Effect of Manual Therapy on Tibiotarsal Joint Mobility in Diabetic Individuals

Tibiotarsal joint range of motion

The study aimed to evaluate the acute effect of manual therapy on ankle joint mobility in
 diabetic patients. Forty volunteers, with a mean age of 59.35±7.85, with type 2 DM and
 neurological symptoms of Diabetic Distal Polyneuropathy according to a Diabetic
 Polyneuropathy Diagnostic Scale (EDPNDD) protocol with the amplitude were performed. Were
 divided into two groups: Sham group (GS), and intervention group (GI), which underwent manual
 manipulation intervention and seven-day follow-up. Joint range of motion analysis was
 performed using digital goniometry and static discharge of weights assessed by computerized
 baropodometry with open and closed eyes, and the Shapiro-Wilk normality test evaluated data
 distribution and relative, Tukey post hoc set ANOVA tests were used for non-normal variables.
 The Kruskal- Wallis test followed by Dunns post-hoc test. SAS statistical software was
 used and the significance level of 5%. Results: The results showed an increased joint range
 of motion, plantar flexion, and dorsiflexion, between the moments and moments after
 manipulation and follow-up. It was still possible to make a significant difference between GI
 when it was with GS at poster and follow-up. No intragroup analysis was performed by GS, for
 analysis over time. Regarding intragroup comparisons over time (pre, post-intervention, and
 follow-up), a significant difference was made for Front and back displacement amplitude (PAD)
 with open eyes of the GI, with an increase after intervention and reduction without follow
 up. Conclusion: Based on the results obtained, the work performed with manual therapy
 increased the ankle joint amplitude in diabetic individuals.