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Titre : | Effect of textured insoles on balance and gait in people with multiple sclerosis: an exploratory trial (2014) |
Auteurs : | J. Dixon ; A.L. Hatton ; J. Robinson |
Type de document : | Article |
Dans : | Physiotherapy (2014/2, 2014) |
Article en page(s) : | pp. 142-149 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Sclérose en plaques |
Mots-clés: | Multiple Sclerosis ; Gait ; Démarche ; Postural Balance ; Équilibre postural |
Résumé : |
Objectives To investigate the immediate effects of textured insoles on balance and gait in people with multiple sclerosis (MS), and to explore any effects after 2 weeks of wear. Study design Within-session repeated-measures design with an exploratory follow-up period. Setting Hospital gait laboratory. Participants Forty-six individuals with MS (34 females, 12 males), with a mean (SD) age of 49 (7) years, who could walk 100 m unassisted or using one stick/crutch. Intervention Participants were tested wearing three types of insoles in a random order: control (smooth), Texture 1 (Algeos) or Texture 2 (Crocs). Participants were allocated at random to wear one type of textured insoles for 2 weeks, after which they were retested. Main outcome measures Standing balance (centre of pressure excursions and velocity) was measured with eyes open and eyes closed on a Kistler force platform. Spatio-temporal parameters of gait were measured using a GAITRite system. Results The textured insoles had no significant immediate effects on balance or gait, apart from an increase in anteroposterior sway range with eyes open for Texture 2 insoles [mean difference 4.5 (95% confidence interval 0.6 to 8.4) mm]. After 2 weeks, balance was not significantly different, but both types of textured insoles showed significant effects on spatio-temporal parameters of gait, with mean stride length increases of 3.5 cm (Texture 1) and 5.3 cm (Texture 2) when wearing the insoles. Conclusions After 2 weeks of wear, there were improvements in spatio-temporal parameters of gait. However, it is unclear whether this was a placebo effect or a learning effect. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940613000746 |