Effect of Foot Muscle Energy Technique in Patients With Diabetic Neuropathy

Study Overview
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Brief Summary
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Foot muscle energy technique and conventional physical therapy program administered in patients with type 2 Diabetic Neuropathy.

Detailed Description
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Foot muscle energy technique and conventional physical therapy program administered in patients with type 2 Diabetic Neuropathy.

Official Title
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Effect of Foot Muscle Energy Technique in Patients With Diabetic Neuropathy: A Randomized Controlled Trial

Conditions
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Diabetic Neuropathies

Intervention / Treatment
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* Other: Foot Muscle Energy Technique
* Other: Conventional Physical Therapy Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participants (males and females) examined with non-insulin-dependent diabetes for ≥10 years determined by neurophysiological measurements were enrolled. The participants regularly took their diabetes medications during the assessment and treatment period. The use of any sedatives or anticonvulsants was contraindicated for all participants. Exclusion Criteria: • Uncontrolled non-insulin dependent diabetes and diagnosed for < 10 years, neural, muscular, and skeletal system deformities; radiculopathy; and psychiatric disorders.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 55 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>Participants received foot muscle energy techniques and conventional physical therapy program for three sessions/week for 4 weeks, each lasting 30 min | Other: Foot Muscle Energy Technique<br>* Starting from the preparation position, at the restriction barrier, the patient is asked to exert a small effort (no more than 20% of available strength) towards plantarflexion, against unyielding resistance, with appropriate breathing. The patient produces isometric effort contracts either gastrocnemius or soleus (depending on whether the knee is unflexed or flexed). This contraction is held for 7-10 seconds together with a held breath. The exercise was repeated until the full range of movement was obtained.<br>* Other names: Foot MET;Other: Conventional Physical Therapy Program<br>* Graduated active resisted range of motion exercises for both UL and LL and graduated gait training<br>|
| Experimental: Group B<br>Participants received conventional physical therapy program only for three sessions/week for 4 weeks, each lasting 30 min | Other: Conventional Physical Therapy Program<br>* Graduated active resisted range of motion exercises for both UL and LL and graduated gait training<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Motor nerve conduction study | Assess both tibial and deep peroneal motor nerve conduction velocity. | 4 weeks | 
| Toe Strength Dynamometer | Assess Isometric muscle strength. | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Diabetic neuropathy, Foot muscle energy technique, Isometric muscle strength, Motor nerve conduction velocity study