Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II
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...
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Nature Portfolio
2021-06-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-91901-0 |
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| author | Érica Q. Silva Danilo P. Santos Raquel I. Beteli Renan L. Monteiro Jane S. S. P. Ferreira Ronaldo H. Cruvinel-Junior Asha Donini Jady L. Verissímo Eneida Y. Suda Isabel C. N. Sacco |
| author_facet | Érica Q. Silva Danilo P. Santos Raquel I. Beteli Renan L. Monteiro Jane S. S. P. Ferreira Ronaldo H. Cruvinel-Junior Asha Donini Jady L. Verissímo Eneida Y. Suda Isabel C. N. Sacco |
| author_sort | Érica Q. Silva |
| collection | DOAJ |
| description | 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 . |
| first_indexed | 2024-12-14T08:20:36Z |
| format | Article |
| id | doaj.art-65b2387a2b6b48eaadfbdcb7a8b3c49b |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-14T08:20:36Z |
| publishDate | 2021-06-01 |
| publisher | Nature Portfolio |
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| series | Scientific Reports |
| spelling | doaj.art-65b2387a2b6b48eaadfbdcb7a8b3c49b2022-12-21T23:09:49ZengNature PortfolioScientific Reports2045-23222021-06-0111111110.1038/s41598-021-91901-0Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial IIÉrica Q. Silva0Danilo P. Santos1Raquel I. Beteli2Renan L. Monteiro3Jane S. S. P. Ferreira4Ronaldo H. Cruvinel-Junior5Asha Donini6Jady L. Verissímo7Eneida Y. Suda8Isabel C. N. Sacco9Department of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloDepartment of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São PauloAbstract 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 .https://doi.org/10.1038/s41598-021-91901-0 |
| spellingShingle | Érica Q. Silva Danilo P. Santos Raquel I. Beteli Renan L. Monteiro Jane S. S. P. Ferreira Ronaldo H. Cruvinel-Junior Asha Donini Jady L. Verissímo Eneida Y. Suda Isabel C. N. Sacco Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II Scientific Reports |
| title | Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II |
| title_full | Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II |
| title_fullStr | Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II |
| title_full_unstemmed | Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II |
| title_short | Feasibility of a home-based foot–ankle exercise programme for musculoskeletal dysfunctions in people with diabetes: randomised controlled FOotCAre (FOCA) Trial II |
| title_sort | feasibility of a home based foot ankle exercise programme for musculoskeletal dysfunctions in people with diabetes randomised controlled footcare foca trial ii |
| url | https://doi.org/10.1038/s41598-021-91901-0 |
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