Tütün Yümin Eylem, Şimşek Tülay Tarsuslu, Sertel Meral, Ankaralı Handan, Yumin Murat
a Abant İzzet Baysal University, School of Physical Therapy and Rehabilitation , Bolu , Turkey.
b Dokuz Eylül University, School of Physical Therapy and Rehabilitation , İzmir , Turkey.
Physiother Theory Pract. 2017 Feb;33(2):115-123. doi: 10.1080/09593985.2016.1271849. Epub 2017 Jan 17.
The aim of this study was to investigate the effect of manual foot plantar massage (classic and friction massage) on functional mobility level, balance, and functional reach in patients with type II diabetes mellitus (T2 DM).
A total of 38 subjects diagnosed with T2 DM were included in the study. A healthy control group could not be formed in this study. After the subjects' socio-demographic data were obtained, Timed Up & Go (TUG) Test, functional reach test (FRT), one-leg standing test with eyes open-closed, and Visual Analogue Scale (VAS) to measure foot pain intensity were performed. The results were also divided and assessed in three groups according to the ages of the individuals (40-54, 55-64, and 65 and over).
As a result of statistical analysis, a difference was found in the values obtained from TUG, FRT, and one-leg standing test with eyes open and closed (p < 0.05). Following the massage, TUG values significantly decreased comparison with those before the massage, whereas the values of FRT and one-leg standing test with eyes open and closed significantly increased compared with those before the massage (p > 0.05). According to age groups, there were statistical differences (p < 0.05) between the TUG, one-leg standing test with eyes open and closed test values of the individuals before and after the massage.
The results of our study indicated that application of plantar massage to patients with T2 DM caused an improvement in balance, functional mobility, and functional reach values. An increase in body balance and functional mobility may explain the improvement in TUG. Foot massage to be added to rehabilitation exercise programs of DM patients will be important in improving balance and mobility of patients.
本研究旨在探讨手法足底按摩（经典按摩和摩擦按摩）对2型糖尿病（T2 DM）患者功能活动水平、平衡能力和功能性伸展的影响。
本研究共纳入38例诊断为T2 DM的受试者。本研究无法组建健康对照组。获取受试者的社会人口统计学数据后，进行定时起立行走测试（TUG）、功能性伸展测试（FRT）、睁眼和闭眼单腿站立测试以及用于测量足部疼痛强度的视觉模拟量表（VAS）。结果还根据个体年龄分为三组（40 - 54岁、55 - 64岁和65岁及以上）进行评估。
经统计分析，发现TUG、FRT以及睁眼和闭眼单腿站立测试所得值存在差异（p < 0.05）。按摩后，TUG值与按摩前相比显著降低，而FRT值以及睁眼和闭眼单腿站立测试值与按摩前相比显著升高（p > 0.05）。按年龄组划分，按摩前后个体的TUG、睁眼和闭眼单腿站立测试值之间存在统计学差异（p < 0.05）。
我们的研究结果表明，对T2 DM患者进行足底按摩可改善平衡能力、功能活动水平和功能性伸展值。身体平衡和功能活动能力的提高可能解释了TUG的改善情况。在糖尿病患者的康复锻炼计划中增加足部按摩对于改善患者的平衡和活动能力将具有重要意义。
