Erdoğanoğlu Yıldız, Yalçin Berna, Külah Eyyüp, Kaya Defne
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Uskudar University, Istanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Başkent University Istanbul Health Practice and Research Center, Istanbul, Turkey.
Hemodial Int. 2019 Apr;23(2):273-278. doi: 10.1111/hdi.12724. Epub 2019 Feb 11.
This study was conducted to investigate the relationship between plantar foot sensation and static balance, physical performance, fear of falling, and quality of life in hemodialysis patients.
The study involved 24 hemodialysis patients and 20 healthy volunteers. Light touch-pressure sensation (Semmes Weinstein Monofilament test kit), two-point discrimination sensation (esthesiometer) and vibration sensation (128 Hz diapason) were used to evaluate plantar foot sensation. Static balance was assessed by the one-leg standing balance test, physical performance by the Timed Up and Go test, fear of falling with the Fall Efficacy Scale, and quality of life with the Ferrans and Powers Quality of Life Index Dialysis Version.
There was a significant difference in plantar foot sensation, static balance, and physical performance of the patients compared to the healthy controls (P < 0.05). There was a strong correlation between static balance and physical performance with foot sensation in the hemodialysis patients (P < 0.05). There was also a strong correlation between static balance, physical performance, and fear of falling in hemodialysis patients (P < 0.05). The correlation between static balance, physical performance, and quality of life in the hemodialysis patients was strong (P < 0.05).
The most important result of this study is that light touch-pressure sensation, vibration sensation, two-point discrimination sensation, static balance, and physical performance, all of which involve the activity of cutaneous sensory receptors on the sole of the foot, are reduced in individuals who undergo hemodialysis. The findings of this study suggest potential rehabilitation strategies that could be applied to this patient group.
本研究旨在调查血液透析患者足底感觉与静态平衡、身体机能、跌倒恐惧及生活质量之间的关系。
该研究纳入了24名血液透析患者和20名健康志愿者。采用轻触压觉（Semmes Weinstein单丝试验套件）、两点辨别觉（触觉测量仪）和振动觉（128赫兹音叉）来评估足底感觉。通过单腿站立平衡试验评估静态平衡，通过计时起立行走试验评估身体机能，通过跌倒效能量表评估跌倒恐惧，通过费朗斯和鲍尔斯生活质量指数透析版评估生活质量。
与健康对照组相比，患者的足底感觉、静态平衡和身体机能存在显著差异（P < 0.05）。血液透析患者的静态平衡和身体机能与足部感觉之间存在强相关性（P < 0.05）。血液透析患者的静态平衡、身体机能与跌倒恐惧之间也存在强相关性（P < 0.05）。血液透析患者的静态平衡、身体机能与生活质量之间的相关性很强（P < 0.05）。
本研究最重要的结果是，接受血液透析的个体，其轻触压觉、振动觉、两点辨别觉、静态平衡和身体机能均降低，所有这些都涉及足底皮肤感觉受体的活动。本研究结果提示了可应用于该患者群体的潜在康复策略。
