Rehabilitation technology for self-care: Customised foot and ankle exercise software for people with diabetes

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Pubblicato in:PLoS One vol. 14, no. 6 (Jun 2019), p. e0218560
Autore principale: Jane S S P Ferreira
Altri autori: Sacco, Isabel C N, Siqueira, Alisson A, Almeida, Maria H M, Sartor, Cristina D
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Public Library of Science
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024 7 |a 10.1371/journal.pone.0218560  |2 doi 
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100 1 |a Jane S S P Ferreira 
245 1 |a Rehabilitation technology for self-care: Customised foot and ankle exercise software for people with diabetes 
260 |b Public Library of Science  |c Jun 2019 
513 |a Journal Article 
520 3 |a Aims To develop and validate the content of a free web-based software (desktop and mobile applications) for the self-management of and customised foot-ankle exercises for people with diabetes and diabetic neuropathy. Methods The development of the programme was based on gamification principles and addressed three main areas: foot care recommendations; self-assessment of feet according to the main complications of diabetic neuropathy; and customised foot-ankle exercises to strengthen muscles, increase the range of motion and improve functionality. The content was validated using the Delphi methodology and a quantitative approach in two rounds with diabetes specialists (n = 9) and users with diabetes (n = 20). A 70% approval rate was considered sufficient in the second round for final validation purposes. The data analysis was conducted using descriptive statistics, absolute and relative frequencies and the content-validity index (CVI). Results Among specialists, the CVI was 0.812 after the first round, and final approval was 100% after the second round. Among users, the CVI was 0.902 in the first round, and the final approval was 97%. Conclusion This free access web software was developed based on the high agreement rating between specialists and users and has the potential to prevent complications arising from diabetic polyneuropathy. It allows for self-monitoring and promotes personalised exercises, following a preventive model that can be applied in primary and secondary care services as a complementary treatment for chronic complications. However, further steps to validate the software in a larger population are recommended. 
651 4 |a Brazil 
653 |a Ankle 
653 |a Exercise 
653 |a Diabetes 
653 |a Muscles 
653 |a Applications programs 
653 |a Diabetic retinopathy 
653 |a Software 
653 |a Foot diseases 
653 |a Activities of daily living 
653 |a Questionnaires 
653 |a Mobile computing 
653 |a Adaptation 
653 |a Feet 
653 |a Pressure distribution 
653 |a Statistical analysis 
653 |a Structured Query Language-SQL 
653 |a Polyneuropathy 
653 |a Data analysis 
653 |a Computer programs 
653 |a Rehabilitation 
653 |a Diabetes mellitus 
653 |a Peripheral neuropathy 
653 |a Self-assessment 
653 |a Customization 
653 |a Diabetic neuropathy 
653 |a Social 
700 1 |a Sacco, Isabel C N 
700 1 |a Siqueira, Alisson A 
700 1 |a Almeida, Maria H M 
700 1 |a Sartor, Cristina D 
773 0 |t PLoS One  |g vol. 14, no. 6 (Jun 2019), p. e0218560 
786 0 |d ProQuest  |t Health & Medical Collection 
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