School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Khon Kaen, Thailand.
Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University, Khon Kaen, Thailand.
J Altern Complement Med. 2020 Jun;26(6):491-500. doi: 10.1089/acm.2019.0328. Epub 2020 Apr 28.
The purpose of this study was to investigate the immediate effects of self-Thai foot massages (STFMs) on the foot skin blood flow, the foot skin temperature, and range of motion (ROM) of the foot and ankle in type 2 diabetic patients with peripheral neuropathy. A randomized crossover study. Twenty five diabetic patients with peripheral neuropathy were recruited. Participants were randomly assigned to either STFM or Thai foot massage (TFM) performed by a massage therapist; then, they were switched to the other group after a 1-week washout period. In both groups, the foot massage was performed in a seated position on the dominant lower leg and foot for 25 min. Before and immediately after treatment, foot skin blood flow, foot skin temperature, and ROM of the foot and ankle were evaluated. Heart rate was measured throughout the treatment. After a single treatment of the massage, foot skin blood flow and ROM of the foot and ankle significantly improved in both groups ( < 0.05). Foot skin temperature did not change in STFM, whereas it significantly increased in TFM. Heart rate significantly increased in STFM, whereas it tended to decrease in TFM. Both STFM and TFM by a massage therapist could improve foot skin blood flow and ROM of the foot and ankle in diabetic patients with peripheral neuropathy. An STFM could be a promising alternative treatment that patients can perform at home.
本研究旨在探讨自我泰式足部按摩（STFM）对 2 型糖尿病周围神经病变患者足部皮肤血流、足部皮肤温度和足部及踝关节活动度（ROM）的即时影响。一项随机交叉研究。招募了 25 名患有周围神经病变的糖尿病患者。参与者被随机分配到由按摩治疗师进行的 STFM 或泰式足部按摩（TFM）组；然后，在 1 周洗脱期后，他们切换到另一个组。在两组中，足部按摩均在坐姿下对优势小腿和足部进行 25 分钟。在治疗前后，评估足部皮肤血流、足部皮肤温度和足部及踝关节的 ROM。整个治疗过程中测量心率。单次按摩治疗后，两组的足部皮肤血流和足部及踝关节的 ROM 均显著改善（<0.05）。STFM 组的足部皮肤温度没有变化，而 TFM 组的足部皮肤温度显著升高。STFM 组的心率显著升高，而 TFM 组的心率则呈下降趋势。按摩治疗师的 STFM 和 TFM 均可改善糖尿病周围神经病变患者的足部皮肤血流和足部及踝关节的 ROM。STFM 可能是一种有前途的替代治疗方法，患者可以在家中进行。
