Rao Noel, Aruin Alexander
Chair of physical medicine & rehabilitation OPD at the Marianjoy Rehabilitation Hospital and Clinics in Wheaton, Illinois.
Senior research scientist at the Rehabilitation Foundation, Inc., 26W171 Roosevelt Rd., P.O. Box 675, Wheaton, Illinois 60189. ; FAX: (630) 4624547.
J Prosthet Orthot. 1999 Winter;11(1):15-19. doi: 10.1097/00008526-199901110-00005.
Instability and balance impairment is common in patients with diabetic sensory neuropathy placing them at a higher risk of falling when performing more challenging daily tasks. The report describes the results of a dynamic balance tests of a subject with neuropathy due to the long-standing diabetes. The Computerized Dynamic Posturography was performed with and without ankle-foot orthoses (AFOs). The apparatus provided six test conditions designed to systematically manipulate vestibular, somatosensory, or visual information. With no orthoses the patient had falls performing most of the tests. Bilateral orthoses improved his balance: a derived composite balance score increased four times. In view of these findings, AFOs, in addition to correcting the patient's foot placement during locomotion, could also be expected to improve the maintenance of balance during quiet stance or dynamic perturbation.
不稳定和平衡受损在糖尿病感觉神经病变患者中很常见，这使他们在执行更具挑战性的日常任务时跌倒风险更高。该报告描述了一名因长期糖尿病导致神经病变的受试者的动态平衡测试结果。在有和没有踝足矫形器（AFO）的情况下进行了计算机化动态姿势描记法测试。该设备提供了六种测试条件，旨在系统地操控前庭、体感或视觉信息。在没有矫形器的情况下，患者在进行大多数测试时都会跌倒。双侧矫形器改善了他的平衡：得出的综合平衡评分提高了四倍。鉴于这些发现，AFO除了在运动过程中纠正患者的足部位置外，还有望改善安静站立或动态扰动期间的平衡维持。
