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Effectiveness of Buerger Allen Exercise Among Type 2 Diabetes Mellitus Patients With Foot Ulcer

Not Applicable
Completed
Conditions
Diabetic Foot Ulcers
Interventions
Behavioral: Buerger Allen Exercises
Registration Number
NCT05747872
Lead Sponsor
Gazi University
Brief Summary

This study was conducted to determine the effect of Buerger Allen exercises on lower extremity perfusion and wound healing in patients with foot ulcer type 2 diabetes. The Buerger Allen exercise is a specific exercise that aims to improve circulation in the feet and legs. Buerger Allen exercise is an ideal and noninvasive therapy for diabetic patients with a diabetic foot ulcer as it is an easy-to-learn, repetitive, low-cost, and low-risk physical activity. Subjects were randomly allocated to either the control or intervention group. The ulcers and lower extremity perfusion of the patients in both the intervention and control groups were examined and measured.

Detailed Description

The purpose of this study was to investigate the effect of Buerger Allen exercises on lower extremity perfusion and wound healing in type 2 diabetic patients with a diabetic foot ulcer. Subjects were recruited by the researcher in the clinics where they received treatment. Randomized controlled study design was used in the study. Patients in the study were allocated to the control and study intervention groups. The data collection form developed by the researcher was used to collect the data. Patients in both groups received standard wound care. Subjects in the study intervention group were asked to exercise twice daily for 12 weeks. The ulcers and lower extremity perfusion of the groups were assessed in the beginning, in the 4th week, and the 12th week. The groups will be compared in terms of the ulcer size and lower extremity perfusion.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
72
Inclusion Criteria
  • 18 years or older,
  • Patients with type 2 diabetes with foot ulcer
  • Receiving oral antidiabetic and/or insulin therapy,
  • PEDIS Classification stage 1 and 2
  • Does not have communication and mental problems,
  • are literate and speak Turkish,
  • Patients who volunteered to participate in the study
Exclusion Criteria
  • with dementia and mental problems,
  • Those with serious diabetes complications such as kidney failure and hemodialysis,
  • Patients receiving hyperbaric oxygen therapy, negative pressure wound therapy, epidermal growth factor for wound healing.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
İntervention GrupBuerger Allen ExercisesBuerger Allen exercises programme will be applied to the type 2 diabetes mellitus patients with foot ulcer. Patients in the intervention group performed daily Buerger Allen exercises for 12 weeks. Patients in the study intervention group were taught Buerger Allen exercises and were asked to exercise twice daily for 12 weeks. Individuals will be given an exercise diary, including the pictures of the exercises, to better manage this process. Reminder phone calls were made once a week to support the exercise program and increase motivation.
Primary Outcome Measures
NameTimeMethod
Change in Ankle Brachial Index (ABI)Change from baseline Ankle Brachial İndex (ABI) at 12 weeks

To calculate the ABI, each ankle systolic pressure was divided by the brachial systolic pressure and the higher of the two systolic pressures for each leg was divided by the higher of the two arm pressures to get the right and left ABI The score was interpreted as

* above 0.9 (normal perfusion),

* 0.71-0.90 (mildly impaired perfusion),

* 0.41-0.70 (moderately impaired perfusion),

* below 0.40 (severely impaired perfusion).

Change in ulcer surface areaChange from baseline ulcer surface area at 12 weeks

Ulcer size was measured in centimeters. Ulcer surface area was measured using a scaled transparent measurement paper.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Gazi University

🇹🇷

Ankara, Çankaya, Turkey

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