Department of Engineering, East Carolina University, USA.
Int J Occup Saf Ergon. 2020 Sep;26(3):589-594. doi: 10.1080/10803548.2018.1494771. Epub 2018 Aug 7.
Loss of sensation in the feet due to diabetic peripheral neuropathy can cause deterioration of postural control and result in higher risk of trips, slips or falls. In the literature, many studies have reported that people with diabetic peripheral neuropathy tend to show greater displacement of body sway than normal people when the base of support is disrupted. But not much is known about postural characteristics of diabetics with peripheral neuropathy at the moment of postural stability disruptions and during the time span for recovering stability. The objective of this study was to analyze differences of postural characteristics between diabetics with peripheral neuropathy and diabetics without peripheral neuropathy. A learning effect of perturbation was found for the diabetic peripheral neuropathy group in the posterior direction of perturbation during the first phase, which may indicate that it could be possible to design a postural control program for those people.
由于糖尿病周围神经病变，脚部失去知觉会导致姿势控制恶化，从而增加绊倒、滑倒或跌倒的风险。在文献中，许多研究报告称，与正常人相比，糖尿病周围神经病变患者在支撑基础受到干扰时，身体摆动的位移往往更大。但是，目前对于糖尿病患者在姿势稳定性受到干扰时以及在恢复稳定性的时间段内的姿势特征知之甚少。本研究的目的是分析有周围神经病变的糖尿病患者和无周围神经病变的糖尿病患者之间的姿势特征差异。在第一阶段，对于周围神经病变的糖尿病患者，在受到向后的干扰时，发现了一种姿势控制的学习效应，这可能表明可以为这些人设计一个姿势控制方案。
