Can foot orthoses impose different gait features based on geometrical design in healthy subjects? A systematic review and meta-analysis

Hajizadeh, Maryam; Desmyttere, Gauthier; Carmona, Jean-Philippe; Bleau, Jacinte; Begon, Mickaël

doi:10.1016/j.foot.2019.10.001

Cited by 17 publications

(15 citation statements)

References 70 publications

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“…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]. In fact, patients with hemiplegia usually had variable abnormal gait performances, which were caused by different foot structures and movement defects such as a collapsed transverse arch, spastic clawing of toes, restricted ankle dorsiflexion, and plantarflexion [23].…”

Section: Introductionmentioning

confidence: 97%

“…As a type of corrective insoles, customized insoles are individually and specifically applied to biomechanical deformities by adding various pads (e.g., inversion ramp pad, forefoot pad, metatarsal dome pad, hallux valgus pad, etc.) to prefabricated insoles, and each pad has its own function [22]. This technique takes the personal biomechanical problems of each patient into account.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Introductionmentioning

confidence: 97%

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

View full text Add to dashboard Cite

show abstract

“…As a type of corrective insoles, customized insoles were individually and speci cally applied to biomechanical deformities by adding various pads (e.g., inversion ramp pad, forefoot pad, metatarsal dome pad, hallux valgus pad, etc.) to prefabricated insoles, and each pad had its own function [22]. The technique took the personal biomechanical problems of each patient into account.…”

Section: Introductionmentioning

confidence: 99%

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

Wang

et al. 2021

Preprint

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Background: Insoles were considered to be a beneficial adjunctive treatment option for gait rehabilitation, which could provide a proper basic support for walking. The purpose of this study was to evaluate the effect of customized insoles (Jiangsu Suyun Medical Equipment Co. Ltd, Jiangsu, China) on the gait of patients with hemiplegia.Methods: This randomized controlled trial was set in the rehabilitation department of a hospital. A total of 50 stroke patients were randomized into an experimental group (n=25) or a control group (n=25). Both groups received 40-min conventional gait training, which was conducted 5 times a week, for 4 weeks and patients in the experimental group were required to wear customized insoles for at least 1 h per day for 4 weeks. The primary outcome measure was Tinetti Gait Scale (TGS), which was assessed three times(baseline[T0], 4 weeks from baseline[T1] and 4 weeks after completion of the intervention[T2]), 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 Barthel Index (BI), which was assessed twice(baseline[T0] and 4 weeks from baseline[T1]).Results: Compared to the control group, there were significant increases in the experimental group after 4 weeks(P = 0.014) and 4 weeks follow-up(P = 0.001) in the change of TGS, weight-bearing on the involved side (P = 0.012) or forefoot (P =0.028) when standing, weight-bearing on the involved side (P = 0.016) 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 BI (P = 0.009), but no difference in late stance phase (P = 0.472) on the involved side when walking and in the 6MWT (P = 0.069).Conclusions: Customized insoles had great efficacy in enhancing gait performance.Clinical Trial Registration: ChiCTR1900024843.Registered 30 July 2019，http://www.chictr.org.cn/edit.aspx?pid=41003&htm=4.

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“…Previous studies have reported that a medial heel wedge is effective in the management of musculoskeletal injuries [10]. Furthermore, previous studies have shown that the use of a medial heel wedge can cause biomechanical changes in the ankle, knee, and hip joints and support the promotion of movement [11][12][13]. From the abovementioned, it is considered that biomechanical changes in the entire lower limb caused by the use of medial heel wedge contribute to injury prevention [14].…”

Section: Introductionmentioning

confidence: 99%

“…Conversely, the effects of a medial heel wedge on the weight-bearing of foot arch bones are unknown because performing direct measurements of the weight-bearing responses of foot-arch bones in vivo has been challenging. Foot orthosis is prescribed to improve foot function based on the assessment of foot function [13,15,16].…”

Section: Introductionmentioning

confidence: 99%

The Effects of a Medial Heel Wedge on the Weight-Bearing Response of Hindfoot Valgus and the Total Weight-Bearing Responses of the Navicular and Talus Bones

et al. 2021

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OBJECTIVES Medial heel wedges are commonly prescribed to manage the weight-bearing response of hindfoot valgus and the total weight-bearing responses of the navicular and talus bones. Previous studies have reported that a medial heel wedge is effective in the management of musculoskeletal injuries. However, it remains unclear the effect of a medial heel wedge on the weight-bearing responses of footarch bones in vivo. To clarify the effects of a medial heel wedge on the weight-bearing response of hindfoot valgus and the total weight-bearing responses of the navicular and talus bones is necessary to understand how best to treat musculoskeletal injuries clinically. The purpose of our study was to clarify the effects of a medial heel wedge on the weight-bearing response of hindfoot valgus and the total weight-bearing responses of the navicular and talus bones.METHODS Twenty-five healthy males were analyzed. We obtained MRI scanning of the right foot under non-loading (NL) and full weight-bearing (FW) conditions. Participants wore two insole types, a flat insole and a medial heel wedge. To evaluate the weight-bearing response in hindfoot valgus, the hindfoot alignment view (HAV) was measured. We also measured navicular and talus bone positions and calculated the total positional changes of the navicular and talus bones (ΔTPCN, ΔTPCT) from the vertical and medial displacements using the Pythagorean theorem.RESULTS Significant interactions were observed with the HAV. Under both NL and FW conditions, the HAV was smaller on the medial heel wedge than on the flat insole. In addition, the ΔTPCN was significantly smaller on the medial heel wedge than on the flat insole. However, no significant differences were observed for ΔTPCT.CONCLUSIONS Our results suggest that use of a medial heel wedge decreases hindfoot valgus values under both NL and FW conditions and stabilizes the total weight-bearing response of the navicular bone.

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Can foot orthoses impose different gait features based on geometrical design in healthy subjects? A systematic review and meta-analysis

Cited by 17 publications

References 70 publications

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

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

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

The Effects of a Medial Heel Wedge on the Weight-Bearing Response of Hindfoot Valgus and the Total Weight-Bearing Responses of the Navicular and Talus Bones

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