The Effect of Massage on Diabetic Parameters

NCT05647083 | Completed

• 1 other identifier: BAIBU-SBF-EGS-2
• Study Type: interventional
• Target: 55
• Locations: 1 country
• Sites: 1

Brief Summary

This research aims to investigate the effect of massage on diabetic foot risk, HbA1c and physiological parameters in individuals with type 2 diabetes. This randomized controlled experimental design will be carried out in Bolu Izzet Baysal State Hospital Köroğlu Unit Internal Medicine Polyclinic and Internal Medicine Service. According to power analysis, the minimum sample size was determined as 60 people, 30 of which were in the intervention group and 30 in the control group. Data collection tools include "Peripheral Neuropathy Sign and Symptom Score", "Ankle-Brachial Index (ABI)", "Glycemic Control Assessment (HbA1c)", "Physiological Parameters (blood pressure, heart rate and oxygen saturation)", "Inlow's 60-second Diabetic Food Screen". A total of 24 massage sessions will be applied to the intervention group, 2 times a week during the 12-week working period. Participants in the control group will continue their medical treatment protocols and massage will not be applied.

Conditions

Diabetes Mellitus, Type 2; Peripheral Neuropathy

Keywords

massage; glycemic control; diabetic foot risk

Outcome Measures

Primary Outcomes (8)

• Means of Peripheral Neuropathy Sign and Symptom Score

  Peripheral neuropathy consists of two parts: symptom and symptom score. For the peripheral neuropathy symptom score; * Discomfort they feel in their feet, * Location of complaints, * The presence of complaints increases at night, * Time of occurrence of complaints and * 5 questions will be asked about how the complaints decreased. Peripheral neuropathy symptom score obtained from 5 questions was 0-2 points, "normal"; 3-4 points, "mild neuropathy"; 5-6 points, "moderate neuropathy"; A score of 7-9 will be considered "severe neuropathy". For peripheral neuropathy finding score; It will be determined based on four parameters including 1. Vibration sense, 2. Pimpiric test, 3. Achille tendon reflex, 4. Protective sensory examination

  Change from baseline Neuropathy score at 3 months

• Means of Ankle-Brachial Index Score

  It is calculated by dividing the tibialis posterior pressure by the brachial arterial pressure. The highest of the four measurements at the ankles and feet is divided by the two higher brachial measurements. The normal value is close to 1.

  Change from baseline Ankle-Brachial Index score at 3 months

• Means of HbA1c (%)

  HbA1c values of the participants will be monitored as a glycemic control parameter. The HbA1c value will be evaluated at baseline and 3 months later, as it represents the three-month average blood glucose value. For the measurement of HbA1c, the test results within the last week will be taken from the participants at the beginning and a blood sample will be taken into ethylenediaminetetraacetic acid (EDTA) coated tubes (2 mL whole) by a nurse three months later.

  Change from baseline HbA1c score at 3 months

• Means of systolic blood pressure (mmHg)

  It will be measured by the researcher with a manual measurement tool.

  Change from baseline systolic blood pressure at 3 months

• Means of diastolic blood pressure (mmHg)

  It will be measured by the researcher with a manual measurement tool.

  Change from baseline diastolic blood pressure at 3 months

• Means of heart rate (/minutes)

  It will be measured by the researcher with a pulse oximeter.

  Change from baseline heart rate at 3 months

• Means of oxygen saturation (%)

  It will be measured by the researcher with a pulse oximeter.

  Change from baseline oxygen saturation at 3 months

• Means of diabetic foot risk score

  "Inlow's 60-second Diabetic Food Screen" form will be used in diabetes foot risk assessment. Diabetic foot examination consists of 12 parameters. Skin Assessment, Evaluation of Nail Structure, deformity, Evaluation of the Shoe, Heat Evaluation - Being Cold, Heat Evaluation - Being Hot, Range of Motion Evaluation, Sensory Evaluation, Sensory Evaluation (Assessment with questions directed to individuals), Evaluation of Pedal Pulses, Dependent Rubor Evaluation, Evaluation of Erythema (Redness). The minimum score to be taken from the foot examination form is evaluated as 0 and the maximum score as 23 points. The higher the score, the higher the risk of diabetic foot.

  Change from baseline diabetic foot risk score at 3 months

Study Arms (2)

Intervention group

EXPERIMENTAL

A total of 24 massage sessions will be applied to the intervention group, 2 times a week during the 12-week working period. Sesame oil will be used as the main oil in the massage application. Massage times are recommended as 10-15 minutes for upper extremity massage and 15-20 minutes for lower extremity massage.

Other: Massage therapy

Control group

NO INTERVENTION

Participants in the control group will continue their medical treatment protocols and massage will not be applied. Measurement tools and physiological measurements will be evaluated at the frequency specified in the intervention group, using the same measurement tools and the same measurement methods.

Interventions

Massage therapy OTHER

Classical massage will be applied to the hands and feet, which is expected to take an average of 30 minutes.

Intervention group

Eligibility Criteria

• Age: 30 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being between 30-75 years old,
• Diagnosed with diabetes at least 6 months ago,
• Absence of irritation, ulceration in the areas where the massage will be applied (hands, feet and legs),
• No problem in verbal communication,
• Being able to speak Turkish,
• No diagnosis of psychiatric disease,
• Absence of amputation in the upper and lower extremities,
• Having HbA1c test results in the last 1 week,
• Not having had Covid-19 in the last 6 months
• No experience of massage application in the last 1 month
• Willingness to participate in the research

You may not qualify if:

• Presence of diabetic ulcer and foot wound,
• Irritation and ulceration in the areas where the massage will be applied (hands, feet and legs),
• Having problems in verbal communication,
• Not being able to speak Turkish,
• Having a diagnosis of psychiatric illness.

Sponsors & Collaborators

• Abant Izzet Baysal University: lead

Study Sites (1)

Bolu Provincial Health Directorate Bolu Izzet Baysal State Hospital

Bolu, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Diabetes Mellitus, Type 2; Peripheral Nervous System Diseases

Interventions

Massage

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Neuromuscular Diseases; Nervous System Diseases

Intervention Hierarchy (Ancestors)

Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Elif Gençer Şendur, MSC

  Abant Izzet Baysal University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: November 21, 2022
• First Posted: December 12, 2022
• Study Start: September 9, 2022
• Primary Completion: February 9, 2024
• Study Completion: February 9, 2024
• Last Updated: April 19, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)