Effects of Insole with Toe-Grip Bar on Barefoot Balance and Walking Function in Patients with Parkinson’s Disease: A Randomized Controlled Trial

Nakano, Hitoo; Murata, Satoshi; Nakae, Hideyuki; Soma, Masayuki; Isida, Haruhisa; Maruyama, Yuumi; Nagara, Hitoshi; Nagara, Yuko

doi:10.3390/geriatrics7060128

Cited by 2 publications

(2 citation statements)

References 44 publications

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“…The trajectory of the subject's COG was chosen on the x-axis (medial and lateral) and y-axis and plotted as a scatter plot, followed by using the 2D Confidence Ellipse plugin in Origin software to obtain the horizontal envelope area using Origin's integral calculation function. The COG trajectory horizontal envelope area represents the shaded area of the COG trajectory enclosure, which provides a direct indication of the body's balance capacity [22].…”

Section: Data Processingmentioning

confidence: 99%

Baduanjin is Better Balance Training Compared to Walking: A Cross-Sectional Study Based on Center of Gravity Trajectories

Jiang,

An,

Liu

et al. 2024

Cureus

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Background: It has already been demonstrated by previous studies that Baduanjin training can improve the body's balance. However, its biomechanical mechanism remains unknown. Center of gravity (COG) trajectory analysis is an essential biomechanical test to explore the balance ability of the human body. Previous studies have not used the COG trajectory analysis technique to research Baduanjin training. The study utilizes COG trajectory analysis to analyze the trajectory of COG during Baduanjin training and compare it with that of walking, which is a common exercise for improving balance and aerobic ability, to determine if Baduanjin exercises affect the COG more than walking.Materials and methods: Eight healthy female college students performed the walking and the eight forms of Baduanjin, a total of nine motions. The lower body kinematics were captured by the Vicon Motion Capture and Analysis System, while the kinetic data were acquired by the Kistler 3D Force Platform. The data were imported into Visual 3D to process the trajectory of the COG displacement amplitude, velocity, and acceleration of each motion. The COG horizontal envelope areas were calculated by Origin 9.0 Software (Origin Lab, Northampton, Massachusetts, USA) .Results: Specific motions of Baduanjin provided significantly higher COG displacement amplitude, velocities, and acceleration training than walking. The F2 and F5 motions could provide a larger COG horizontal envelope area than walking. On the x-axis, F2 provided a greater COG displacement amplitude than walking, F1, F2, and F5 provided greater velocities, while all the motions provided greater accelerations. On the y-axis, all the motions except F2 provided greater COG displacement velocities and accelerations than walking. On the z-axis, F1-7 provided a greater COG displacement amplitude than walking, all the motions provided greater velocities, while all the motions except F2 provided greater accelerations. Conclusion:Baduanjin training provides a more intense COG perturbation than walking, which may be a more challenging balance training than walking.

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Section: Data Processingmentioning

confidence: 99%

Baduanjin is Better Balance Training Compared to Walking: A Cross-Sectional Study Based on Center of Gravity Trajectories

Jiang,

An,

Liu

et al. 2024

Cureus

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“…As a result, it was reported that standing balance improved significantly [ 14 ]. Another randomized controlled study in which strengthening exercises were performed using an insole with a toe grip bar in patients with Parkinson’s disease reported significant improvements in balance and gait function [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Toe Grip Strength Is Associated with Improving Gait Function in Patients with Subacute Stroke

Ryu,

Hwang,

Jin

et al. 2024

Brain Sciences

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Toe grip strength has recently been suggested to play an essential role in maintaining balance and postural stability for ambulatory function in older populations. This study aimed to investigate its association with improving gait function three months after onset in patients with subacute stroke. This longitudinal cohort study included 98 first-ever stroke patients (67 ± 9 years, 56% female) within one month from the onset who could not ambulate independently. Functional outcome indicators, including toe grip strength, hand grip strength, knee extensor strength, Fugl-Meyer Assessment of Lower Extremity (FMA_LE), and the Postural Assessment Scale for Stroke (PASS), were assessed before and three months after the intervention. We analyzed the correlation between participants’ gait function using a 10-meter walk test time and various functional indicators. Then, multiple linear regression analysis was used to investigate whether toe grip strength was related to the improvement of gait function. Correlation analysis revealed a significant positive correlation between the 10MWT time and toe grip strength ratio (affected/unaffected side), with a moderate effect size (r = −0.61, p <0.001). Multiple regression analysis with covariates showed a significant relationship between 10MWT time and toe grip strength ratio (β = −0.113, p < 0.001), FMA_LE (β = −1.315, p = 0.004), PASS (β = −3.275, p <0.001), and age (β = −0.159, p = 0.004). In conclusion, toe grip strength was an essential factor associated with ambulatory function improvement in subacute stroke patients three months after onset. Additional toe grip muscle strengthening rehabilitation treatment can be expected to help improve the ambulatory function of subacute stroke patients in the future.

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Effects of Insole with Toe-Grip Bar on Barefoot Balance and Walking Function in Patients with Parkinson’s Disease: A Randomized Controlled Trial

Cited by 2 publications

References 44 publications

Baduanjin is Better Balance Training Compared to Walking: A Cross-Sectional Study Based on Center of Gravity Trajectories

Baduanjin is Better Balance Training Compared to Walking: A Cross-Sectional Study Based on Center of Gravity Trajectories

Toe Grip Strength Is Associated with Improving Gait Function in Patients with Subacute Stroke

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