Effect of insoles with arch support on gait pattern in patients with multiple sclerosis

Abstract

Objectives: This study aims to determine the effect of insoles with arch support on gait patterns in patients with multiple sclerosis (MS) and somatosensory impairment. Patients and methods: Ten patients (7 females, 3 males; mean age 34.9±6.8 years; range, 48 to 35 years) with clinically definite relapsing remitting MS and age-and sex-matched 10 healthy volunteers (7 females, 3 males; mean age 33.8±3.2; range, 40 to 31 years) were included in the study between January 2011 and January 2012. A medial longitudinal arch and transverse arch supporting polyurethane insole covered with foam shaped using plantar sensory feedback was used. Three-dimensional gait analysis was performed via a Vicon 612 system with six cameras. The participants initially walked barefoot and, then, wore the insoles in their short slipper socks. Results: All participants were evaluated in terms of kinetics, kinematics, and temporospatial parameters with a gait analysis system. The patients with MS showed improvements in cadence and walking speed when using the insoles. Sagittal plane angles of the hip and knee were increased while using insoles (p<0.05) and ankle plantar flexion was found to be decreased, compared to barefoot walking (p<0.05). Conclusion: Our study results suggest that insole with arch support affects gait cycle, but does not improve gait impairments in patients with MS. Insoles may ensure plantar sensory feedback in feet during walking, which increases pressure in the mid-forefoot area.

Effect of Foot Orthoses and Shoes in Parkinson’s Disease Patients: A PRISMA Systematic Review

“…Despite the high percentage of patients with biomechanical problems such as claw toes and clubfoot [5], we emphasize that no research on foot orthoses (custom-made or prefabricated) in PD patients has been found. However, the effectiveness of foot orthoses has been demonstrated for other neurodegenerative disorders [20][21][22].…”

The Role of Sensor Based Insole as a Rehabilitation Tool in Improving Walking among the Patients with Lower Limb Arthroplasty: A Protocol for Systematic Review

“…The cutoff to select or reject a particular manuscript is 19; the manuscripts below this range will be rejected. As per the interpretation of Modified Downs and Black 27-point scale: excellent (26-28); good (20-25); fair (15)(16)(17)(18)(19); and poor (less than=14). This scale determines the quality of the content of literature on the basis of its parameters such as reporting, internal validity, external validity and power.…”

“…Xu et al developed an algorithm based on compressed sensing with one accelerometer for accurate detection of human behavior [15]. Usage of insoles affects the gait parameters in patients with various neuromuscular disorders and has effect on preventing gait related abnormalities [16]. However, no research has been carried out on the use of smart sensor insole in improving walking among patients with lower limb arthroplasty.…”