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首页> 美国卫生研究院文献>Frontiers in Medicine >A Therapeutic Insole Device for Postural Stability in Older People With Type 2 Diabetes. A Feasibility Study (SENSOLE Part I)
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A Therapeutic Insole Device for Postural Stability in Older People With Type 2 Diabetes. A Feasibility Study (SENSOLE Part I)

机译：一种治疗性鞋垫装置可提高2型糖尿病老年人的姿势稳定性。可行性研究（SENSOLE第一部分）

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摘要

The application of a stochastic mechanical noise has been shown to improve plantar touch sensitivity in patients with diabetic neuropathy and balance control. The present work aimed to test the feasibility of a specially designed vibrating device on gait and posture in older patients with type 2 diabetes with special interest on potential side effect (sensation of needles or tingling, dizziness or falls) before further investigations. For this, gait and balance tests were performed in 29 older out and in-patients (mean age 84 years, Barthel index ≥ 60/100) immediately before and after a 19 min plantar vibrating sequence, as well as 15 min after. These tests included posturographic measurements under eyes closed and static conditions and clinical gait tests (Short Physical Performance Battery and Timed-Up and Go tests). The results showed that no side effect was measured immediately, 15 min and up to 30 days after the vibration sequence. Besides, postural and clinical gait tests showed global positive effects at immediate and 15 min follow-up. Further investigation are now necessary to determine whether a daily stimulation sequence for a given time would lead to long-term positive effects on daily living (; https://clinicaltrials.gov/ct2/show/).
机译：随机机械噪声的应用已显示可改善糖尿病性神经病和平衡控制患者的足底触觉敏感性。本工作旨在在进一步研究之前，测试特别设计的振动装置对2型糖尿病老年患者的步态和姿势的可行性，并特别关注潜在的副作用（针感或刺痛感，头晕或跌落）。为此，在足底振动19分钟之前和之后以及之后15分钟，对29位年龄较大的住院患者（平均年龄84岁，Barthel指数≥60/100）进行了步态和平衡测试。这些测试包括闭眼和静态条件下的体位测量以及临床步态测试（短时体能电池测试和定时加跑测试）。结果表明，在振动序列之后的15分钟和最多30天，没有立即检测到副作用。此外，姿势和临床步态测试显示立即和15分钟随访时总体积极效果。现在需要进一步的研究以确定给定时间的每日刺激序列是否会对日常生活产生长期的积极影响（； https：//clinicaltrials.gov/ct2/show/）。

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