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Ansari A, Karimzadeh Ardakani M, Akoochakian M. Effectiveness of Weight-bearing Exercise Programs on Rebounder and Foot-Ankle Therapeutic Exercise Program on Biomechanics and Quality of Life in Patients with Feet Peripheral Neuropathy. PTJ 2024; 14 (2)
URL: http://ptj.uswr.ac.ir/article-1-598-en.html
URL: http://ptj.uswr.ac.ir/article-1-598-en.html
1- Student
2- Assistant professor
2- Assistant professor
Abstract: (273 Views)
Abstract
Aims: The goal of this research is to compare the effectiveness of weight-bearing exercise on a rebounder, as well as ankle exercise therapy on biomechanics and quality of life in patients with diabetic neuropathic feet.
Methods: The present investigation is a clinical trial study with two experimental groups and one control group. A total of 48 women were selected in this study who had diabetes mellitus type 2 with DPN. Data was collected using the Michigan Neuropathy Screening Instrument (MNSI), Foot Health Questionnaire (FHS-BR), Fall Efficacy Scale International (FESI) and Quality of Life Questionnaire (EQ-5D). The first experimental group (n=16) engaged in rebound exercises for eight weeks, while the second experimental group (n=16) engaged in at-home ankle treatment exercises. The control group (n = 16) will not be given any particular treatment other than standard care, which consists of medication, therapy prescribed by the medical team, and instructions for self-care included in a training manual. The data were analyzed using a correlated t-test and an analysis of covariance.
Results: The results showed that applying rebound exercises and exercise therapy in exercise groups had a significant effect on the two components of the peak pressure of the medial forefoot area and the peak pressure of the lateral forefoot area of the right and left feet (P=0.05), the risk of falling (P=0.05), dynamic balance (P=0.05) and quality of life (P=0.05), but not in the control group after 8 weeks (p<0.05).
Conclusion: In order to prevent foot problems in DPN populaces and improve their independence for daily routines, the exercise programs presented in this research as a non-pharmacological intervention can be a promising approach. Specifically, the weight-bearing training program on a rebounder and the ankle exercise-therapy program were effective in improving plantar pressure, fall risk, dynamic balance, and quality of life.
Aims: The goal of this research is to compare the effectiveness of weight-bearing exercise on a rebounder, as well as ankle exercise therapy on biomechanics and quality of life in patients with diabetic neuropathic feet.
Methods: The present investigation is a clinical trial study with two experimental groups and one control group. A total of 48 women were selected in this study who had diabetes mellitus type 2 with DPN. Data was collected using the Michigan Neuropathy Screening Instrument (MNSI), Foot Health Questionnaire (FHS-BR), Fall Efficacy Scale International (FESI) and Quality of Life Questionnaire (EQ-5D). The first experimental group (n=16) engaged in rebound exercises for eight weeks, while the second experimental group (n=16) engaged in at-home ankle treatment exercises. The control group (n = 16) will not be given any particular treatment other than standard care, which consists of medication, therapy prescribed by the medical team, and instructions for self-care included in a training manual. The data were analyzed using a correlated t-test and an analysis of covariance.
Results: The results showed that applying rebound exercises and exercise therapy in exercise groups had a significant effect on the two components of the peak pressure of the medial forefoot area and the peak pressure of the lateral forefoot area of the right and left feet (P=0.05), the risk of falling (P=0.05), dynamic balance (P=0.05) and quality of life (P=0.05), but not in the control group after 8 weeks (p<0.05).
Conclusion: In order to prevent foot problems in DPN populaces and improve their independence for daily routines, the exercise programs presented in this research as a non-pharmacological intervention can be a promising approach. Specifically, the weight-bearing training program on a rebounder and the ankle exercise-therapy program were effective in improving plantar pressure, fall risk, dynamic balance, and quality of life.
Type of Study: Research |
Subject:
Special
Received: 2023/09/3 | Accepted: 2024/01/30 | Published: 2024/04/9
Received: 2023/09/3 | Accepted: 2024/01/30 | Published: 2024/04/9
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