Effects of Tactile Sensory Stimulation Training of the Trunk and Sole on Standing Balance Ability in Older Adults: A Randomized Controlled Trial.

Abstract

Background: Aging is associated with a decline in both motor and sensory functions that destabilizes posture, increasing the risk of falls. Dynamic standing balance is strongly linked to fall risk in older adults. Sensory information from the soles and trunk is essential for balance control. Few studies have demonstrated the efficacy of targeted sensory training on balance improvement. Objectives: To assess vibratory sensation function in the trunk and sole using a vibration device and evaluate the effects of trunk and sole tactile sensation training on dynamic standing balance performance in older adults. Methods: In this randomized controlled trial, eighteen older adults were randomly assigned to three groups: control (n = 8, mean age 66.6 ± 3.4), trunk training (n = 5, mean age 71.0 ± 1.9), and sole training (n = 5, mean age 66.4 ± 3.6). The training lasted for 10 weeks, utilizing vibratory stimulation at 128 Hz through tuning forks for 15 min during each session, conducted three times a week. The primary outcomes were vibratory sensitivity, assessed with a belt-fitted device on the trunk and a plate equipped with vibrators on the soles, and dynamic balance, evaluated through force plate testing that measured limits of stability (LoS) in multiple directions. Results: Correct response rates for trunk vibratory stimulation significantly improved in the trunk training group (p < 0.05). The rate of two-stimuli discrimination improved in both training groups. Significant advancements in balance metrics were observed in the trunk and sole training groups when compared to the control group, especially regarding anterior-posterior tilts (p < 0.05). A positive correlation was identified between two-point vibratory discrimination and LoS test performance. Conclusions: Sensory training of the trunk and sole enhances balance performance in older adults, suggesting potential benefits for fall prevention. Future studies should assess long-term effects and explore optimal training duration with larger sample sizes.