Acute Effects of Vibrating Insoles on Dynamic Balance and Gait Quality in Individuals With Diabetic Peripheral Neuropathy: A Randomized Crossover Study
Authors' conclusion
Vibrating insoles are an effective acute strategy for improving postural balance and gait quality during level walking and stair descent in individuals with DPN. These benefits are particularly evident when the entire plantar foot surface is stimulated.
Study context
- Population
- Men with diabetic peripheral neuropathy (DPN)crossover
- Participants
- 22 men
- Comparison
- Seven vibrating insole conditions vs control insole without vibration
- Primary endpoint
- Gait speed and dynamic balance
Methodological detailsrandomized condition order, repeated measures, 15-min rest periods without vibration between conditions
- Randomized condition order
- Repeated measures
- 15-min rest periods without vibration between conditions
Primary result
As reported in the abstract
Gait speed during walking
- Vc2, Vc4 and Vc6 identified as the most effective
- Vcs vs control (Ctrl): P < 0.005
Further findings
| Outcome | Ctrl | P value |
|---|---|---|
| Gait speed during stair ascentVc2 vs Ctrl | 0.447 ± 0.180 m/s | P = 0.037 |
| Gait speed during stair ascentVc4 vs Ctrl | P = 0.047 | |
| Gait speed during stair ascentVc6 vs Ctrl | P = 0.043 | |
| Gait speed during stair descentVc2 vs Ctrl | 0.394 ± 0.170 m/s | P = 0.016 |
| Gait speed during stair descentVc4 vs Ctrl | P = 0.017 | |
| Gait speed during stair descentVc6 vs Ctrl | P = 0.026 |
- Gait speed during stair ascent: Vc2 0.517 ± 0.127 m/s
- Gait speed during stair ascent: Vc4 0.482 ± 0.197 m/s
- Gait speed during stair ascent: Vc6 0.506 ± 0.179 m/s
- Gait speed during stair descent: Vc2 0.487 ± 0.125 m/s
- Gait speed during stair descent: Vc4 0.438 ± 0.181 m/s
- Gait speed during stair descent: Vc6 0.463 ± 0.159 m/s
Postural balance, quiet standing with eyes closed
- Improved in Vc2, Vc4, Vc6 and Vc7
- P < 0.005
Original publication
Acute Effects of Vibrating Insoles on Dynamic Balance and Gait Quality in Individuals With Diabetic Peripheral Neuropathy: A Randomized Crossover Study. Diabetes Care. Published 27 March 2024. doi:10. 2337/ dc23-1858
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