Immediate effect of textured insoles on the balance in patients with diabetic neuropathy

Abstract Aims/Introduction Neuropathy is a common complication of diabetes that reduces balance by disrupting vision, and the sensory and vestibular systems. This is important in older adults who are more at risk of falling. Studies show that improving the sensory mechanisms through insoles can impr...

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Main Authors: Seyed Javad Alaee, Kourosh Barati, Behnam Hajiaghaei, Banafshe Ghomian, Sedigheh Moradi, Marziyeh Poorpirali
Format: Article
Language:English
Published: Wiley 2023-03-01
Series:Journal of Diabetes Investigation
Subjects:
Online Access:https://doi.org/10.1111/jdi.13950
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author Seyed Javad Alaee
Kourosh Barati
Behnam Hajiaghaei
Banafshe Ghomian
Sedigheh Moradi
Marziyeh Poorpirali
author_facet Seyed Javad Alaee
Kourosh Barati
Behnam Hajiaghaei
Banafshe Ghomian
Sedigheh Moradi
Marziyeh Poorpirali
author_sort Seyed Javad Alaee
collection DOAJ
description Abstract Aims/Introduction Neuropathy is a common complication of diabetes that reduces balance by disrupting vision, and the sensory and vestibular systems. This is important in older adults who are more at risk of falling. Studies show that improving the sensory mechanisms through insoles can improve balance in people with balance disorders. As textured insoles have recently been considered for improving balance disorders, this study aimed to investigate the immediate effect of textured insoles on the balance of patients with diabetic neuropathy. Materials and Methods A total of 17 patients with diabetic neuropathy participated in this quasi‐experimental study. The studied variables were the general balance index, posterior–anterior balance index and medial‐lateral balance index, which were measured in three conditions: (i) soft textured insoles; (ii) hard textured insoles; and (iii) without textured insoles. A Biodex balance device was used for this purpose. Results In the general balance index, there was a significant difference between all the studied conditions. In the posterior–anterior balance index, there was a significant difference between without textured insole and hard textured insoles, and also soft and hard textured insoles. In the medial‐lateral balance index, there was a significant difference between the hard textured insoles and without textured insoles, and also soft and hard textured insoles (P < 0.05). Conclusions Wearing textured insoles can increase the balance in patients with diabetic neuropathy. This can be due to its effect on the sensory feedback of the soles, improving the proprioception and tactile sensors that are the main sources of balance.
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spelling doaj.art-b77cdc2b895549f3a739b6dc5acfb3b42023-02-24T12:37:44ZengWileyJournal of Diabetes Investigation2040-11162040-11242023-03-0114343544010.1111/jdi.13950Immediate effect of textured insoles on the balance in patients with diabetic neuropathySeyed Javad Alaee0Kourosh Barati1Behnam Hajiaghaei2Banafshe Ghomian3Sedigheh Moradi4Marziyeh Poorpirali5Department of Physical Therapy, School of Rehabilitation Sciences Zahedan University of Medical Sciences Zahedan IranDepartment of Orthotics & Prosthetics, School of Rehabilitation Sciences Shiraz University of Medical Sciences Shiraz IranDepartment of Orthotics & Prosthetics, School of Rehabilitation Sciences Iran University of Medical Sciences Tehran IranDepartment of Orthotics & Prosthetics, Rehabilitation Research Center, School of Rehabilitation Sciences Iran University of Medical Sciences Tehran IranDepartment of Endocrinology & Metabolism, Department of Internal Medicine, School of Medicine Endocrinology and Metabolism Research Institute Iran University of Medical Sciences Tehran IranStudent Research Committee, MSc of Occupational Therapy, Faculty of Rehabilitation Sciences Shahid Beheshti University of Medical Sciences Tehran IranAbstract Aims/Introduction Neuropathy is a common complication of diabetes that reduces balance by disrupting vision, and the sensory and vestibular systems. This is important in older adults who are more at risk of falling. Studies show that improving the sensory mechanisms through insoles can improve balance in people with balance disorders. As textured insoles have recently been considered for improving balance disorders, this study aimed to investigate the immediate effect of textured insoles on the balance of patients with diabetic neuropathy. Materials and Methods A total of 17 patients with diabetic neuropathy participated in this quasi‐experimental study. The studied variables were the general balance index, posterior–anterior balance index and medial‐lateral balance index, which were measured in three conditions: (i) soft textured insoles; (ii) hard textured insoles; and (iii) without textured insoles. A Biodex balance device was used for this purpose. Results In the general balance index, there was a significant difference between all the studied conditions. In the posterior–anterior balance index, there was a significant difference between without textured insole and hard textured insoles, and also soft and hard textured insoles. In the medial‐lateral balance index, there was a significant difference between the hard textured insoles and without textured insoles, and also soft and hard textured insoles (P < 0.05). Conclusions Wearing textured insoles can increase the balance in patients with diabetic neuropathy. This can be due to its effect on the sensory feedback of the soles, improving the proprioception and tactile sensors that are the main sources of balance.https://doi.org/10.1111/jdi.13950BalanceFoot orthosisPeripheral neuropathies
spellingShingle Seyed Javad Alaee
Kourosh Barati
Behnam Hajiaghaei
Banafshe Ghomian
Sedigheh Moradi
Marziyeh Poorpirali
Immediate effect of textured insoles on the balance in patients with diabetic neuropathy
Journal of Diabetes Investigation
Balance
Foot orthosis
Peripheral neuropathies
title Immediate effect of textured insoles on the balance in patients with diabetic neuropathy
title_full Immediate effect of textured insoles on the balance in patients with diabetic neuropathy
title_fullStr Immediate effect of textured insoles on the balance in patients with diabetic neuropathy
title_full_unstemmed Immediate effect of textured insoles on the balance in patients with diabetic neuropathy
title_short Immediate effect of textured insoles on the balance in patients with diabetic neuropathy
title_sort immediate effect of textured insoles on the balance in patients with diabetic neuropathy
topic Balance
Foot orthosis
Peripheral neuropathies
url https://doi.org/10.1111/jdi.13950
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