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Effects of insole on the less affected side during execution of treadmill walking training on gait ability in chronic stroke patients: A preliminary study.

Restorative neurology and neuroscience
January 1, 2020
Bora An et al. (4 authors)
Controlled Clinical TrialJournal ArticleHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine if inducing a weight shift to the affected side by raising the shoe height of the less affected side during treadmill training improves gait ability in people with chronic stroke.

Results Summary

The study found that treadmill training with an insole on the less affected side (ILTW) significantly improved multiple gait parameters (e.g., speed, stride length, support duration) and functional walking tests (FGA, F8WT, 6MWT) compared to normal treadmill training (NTW). The ILTW group showed broader improvements than the NTW group, suggesting enhanced walking ability in chronic stroke patients.

Population

People with chronic stroke

Effective Dosage

30 minutes per session, 5 times a week

Duration

4 weeks

Interactions

None mentioned

Extracted Claims (17)
InterventionDirectionEndpointPopulationDosageImpactClaim #
insole on less affected side for execution of treadmill walking training (ILTW)
increase
Speed
people with chronic stroke
-
statistically significant improvements were observed
#1
insole on less affected side for execution of treadmill walking training (ILTW)
increase
Stride Length/Height
people with chronic stroke
-
statistically significant improvements were observed
#2
insole on less affected side for execution of treadmill walking training (ILTW)
increase
Stride Length
people with chronic stroke
-
statistically significant improvements were observed
#3
insole on less affected side for execution of treadmill walking training (ILTW)
increase
Stance Phase Duration
people with chronic stroke
-
statistically significant improvements were observed
#4
insole on less affected side for execution of treadmill walking training (ILTW)
increase
Swing Phase Duration
people with chronic stroke
-
statistically significant improvements were observed
#5
insole on less affected side for execution of treadmill walking training (ILTW)
increase
Double Support Duration
people with chronic stroke
-
statistically significant improvements were observed
#6
insole on less affected side for execution of treadmill walking training (ILTW)
increase
Single Support Duration
people with chronic stroke
-
statistically significant improvements were observed
#7
insole on less affected side for execution of treadmill walking training (ILTW)
increase
Functional Gait Assessment (FGA)
people with chronic stroke
-
statistically significant improvements were observed
#8
insole on less affected side for execution of treadmill walking training (ILTW)
increase
Figure-of-Eight Walk Test (F8WT)
people with chronic stroke
-
statistically significant improvements were observed
#9
insole on less affected side for execution of treadmill walking training (ILTW)
increase
6 min Walk Test (6 MWT)
people with chronic stroke
-
statistically significant improvements were observed
#10
normal treadmill training (NTW)
increase
Speed
people with chronic stroke
-
statistically significant improvements were observed
#11
normal treadmill training (NTW)
increase
Cadence
people with chronic stroke
-
statistically significant improvements were observed
#12
normal treadmill training (NTW)
increase
Functional Gait Assessment (FGA)
people with chronic stroke
-
statistically significant improvements were observed
#13
normal treadmill training (NTW)
increase
Figure-of-Eight Walk Test (F8WT)
people with chronic stroke
-
statistically significant improvements were observed
#14
normal treadmill training (NTW)
increase
6 min Walk Test (6 MWT)
people with chronic stroke
-
statistically significant improvements were observed
#15
insole on less affected side for execution of treadmill walking training (ILTW)
increase
walking ability
people with chronic stroke
-
may improve
#16
insole on less affected side for execution of treadmill walking training (ILTW)
increase
weight-support ratio
people with chronic stroke
-
increases
#17
Abstract

BACKGROUND: People who have had hemiplegic stoke generally move more weight to the unaffected side than the affected side, resulting in asymmetrical posture and decreased ability in walking. OBJECTIVES: This study sought to investigate the effect of inducing a weight shift to the affected side by raising the shoe height of the less affected side using an insole during the execution of treadmill training on gait ability in people with chronic stroke. METHODS: The subjects were randomly assigned into two groups: insole on less affected side for execution of treadmill walking training (ILTW) group and normal treadmill training (NTW) group. The treadmill training was conducted for 30 minutes per session, 5 times a week, for 4 weeks. A gait analyzer based on body center, Functional Gait Assessment (FGA), Figure-of-Eight Walk Test (F8WT), and 6 min Walk Test (6 MWT), was measured before first intervention and after twentieth treadmill training intervention (Trial registration number is KCT0003830). RESULTS: The results revealed statistically significant differences between the two groups in the Speed, Cadence, Stride Length/Height, Stride Length, Double Support Duration, Single Support Duration, FGA, F8WT, and 6 MWT of the gait test. In the ILTW group, statistically significant improvements were observed in the Speed, Stride Length/Height, Stride Length, Stance Phase Duration, Swing Phase Duration, Double Support Duration, Single Support Duration, FGA, F8WT, and 6 MWT after execution of training, while in the NTW group, statistically significant improvements were observed only in Speed, Cadence, FGA, F8WT, and 6 MWT. CONCLUSIONS: ILTW, more than NTW, may improve walking ability in people with chronic stroke as it increases the weight-support ratio by adjusting the shoe height of the unaffected side using an insole.

Medical Subject Headings (MeSH)
AgedChronic DiseaseExercise TestExercise TherapyFemaleGait Disorders, NeurologicHumansMaleMiddle AgedOutcome Assessment, Health CareShoesStrokeStroke RehabilitationWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations3
Citations/Year0.6
Relative Citation Ratio0.38
NIH Percentile20.3%
Research Impact Scores
APT Score0.25
Weight Score2.12
Normalized Score0.70
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