Patients With Diabetic Neuropathy Who Receive Physiotherapy Treatment Will Have a Decrease in Diabetic Foot Ulcers

Universidad Complutense de Madrid

Status

Unknown

Conditions

Diabetic Foot Ulcer

Diabetic Neuropathy Peripheral

Treatments

Other: Physiotherapy protocol

Study type

Interventional

Funder types

Other

Identifiers

NCT03725917

V2.0_16.07.18

Details and patient eligibility

About

This study evaluates the effects of a physiotherapy protocol (manual therapy and exercise) in the prevention of diabetic foot ulcers in patients with diabetic neuropathy. A group of participants will receive a physiotherapy protocol added to their usual medical treatment and the other group will not receive physiotherapy treatment.

Full description

Neuropathic diabetic patients present alterations in joint mobility, plantar pressures and ankle and foot function, characteristics related to the development of ulcers.

In previous studies, it has been observed that physiotherapy protocols have produced improvements in joint mobility, magnitude of plantar pressures, distribution of plantar pressures, and improved function in the ankle and foot.

A 12-week progressive physiotherapy protocol composed of manual therapy and exercise could produce changes in foot and ankle characteristics in diabetic neuropathic patients related to tissue damage, resulting in a reduction in ulcerations.

Enrollment

143 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Participants with diabetes mellitus type 1 or type 2
Patients with diabetic neuropathy
Patients with no previous history of ulcers
Patients with no previous history of lower limb amputations

Exclusion criteria

Patients with neurological or orthopedic problems that make walking difficult (spasticity, cerebral palsy, poliomyelitis, rheumatoid arthritis)
Severe vascular complications (arterial or venous ulcers)
Patients with critical ischemia
Patient who need walking aids (canes, crutches, splints etc.)
Patients with a history of neuropathy with different etiology from diabetes mellitus.
Patients with peripheral nervous lesions (traumatic origin, associated with surgical procedures, compression of spinal roots, plexus palsy, herpes zoster, polyradiculopathy, etc.)