Customized orthotic insoles improve the gait and balance of hemiplegic stroke survivors more effectively than an ankle-foot orthosis
10.3760/cma.j.issn.0254-1424.2022.11.008
- VernacularTitle:定制化矫形鞋垫对脑卒中偏瘫患者步态及平衡功能的影响
- Author:
Jie WANG
1
;
Weidong NI
;
Jingxian PAN
;
Yanmin WANG
;
Jianzhong YANG
;
Long YU
;
Yan WANG
;
Furong WANG
;
Pufeng HUANG
;
Lei QIAO
;
Ying ZHANG
Author Information
1. 上海市徐汇区中心医院康复科，上海 200030
- Keywords:
Stroke;
Gait;
Orthoses;
Insoles
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2022;44(11):999-1003
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effect of customized orthotic insoles on the gait and balance of hemiplegic stroke survivors.Methods:Sixty stroke survivors with gait abnormalities were randomly divided into a group fitted with ankle foot orthoses (AFO) ( n=30) and a group who received customized orthotic insoles ( n=30). All received conventional rehabilitation training for 4 weeks. Before the fitting, as well as 8 hours and 4 weeks afterward, both groups were evaluated using the Tinetti gait scale (TGS), the plantar pressure balance index, the difference in length between their right and left step, step width, the Timed Up and Go test (TUGT), the Fugl-Meyer lower extremity assessment (FMA-LE), the 6-minute walk test (6MWT), a trunk impairment scale (TIS), the Berg Balance Scale (BBS) and the Barthel Index (BI). Results:At 8 hours after the fitting all of the insole group′s measurements were better than those of the AFO group, on average, but the differences were not statistically significant. After 4 weeks the average TGS, balance index barefoot and wearing the orthosis, step length difference, BBS and BI of the insoles group were significantly better than the AFO group′s averages. The other indicators were not significantly different.Conclusions:Customized orthotic insoles are more effective than an AFO in relieving the biomechanical abnormalities in hemiplegic patients′ feet and ankles, and enhancing their balance and gait.
