University of California, Los Angeles
The purpose of the study is design and use a telemedicine platform which integrates video-chat, pre-programmed interactive game-based foot, and ankle exercise modules, and real-time quantitative performance metrics displayed to the clinician to improve patient's perfusion to the lower extremity, improve diabetic wound healing and prevent muscle loss in the lower extremity.This is a cross sectional and comparative feasibility study. It is designed to explore acceptability, feasibility and proof of concept/ .
Foot ulceration is the most common and costly late complication of diabetes, with morbidity and mortality being worse than many cancers. It is estimated that up to one-third of people with diabetes will develop a diabetic foot ulcer (DFU) in their lifetime. Non-healing DFUs are a leading cause of hospitalization, amputation, disability, and death among people with diabetes. In the United States, one-third of all diabetes-related costs are spent on diabetic foot care, with two-thirds of the costs incurred in inpatient settings, constituting a substantial economic burden to society. Therefore, e…
Inclusion Criteria: * Male or female adults (age 18 years and older) * Having Diabetic foot ulcer * Ambulatory (in the home without the aid of another person) * Willing and able to provide informed consent Exclusion Criteria: * Foot wound present for more than a year * HbA1c \> 12% * ABI index limb is \<0.60 and/or they are being considered for revascularization within the course of the study * Ulcer involving bone or tendon * Ulcer not caused by diabetes * Fully confined to a wheelchair * Any condition limiting the ability to engage in Tele-FootX exercise routine such as major cognitive de…
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