Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial
<b>Background:</b> Insoles have been widely applied to many diseases, but stroke involves complex problems and there is a paucity of research on the application of insoles in stroke patients. <b>A</b><b>im:</b> To evaluate the effect of customized insoles on gait...
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| Autores principales: | , , , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
MDPI AG
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/3770a5e9d7dc4be38d9446c14a2c4346 |
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| Sumario: | <b>Background:</b> Insoles have been widely applied to many diseases, but stroke involves complex problems and there is a paucity of research on the application of insoles in stroke patients. <b>A</b><b>im:</b> To evaluate the effect of customized insoles on gait in patients with hemiplegia. <b>D</b><b>esign:</b> A randomized controlled trial. <b>Setting:</b> Rehabilitation department of a hospital. <b>Population</b><b>:</b> A total of 50 stroke patients were randomized into an experimental group (n = 25) or a control group (n = 25). <b>Methods:</b> Both groups received conventional gait training, which was conducted five times a week, every 40 min for four weeks and patients in the experimental group were required to wear customized insoles for at least 1 h per day for four weeks. The primary outcome measure was the Tinetti Gait Scale (TGS) and the secondary outcome measures were the plantar pressure test, 6-min walking test (6MWT), lower extremity Fugl–Meyer assessment (FMA-LE), Berg Balance Scale (BBS), and the modified Barthel index (MBI). <b>Results:</b> Compared to the control group, there were significant increases in the experimental group after four weeks (<i>p</i> = 0.014) and at the four week follow-up (<i>p</i> = 0.001) in the change in TGS, weight-bearing on the involved side (<i>p</i> = 0.012) or forefoot (<i>p</i> = 0.028) when standing, weight-bearing on the involved side (<i>p</i> = 0.01 6) or forefoot (<i>p</i> = 0.043) when walking, early stance phase (<i>p</i> = 0.023) and mid stance phase (<i>p</i> = 0.013) on the involved side, FMA-LE (<i>p</i> = 0.029), BBS (<i>p</i> = 0.005), and MBI (<i>p</i> = 0.009), but there were no differences in the late stance phase (<i>p</i> = 0.472) on the involved side when walking or in the 6MWT (<i>p</i> = 0.069). <b>Conclusions:</b> Customized insoles had great efficacy in enhancing gait performance in stroke patients. |
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