabilitation technology for prevention of musculoskeletal dysfunctions and treatment of people's feet with diabetes mellitus: study FOotCAre (FOCA) proof of concept |
| Grantee: | Ronaldo Henrique Cruvinel Júnior |
| Support Opportunities: | Scholarships in Brazil - Master |