Evidence map›Paper›PMID 38057930›Full record

Trial reportJournal of foot and ankle research2023

Effects of foot and ankle mobilisations combined with home stretches in people with diabetic peripheral neuropathy: a proof-of-concept RCT.

Vasileios Lepesis, Joanne Paton, Alec Rickard, Jos M Latour, Jonathan Marsden

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
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. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 27% 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.

NCT03195855 nacompletednot on this map

The Effects of Foot and Ankle Joint Mobilisation Combined With a Home Programme of Ankle Stretches on Joint Range of Motion and Forefoot Peak Plantar Pressures in People With Diabetic Peripheral Neuropathy: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of PlymouthRan2018 to 2022Enrolled61ConditionsDiabetic Peripheral Neuropathy, Limited Joint Mobility Syndrome, Ankle Joint Range of Motion, Forefoot Peak Plantar PressureArmsManual therapy / joint mobilisations
NCT07598513 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Comparative Effects of Perturbation-Based Balance Training on Firm Surface and Rolling Board for Diabetic Neuropathy Patients

TypeinterventionalSponsorUniversity of FaisalabadRan2026 to 2026Enrolled42ConditionsBalance Impairment, Diabetic NeuropathyArmsGroup A (Perturbation Based Training on Firm Surface), Group B (Perturbation Based Training on Rolling Board)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Systematic review of repetitive transcranial magnetic stimulation for post-stroke hemiplegic shoulder pain.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  2. 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

5 authors at 1 institution in 1 country.

Vasileios Lepesis *School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK. vasileios.lepesis@plymouth.ac.uk.ORCID http://orcid.org/0000-0003-0404-4636
Joanne Paton *School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.
Alec Rickard *School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.
Jos M Latour *School of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK.
Jonathan Marsden *School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK.
University of Plymouth · GB

Funding

Chartered Society of Physiotherapy Charitable Trust PRF/16/B07
6 · The paper itself

Abstract

introductionPeople with diabetic peripheral neuropathy (DPN) and limited joint mobility syndrome (LJMS) can experience increased forefoot peak plantar pressures (PPPs), a known risk factor for ulceration. The aim of this study was to investigate whether ankle and 1st metatarsophalangeal (MTP) joint mobilisations and home-based stretches in people with DPN improve joint range of motion (ROM) and reduce forefoot PPPs. DESIGN AND

methodsSixty-one people with DPN (IWGDF risk 2), were randomly assigned to a 6-week programme of ankle and 1

resultsAt T1 and T2 there was no difference between both groups in ankle dorsiflexion in stance phase, plantar pressure and balance. Compared to the control group, the intervention group showed a statistically significant increase in static ankle dorsiflexion range (Left 1.52 cm and 2.9cms, Right 1.62 cm and 2.7 cm) at 6 (T1) and 18 weeks (T2) respectively p < 0.01). Between group differences were also seen in left hallux dorsiflexion (2.75°, p < 0.05) at T1 and in right hallux dorsiflexion ROM (4.9°, p < 0.01) at T2 follow up. Further, functional reach showed a significant increase in the intervention group (T1 = 3.13 cm p < 0.05 and T2 = 3.9 cm p < 0.01). Intervention adherence was high (80%).

conclusionsCombining ankle and 1

trial registrationhttps://classic. CLINICALTRIALS: gov/ct2/show/NCT03195855 .

Indexed as

Diabetes MellitusDiabetic NeuropathiesFoot UlcerAnkleAnkle JointHumansRange of Motion, ArticularRisk FactorsDiabetesLimited joint mobility syndromeMobilisationsNeuropathyPeak planar pressures

Identifiers

PMID38057930
PMCPMC10699018
OpenAlexW4389386994

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.