Effect of reflexology on ankle brachial index, diabetic peripheral neuropathy, and glycemic control in older adults with diabetes: A randomized controlled trial

The purpose of this study was to determine the effect of foot reflexology on ankle brachial index, diabetic peripheral neuropathy and glycemic control in older adults with diabetes. A randomized controlled, parallel-group trial study was conducted at the outpatient elderly health center in Bolu, Tur...

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Veröffentlicht in:Complementary therapies in clinical practice 2021-08, Vol.44, p.101437-101437, Article 101437
Hauptverfasser: Cicek, Saadet Can, Demir, Seyma, Yilmaz, Dilek, Yildiz, Sedat
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Demir, Seyma
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Yildiz, Sedat
description The purpose of this study was to determine the effect of foot reflexology on ankle brachial index, diabetic peripheral neuropathy and glycemic control in older adults with diabetes. A randomized controlled, parallel-group trial study was conducted at the outpatient elderly health center in Bolu, Turkey. 48 adults aged 65 and over enrolled in the elderly health center were randomized into two groups in a ratio of 1:1 (experimental, n = 24; control, n = 24). Foot reflexology was performed for 12-week in the experimental group, whereas the control group continued their routine treatment and follow-up. The outcome measures included: (1) ankle brachial index, (2) diabetic peripheral neuropathy measured by a comprehensive foot exam, and (3) glycemic control by a glycated hemoglobin A blood test at baseline and after 12 weeks. Post-test diabetic peripheral neuropathy scores (p 
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A randomized controlled, parallel-group trial study was conducted at the outpatient elderly health center in Bolu, Turkey. 48 adults aged 65 and over enrolled in the elderly health center were randomized into two groups in a ratio of 1:1 (experimental, n = 24; control, n = 24). Foot reflexology was performed for 12-week in the experimental group, whereas the control group continued their routine treatment and follow-up. The outcome measures included: (1) ankle brachial index, (2) diabetic peripheral neuropathy measured by a comprehensive foot exam, and (3) glycemic control by a glycated hemoglobin A blood test at baseline and after 12 weeks. Post-test diabetic peripheral neuropathy scores (p &lt; 0.001) and glycated hemoglobin A levels (p = 0.002) decreased in the experimental group and increased in the control group. There was no significant between-group difference regarding post-test ankle brachial index scores (p = 0.726). Foot reflexology had a medium effect size on diabetic peripheral neuropathy (95% confidence interval 0.003–2.24; d = 0.51; p &lt; 0.001) and glycated hemoglobin A (95% confidence interval 0.72–1.22; d = 0.52; p = 0.002). A foot reflexology practice can be a useful for improving the glycemic control and diabetic peripheral neuropathy in the older adults with diabetes. NCT04416503. •Foot reflexology has been shown to be a benefical practice for the older adults with diabetes.•Foot reflexology can help adults with diabetes, as it is not invasive and does not require high costs.•Nurses should be encouraged to learn reflexology and use it in care areas, as it can be useful for them in care management.</description><identifier>ISSN: 1744-3881</identifier><identifier>EISSN: 1873-6947</identifier><identifier>DOI: 10.1016/j.ctcp.2021.101437</identifier><language>eng</language><publisher>Dordrecht: Elsevier Ltd</publisher><subject>Ankle ; Ankles ; Blood tests ; Clinical trials ; Complementary therapies ; Confidence intervals ; Diabetes ; Glycemic control ; Health facilities ; Hemoglobin ; Nursing ; Older people ; Peripheral neuropathy ; Randomized controlled trials ; Reflexology ; Type 2 diabetes</subject><ispartof>Complementary therapies in clinical practice, 2021-08, Vol.44, p.101437-101437, Article 101437</ispartof><rights>2021 Elsevier Ltd</rights><rights>Copyright Elsevier Science Ltd. 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A randomized controlled, parallel-group trial study was conducted at the outpatient elderly health center in Bolu, Turkey. 48 adults aged 65 and over enrolled in the elderly health center were randomized into two groups in a ratio of 1:1 (experimental, n = 24; control, n = 24). Foot reflexology was performed for 12-week in the experimental group, whereas the control group continued their routine treatment and follow-up. The outcome measures included: (1) ankle brachial index, (2) diabetic peripheral neuropathy measured by a comprehensive foot exam, and (3) glycemic control by a glycated hemoglobin A blood test at baseline and after 12 weeks. Post-test diabetic peripheral neuropathy scores (p &lt; 0.001) and glycated hemoglobin A levels (p = 0.002) decreased in the experimental group and increased in the control group. There was no significant between-group difference regarding post-test ankle brachial index scores (p = 0.726). 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source Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present)
subjects Ankle
Ankles
Blood tests
Clinical trials
Complementary therapies
Confidence intervals
Diabetes
Glycemic control
Health facilities
Hemoglobin
Nursing
Older people
Peripheral neuropathy
Randomized controlled trials
Reflexology
Type 2 diabetes
title Effect of reflexology on ankle brachial index, diabetic peripheral neuropathy, and glycemic control in older adults with diabetes: A randomized controlled trial
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