Combined Effects of Foot-Ankle Therapeutic Exercises and Mindful Walking in Patients With Diabetic Polyneuropathy

Summary

The aim of this study is to investigate the combined effects of foot ankle therapeutic exercises and mindful walking on pain, foot and ankle disability, and quality of life in patients with diabetic polyneuropathy. This study seeks to evaluate the efficacy of these interventions in improving clinical outcomes and enhancing the overall well-being of individuals with diabetic polyneuropathy.

Eligibility

Inclusion Criteria:

* Diagnosed with diabetic polyneuropathy (DPN) confirmed by medical history and clinical examination.
* Experience pain and disability in foot/ankle, with a Numeric Pain Rating Scale (NPRS) score ≥ 4.
* Independent walking ability for at least 10 m.
* Age (40-75) years.
* Ability to understand and follow exercise instructions.
* A maximum of one amputated toe, not being the hallux.
* Willingness to participate in the study and provide informed consent.

Exclusion Criteria:

* Presence of an active plantar ulcer or gangrene.
* History of surgical procedure at the knee, ankle, or hip or indication of surgery throughout the intervention period.
* Arthroplasty and/or orthosis of lower limbs or indication of lower limb arthroplasty throughout the intervention period.
* Participating in other exercise programs or studies.
* Dementia or inability to give consistent information.
* Diagnosis of neurological diseases.
* Neuropathic pain due to other causes (e.g., HIV, chemotherapy).
* Major vascular complications and/or severe retinopathy.

Conditions2

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