NCT07229794

Brief Summary

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

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
80

participants targeted

Target at P50-P75 for not_applicable

Timeline
7mo left

Started Jul 2025

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress60%
Jul 2025Nov 2026

Study Start

First participant enrolled

July 1, 2025

Completed
3 months until next milestone

First Submitted

Initial submission to the registry

September 22, 2025

Completed
2 months until next milestone

First Posted

Study publicly available on registry

November 17, 2025

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2026

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2026

Last Updated

November 17, 2025

Status Verified

September 1, 2025

Enrollment Period

1.4 years

First QC Date

September 22, 2025

Last Update Submit

November 13, 2025

Conditions

Keywords

diabetic foot ulcerdiabetes mellitusfoot ankle exerciseneuropathy diabetes

Outcome Measures

Primary Outcomes (1)

  • diabetic foot ulcer (DFU) incidence

    DFU, defined as a wound in the area below the ankle that reaches at least the epidermis and part of the dermis, as diagnosed by an internist

    for a year

Secondary Outcomes (7)

  • diabetic neuropathy examination score

    0, 12 weeks, and a year

  • control glyacemic

    0, 12 weeks, and a year

  • brain derived neurotrophic factor

    0, 12 weeks, and a year

  • walking speed

    0, 12 weeks, and a year

  • foot ankle range of motion

    0, 12 weeks, and a year

  • +2 more secondary outcomes

Study Arms (2)

foot-ankle exercise group

EXPERIMENTAL

The group will receive usual care with additional food-ankle exercises using elastic band supervised by professional health care three times a week for twelve weeks. After twelve weeks period the patient will continue exercising for the completion of the study (9 month) by them self with the help of foot-ankle exercise video.

Other: foot-ankle exercise

control group

NO INTERVENTION

Patient will receive usual care, with include pharmacological treatment and self care guidelines, which are maintained in both group

Interventions

The exercise was done 3 times a week (15x/until they tired x 2set). The exercise used a elastic band with difference thickness (0,5 mm in 12 weeks and 0,65 mm in nine month)

foot-ankle exercise group

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Elisabeth clinic

Semarang, Central Java, 50231, Indonesia

Location

Related Publications (1)

  • Armstrong DG, Boulton AJM, Bus SA. Diabetic Foot Ulcers and Their Recurrence. N Engl J Med. 2017 Jun 15;376(24):2367-2375. doi: 10.1056/NEJMra1615439. No abstract available.

    PMID: 28614678BACKGROUND

MeSH Terms

Conditions

Diabetic FootDiabetes MellitusDiabetic Neuropathies

Condition Hierarchy (Ancestors)

Diabetic AngiopathiesVascular DiseasesCardiovascular DiseasesFoot UlcerLeg UlcerSkin UlcerSkin DiseasesSkin and Connective Tissue DiseasesDiabetes ComplicationsEndocrine System DiseasesGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesPeripheral Nervous System DiseasesNeuromuscular DiseasesNervous System Diseases

Study Officials

  • maria suryani

    stikes elisabeth

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal investigator

Study Record Dates

First Submitted

September 22, 2025

First Posted

November 17, 2025

Study Start

July 1, 2025

Primary Completion (Estimated)

November 30, 2026

Study Completion (Estimated)

November 30, 2026

Last Updated

November 17, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations