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Physiotherapy. 2014 Jun;100(2):142-9. doi: 10.1016/j.physio.2013.06.003. Epub 2013 Sep 23.

Effect of textured insoles on balance and gait in people with multiple sclerosis: an exploratory trial.

Author information

1
Health and Social Care Institute, Teesside University, Middlesbrough, UK. Electronic address: john.dixon@tees.ac.uk.
2
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
3
Health and Social Care Institute, Teesside University, Middlesbrough, UK.
4
Health and Rehabilitation Research Institute, AUT University, Auckland, New Zealand.
5
Department of Rehabilitation, James Cook University Hospital, Middlesbrough, UK.

Abstract

OBJECTIVES:

To investigate the immediate effects of textured insoles on balance and gait in people with multiple sclerosis (MS), and to explore any effects after 2 weeks of wear.

STUDY DESIGN:

Within-session repeated-measures design with an exploratory follow-up period.

SETTING:

Hospital gait laboratory.

PARTICIPANTS:

Forty-six individuals with MS (34 females, 12 males), with a mean (SD) age of 49 (7) years, who could walk 100m unassisted or using one stick/crutch.

INTERVENTION:

Participants were tested wearing three types of insoles in a random order: control (smooth), Texture 1 (Algeos) or Texture 2 (Crocs™). Participants were allocated at random to wear one type of textured insoles for 2 weeks, after which they were retested.

MAIN OUTCOME MEASURES:

Standing balance (centre of pressure excursions and velocity) was measured with eyes open and eyes closed on a Kistler force platform. Spatio-temporal parameters of gait were measured using a GAITRite system.

RESULTS:

The textured insoles had no significant immediate effects on balance or gait, apart from an increase in anteroposterior sway range with eyes open for Texture 2 insoles [mean difference 4.5 (95% confidence interval 0.6 to 8.4)mm]. After 2 weeks, balance was not significantly different, but both types of textured insoles showed significant effects on spatio-temporal parameters of gait, with mean stride length increases of 3.5cm (Texture 1) and 5.3cm (Texture 2) when wearing the insoles.

CONCLUSIONS:

After 2 weeks of wear, there were improvements in spatio-temporal parameters of gait. However, it is unclear whether this was a placebo effect or a learning effect.

KEYWORDS:

Balance; Double-limb standing; Gait; Multiple sclerosis; Spatio-temporal parameters; Textured insoles

PMID:
24070573
DOI:
10.1016/j.physio.2013.06.003
[Indexed for MEDLINE]
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