Evidence map›Paper›PMID 36978157›Full record

Trial reportJournal of foot and ankle research2023

Exercise in adults admitted to hospital with diabetes-related foot ulcers: a pilot study of feasibility and safety.

Emily Aitken, Jonathan Hiew, Emma J Hamilton, Laurens Manning, Jens Carsten Ritter, Edward Raby, Paul M Gittings

Open access · goldFull text readClinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of foot and ankle research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Emily AitkenPhysiotherapy Department, Fiona Stanley and Fremantle Hospital Group, Murdoch, Western, Australia.
Jonathan HiewPodiatry Department, Fiona Stanley and Fremantle Hospital Group, Murdoch, Western, Australia.
Emma J HamiltonMultidisciplinary Diabetes Foot Unit, Fiona Stanley Hospital, Murdoch, Western, Australia.
Laurens ManningMultidisciplinary Diabetes Foot Unit, Fiona Stanley Hospital, Murdoch, Western, Australia.
Jens Carsten RitterMultidisciplinary Diabetes Foot Unit, Fiona Stanley Hospital, Murdoch, Western, Australia.
Edward RabyInfectious Diseases and Microbiology Department, Fiona Stanley and Fremantle Hospital Group, Murdoch, Western, Australia.
Paul M GittingsPhysiotherapy Department, Fiona Stanley and Fremantle Hospital Group, Murdoch, Western, Australia. paul.gittings@health.wa.gov.au.ORCID http://orcid.org/0000-0001-8591-3228
Fiona Stanley Hospital · AUThe University of Western Australia · AUCurtin University · AU

Funding

Western Australian Health Translation Network Western Australian Health Translation Network
6 · The paper itself

Abstract

backgroundDiabetes-related foot ulcers result in significant mortality, morbidity and economic costs. Pressure offloading is important for ulcer healing, but patients with diabetes-related foot ulcers are presented with a dilemma, because whilst they are often advised to minimise standing and walking, there are also clear guidelines which encourage regular, sustained exercise for patients with diabetes. To overcome these apparently conflicting recommendations, we explored the feasibility, acceptability and safety of a tailored exercise program for adults admitted to hospital with diabetes-related foot ulcers.

methodsPatients with diabetes-related foot ulcers were recruited from an inpatient hospital setting. Baseline demographics and ulcer characteristics were collected, and participants undertook a supervised exercise training session comprising aerobic and resistance exercises followed by prescription of a home exercise programme. Exercises were tailored to ulcer location, which complied with podiatric recommendations for pressure offloading. Feasibility and safety were assessed via recruitment rate, retention rate, adherence to inpatient and outpatient follow up, adherence to home exercise completion, and recording of adverse events.

resultsTwenty participants were recruited to the study. The retention rate (95%), adherence to inpatient and outpatient follow up (75%) and adherence to home exercise (50.0%) were all acceptable. No adverse events occurred.

conclusionsTargeted exercise appears safe to be undertaken by patients with diabetes-related foot ulcers during and after an acute hospital admission. Recruitment in this cohort may prove challenging, but adherence, retention and satisfaction with participation in exercise were high.

trial registrationThe trial is registered in the Australian New Zealand Clinical Trials Registry (ACTRN12622001370796).

Indexed as

Diabetes MellitusDiabetic FootAdultAustraliaExerciseFeasibility StudiesHospitalsHumansPilot ProjectsUlcerDiabetes mellitusDiabetic footExerciseExercise therapyFoot ulcer

Identifiers

PMID36978157
PMCPMC10043540
OpenAlexW4361216989

What OpenQuestion holds

Textfull text, public
LicenceCC BY
reference markers read1
measurements read10
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.