Effect of Foot-ankle Exercise Using Elastic Band

Effect of Foot-ankle Exercise Using Elastic Band on Diabetic Foot Ulcer Incidence in Patient With Diabetes Neuropathy

The goal of this clinical trial is to learn if foot-ankle exercise can prevent diabetic foot ulcer incidence in patient with diabetes neuropathy. It will also learn about the effect of foot-ankle exercise on improvement of diabetes neuropathy severity, glycemic control, brain-derived neurotropic factor, walking speed, foot ankle range of motion, callus. The main questions it aims to answer are:

• Does foot-ankle exercise lower the number of diabetic ulcer incidence
• Does foot-ankle exercise lower the diabetes neuropathy severity
• Does foot-ankle exercise improve glycemic control
• Does foot-ankle exercise improve brain-derived neurotrophic factor
• Does foot-ankle exercise improve walking speed
• Does foot-ankle exercise improve foot ankle range of motion
• Does foot-ankle exercise lower the number of callus incidence

Researchers will compare intervention group foot-ankle exercise used elastic band to a control group to see if foot-ankle exercise work to prevent diabetic foot ulcer incidence in patient with diabetes neuropathy

Participants will:

• Do foot-ankle exercise for three times a week with non-consecutive day for 1 year
• Report the incidence of callus and diabetic foot ulcer whenever they have

Inclusion Criteria:

• type 2 diabetes
• can walk minimal 10 meters
• neuropathy diabetic

Exclusion Criteria:

• stroke
• active ulcer
• fracture on foot area
• diabetic ulcer history