Structured exercise program for Foot Ulcer

Phase-Based Estimates
1
Effectiveness
1
Safety
UNM Cardiac Rehabilitation Services, Albuquerque, NM
+3 More
Structured exercise program - Other
Eligibility
18+
All Sexes
Eligible conditions
Foot Ulcer

Study Summary

Exercise Enhances Wound Healing in Patients With Diabetic Foot Ulcers

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Eligible Conditions

  • Foot Ulcer
  • Diabetic Foot
  • Ulcer
  • Diabetic Foot Ulcers (DFUs)

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether Structured exercise program will improve 1 primary outcome in patients with Foot Ulcer. Measurement will happen over the course of 12 weeks or less.

12 weeks or less
wound healing time

Trial Safety

Trial Design

2 Treatment Groups

Control
Treatment-as-usual plus medically-supervised exercise (TAU-EX)

This trial requires 60 total participants across 2 different treatment groups

This trial involves 2 different treatments. Structured Exercise Program is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Treatment-as-usual plus medically-supervised exercise (TAU-EX)
Other
This group attends normal wound care appointments as scheduled with the wound care provider, generally 2 - 3 times per week. Coincident with these appointments, ideally, they will also attend a medically-supervised exercise program supervised by the exercise physiologists of the Cardiac Rehabilitation facility. The exercise sessions will last no more than 1-hr per session. The maximum number of sessions possibly attended over the 12-wk intervention period is 36. In addition, participants in this group will maintain their activities of daily life unless contraindicated by the would care provider.
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 12 weeks or less
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 12 weeks or less for reporting.

Who is running the study

Principal Investigator
A. L. G.
Prof. Ann L. Gibson, Professor, Exercise Science
University of New Mexico

Closest Location

UNM Cardiac Rehabilitation Services - Albuquerque, NM

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 7 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
diagnosis of type 2 diabetes
20 - 80 years of age
Ankle-Brachial Index (ABI) > 0.6 or Toe Pressure (TcPO2) > 40 mmHg
recent (within 12 weeks) blood glucose value between 100 - 350 mg/dL
recent (within 12 weeks) HbA1c value < 14 %
DFU of WIfI Grade 2 or less
fluency in reading and speaking English or Spanish.

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What is foot ulcer?

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A foot ulcer is a painful, slow-healing skin wound that can progress to infection. A foot ulcer has three stages: an "initial ulcer", a "delayed ulcer", and a "peripheral non-healing ulcer".\n

Unverified Answer

What causes foot ulcer?

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If ulceration is detected in a patient with diabetes, the presence or absence of other risk factors for developing foot ulcers should be assessed. Foot ulcers in patient with diabetes are typically associated with poor blood pressure control. Patients with severe nephropathy and low blood pressure at admission should be targeted for early assessment and treatment to prevent the development of foot ulceration. Patients not receiving treatment for foot ulcer should have full risk stratification. Screening of patients with diabetes is likely to yield an improved proportion of patients undergoing foot imaging when compared with screening based only on risk factors including age.

Unverified Answer

Can foot ulcer be cured?

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Treatment of diabetic foot ulcers with either simple or complex wounds can cure a significant percentage of diabetic foot ulcers. However, the majority of diabetic foot wound healing is poor. This finding could be a cause of long patient waiting lists in the UK for procedures for diabetic plantar ulcers such as surgical or ablative debridement.

Unverified Answer

What are the signs of foot ulcer?

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Foot ulcer can be detected by many factors, which may be divided into clinical examinations, diagnostic tests, laboratory investigations, or a combination of all three. Clinical examination is the least expensive, least invasive, and most useful test in detection of foot ulcer.

Unverified Answer

How many people get foot ulcer a year in the United States?

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Foot ulcer prevention programmes will become more [practicable and cost-effective the sooner they target prevention at high risk people...(https://www.lupusnews.com/lupusnews/2009/08/foot-ulcers-could-cause-lupus-to-cripple-lupus-patient-on-and-off)] if those responsible for managing foot problems use a risk index like those for lip or oral ulcers. It will also be a much less expensive thing to do if we take care of those with foot problems in their [physical or mental health] rather than trying to cure them [in their] foot problems.

Unverified Answer

What are common treatments for foot ulcer?

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There is a clear need for better evidence. This is reflected by the lack of available evidence on this important area. A review to quantify and summarize the available scientific evidence would benefit all health care professionals and patients with foot-related problems.

Unverified Answer

What does structured exercise program usually treat?

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It has been known that most people usually recover from foot ulcers, but it is important to keep yourself healthy and fit for a long time, a key key is to make yourself more conscious of your footwear and to change your habits to improve your walking posture and keep your nutrition and medical care in good shape. And you need to keep yourself active even when you have foot problems on your feet.

Unverified Answer

Does foot ulcer run in families?

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The strong association of foot ulcer/wounds with other types of ulcer and peripheral vascular disease supports the contention that foot ulcers are a genetic trait, not a simple random and stochastic event. Foot ulcer is a common genetic trait that has a high heritable component. This may be helpful for future genetic studies.

Unverified Answer

What is structured exercise program?

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Exercise program should include strength and exercise programs for both the upper and lower extremities. Besides the routine exercise program, more intensive rehabilitation program should be included on orthotics.

Unverified Answer

How serious can foot ulcer be?

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Infections can devastate, and often death, those who have had an open sore on their feet for more than three weeks. In the long term, more serious wounds often recur. Treating a foot ulcer is not a cure; it is an attack. However, the likelihood of healing improves when foot ulcers are brought to the doctor's attention early and treated. foot ulcer treatment.

Unverified Answer

What are the latest developments in structured exercise program for therapeutic use?

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More studies, in terms of methodology and scope are needed to improve our understanding of the actual and possible effects of structured exercises for therapeutic use on different clinical problems.

Unverified Answer

Is structured exercise program typically used in combination with any other treatments?

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The structured exercise program is a common treatment for patients with diabetic foot ulcers, but it is often used in combination with conventional treatment with topical debridement, antibiotic, and bandaging. The structured exercise program should be used as the sole treatment for diabetic foot ulcers because it has more impact on clinical outcomes in patients with type 2 diabetes when compared with a conventional treatment regime.

Unverified Answer
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