Comparative Effects of Self-Foot Massage Using Wooden Stick Versus Using hand on Sensation, Balance, and Quality of Life in Individuals with Type 2 Diabetes Peripheral Neuropathy: A pilot study
Keywords:
Self-Thai foot massage, Diabetic foot neuropathy, Type 2 diabetes mellitus, Sensation, Balance, Quality of lifeAbstract
This study aimed to investigate the impact of self-foot massage using Thai massage sticks versus using hands on sensation, balance, and quality of life in individuals with type 2 diabetes and foot neuropathy. Seventeen participants aged 58.18 (±7.68) years were randomly assigned to two groups using wooden massage sticks (n=8) and the other using hand massages (n=9). Participants performed three sessions per week, with each session consisting of 30-minute foot massages and 30-second calf stretches, over the period of four weeks. The foot sensation was evaluated using the Semmes–Weinstein Monofilament Test, while balance was tested with the Time Up and Go Test and One Leg Stand Test. Quality of life was tested by the WHOQOL-BREF-THAI. The results showed that there were significant improvements in sensation and dynamic balance post-intervention (p < 0.05), but not quality of life for both groups. Nevertheless, the significant difference between groups was not found (p > 0.05). This study suggests that both methods may be effective in improving sensation and dynamic balance in individuals with diabetic neuropathy. However, no significant difference was found between the effectiveness of both self-foot massage techniques.
References
Abiddin, A. H., & Anam, A. K. (2024). Efektifitas Senam Kaki Diabetes Menggunakan Alat Pijat Plantar Manual pada Klien Diabetes Mellitus. Malahayati Nursing Journal, 6(6), 2406-2414. doi: 10.33024/mnj.v6i6.13450
Agustini, N. L. P. I. B., Wulansari, N. T., Yusniawati, Y. N. P., & Ni, W. S. (2019). The effect of foot massage on decreasing peripheral neuropathy diabetic complaints in the patients with type 2 diabetes mellitus. Jurnal Ners, 14(3), 305-309. doi:10.20473/jn.v14i3.17152
American Diabetes Association. (2016). 9. Microvascular complications and foot care. Diabetes care, 39(Supplement_1), S72-S80. doi: 10.2337/dc16-S012
Bayat, D., Mohammadbeigi, A., Parham, M., Mehrandasht, A., Hashemi, M., Mahlooji, K., & Asghari, M. (2020). The Effect of Massage on Diabetes and its Complications: A Systematic Review. Crescent Journal of Medical & Biological Sciences, 7(1), 2148-2696.
Bootsri, W., & Singban, C. (2025). Effects of Black Rose Wood Carpet on Relieving Foot Numbness in Type 2 Diabetic Patients at Nong Kainok Health Promoting Hospital, Muangsamsib District, Ubon Ratchathani. Regional Health Promotion Center 9 Journal, 19(3), 1139-1151.
Buttagat, V., Techakhot, P., Wiriya, W., Mueller, M., & Areeudomwong, P. (2020). Effectiveness of traditional Thai self-massage combined with stretching exercises for the treatment of patients with chronic non-specific low back pain: A single-blinded randomized controlled trial. Journal of Bodywork and Movement Therapies, 24(1), 19-24. doi: 10.1016/j.jbmt.2019.03.017
Chanumklang, K., Peungsuwan, P., Donrapunha, W., Chatchawan, U., & Sriboonreung, T. (2019). The Effectiveness of Home Self-Foot Massage Using a Massage Wood Device on Foot Sensation and Balance Performance in Patients with Diabetes Mellitus. Archives of Allied Health Sciences, 31(2), 175-185.
Chatchawan, U., Eungpinichpong, W., Plandee, P., & Yamauchi, J. (2015). Effects of Thai Foot Massage on Balance Performance in Diabetic Patients with Peripheral Neuropathy: A Randomized Parallel- Controlled Trial. Medical Science Monitor Basic Research, 21, 68-75. doi: 10.12659/MSMBR.894163
Diabetes Association of Thailand, The Endocrine Society of Thailand, Department of Medical Services, Ministry of Public Health, & National Health Security Office. (2017). Clinical practice guideline for diabetes 2017. Retrieved from https://drive.google.com/file/d/18Ay6FHnW0gToDSDVNOXh6tsqNMT2yr4N/view
Fowler, M. J. (2011). Microvascular and macrovascular complications of diabetes. Clin diabetes, 29(3), 116-122. doi: 10.2337/diaclin.29.3.116
Kamei, N., Yamane, K., Nakanishi, S., Yamashita, Y., Tamura, T., Ohshita, K., ... & Kohno, N. (2005). Effectiveness of Semmes–Weinstein monofilament examination for diabetic peripheral neuropathy screening. Journal of Diabetes and its Complications, 19(1), 47-53. doi: 10.1016/j.jdiacomp.2003.12.006
Lapanantasin, S., Jedtanaprakrit, S., Assarach, R., Inklum, W., & Jamnongphon, S. (2014). Effect of Massage with Peripheral Vascular Circulation Exercise on Neuropathic Symptoms of Lower Legs in Type 2 Diabetic Patients: A Pilot Study. Thai Journal of Physical Therapy, 36(3), 97-105.
Gok Metin, Z., Arikan Donmez, A., Izgu, N., Ozdemir, L., & Arslan, I. E. (2017). Aromatherapy massage for neuropathic pain and quality of life in diabetic patients. Journal of Nursing Scholarship, 49(4), 379-388. doi: 10.1111/jnu.12300
Park, K. N., Yang, M., Yoo, T. G., & Kim, S. H. (2020). One-leg standing and Y-balance test performance in elderly fallers and nonfallers. Topics in Geriatric Rehabilitation, 36(2), 92-96. doi: 10.1097/TGR.0000000000000262
Pungpotong, S., Nunla-ong, O., & Nunla-ong, Y. (2014). Effects of Traditional Bamboo Foot Care on Reducing Foot Numbness in Elderly Diabetic Patients. KKU Journal for Public Health Research, 7(2), 75-80.
Puryanti, C., Subiyanto, P., & Amigo, T. A. E. (2023). Integration of Foot Massage and Diabetic Foot Gymnastic on Peripheral Perfusion in Patients with Diabetes Mellitus 2. Jurnal Kebidanan Dan Keperawatan Aisyiyah, 19(1), 40-50. doi: 10.31101/jkk.3041
Rattanachompu, P., Boonthong, M., Tongthong, K., Thiraphatthanavong, P., Wansutha, S., & Yuenyaow, L. (2019). Effectiveness of Coconut Seed Carpet for Foot Massage on Peripheral Neuropathy Mitigation of Feet of Diabetic in Patients Wang Yang Subdistrict, Phanna Nikhom District, Sakon Nakkhon Province. Udon Thani Rajabhat University Journal of Sciences and Technology, 7(2), 159-177.
Raymond, B., Steriovski, J., Gillyard, K., Yang, C., Wu, S. C., & Crews, R. T. (2020). Choosing a vibratory test to pair with Semmes Weinstein monofilament testing for evaluating lower extremity sensation in patients with diabetes: A comparison of three vibratory methodologies. Journal of diabetes science and technology, 14(1), 8-15. doi: 10.1177/1932296819849478
Thuma, K., Khosinglang, S., & Ongruksa, S. (2020). The Effect of Foot Massage by Stepping on Bamboo Rails in Combination with Foot Bath with Warm Water on the Symptoms Foot Numbness in Patients with Type 2 Diabetes. Health Science, Science and Technology Reviews, 13(2), 31-35.
Tütün Yümin, E., Şimşek, T. T., Sertel, M., Ankaralı, H., & Yumin, M. (2017). The effect of foot plantar massage on balance and functional reach in patients with type II diabetes. Physiotherapy Theory and Practice, 33(2), 115-123. doi: 10.1080/09593985.2016.1271849
Wardani, E. M., Wijayanti, L., & Ainiyah, N. (2019). The Effect of Diabetic Feet Spa Therapy to Blood Glucose Level and Sleep Quality of Diabetes Mellitus Patient. Indonesia: International Conference of Kerta Cendekia Nursing Academy
Williams, R., Van Gaal, L., & Lucioni, C. (2002). Assessing the impact of complications on the costs of Type II diabetes. Diabetologia, 45(Suppl 1), S13-S17.
Zaudig, M. (1992). A new systematic method of measurement and diagnosis of “mild cognitive impairment” and dementia according to ICD-10 and DSM-III-R criteria. International psychogeriatrics, 4(4), 203- 219. doi: 10.1007/s00125-002-0859-9
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