Effect of foot muscle exercises on toe grip, balance and muscle activation in diabetes mellitus.

Recruiting

Conditions: Diabetes mellitus,

Registration Number: CTRI/2020/03/024277

Lead Sponsor: Department of Physiotherapy

Brief Summary: Diabetes mellitus is themost common, non-communicable, heterogeneous metabolic disorder which ischaracterized by hyperglycemia and has attained epidemic proportions worldwide. Long standing Diabetes mellitus leads to various musculoskeletal andsystemic complications which most commonly include peripheral neuropathy andfoot conditions leading to loss of protective sensation, limited jointmovement, atrophy of intrinsic muscles of foot, decreased strength of lowerlimbs due to affliction of both large and small diameter afferent as well asefferent axons causing impaired balance and postural stability. It has been reported in various studies that diabetes mellitus patients haveimpaired foot-ankle muscle strength as assessed via hallux grip force, halluxplantar strength and manual muscle testing. Patients with decreasedhallux grip force are shown to have diminished foot-ankle muscle strength andassociated impairment in balance and postural stability. Also, alterations inmuscle activity have been found in patients with diabetes.

Previous studies have incorporated the effect of various exercise trainings onfoot function, daily activity and biomechanics of foot in patients withdiabetes mellitus and neuropathy, none of the studies have focused on theeffect of foot muscle exercises on grip force, foot muscle activity andpostural stability. Also, mostly exercise programs usually neglect footmuscles-extrinsic as well as intrinsic, though they play a major role inmaintaining balance and postural stability. Therefore, the primary objective ofthis study will focus on to find the effect of various foot muscleexercises on hallux grip force, postural stability and foot muscle activationpattern in patients with diabetes mellitus

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: All

Target Recruitment: 75

Inclusion Criteria

1.Patients with diagnosed Diabetes Mellitus 2.
both genders 3.
history of diabetes mellitus for more than or equal to 2 years.

Exclusion Criteria

1.Patients with other neurological or musculoskeletal disorders 2.Non-diabetic neuropathy 3.Uncontrolled hypertension 4.Visual impairments 5.Vestibular dysfunction.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
3. Muscle Activity	After 12 weeks
2. Postural Stability	After 12 weeks
1.Hallus Grip Force	After 12 weeks

Secondary Outcome Measures

Name	Time	Method

Trial Locations

Locations (1): Guru Jambheshwar University of Science and Technology Hisar
🇮🇳
Hisar, HARYANA, India
Guru Jambheshwar University of Science and Technology Hisar
🇮🇳Hisar, HARYANA, India
Neerja Thukral
Principal investigator
9671114674
neerja.thukral@gmail.com