Characteristics of dynamic standing balance with and without an insole in          patients with spastic diplegia cerebral palsy

Kusumoto, Yasuaki; Tsuchiya, Junko; Watanabe, Yoshiteru; Umeda, Masaki; Matsuda, Tadamitsu; Takaki, Kenji; Nitta, Osamu

doi:10.1589/jpts.32.23

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…Conversely, dynamic balance consists of the ability to move the center of pressure (CoP) within the BoS and to move CoP from a BoS to another BoS. 14 The timed unipedal stance test (also referred to as timed single-limb stance, unipedal balance test, one-leg stance test, or one-leg standing balance) is a simple test for measuring individuals' static balance. 15 In clinical research settings, gold-standard measurements for static standing balance are typically conducted in motion labs using force plates, where the CoP sway is registered providing the most accurate assessment.…”

Section: Introductionmentioning

confidence: 99%

Dynamic and static stability in para‐athletes with cerebral palsy considering their impairment profile

Reina

Barbado

Hernández-Davó

et al. 2021

PM&R

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Background: Balance impairment is a common feature in people with cerebral palsy (CP), affecting the performance of daily-life and physical activities. Objectives: To (1) explore the absolute and relative intrasession reliability of two balance tests to assess dynamic and static balance in ambulant paraathletes with CP; (2) explore the relationships between the two balance tests to determine potential application in sport classification; (3) assess the differences between CP profiles (ie, spastic diplegia, athetosis/ataxia, and spastic hemiplegia) in comparison to those with a minimum impairment; and (4) compare the outcomes of the static and dynamic balance of ambulant para-athletes with CP regarding controls. Methods: A group of 129 male well-trained para-footballers with CP, classified as Level I according to the Gross Motor Function Classification System, participated in the present study. Static balance was assessed using the One-Leg Stance test, performed bilaterally on a force platform, and the dynamic balance was assessed in two conditions of the Tandem Walk test (TW): walking heeltoe contact over a 5 -m straight line and performing 10 steps. Results: Moderate-to-excellent intrasession reliability (intraclass correlation coefficient = 0.60-0.98) was obtained for all the measurements and groups. However, only small to moderate correlations were found between the dynamic and the static measurements of balance for the CP group when performing the One-Leg Stance test with the unimpaired or dominant leg (0.23 < r < 0.30; P < .01). The TW performed over 10 steps revealed more sensitivity to discriminate between CP profiles. Those para-athletes with ataxia/athetosis performed worse in all the tests whereas all CP profiles performed worse than the control group (P < .01). Conclusions: Balance performance and postural control are constrained to a higher extent in those with impaired voluntary control due to ataxia or with involuntary contractions of the muscles due to athetosis.

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Section: Introductionmentioning

confidence: 99%

Dynamic and static stability in para‐athletes with cerebral palsy considering their impairment profile

Reina

Barbado

Hernández-Davó

et al. 2021

PM&R

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“…Previous research has demonstrated that lateral-wedged and heel-lift insoles had a positive effect by increasing the weight-bearing of the hemiplegic side and bilateral symmetry during standing, but these effects were not felt during ambulation [18,19]. Kusumoto et al confirmed that the insoles combined with a metatarsal pad promoted static and dynamic balance in patients with cerebral palsy [20]. Based on the previously mentioned studies, it was found that the insoles had only one additional modification that had been applied for the correction of lower limb kinematic and kinetic abnormalities in most studies on hemiplegic gait [21,22].…”

Section: Introductionmentioning

confidence: 99%

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

Wang

Qiao

Long

et al. 2021

Biology

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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 in patients with hemiplegia. Design: 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.

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“…Static balance is defined as the ability to maintain the line of gravity (vertical line from the centre of mass) of a body within the base of support (BoS) with minimal postural sway. While, dynamic balance consists of the ability to move the centre of pressure (CoP) within the BoS and to move CoP from one BoS to another BoS ( Kusumoto et al, 2020 ; Reina et al, 2022 ). These assessments are routinely used in sports and clinical settings to identify balance disorders.…”

Section: Introductionmentioning

confidence: 99%

Responsiveness of monopodal postural stability tests in recreational athletes

Sánchez Martínez,

Sánchez-Barbadora,

Moreno-Segura

et al. 2024

PeerJ

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Background Stabilometry, the modified Star Excursion Balance Test (mSEBT) or the Emery balance test (EBT) are reported in the literature to reflect changes after an intervention in monopodal postural stability. Even so, the responsiveness of those tests has not been evaluated after an instability training programme or analysed using multiple statistical indicators of responsiveness. The main aim of this study was to analyse the responsiveness of the stabilometry, mSEBT or EBT. Methods Thirty healthy recreational athletes performed a 4-week programme with three weekly sessions of instability training of the dominant lower limb and were evaluated using stabilometry, mSEBT, and EBT tests. Responsiveness was quantified based on internal and external responsiveness. Results EBT and all parameters in mSEBT for the dominant lower limb showed large internal responsiveness (SRM > 0.8). Furthermore, mSEBT values for the non-dominant lower limb (except anterior displacement) also experienced significant changes with an associated large internal responsiveness. None of the stabilometry platform parameters showed a significant change after the intervention. The ability of the EBT to discriminate between the dominant and non-dominant lower limb (i.e., trained vs untrained, respectively) was generally acceptable (AUCs = 0.708). However, none of the parameters of the mSEBT test showed an acceptable AUC. Conclusions EBT showed a positive responsiveness after instability training compared to mSEBT, which only showed internal responsiveness, or stabilometry platform measures, whose none of the parameters could identify these changes.

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Characteristics of dynamic standing balance with and without an insole in patients with spastic diplegia cerebral palsy

Cited by 7 publications

References 11 publications

Dynamic and static stability in para‐athletes with cerebral palsy considering their impairment profile

Dynamic and static stability in para‐athletes with cerebral palsy considering their impairment profile

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

Responsiveness of monopodal postural stability tests in recreational athletes

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