Preliminary findings of plantar stimulation combined with balance training on postural stability in diabetic neuropathy

Author(s):  
Kitima Rongsawad
2014 ◽  
Vol 40 (2) ◽  
pp. 224-230 ◽  
Author(s):  
Banafshe Ghomian ◽  
Mojtaba Kamyab ◽  
Hassan Jafari ◽  
Mohammadebrahim Khamseh ◽  
Aoife Healy

Background: Rocker outsole shoes are commonly prescribed to patients with diabetic neuropathy to offload a particular area of the foot sole, thereby decreasing the risk of foot ulceration. Contrary to this, some evidence has reported a postural destabilising effect of these shoes in healthy adults. Objective: To explore the postural stability of patients with diabetic neuropathy who wear a rocker outsole shoe. Study design: Quasi-experimental. Method: In total, 17 patients with diabetic neuropathy (aged 49.29 ± 7.48 years; 7 female, 10 males) participated in this study. A Motor Control Test measuring centre of force displacement, response strength scale and response latency in medium and large perturbations was conducted using the EquiTest system to evaluate postural stability while wearing a baseline shoe (without a rocker outsole) or a rocker outsole shoe (with a toe-only rocker sole). Results: No significant difference was observed between the shoe conditions in centre of force displacement and response latency of the participants (p > 0.05). The results indicated a significant increase in the response strength scale of participants by the rocker outsole, for medium forward and backward and large forward perturbations ( p = 0.014, p = 0.001 and p = 0.027, respectively). Conclusion: When the immediate effect is a concern, the rocker outsole shoe did not negatively affect postural stability in patients with diabetic neuropathy. Clinical relevance This article will provide objective evidence about the effect of rocker outsole on postural balance in diabetic patients. In prescription of rocker outsole to prevent plantar ulceration of diabetic foot, immediate postural destabilising is not a concern.


Diabetes Care ◽  
2000 ◽  
Vol 23 (8) ◽  
pp. 1187-1191 ◽  
Author(s):  
H. Corriveau ◽  
F. Prince ◽  
R. Hebert ◽  
M. Raiche ◽  
D. Tessier ◽  
...  

2013 ◽  
Vol 22 (2) ◽  
pp. 143-149 ◽  
Author(s):  
Maraike Alice Wortmann ◽  
Carrie L. Docherty

The lateral ligament complex of the ankle is a frequently injured structure in sports and recreational activities, which often results in chronic ankle instability (CAI). Balance exercise training has become a common component of clinical rehabilitation for CAI to address postural deficits. To determine the effect of balance training on postural stability, this critically appraised topic presents a summary and analysis of 4 relevant studies that address the effectiveness of balance training in subjects with CAI. Information about the methods and sources used in the article is provided. The findings imply that there is moderate evidence that 4–6 wk of balance training can enhance static and dynamic postural stability in subjects with CAI.


2015 ◽  
Vol 6 (5) ◽  
pp. 233-240 ◽  
Author(s):  
Bina Eftekhar-Sadat ◽  
Roghayyeh Azizi ◽  
Akbar Aliasgharzadeh ◽  
Vahideh Toopchizadeh ◽  
Morteza Ghojazadeh

1997 ◽  
Vol 77 (4) ◽  
pp. 371-381 ◽  
Author(s):  
Steven L Wolf ◽  
Huiman X Barnhart ◽  
Gary L Ellison ◽  
Carol E Coogler ◽  

2017 ◽  
Vol 51 (4) ◽  
pp. 170-174
Author(s):  
Swapnil Bari ◽  
Kashif Sherwani ◽  
Neelesh Kumar

ABSTRACT Introduction Postural stability assessment is an important task that has found widespread medical and therapeutic applications. Typically, balance measurement systems are used for this purpose. The quantitative score of postural balance is very important in determining improvement of the patients suffering from balance disorder. Postural stability of humans is highly dependent on the position of centre of pressure of the body. The analysis of sway of a human body can be successfully done by studying oscillations of its centre of pressure. The distribution of foot pressure over different regions namely medial—lateral and anterior— posterior, governs the balance of the posture in both directions. Objective The aim of this study is to assess quantitative changes in the postural stability of patients suffering from balance disorders after providing them biofeedback based balance training. Materials and methods We used Force Sensing Resistors (FSRs) to sense the magnitude of forces acting at various points of both the feet. The centre of pressure is determined using the positions of various force points and magnitude of the force acting on them. The higher capability of the body to remain at that position implies higher postural stability and a lower power of sway. The force sensors produce signal proportional to the magnitude of the foot pressure. This signal after being collected by the Data Acquisition Board is fed to the system for calculating the centre of pressure and drawing a real time graph. Different algorithms are used to determine its mean position and compare the stability. The repeated analysis shows the amount of change in patient's postural behaviour, before and after the training. Results Until the publication of this research work, analysis of the data of 4 patients was performed. Post intervention trials resulted in higher scores of their postural performance. Hence, favourable results were obtained showing improvement in postural stability of the patients. Conclusion Wider variety of ataxia patients can be chosen to perform this assessment. The system is capable of determining a quantitative score of improvement of the postural stability and thus can be used to assess the postural performance of patients suffering from different postural disorders. How to cite this article Bari S, Saxena S, Sherwani K, Kumar N, Dhillon MS. Effect of Balance Training on Postural Analysis of Patients suffering from Balance Disorders: A Preliminary Report. J Postgrad Med Edu Res 2017;51(4):170-174.


2012 ◽  
Vol 49 (2) ◽  
pp. 333 ◽  
Author(s):  
Mohammad Akbari ◽  
Hassan Jafari ◽  
Afsaneh Moshashaee ◽  
Bijan Forugh

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