Status:

RECRUITING

RCT Comparing Upper Body vs. Combined Exercise Protocols During Active Diabetic Foot Ulcer Treatment

Lead Sponsor:

Al Hayah University In Cairo

Conditions:

Diabetic Foot Ulcer

Eligibility:

All Genders

18-65 years

Phase:

NA

Brief Summary

This randomized controlled trial (RCT) aims to evaluate the effectiveness of two different structured exercise interventions compared to standard care during active diabetic foot ulcer (DFU) treatment...

Eligibility Criteria

Inclusion

  • Age: Adults aged 18 years or older. Diagnosis: Confirmed diagnosis of Type 1 or Type 2 diabetes. Active DFU: Presence of a diabetic foot ulcer under active treatment, as documented by the wound care team.
  • Wound Stability: Ulcer size that meets protocol criteria (e.g., \<2 cm² or ≥2 cm²) and without critical limb ischemia.
  • Ability to Exercise: Medical clearance from a physician to safely participate in unsupervised upper body and non-weight bearing exercises.
  • Compliance: Capacity and willingness to adhere to the study protocol, including scheduled exercise sessions and offloading procedures.
  • Glycemic Control: Stable glycemic control medications regimen for at least 4 weeks prior to enrollment.
  • Informed Consent: Ability to provide written informed consent.

Exclusion

  • Critical DFU Complications: Ulcers with signs of critical limb ischemia, severe infection (e.g., osteomyelitis), or wound deterioration that contraindicates participation.
  • Cardiovascular Limitations: Unstable cardiac conditions (e.g., uncontrolled arrhythmias, recent myocardial infarction within 6 months), severe heart failure, or any other condition contraindicating exercise.
  • Neurological or Musculoskeletal Limitations: Conditions that significantly impair upper body or core exercise performance (e.g., severe arthritis, recent upper body injury).
  • Cognitive Impairment: Significant cognitive or psychiatric disorders that would limit the ability to provide informed consent or adhere to the intervention protocol.
  • Concurrent Participation: Enrollment in another clinical trial or exercise program that conflicts with the study protocol.
  • Other Medical Risks: Any other condition, as determined by the study physician, that places the participant at increased risk of adverse events during exercise (e.g., severe peripheral vascular disease not amenable to offloading).

Key Trial Info

Start Date :

April 22 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 23 2027

Estimated Enrollment :

153 Patients enrolled

Trial Details

Trial ID

NCT06916663

Start Date

April 22 2025

End Date

April 23 2027

Last Update

April 8 2025

Active Locations (1)

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1

Faculty of Physical Therapy, Al Hayah University

Cairo, Egypt, 12311