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Effect of Customized Insoles on Gait in Post-Stroke Hemiparetic Individuals: A Randomized Controlled Trial
| Content Provider | MDPI |
|---|---|
| Author | Wang, Jie Qiao, Lei Yu, Long Wang, Yanmin Taiar, Redha Zhang, Ying Fu, Weijie |
| Copyright Year | 2021 |
| Description | 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. A im: To evaluate the effect of customized insoles on gait in patients with hemiplegia. D esign: A randomized controlled trial. Setting: Rehabilitation department of a hospital. Population : A total of 50 stroke patients were randomized into an experimental group (n = 25) or a control group (n = 25). Methods: 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). Results: Compared to the control group, there were significant increases in the experimental group after four weeks (p = 0.014) and at the four week follow-up (p = 0.001) in the change in TGS, weight-bearing on the involved side (p = 0.012) or forefoot (p = 0.028) when standing, weight-bearing on the involved side (p = 0.01 6) or forefoot (p = 0.043) when walking, early stance phase (p = 0.023) and mid stance phase (p = 0.013) on the involved side, FMA-LE (p = 0.029), BBS (p = 0.005), and MBI (p = 0.009), but there were no differences in the late stance phase (p = 0.472) on the involved side when walking or in the 6MWT (p = 0.069). Conclusions: Customized insoles had great efficacy in enhancing gait performance in stroke patients. |
| Starting Page | 1187 |
| e-ISSN | 20797737 |
| DOI | 10.3390/biology10111187 |
| Journal | Biology |
| Issue Number | 11 |
| Volume Number | 10 |
| Language | English |
| Publisher | MDPI |
| Publisher Date | 2021-11-15 |
| Access Restriction | Open |
| Subject Keyword | Biology Integrative and Complementary Medicine Rehabilitation Tinetti Gait Scale (tgs) Customized Insoles Stroke Rehabilitation Gait |
| Content Type | Text |
| Resource Type | Article |