Effects of vibrating insoles on standing balance in diabetic neuropathy
Effects of vibrating insoles on standing balance in diabetic neuropathy
复制标题
DOI：
10.1682/jrrd.2008.02.0023
复制
发表时间：
2008-01-01
影响因子：
--
通讯作者：
Postema, Klaas
中科院分区：
文献类型：
--
作者：
Hijmans, Juha M.;Geertzen, Jan H. B.;Postema, Klaas
本研究探讨了随机振动鞋垫对神经病变受试者和非残疾受试者足底侧站立平衡的影响。在四种不同的条件下（睁眼或闭眼，有或没有注意力要求任务[ATD]），糖尿病继发性神经病变受试者（n = 17）和非残疾受试者（n = 15）在振动鞋垫上放置一个力板，站立60 s。在每种情况下，鞋垫打开30秒，关闭30秒（随机顺序）。计算的平衡措施是压力位移中心的平均速度和这些位移在正、中外侧方向上的速度的均方根。在患有神经病变的受试者中，振动和ADT之间的相互作用被发现有助于平衡。在非残疾受试者中，没有发现振动对平衡的影响。振动鞋垫仅在注意力分散时才能改善神经病变受试者的站立平衡。需要改进鞋垫及其激活，使其在日常生活中实施成为可能和有效。
This study investigated the effects on standing balance of random vibrations applied to the plantar side of the feet by vibrating insoles in subjects with neuropathy and nondisabled subjects. In four different conditions (eyes open or closed and with or without an attention-demanding task [ATD]), subjects with neuropathy secondary to diabetes mellitus (n = 17) and nondisabled subjects (n = 15) stood for 60 s on vibrating insoles placed oil a force plate. During each condition, the insoles were turned on for 30 s and off for 30 s (random order). The calculated balance measures were mean velocity of the center of pressure displacements and root-mean-square of the velocity of these displacements in the anteroposterior and mediolateral directions. In subjects with neuropathy, an interaction effect between vibration and an ADT was found for balance. No effects of vibration on balance were found in nondisabled subjects. Vibrating insoles improved standing balance in Subjects with neuropathy only when attention was distracted. Improvement of the insoles and their activation is needed to make their implementation in daily living possible and effective.