Continuous use of textured insole improve plantar sensation and stride length of people with Parkinson’s disease: A pilot study

Lirani‐Silva, Ellen; Vitório, Rodrigo; Barbieri, Fábio Augusto; Orcioli‐Silva, Diego; Simieli, Lucas; Gobbi, Lilian Teresa Bucken

doi:10.1016/j.gaitpost.2017.09.017

Cited by 28 publications

(38 citation statements)

References 13 publications

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“…It has been previously reported that individuals with PD have signs of sensory impairment, both peripherally and centrally, and sensory processing deficits contribute to movement disorders in subjects with PD [11,32,33]. Based on these findings, different methods of plantar sensory stimulation have been investigated to improve movement alterations in PD, with promising results for clinical applications [14,[34][35][36]. The Pagnussat and coworkers procedure used a stimulation based on the application of a pressure via rounded tips in the four target areas of the feet (two in each foot, corresponding to the head of the big toe and the base of the first metatarsal bone).…”

Section: Discussionmentioning

confidence: 99%

“…The facilitatory insole produced a significant increase in single-limb support time by normalizing the muscle activation sequence of the tibialis anterior at the time of initial ground contact. Lirani-Silva et al [35] observed benefits offered by textured insoles on plantar sensation and stride length in people with PD after continuous use. A similar improvement in stride length was observed in PD compared to the control group in our study, confirming that plantar stimulation may improve postural instability seen in PD [14,36].…”

Section: Discussionmentioning

confidence: 99%

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Beneficial Effect of Foot Plantar Stimulation in Gait Parameters in Individuals with Parkinson’s Disease

et al. 2020

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New treatments based on peripheral stimulation of the sensory-motor system have shown to be promising in rehabilitation strategies for patients with neurological disorders, including Parkinson’s disease (PD), especially in regards to reducing gait impairment, and hence, the incidence of falls. The aim of this study was to evaluate the change in several gait parameters measured by sensor inertial measurement in PD patients after acute plantar stimulation, under the distal phalanx of the big toe, and underneath the head of the first metatarsal joint of both feet, using a 3D printing insole. In order to assess whether the effects are selective for PD patients, we compared the effect of the treatment in a control group (age-matched) consisting of patients with other neurological disorders which also displayed gait and balance impairment, and a similar cognitive function, depressive symptoms, body mass index, and comorbidity burden observed in the PD group. Plantar foot stimulation in PD patients eliminated the significant (p < 0.05) alterations existing in stride asymmetry and in stride variability. When comparing the effects of post-plantar stimulation with the respective basal level, considered as 100% in both groups, we observed a significant (p = 0.019, Mann–Whitney test) increase in stride length compared to basal in the PD group and control group. No significant effects of foot plantar stimulation were observed in any of the gait parameters in the control group. Plantar foot stimulation has a positive effect on the step and stride length, and has a positive effect on walking stability, measured by the increase in stride length. No significant effect was observed on bradykinesia because it did not improve walking velocity. These findings indicate that foot plantar stimulation using a 3D printing insole seems to generate a more stable walking pattern in PD patients, with an interesting applicability, and a low-cost, for reducing gait impairment in PD patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Beneficial Effect of Foot Plantar Stimulation in Gait Parameters in Individuals with Parkinson’s Disease

et al. 2020

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“…In both studies the results obtained, were compared with the use of a conventional slab and those obtained with the use of a custom-made foot-insole facilitator; the data suggest that the use of a facilitating insole can be considered a low-cost and effective treatment strategy for optimizing the postural responses and gait of the patient suffering from Parkinson disease, providing evidence on the role that the somatosensory system plays in the instauration of the postural instability of patient which, however, has not been observed in Parkinsonism. Similarly, Lirani-Silva E. et al [21], observed in their pilot study how the continuous use of textured insoles for one week bene its plantar sensation and gait in patients with PD. Their results underlinded the hypothesis that enhanced somatosensory feedback to the sensory system result in an improved motor output of gait in patients affected by PD.…”

Section: Introductionmentioning

confidence: 83%

“…"dual-task performance" [17][18][19][20]. Alterations in the sensor-motor control of these functions appear to be irrefutable at present with studies that over the years have wanted to highlight the fundamental role that in this context may have orthostatic and orthodynamic plantigrade support of a Parkinsonian patient [16,21,22].…”

Section: Introductionmentioning

confidence: 99%

Postural and Kynematic effect of a new custom-made foot insole called “Prodynamic” in a cohort of patients affected by extrapiramidal disease

Falso¹,

Grillo²,

Righetti³

et al. 2019

J Nov Physiother Rehabil

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Background:The use of a custom-made orthotic plantar device is referenced as a true sensor-motor facilitation tool for the control of the postural orthostatic and orthodynamic position in patients with Parkinson's disease.Aim: To outline the postural and kinematic effect of a pro-ergonomic multilayer foot insole versus a custommade carbon-kevlar dynamic foot insole in a cohort of patients affected by extrapyramidal disease. Setting:A rehabilitation institute for the treatment of neurological and orthopaedic gait disorders. Methods:A sample of 8 patients (mean age of 82.6), of whom 4 affected by Parkinson's disease (P) and 4 by Parkinsonism (PS) were recruited for the aim of this study. In line with our inclusion criteria (clinical-functional diagnosis of Parkinson's disease or Parkinsonism, Webster scale ≤ 20, Mini-mental State Examination (MMSE) ≥ 18), the study design developed in 2 times: a. time T1 (or evaluation time), in which recruited patients affected by Parkinson's disease or Parkinsonism were evaluated at the Hospital and Noble Resting House Paolo Richiedei through an accurate functional (Conley scale, Barthel Index scale, Tinetti scale and the Berg Balance Scale), postural evaluation (VPA)and walking examination (VGA, baropodometric evaluation, kinematic gait evaluation through WIVA system); to each group of patients of our study were therefore entrusted 4 foot-insoles, of which 2 synthetic and 2 carbon-kevlar custom-made foot-insoles called PRODYNAMIC; at the end of this step, patients started with our integrated rehabilitative treatment course.b. time T2 (or experimental time; 90 days from T1), a new clinical-instrumental evaluation of each patient was performed, repeating the clinical-functional and instrumental evaluation performed at the time T1 in a specular way; this assessment was performed in FW condition, with personal footwear and previously acquired foot-insoles used during the evaluation at the T1 time.Results: Most of our patients have been able to fi nd benefi t from the use of the plantar orthosis and integrated rehabilitation treatment so as to bring some modifi cations within personal postural attitude, recording an improvement but not uniform change within the sample. The results obtained by comparing the VPA at time T1 and at time T2 explain how patients affected by both clinical forms tend to establish incorrect postural attitudes due to stiffness and appearance of hypertonic plasticity, which become then structured and only partially modifi able. There was a general performance improvement in line with the VGA: within the P.B group, we observed with the use of the Prodynamic insole a partial or even complete normalization of the dynamic heel-contact phase, a better alignment of the COP in its excursion from the 1st to the 2nd rocker phase of the step, a notable facilitation to the inertial thrust in progress in the 3rd and 4th rocker phase, an improvement in the eccentric control of the patellofemoral alignment in the acceptance phase of the so-called load-response in stance and,...

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“…The studies using insoles to stimulate plantar foot used a static protocol of stimulation prior to analysis of the gait [54,56]; or used textured insole [57][58][59]. A variety of stimulation periods were found with the other procedures, ranging from a few seconds [54], minutes [56], and even days [59]. As regards the anatomical location of mechanical stimulation on plantar foot, most studies stimulated the head of the big toe and the base of the first metatarsal bone.…”

Section: Protocols Of Plantar Foot Stimulation and Sites Of Stimulationmentioning

confidence: 99%

Mechanical Plantar Foot Stimulation in Parkinson′s Disease: A Scoping Review

Brognara

Cauli

2020

Diseases

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Background: Parkinson′s disease (PD) is the second most prevalent neurodegenerative disease in older individuals. Neurorehabilitation-based interventions such as those improving gait are crucial for a holistic approach and to limit falls. Several studies have recently shown that mechanical plantar foot stimulation is a beneficial intervention for improving gait impairment in PD patients. The objective of this scoping review is to evaluate the beneficial effects of this stimulation on gait parameters, and to analyse protocols of foot stimulation and other effects in non-motor symptoms. Relevant articles were searched in the Medline database using Pubmed and Scopus, using the primary search terms ‘foot stimulation’ OR ‘plantar stimulation’ AND ‘Parkinson’s disease*’. Several protocols have been used for mechanical plantar foot stimulation (ranging from medical devices to textured insoles). The gait parameters that have been shown to be improved are stride length and walking speed. The beneficial effects are achieved after both acute and repeated plantar foot stimulation. Beneficial effects are observed in other organs and systems, such as muscle activation, brain connectivity, cardiovascular control in the central nervous system, and the release of brain-derived neurotrophic factor and cortisol in blood added evidence about this intervention’s impact on brain function. Mechanical plantar foot stimulation is a safe and effective add-on treatment able for improving gait impairments in PD patients during the L-dopa off state. Randomized and controlled clinical trials to study its eventual potentiating effect with different pharmacotherapy regimens are warranted.

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Continuous use of textured insole improve plantar sensation and stride length of people with Parkinson’s disease: A pilot study

Cited by 28 publications

References 13 publications

Beneficial Effect of Foot Plantar Stimulation in Gait Parameters in Individuals with Parkinson’s Disease

Beneficial Effect of Foot Plantar Stimulation in Gait Parameters in Individuals with Parkinson’s Disease

Postural and Kynematic effect of a new custom-made foot insole called “Prodynamic” in a cohort of patients affected by extrapiramidal disease

Mechanical Plantar Foot Stimulation in Parkinson′s Disease: A Scoping Review

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