Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial

Background: 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. Aim: To evaluate the effect of customized insoles on gait...

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Autores principales:	Jie Wang, Lei Qiao, Long Yu, Yanmin Wang, Redha Taiar, Ying Zhang, Weijie Fu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	Tinetti Gait Scale (TGS) customized insoles stroke rehabilitation gait Biology (General) QH301-705.5
Acceso en línea:	https://doaj.org/article/3770a5e9d7dc4be38d9446c14a2c4346
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spelling	oai:doaj.org-article:3770a5e9d7dc4be38d9446c14a2c43462021-11-25T16:47:48ZEffect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial10.3390/biology101111872079-7737https://doaj.org/article/3770a5e9d7dc4be38d9446c14a2c43462021-11-01T00:00:00Zhttps://www.mdpi.com/2079-7737/10/11/1187https://doaj.org/toc/2079-7737<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.Jie WangLei QiaoLong YuYanmin WangRedha TaiarYing ZhangWeijie FuMDPI AGarticleTinetti Gait Scale (TGS)customized insolesstroke rehabilitationgaitBiology (General)QH301-705.5ENBiology, Vol 10, Iss 1187, p 1187 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tinetti Gait Scale (TGS) customized insoles stroke rehabilitation gait Biology (General) QH301-705.5
spellingShingle	Tinetti Gait Scale (TGS) customized insoles stroke rehabilitation gait Biology (General) QH301-705.5 Jie Wang Lei Qiao Long Yu Yanmin Wang Redha Taiar Ying Zhang Weijie Fu Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial
description	<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.
format	article
author	Jie Wang Lei Qiao Long Yu Yanmin Wang Redha Taiar Ying Zhang Weijie Fu
author_facet	Jie Wang Lei Qiao Long Yu Yanmin Wang Redha Taiar Ying Zhang Weijie Fu
author_sort	Jie Wang
title	Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial
title_short	Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial
title_full	Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial
title_fullStr	Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial
title_full_unstemmed	Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial
title_sort	effect of customized insoles on gait in post-stroke hemiparetic individuals: a randomized controlled trial
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/3770a5e9d7dc4be38d9446c14a2c4346
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Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial

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