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Automatic postural responses in individuals with peripheral neuropathy and ankle-foot orthoses
1Marianjoy Rehabilitation Hospital, Wheaton, IL 60189, USA.
Diabetes Research and Clinical Practice
|April 25, 2006
Summary
Ankle-foot orthoses (AFOs) significantly improve postural control and balance in individuals with sensory neuropathy. AFOs enhance equilibrium scores and response latency, aiding stability for those with peripheral neuropathy.
Area of Science:
- Neurology
- Biomechanics
- Rehabilitation Science
Background:
- Sensory neuropathy impairs balance and postural control.
- Ankle-foot orthoses (AFOs) are used to support lower limb function.
- The specific impact of AFOs on balance in sensory neuropathy requires further elucidation.
Purpose of the Study:
- To evaluate the effect of ankle-foot orthoses (AFOs) on static and dynamic balance in individuals with sensory neuropathy.
- To quantify changes in equilibrium, response latency, and strength with and without AFO use.
Main Methods:
- Eleven individuals with sensory neuropathy underwent balance tests on a computer-controlled platform.
- Tests were conducted with and without AFOs, under static and dynamic conditions, with eyes open and closed.
- Equilibrium scores, response latency, and strength scores were measured.
Main Results:
- Equilibrium scores were significantly higher with AFOs compared to without (P<0.01).
- Response latency decreased with AFOs for medium and large platform movements.
- Strength scores increased when AFOs were utilized.
Conclusions:
- AFOs significantly enhance postural control in individuals with peripheral neuropathy.
- AFOs provide auxiliary sensory cues, improving balance and stability.
- Findings support the clinical use of AFOs for managing postural instability in sensory neuropathy.