Kanchanasamut Wararom, Pensri Praneet
Interdisciplinary Program of Biomedical Science, Faculty of Graduate School, Chulalongkorn University , Bangkok , Thailand.
Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University , Bangkok , Thailand.
Diabet Foot Ankle. 2017 Feb 20;8(1):1287239. doi: 10.1080/2000625X.2017.1287239. eCollection 2017.
: Foot and ankle exercise has been advocated as a preventative approach in reducing the risk of foot ulceration. However, knowledge about the appropriate types and intensity of exercise program for diabetic foot ulcer prevention is still limited. The current study aimed to examine the effects of an eight-week mini-trampoline exercise on improving foot mobility, plantar pressure and sensation of diabetic neuropathic feet. : Twenty-one people with diabetic peripheral neuropathy who had impaired sensation perception were divided into two groups. The exercise group received a foot-care education program plus an eight-week home exercise program using the mini-trampoline ( = 11); whereas a control group received a foot-care education only ( = 10). Measurements were undertaken at the beginning, at the completion of the eight-week program and at a 20-week follow-up. : Both groups were similar prior to the study. Subjects in the exercise group significantly increased the range of the first metatarsophalangeal joint in flexion (left: = 0.040, right: = 0.012) and extension (left: = 0.013) of both feet more than controlled subjects. There was a trend for peak plantar pressure at the medial forefoot to decrease in the exercise group (= 0.016), but not in the control group. At week 20, the number of subjects in the exercise group who improved their vibration perception in their feet notably increased when compared to the control group (left: = 0.043; right: = 0.004). : This is a preliminary study to document the improvements in foot mobility, plantar pressure and sensation following weight-bearing exercise on a flexible surface in people with diabetic neuropathic feet. Mini-trampoline exercise may be used as an adjunct to other interventions to reduce risk of foot ulceration. A larger sample size is needed to verify these findings. This trial is registered with COA No. 097.2/55.
足部和踝关节锻炼已被提倡作为降低足部溃疡风险的一种预防方法。然而，对于预防糖尿病足溃疡的适当锻炼计划类型和强度的了解仍然有限。当前的研究旨在检验为期八周的迷你蹦床锻炼对改善糖尿病神经病变足部的足部活动度、足底压力和感觉的影响。
21名感觉知觉受损的糖尿病周围神经病变患者被分为两组。锻炼组接受足部护理教育计划以及为期八周的使用迷你蹦床的家庭锻炼计划（n = 11）；而对照组仅接受足部护理教育（n = 10）。在研究开始时、八周计划结束时以及20周随访时进行测量。
两组在研究前相似。锻炼组的受试者双脚第一跖趾关节的屈曲范围（左侧：P = 0.040，右侧：P = 0.012）和伸展范围（左侧：P = 0.013）比对照组受试者显著增加。锻炼组前足内侧的足底压力峰值有下降趋势（P = 0.016），而对照组没有。在第20周时，与对照组相比，锻炼组中足部振动觉改善的受试者数量显著增加（左侧：P = 0.043；右侧：P = 0.004）。
这是一项初步研究，记录了糖尿病神经病变足部患者在柔性表面上进行负重锻炼后足部活动度、足底压力和感觉的改善情况。迷你蹦床锻炼可作为其他干预措施的辅助手段以降低足部溃疡风险。需要更大的样本量来验证这些发现。该试验已在COA注册，编号为097.2/55。
