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Nerve flossing vs sensory training: which helps diabetic feet more?

NCT ID NCT07841730

Symptom relief Sponsor: University of Lahore Source: ClinicalTrials.gov ↗

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
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Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
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Status unknown
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First seen Sep 25, 2026 · Last updated Sep 25, 2026

Summary

Researchers compare two physical therapy approaches for people with diabetic foot ulcers: tibial nerve mobilization (nerve flossing) and multisensory exercises. Thirty-eight adults aged 55 to 75 with type 2 diabetes and early-stage ulcers join supervised sessions three times a week for four weeks. The study measures balance, quality of life, neuropathy severity, and ulcer healing to see which method works better.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
tibial nerve mobilization, a hands-on physical therapy technique also called nerve flossing or neural gliding
What this could lead to
If one approach works better, physical therapists could tailor rehabilitation plans for diabetic foot ulcers, possibly improving balance, nerve symptoms, and quality of life.
What could go wrong
This is a small, short study of 38 people with early-stage ulcers, so results may not apply broadly. Physical therapy carries low risk, but it may not outperform standard care.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Not a phased trial

Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.

Participants

About 38 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Sep 2026

An estimate. Start dates often move.

Expected to finish

May 2027

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

55 to 75 years

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Adults aged 55-75 years * Diagnosed cases of Type 2 Diabetes Mellitus by clinical and laboratory tests. * Both male and female participants. * Grade 0 and Grade 1 diabetic foot ulcers, as classified by the Wagner Ulcer Classification. * Participants must have poor glycemic control according to HbA1c ≥ 7.5 % or Fasting Blood Glucose ≥ 130 mg/dl or Random Blood Glucose ≥ 200 mg/dl. * Patient with healed ulcer or in last stage of healing duration \>1 to 2 weeks * Absence of active infection. * No cognitive impairments that would affect participation. * Diabetes duration of less than 10 years. * Able to perform the exercises and participate in physical therapy sessions. * No history of amputation above the metatarsophalangeal joint. Exclusion Criteria: * Presence of other systemic diseases apart from diabetes, such as autoimmune diseases or rheumatoid arthritis. * Foot ulcers that are classified as Grade 2 or higher using the Wagner Ulcer Classification. * Recent fractures, or trauma leading to nerve injuries in the last year. * Neurological disorders including Parkinson's disease, stroke, multiple sclerosis, or neuropathy from other causes. * Visual impairments or cognitive disorders that could affect participation. * History of recent vascular complications, surgical procedures for lower limbs in the last 6 months, or amputation above the metatarsophalangeal joint. * Severe DPN with Michigan Diabetic Neuropathy Score (MDNS) above 30, or abnormal nerve conduction studies. * Pregnancy or unwillingness to participate.

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Conditions

The condition(s) this trial relates to.

Diabetic Foot type 2 diabetes mellitus

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Diabetic foot

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