Evidence map›Paper›PMID 42016767›Full record

ArticleNursing research and practice2026

Nurse-Led Foot-Ankle Exercises and Changes in Neuropathy Symptoms and Diabetic Foot Risk Indicators: A Quasiexperimental Study.

Yasmin Ibrahim Abdelkader Khider, Rasha Fathy Ahmed Dawood, Heba Mohammed Mahmoud Elhapashy, Heba Mahmoud Mahmoud Mohamed, Fatma M Ibrahim, Shaimaa Mohamed Elghareeb Allam

Abstract read
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Article in Nursing research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

6 authors.

Yasmin Ibrahim Abdelkader KhiderMedical-Surgical Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt, mans.edu.eg.
Rasha Fathy Ahmed DawoodMedical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt, alexu.edu.eg.
Heba Mohammed Mahmoud ElhapashyMedical-Surgical Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt, mans.edu.eg.
Heba Mahmoud Mahmoud MohamedMedical-Surgical Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt, alexu.edu.eg.
Fatma M IbrahimGerontological Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt, mans.edu.eg.ORCID https://orcid.org/0000-0002-2762-3350
Shaimaa Mohamed Elghareeb AllamMedical-Surgical Nursing Department, Faculty of Nursing, Mansoura University, Mansoura, Egypt, mans.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To examine whether a nurse-led foot-ankle flexibility and resistance exercise programme, delivered alongside usual care, was associated with changes in neuropathy symptoms and diabetic-foot risk/self-care indicators among adults with diabetes. Background: Diabetic peripheral neuropathy (DPN) contributes to reduced protective sensation, limited joint mobility and impaired self-care, increasing DFU risk. Low-cost exercise programmes targeting foot-ankle mobility and strength may improve neuropathy-related symptoms and modifiable DFU risk factors, but practice-based evidence in routine nursing settings remains limited. Design: Quasiexperimental, nonrandomized, nonequivalent control-group pre-post study. Methods: Adults with Type 1 or Type 2 diabetes attending an outpatient diabetes clinic were recruited by convenience sampling ( Results: At 1 month, neuropathy symptom severity categories differed significantly between groups ( Conclusions: In this practice-based quasiexperimental study, a brief nurse-led foot-ankle flexibility and resistance exercise programme was associated with improved neuropathy symptom categories and more favourable diabetic-foot risk/self-care indicators over 1 month. The findings support feasibility within nursing practice, but causal inference is limited by nonrandom allocation, the use of categorical unadjusted analyses and the use of a study-specific foot-risk/self-care measure. Relevance to Clinical Practice: Nurses can integrate brief foot screening with structured foot-ankle exercise education and demonstration during outpatient diabetes visits as an adjunct to, not a replacement for, standard diabetic-foot surveillance and self-management support.

Indexed as

diabetes mellitusdiabetic footdiabetic peripheral neuropathyfoot-ankle exerciserisk assessment

Identifiers

PMID42016767
PMCPMC13092925

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Registered trials

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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.