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硬密度和软密度鞋垫对65岁以上成年人姿势控制的影响:一项交叉临床试验。

Effect of Hard- and Soft-Density Insoles on the Postural Control of Adults over 65 Years of Age: A Cross over Clinical Trial.

作者信息

Martínez-Córcoles Vicenta, Becerro-de-Bengoa-Vallejo Ricardo, Calvo-Lobo César, Pérez-Boal Eduardo, Losa-Iglesias Marta Elena, Rodríguez-Sanz David, Casado-Hernández Israel, Martínez-Jiménez Eva María

机构信息

Department of Behavioral Sciences and Health, Miguel Hernández University of Elche, 03550 San Juan de Alicante, Spain.

Department Enfermería, Facultad de Enfermería Fisioterapia y Podología, Universidad Complutense de Madrid, 28040 Madrid, Spain.

出版信息

Bioengineering (Basel). 2024 Dec 16;11(12):1276. doi: 10.3390/bioengineering11121276.

Abstract

BACKGROUND

there is a high risk of falls in older adults. One of the factors contributing to fall episodes is advancing age due to deterioration of the proprioceptive system. Certain clinical procedures improve balance and posture, such as the use of insoles.

OBJECTIVE

the objective of this study was to evaluate the impact of hard and soft insoles on static foot balance in healthy older adults compared to barefoot people.

METHODS

a clinical trial was conducted with a sample size of 150 healthy adults (69 male and 81 women) with a mean age of 69.03 ± 3.82 years. Postural control was evaluated in different conditions of barefoot balance with hard and soft insoles.

RESULTS

All tests were statistically significant ( < 0.001). The test with soft insoles presented higher stabilometric values and presented worse postural control compared to the barefoot and hard insoles in all eyes-open and eyes-closed conditions.

CONCLUSIONS

Hard and soft insoles show no improvement in postural control compared to barefoot standing. The findings suggest that soft insoles may result in impaired balance during standing. The density of the materials in the insoles emerges as a significant factor influencing postural control.

摘要

背景

老年人跌倒风险很高。导致跌倒事件的因素之一是本体感觉系统退化所致的年龄增长。某些临床程序可改善平衡和姿势,例如使用鞋垫。

目的

本研究的目的是评估与赤足者相比,硬鞋垫和软鞋垫对健康老年人静态足部平衡的影响。

方法

进行了一项临床试验,样本量为150名健康成年人(69名男性和81名女性),平均年龄为69.03±3.82岁。在赤足、硬鞋垫和软鞋垫的不同平衡条件下评估姿势控制。

结果

所有测试均具有统计学意义(<0.001)。在所有睁眼和闭眼条件下,与赤足和硬鞋垫相比,软鞋垫测试呈现出更高的稳定测量值,且姿势控制更差。

结论

与赤足站立相比,硬鞋垫和软鞋垫在姿势控制方面没有改善。研究结果表明,软鞋垫可能会导致站立时平衡受损。鞋垫材料的密度是影响姿势控制的一个重要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f592/11673150/7778e7d46dd1/bioengineering-11-01276-g001.jpg

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