DOKULU TABANLIK KULLANIMININ DENGE ÜZERİNE ETKİLERİ

Öz

Denge vizüel, vestibüler ve somatosensoriyel bilgilerin toplanması ve merkezi sinir sisteminde yorumlanması sonucunda sağlanır. Somatosensoriyel sistemde gerek yaşlanma gerek farklı patolojik durumlar nedeniyle oluşan değişiklikler dengeyi olumsuz etkileyebilmektedir. Özellikle plantar alandan sağlanan somatosensoriyel bilgilerin dengenin sağlanmasındaki rolü büyük olduğu için, ayak tabanı üzerinden etki edecek yöntemler ile dengenin geliştirilmesini hedefleyen birçok tedavi şekli bulunmaktadır. Bu yöntemlerden birisi de dokulu tabanlık kullanımıdır. Dokulu tabanlıklar üst yüzeyinde çeşitli şekillerde çıkıntılar bulunduran bir yüzeye sahip standart tabanlıklardır. Dokulu tabanlıkların sağladığı artmış afferent girdi dengenin geliştirilmesi üzerinde olumlu etkiler sağlayabilmektedir. Bu nedenle son yıllarda kullanımı artmıştır. Multiple sklerozlu, parkinsonlu, diyabetik, geriatrik ve sağlıklı bireylerde tedavi programlarına eklenen dokulu tabanlıkların denge üzerine etkilerini inceleyen birçok çalışma bulunmaktadır. Bu çalışmada dokulu tabanlıkların denge üzerine olan etkilerinin incelenmesi amaçlanmıştır. Bu amaçla literatürde dokulu tabanlıkların denge üzerine etkilerini inceleyen çalışmalar araştırılmış ve bu kaynaklardan elde edilen sonuçlar ışığında dokulu tabanlıkların muhtemel etkileri özetlenmiştir.

Anahtar Kelimeler

• Dokulu tabanlık
• somatosensöryal
• postural denge

THE EFFECTS OF USING OF TEXTURED INSOLES ON BALANCE

Öz

Balance is achieved as a result of collecting visual, vestibular and somatosensory information and interpreting it in the central nervous system. Changes in the somatosensory system due to both aging and different pathological conditions can negatively affect the balance. Since somatosensory information provided especially from the plantar area plays a major role in maintaining balance, there are many treatment methods that aim to improve balance with methods that affect the sole of the foot. One of these methods is the use of textured insoles. Textured insoles are standard insoles with a surface with various shaped protrusions on the upper surface. The increased afferent input provided by textured insoles can have positive effects on improving balance. For this reason, its use has increased in recent years. There are many studies examining the effects of textured insoles added to treatment programs on balance in individuals with multiple sclerosis, Parkinson's disease, diabetic, geriatric and healthy individuals. This study aimed to examine the effects of textured insoles on balance. For this purpose, studies examining the effects of textured insoles on balance were searched in the literature and the possible effects of textured insoles were summarized in the light of the results obtained from these sources.

Anahtar Kelimeler

• Textured insoles
• somatosensory
• postural balance

Kaynakça

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