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. 2021 Sep;20(3):128-137.
doi: 10.1016/j.jcm.2021.10.001. Epub 2022 Jan 31.

Immediate Effect of Manual Therapy on Tibiotarsal Joint Mobility and Static Balance in Individuals With Diabetes

Catarina Clapis Zordão  1 , Emilson Sodré Mendonça Junior  2 , Paola Marini Valério  2 , Carla Silva Perez  2 , Ana Paula Ferro  2 , Elaine Caldeira de Oliveira Guirro  2
Affiliations

Immediate Effect of Manual Therapy on Tibiotarsal Joint Mobility and Static Balance in Individuals With Diabetes

Catarina Clapis Zordão et al. J Chiropr Med. 2021 Sep.

Abstract

Objectives: The objective of this study was to evaluate the immediate effect of manual therapy on ankle joint mobility and static balance in patients with diabetes.

Methods: Forty patients, at a mean age of 59.35 ± 7.85, with type 2 diabetes mellitus and neurologic symptoms according to a Neuropathy Symptom Score protocol with amplitude, were included. The patients were divided into 2 groups: sham group and intervention group, which underwent manual manipulation intervention and 7-day follow-up. Joint range-of-motion analysis was performed using digital goniometry and static discharge of weights assessed by computerized baropodometry with open and closed eyes. The Shapiro-Wilk normality test was used to analyze the distribution. The data showed normal distribution, so the analysis of variance tests followed by Tukey's tests were used. SAS statistical software was used and the significance level was 5%.

Results: The results of the intervention group showed an increase in the variable ankle goniometry over time compared to the sham group. The dorsiflexion movement on the right side obtained major gains over time; in addition, plantar flexion increased.

Conclusion: Based on the participants evaluated in this study, manual therapy increased the ankle joint amplitude and improved the static balance in individuals with diabetes.

Keywords: Ankle Joint; Diabetes Mellitus; Manipulation; Musculoskeletal Manipulations; Osteopathic; Physical Therapy Modalities.

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Figures

Fig 1
Fig 1
Flowchart: sample distribution and procedures.
See this image and copyright information in PMC

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