A Therapeutic Vibrating Insole Device for Postural Instability in Older People with Type 2 Diabetes: A Randomized Control Study: A Randomized Control Study

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dc.contributor.authorBourdel-Marchasson, Isabelle
dc.contributor.authorRegueme, Sophie C.
dc.contributor.authorKelson, Mark
dc.contributor.authorPoustis, Joël
dc.contributor.authorBarralon, Pierre
dc.contributor.authorLaosa, Olga
dc.contributor.authorRodriguez-Mañas, Leocadio
dc.contributor.authorSinclair, Alan J.
dc.contributor.institutionTecnalia Research & Innovation
dc.contributor.institutionMedical Technologies
dc.date.issued2022-05
dc.descriptionPublisher Copyright: © 2022, The Author(s).
dc.description.abstractIntroduction Frail older people with diabetes often present with or develop walking impairments, in part due to lower-limb sensory-motor neuropathy. Several studies suggest a possible improvement of balance control using somatosensory stimulation. We undertook a novel randomized control trial, the aim of which was to observe whether use of this device for 1 month improves walking speed as measured in the 10-m fast walking speed test standardized to body size at month 1 (M1) (FWS). Secondary outcomes were the differences between intervention (VS) and control (C) in the 10-m normal walking speed test, step length, short physical performance battery, timed up and go test, and posturographic measures. Methods Subjects were aged ≥ 70 years and had had type 2 diabetes for at least 2 years. The intervention (VS) at home consisted of 22-min daily vibrating sequences with noise intensity set at 90% of the tactile threshold for each foot. The same device was used in group C but noise was set to 0. Compliance was retrieved from the device. Results Among 56 subjects, 27 were in the VS group and 29 in the C group; 35 subjects were frail, 15 were prefrail ,and 6 were non-frail. Bilateral neuropathy was present in 17 subjects. More than half of sessions were done in 36 subjects with no discernible difference according to intervention. At M1 there were no discernible differences in FWS between the groups [VS: 0.96 (0.53) cm s−1 cm−1, C: 0.94 (0.47) cm s−1 cm−1]. There were also no discernible differences in other outcomes, irrespective of the presence of bilateral neuropathy. Conclusion In a cohort of frail, prefrail, or non-frail older subjects with diabetes, a 1-month intervention using a vibrating insole device did not alter measures of walking speed and related measures. Larger studies with longer term and different stimulation protocols are required to test this hypothesis more fully.en
dc.description.statusPeer reviewed
dc.format.extent12
dc.format.extent659567
dc.identifier.citationBourdel-Marchasson , I , Regueme , S C , Kelson , M , Poustis , J , Barralon , P , Laosa , O , Rodriguez-Mañas , L & Sinclair , A J 2022 , ' A Therapeutic Vibrating Insole Device for Postural Instability in Older People with Type 2 Diabetes: A Randomized Control Study : A Randomized Control Study ' , Diabetes Therapy , vol. 13 , no. 5 , pp. 995-1006 . https://doi.org/10.1007/s13300-022-01246-8
dc.identifier.doi10.1007/s13300-022-01246-8
dc.identifier.issn1869-6953
dc.identifier.otherresearchoutputwizard: 11556/1328
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85126866330&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofDiabetes Therapy
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subject.keywordsFrailty
dc.subject.keywordsGait speed
dc.subject.keywordsNeuropathy
dc.subject.keywordsOlder people
dc.subject.keywordsVibrating insoles
dc.subject.keywordsDiabetes
dc.subject.keywordsFrailty
dc.subject.keywordsGait speed
dc.subject.keywordsNeuropathy
dc.subject.keywordsOlder people
dc.subject.keywordsVibrating insoles
dc.subject.keywordsDiabetes
dc.subject.keywordsInternal Medicine
dc.subject.keywordsEndocrinology, Diabetes and Metabolism
dc.subject.keywordsSDG 3 - Good Health and Well-being
dc.subject.keywordsProject ID
dc.subject.keywordsinfo:eu-repo/grantAgreement/EC/FP7/278803/EU/A RANDOMIZED CLINICAL TRIAL TO EVALUATE THE EFFECTIVENESS OF A MULTI-MODAL INTERVENTION IN OLDER PEOPLE WITH TYPE 2 DIABETES ON FRAILTY AND QUALITY OF LIFE: THE MID-FRAIL STUDY/MID-FRAIL-STUDY
dc.subject.keywordsinfo:eu-repo/grantAgreement/EC/FP7/278803/EU/A RANDOMIZED CLINICAL TRIAL TO EVALUATE THE EFFECTIVENESS OF A MULTI-MODAL INTERVENTION IN OLDER PEOPLE WITH TYPE 2 DIABETES ON FRAILTY AND QUALITY OF LIFE: THE MID-FRAIL STUDY/MID-FRAIL-STUDY
dc.subject.keywordsFunding Info
dc.subject.keywordsSponsorship was received for this study from EU 7th Framework Programme (contract no. 278803). CHU of Bordeaux paid the journal’s Rapid Service Fee
dc.subject.keywordsSponsorship was received for this study from EU 7th Framework Programme (contract no. 278803). CHU of Bordeaux paid the journal’s Rapid Service Fee
dc.titleA Therapeutic Vibrating Insole Device for Postural Instability in Older People with Type 2 Diabetes: A Randomized Control Study: A Randomized Control Studyen
dc.typejournal article
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