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Exercise studies with patients with diabetic foot ulcers are very few. In this disease group, since it is considered dangerous to put a load on the foot, a barrier has been placed between the patients and the exercise. With the study investigators plan to do, investigators will try to exercise in these patients in a controlled manner. Among the patients divided into 3 groups, the 1st group will apply the control group, the 2nd group will perform aerobic exercise, and the 3rd group will apply the exercises investigators have determined as the protocol group. 12 weeks, 2 sessions a week will be exercised with the help of a physiotherapist. Patients will be evaluated at baseline, at the end of week 4, at the end of week 8, and at the end.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| exercise protocol group | Experimental | The group that applied progressive exercise according to the motivation of patients and healing status of ulcers. |
|
| aerobic exercise group | Experimental | The group performing aerobic exercise with a bicycle ergometer |
|
| control group | Experimental | The group to which standard applications of DFU treatment will be applied |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| standard treatment | Other | The control group will be provided with the necessary approaches for diabetic foot ulcer care and diaphragmatic breathing exercises. |
|
| Measure | Description | Time Frame |
|---|---|---|
| ulcer area (mm²) | Calculation of ulcer area with image j program | initial assessment- 4th week- 8th week- 12th week |
| ulcer depth (mm) | Ulcer depth measurement with sterile wound stick | initial assessment - 12th week |
| Measure | Description | Time Frame |
|---|---|---|
| quality of life score | Investigation of patients' quality of life with Ferrans&Powers quality of life index | initial assessment - 12th week |
| sleep quality score | investigating the sleep quality of patients with the Pittsburgh sleep quality index |
| Measure | Description | Time Frame |
|---|---|---|
| kinesiophobia score | Investigation of patients' fear of movement with TAMPA | initial assessment - 12th week |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Harran Unıversıty | Sanliurfa | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D017719 | Diabetic Foot |
| D014947 | Wounds and Injuries |
| D003920 | Diabetes Mellitus |
| D009043 | Motor Activity |
| D014456 | Ulcer |
| ID | Term |
|---|---|
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D016523 | Foot Ulcer |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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Two groups to be applied two different exercises progressing together with the control group
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|
| aerobic exercise | Other | The aerobic exercise group will be provided with the necessary approaches for diabetic foot ulcer care and in addition to diaphragmatic breathing exercises, they will be provided with aerobic exercise twice a week with a physiotherapist. |
|
| exercise protocol | Other | The protocol exercise group will be provided with the necessary approaches for diabetic foot ulcer care and exercises suitable for the physical condition of the wound and the patient, in addition to diaphragmatic breathing exercises. This group will also work with a physiotherapist twice a week. |
|
| initial assessment - 12th week |
| D007871 |
| Leg Ulcer |
| D012883 | Skin Ulcer |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D048909 | Diabetes Complications |
| D004700 | Endocrine System Diseases |
| D003929 | Diabetic Neuropathies |
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D001519 | Behavior |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |