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足部体感训练对足底体感功能的影响。

Effects of Foot Somatosensory Training on Plantar Somatosensory Function.

作者信息

Suganuma Junichi, Ikeda Yumi, Chidori Kazuhiro

机构信息

Department of Physical Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University, Tokyo, JPN.

Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Chubu Gakuin University, Seki, JPN.

出版信息

Cureus. 2024 Dec 26;16(12):e76399. doi: 10.7759/cureus.76399. eCollection 2024 Dec.

Abstract

Background Declines in foot somatosensory function can negatively impact balance and daily activities, particularly in older adults and individuals with neurological conditions. Despite this, effective physical therapeutic interventions to improve foot sensory function are limited. This study assessed the effects of targeted foot somatosensory training on plantar sensory function in healthy young adults. Methods Thirty-three healthy young adults (mean age 21.2 ± 0.7 years) were randomly assigned to one of three groups: (1) Discrimination group, (2) Attention group, or (3) Control group. The Discrimination group performed spatial attention tasks to identify weight positions on an instability board; the Attention group focused on timing tasks; and the Control group watched a video. Tactile pressure sensitivity and two-point discrimination of the plantar surface were measured before and after the intervention. Statistical analyses included Wilcoxon signed-rank tests and two-way repeated measures of analysis of variance (ANOVA). Results No significant differences were found in tactile pressure sensitivity. However, two-point discrimination thresholds for the big toe and the ball of the little toe were significantly reduced in the Discrimination group, indicating enhanced sensitivity. Conclusion Foot sensory training, particularly through discrimination tasks, may effectively improve plantar sensory function, suggesting potential clinical applications in individuals with sensory impairments.

摘要

背景

足部躯体感觉功能下降会对平衡和日常活动产生负面影响,尤其是在老年人和患有神经系统疾病的个体中。尽管如此,改善足部感觉功能的有效物理治疗干预措施仍然有限。本研究评估了有针对性的足部躯体感觉训练对健康年轻成年人足底感觉功能的影响。

方法

33名健康年轻成年人(平均年龄21.2±0.7岁)被随机分配到三组中的一组:(1)辨别组,(2)注意力组,或(3)对照组。辨别组执行空间注意力任务以识别不稳定板上的重量位置;注意力组专注于计时任务;对照组观看视频。在干预前后测量足底表面的触觉压力敏感性和两点辨别能力。统计分析包括Wilcoxon符号秩检验和双向重复测量方差分析(ANOVA)。

结果

触觉压力敏感性未发现显著差异。然而,辨别组中大脚趾和小脚趾球部的两点辨别阈值显著降低,表明敏感性增强。

结论

足部感觉训练,特别是通过辨别任务,可能有效地改善足底感觉功能,提示在感觉障碍个体中的潜在临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ef5/11671786/b20bec3de915/cureus-0016-00000076399-i01.jpg

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