Department of Physical Therapy, Speech, and Occupational Therapy, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
Department of Physical Therapy, Universidade Ibirapuera, São Paulo, SP, Brazil.
Braz J Phys Ther. 2022 May-Jun;26(3):100402. doi: 10.1016/j.bjpt.2022.100402. Epub 2022 Mar 31.
Diabetes mellitus (DM) and diabetic peripheral neuropathy (DPN) compromises the structures of the musculoskeletal system, especially in the foot-ankle complex. Foot-related exercises can be a promising tool to be incorporated in health care programs to manage and prevent musculoskeletal complications resulting from DM and DPN progression.
To present the development, validation, and usability evaluation of a booklet that directs training and personalizes the progression of a home-based program of foot-ankle exercises.
The booklet containing a foot-ankle exercise program developed in a previous clinical trial was validated using the Delphi technique, with a multi-professional jury of experts who assessed the content of the material, language, individual education, exercise execution, exercise quality, and material implementation. The validated version was evaluated through telephone interview by a convenience sample of 10 individuals with DPN regarding its relevance, health education, comprehension, and usability.
The validation process with experts was performed in two rounds achieving 100% agreement in the second round. During the usability evaluation process the main complaint of users was that performing all the exercises was very tiring and took too much time out of their daily routine. Thus, the number of repetitions for each exercise was changed from 30 to 12.
The booklet is a material for prevention and management of the impacts of DM and DPN progression by improving the musculoskeletal function of the foot-ankle. This material provides an exercise regime with a personalized progression based on the perceived effort of the users.
糖尿病（DM）和糖尿病周围神经病变（DPN）会损害肌肉骨骼系统的结构，尤其是在足踝复合体。足部相关运动可以作为一种很有前途的工具，纳入医疗保健计划中，以管理和预防由 DM 和 DPN 进展引起的肌肉骨骼并发症。
介绍一本指导训练和个性化家庭足部-踝部运动方案进展的小册子的开发、验证和可用性评估。
使用德尔菲技术对包含以前临床试验中开发的足部-踝部运动方案的小册子进行验证，由多专业专家评审团评估材料的内容、语言、个体化教育、运动执行、运动质量和材料实施。通过对 10 名 DPN 患者的便利样本进行电话访谈，评估经过验证的版本的相关性、健康教育、理解和可用性。
专家的验证过程进行了两轮，第二轮达成了 100%的一致意见。在可用性评估过程中，用户的主要抱怨是执行所有运动都非常累人，并且占用了他们太多的日常生活时间。因此，每个练习的重复次数从 30 次减少到 12 次。
该小册子是一种通过改善足踝肌肉骨骼功能来预防和管理 DM 和 DPN 进展影响的材料。该材料提供了一种基于用户感知努力的个性化运动方案。
