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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2019, Volume : 13, Issue : 2
First page : ( 69) Last page : ( 74)
Print ISSN : 0973-5666. Online ISSN : 0973-5674.
Article DOI : 10.5958/0973-5674.2019.00048.0

Fall Prevention by Short-Foot Exercise in Diabetic Patients

Tudpor Kukiat1,*, Traithip Wallapa2

1Faculty of Public Health, Suddhavej Hospital, Faculty of Medicine, Mahasarakham University, Maha Sarakham, Thailand

2Physical Therapy Unit, Suddhavej Hospital, Faculty of Medicine, Mahasarakham University, Maha Sarakham, Thailand

*Corresponding Author: Kukiat Tudpor, PT, PhD, Faculty of Public Health, Mahasarakham University, Khamrieng, Kantarawichai, Maha Sarakham, Thailand-44150, Phone: +66-95-8983096, Email: kukiat.t@msu.ac.th

Online published on 30 April, 2019.


A fall during walking is a common problem in diabetic patients due to neuromuscular complications of the foot, especially intrinsic foot muscles (IFMs). Short-foot exercise (SFE) has been reported to strengthen IFMs in healthy individuals. This present study was aimed to investigate effects of SFE on medial longitudinal arch integrity (navicular drop test, NDT) and dynamic postural control (star excursion balance test, SEBT). The SEBT values were measured on single-leg standing in 8 directions (anterior, anteromedial, medial, posteromedial, posterior, posterolateral, lateral, and anterolateral) at baseline, week 4, 8, and 12 (follow up) in 15 diabetic patients: control group (n = 7) and SFE group (n = 8). Results showed that NDT was reduced in SFE group compared to control at week 8 and follow up. The normalized SEBT values in SFE group was significantly higher than baseline only in medial direction and increased from baselines in anteromedial, medial, and posteromedial directions at week 4 and 8, respectively. At the follow-up point, only posteromedial direction showed an improvement of normalized SEBT in SFE group. In conclusion, 8-week SFE reduced foot pronation and improved dynamic postural control in a single-leg standing phase of diabetic foot. The SFE should be continuously applied to diabetic foot since the benefits were not well persistent in the follow-up phase.



Short-foot exercise, intrinsic foot muscles, diabetes mellitus, dynamic postural control, fall prevention.


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