Type 2 Diabetes Clinical Trial
Official title:
Effect of Reflexology on Ankle Brachial Index, Diabetic Peripheral Neuropathy, and Glycemic Control in Elderly Diabetic Individuals
Verified date | June 2020 |
Source | Abant Izzet Baysal University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Background: Glycemic control can be difficult in the elderly with diabetes.Diabetic foot
problems characterized by vascular and neuropathy are serious complications. The
effectiveness of reflexology has been demonstrated to achieve glycemic control and manage
diabetic foot problems.
Objectives: To determine the effect of foot reflexology on ankle brachial index (ABI),
diabetic peripheral neuropathy (DPN) and glycemic control in elderly diabetic individuals.
Design: A randomized clinical trial. Settings: An outpatient elderly health center in Turkey.
Participants: 48 individuals aged 65 and over enrolled in the elderly health center were
included.
Methods: The elderly were randomized into two groups (study, n=24; control,n=24). Foot
reflexology was performed for 12 week in the study group, whereas the control group continued
their routine treatment and follow-up. Both groups underwent a comprehensive foot examination
for evaluating ABI and DPN at baseline and after 12 weeks; furthermore, glycemic control
(glycated hemoglobin-HbA1c) was evaluated. An independent two-sample t-test was performed for
pre- and post-test between-group comparisons; an effect size analysis was performed to
determine the effect of intervention.
Status | Completed |
Enrollment | 48 |
Est. completion date | July 1, 2019 |
Est. primary completion date | April 22, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - Older than 65 years with type 2 diabetes - No fractures or open wounds on both lower limbs - No single or double sided amputation on the lower limbs. Exclusion Criteria: - Uncontrolled high blood pressure - Acute infection with fever - Acute surgical conditions - Receiving dialysis treatment - Being a verbal communication problem related to Alzheimer's or dementia |
Country | Name | City | State |
---|---|---|---|
Turkey | Bolu Elderly Health Center | Bolu |
Lead Sponsor | Collaborator |
---|---|
Abant Izzet Baysal University | The Scientific and Technological Research Council of Turkey |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Means of Ankle Brachial Index score | Vascular assessment test to assess peripheral circulation in the lower limbs. The measurement, obtained by dividing the highest ankle arterial pressure (posterior tibial or dorsalis pedis) on the same side by brachial pressure, was evaluated using a 5-10-MHz handheld Doppler device and a blood pressure cuff. | 3-month change | |
Primary | Means of Diabetic peripheral neuropathy score | Measurement parameter testing whether there is nerve damage due to diabetes by physical examination of the foot. The examination was determined using symptom and disability scores. Symptom scores included questions related to complaints experienced by patients, the location of the complaints, the presence of night or day symptoms, and how the symptoms relieved/subsided. Disability scores were determined with four parameters: vibration sensation (128 Hz tuning fork), pinprick sensation, achilles reflex and sensitivity to touch (Semmes-Weinstein nylon monofilaments 10 g).Participant responses and examination findings were scored according to a guideline and a neuropathy score was obtained for each participant. | 3-month change | |
Primary | HbA1c levels (%) | Blood test to evaluate glycemic control. Blood sample was collected in EDTA-coated tubes (2 mL of whole) from the participants. | 3-month change |
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