About this trial
This randomized controlled trial aims to investigate the effects of adding self-myofascial release applied to the plantar fascia and gastrosoleus muscles to an exercise program on foot function, physical performance, and plantar fascia thickness in individuals with type 2 diabetes. Participants aged 30 to 65 years with controlled type 2 diabetes will be randomly allocated to either an exercise-only group or an exercise plus self-myofascial release group. Both groups will complete an eight-week supervised exercise program three times per week. The intervention group will additionally perform self-myofascial release using a foam roller before exercise sessions. Outcomes will include foot function, balance, functional mobility, gait performance, and plantar fascia thickness assessed by ultrasonography before and after the intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Individuals aged 30 to 65 years
Diagnosed with type 2 diabetes mellitus for at least 1 year
Controlled type 2 diabetes mellitus
Able to ambulate independently without assistive devices
Disqualifiers
Severe pes planus or pes cavus defined by the Foot Posture Index-6 (FPI-6) (score ≥ +10 or ≤ -5)
History of plantar fasciitis
Plantar fascia ulceration
Peripheral neuropathy
Trial design
Parallel
Treatments tested in this trial
Exercise Program
BehavioralAn 8-week supervised strengthening and stretching program performed three times weekly, with advice to perform at least 150 minutes per week of moderate-intensity walking.
Self-Myofascial Release
Other interventionSelf-myofascial release applied to the plantar fascia and gastrosoleus muscles using a foam roller three times per week for eight weeks before exercise sessions.
Treatment groups
Trial outcomes
Primary outcomes
Foot Function Index (FFI)
The Foot Function Index will be used to assess pain and disability related to foot function.
Secondary outcomes
Single-Leg Stance Test (Eyes Open and Eyes Closed)
Static balance will be assessed using the single-leg stance test under eyes-open and eyes-closed conditions.
Timed Up and Go Test (TUG)
Functional mobility will be evaluated using the Timed Up and Go test.
Unilateral Heel-Rise Test
Calf muscle endurance will be assessed using the unilateral heel-rise test.
Berg Balance Scale (BBS)
Balance performance will be assessed using the Berg Balance Scale.
Sponsors and contacts
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Izmir Katip Celebi University
Lead sponsor
Cigli Regional Training Hospital
Collaborator