Müller-Gliemann C, Drerup B, Osada N, Wetz H H
Klinik und Poliklinik für Technische Orthopädie, Universität, Robert-Koch-Strasse 30, 48129, Münster.
Orthopade. 2006 Nov;35(11):1131-2, 1134-6. doi: 10.1007/s00132-006-1013-z.
Proprioceptive insoles rely on the concept of Réné-Jaques Bourdiol, a French neurologist. The aim is to modulate plantar surface sensibility and to influence posture and statics of patients: it is hypothesized that the effect of modified afferent sensory input through proprioceptive stimulation of terminal muscle chains will have either a relaxing or stimulating effect on the whole body, which may be realized by affecting the posture. Small pads with a thickness of typically 1-3 mm are embedded into the insole to provide a specific stimulation. In fitting the insoles selectively to the individual patient the effect of the insoles on the trunk posture is taken as a feedback. This study investigates the influence of proprioceptive insoles on the sagittal curve in 20 selected patients. The protocol used a repeated measures research design. The measures of the sagittal curve were obtained using raster stereography. The four different conditions were: (1) barefoot, (2) convenient shoes without the insoles, (3) the same shoes with a placebo insole, and (4) the same shoes with neurological insoles. Evaluation of raster stereographs provided the kyphotic angle between T4 and T12 and lordotic angle between T12 and S1. Statistical evaluation was performed with the t-test for paired measurements. No significant differences were found in the sagittal profile. Only trunk inclination in normal posture was found to yield a significant difference (0.38 degrees) between placebo and neurological insoles. However, no clear statement on the efficiency of neurological insoles can be made.
本体感觉鞋垫基于法国神经学家勒内 - 雅克·布尔迪奥尔的理念。其目的是调节足底表面的感觉，并影响患者的姿势和静态平衡：据推测，通过对终末肌链进行本体感觉刺激来改变传入感觉输入，将对全身产生放松或刺激作用，这可能通过影响姿势来实现。通常厚度为1 - 3毫米的小垫子嵌入鞋垫中以提供特定刺激。在为个体患者选择性适配鞋垫时，将鞋垫对躯干姿势的影响作为反馈。本研究调查了20名选定患者中本体感觉鞋垫对矢状曲线的影响。该方案采用重复测量研究设计。矢状曲线的测量通过光栅立体摄影获得。四种不同的情况是：(1) 赤脚，(2) 穿没有鞋垫的便鞋，(3) 穿有安慰剂鞋垫的同一双鞋，以及(4) 穿有神经学鞋垫的同一双鞋。对光栅立体照片的评估提供了T4和T12之间的后凸角以及T12和S1之间的前凸角。采用配对测量的t检验进行统计评估。在矢状轮廓上未发现显著差异。仅发现正常姿势下的躯干倾斜在安慰剂鞋垫和神经学鞋垫之间产生了显著差异（0.38度）。然而，关于神经学鞋垫的有效性无法得出明确结论。
