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 and Shaimaa Mohamed Elghareeb Allam

Nursing Research and Practice, 2026, vol. 2026, 1-7

Abstract: AimTo 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.BackgroundDiabetic 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.DesignQuasiexperimental, nonrandomized, nonequivalent control-group pre–post study.MethodsAdults with Type 1 or Type 2 diabetes attending an outpatient diabetes clinic were recruited by convenience sampling (N = 60) and allocated to an intervention group (usual care plus structured exercise education and supervised practice; n = 30) or a control group (usual care; n = 30). Outcomes were assessed at baseline and 1 month using the Neuropathy Total Symptom Score-6 (NTSS-6) and the Diabetes Foot Assessment/Risk Screening scale. Because allocation was nonrandomized and outcomes were analysed in categories, inferential analyses were exploratory and based on chi-square/Fisher’s exact tests with Cramer’s V effect sizes.ResultsAt 1 month, neuropathy symptom severity categories differed significantly between groups (χ2 = 34.236 and p

Date: 2026
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Persistent link: https://EconPapers.repec.org/RePEc:hin:jnlnrp:9196936

DOI: 10.1155/nrp/9196936

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