Diabetes Clinical Trial
Official title:
Do Physical Manipulation Exercises With EPAT Improve Ankle Dorsiflexion and Reduce Dynamic Plantar Forefoot Pressure in Diabetic Subjects With Equinus?: A Pilot RCT
Diabetic foot complications are a common and costly problem. Excessive plantar pressures due
to foot deformities and/or limited ankle dorsiflexion, especially in the presence of
peripheral neuropathy, can predispose subjects with diabetes for diabetic foot ulcers.
Achilles tendon lengthening surgery has shown to delay or prevent recurrence of diabetic
foot ulcers.
Studies have shown that Shockwave Therapy (EPAT - Extracorporeal Pulse Activation
Technology) was effective in treating subjects with chronic heel pain and Achilles
tendonitis with no serious side effects. EPAT, therefore, may allow diabetic patients with
ankle equinus to perform more effective stretching exercises and may prevent recurrence of
diabetic foot ulcers.
The purposed of this RCT is to compare effectiveness of manual manipulation with EPAT versus
manual manipulation alone on ankle dorsiflexion and dynamic plantar pressure in at-risk
subjects with a history of diabetic foot ulcer.
n/a
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Treatment
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