Systematic review and meta‐analysis of the effects of foot and ankle physical therapy, including mobilisations and exercises, in people with diabetic peripheral neuropathy on range of motion, peak plantar pressures and balance
dc.contributor.author | Lepesis, V | |
dc.contributor.author | Marsden, Jonathan | |
dc.contributor.author | Rickard, A | |
dc.contributor.author | Latour, Jos M | |
dc.contributor.author | Paton, Joanne | |
dc.date.accessioned | 2023-07-23T13:31:51Z | |
dc.date.available | 2023-07-23T13:31:51Z | |
dc.date.issued | 2023-07-10 | |
dc.identifier.issn | 1520-7552 | |
dc.identifier.issn | 1520-7560 | |
dc.identifier.uri | https://pearl.plymouth.ac.uk/handle/10026.1/21061 | |
dc.description.abstract |
To evaluate the effects of foot and ankle physical therapy on ankle and first metatarsophalangeal joint range of motion (ROM), peak plantar pressures (PPPs) and balance in people with diabetes. MEDLINE, EBSCO, Cochrane Database of Systematic Reviews, Joanna Briggs Institute Database of Systematic Reviews, PROSPERO, EThOS, Web of Science and Google Scholar were searched in April 2022. Randomised Controlled Trials (RCT), quasi-experimental, pre-post experimental design and prospective cohort studies were included. Participants were people with diabetes, neuropathy and joint stiffness. Interventions included physical therapy such as mobilisations, ROM exercises and stretches. Outcome measures focused on ROM, PPPs and balance. Methodological quality was assessed with Critical Appraisal Skills Programme RCT and Risk-of-Bias 2 tool. Meta-analyses used random-effects models and data was analysed using the inverse variance method. In total, 9 studies were included. Across all studies, participant characteristics were similar; however, type and exercise dosage varied greatly. Meta-analysis was performed with four studies. Meta-analysis showed significant effects of combined exercise interventions in increasing total ankle ROM (3 studies: MD, 1.76; 95% CI, 0.78–2.74; p = 0; I2 = 0%); and reducing PPPs in the forefoot area (3 studies; MD, −23.34; 95% CI, −59.80 to 13.13; p = 0.21, I2 = 51%). Combined exercise interventions can increase ROM in the ankle and reduce PPPs in the forefoot. Standardisation of exercise programmes with or without the addition of mobilisations in the foot and ankle joints needs further research. | |
dc.format.extent | e3692- | |
dc.format.medium | Print-Electronic | |
dc.language | en | |
dc.publisher | Wiley | |
dc.subject | diabetes | |
dc.subject | exercises | |
dc.subject | mobilisations | |
dc.subject | peak plantar pressures | |
dc.subject | range of motion balance | |
dc.title | Systematic review and meta‐analysis of the effects of foot and ankle physical therapy, including mobilisations and exercises, in people with diabetic peripheral neuropathy on range of motion, peak plantar pressures and balance | |
dc.type | journal-article | |
dc.type | Journal Article | |
dc.type | Review | |
plymouth.author-url | https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:001022720200001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008 | |
plymouth.publication-status | Published online | |
plymouth.journal | Diabetes/Metabolism Research and Reviews | |
dc.identifier.doi | 10.1002/dmrr.3692 | |
plymouth.organisational-group | |Plymouth | |
plymouth.organisational-group | |Plymouth|Research Groups | |
plymouth.organisational-group | |Plymouth|Faculty of Health | |
plymouth.organisational-group | |Plymouth|Faculty of Health|School of Health Professions | |
plymouth.organisational-group | |Plymouth|Faculty of Health|School of Nursing and Midwifery | |
plymouth.organisational-group | |Plymouth|Research Groups|Institute of Health and Community | |
plymouth.organisational-group | |Plymouth|REF 2021 Researchers by UoA | |
plymouth.organisational-group | |Plymouth|Users by role | |
plymouth.organisational-group | |Plymouth|Users by role|Academics | |
plymouth.organisational-group | |Plymouth|REF 2021 Researchers by UoA|UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | |Plymouth|Research Groups|FoH - Applied Parkinson's Research | |
plymouth.organisational-group | |Plymouth|Users by role|Researchers in ResearchFish submission | |
plymouth.organisational-group | |Plymouth|Research Groups|Plymouth Institute of Health and Care Research (PIHR) | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2023-06-17 | |
dc.date.updated | 2023-07-23T13:31:46Z | |
dc.rights.embargodate | 2023-7-25 | |
dc.identifier.eissn | 1520-7560 | |
dc.rights.embargoperiod | forever | |
rioxxterms.versionofrecord | 10.1002/dmrr.3692 |