Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial

Objective: To determine whether external feedback to promote symmetrical weight distribution during standing and walking would improve gait performance and balance in people with stroke. Design: Randomized, controlled, assessor-blinded trial. Setting: Rehabilitation unit and physical therapy departm...

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Main Authors: Somporn Sungkarat, Beth E. Fisher, Apichana Kovindha
Format: Journal
Published: 2018
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http://cmuir.cmu.ac.th/jspui/handle/6653943832/50019
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spelling th-cmuir.6653943832-500192018-09-04T04:27:10Z Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial Somporn Sungkarat Beth E. Fisher Apichana Kovindha Health Professions Medicine Objective: To determine whether external feedback to promote symmetrical weight distribution during standing and walking would improve gait performance and balance in people with stroke. Design: Randomized, controlled, assessor-blinded trial. Setting: Rehabilitation unit and physical therapy department. Subjects: Thirty-five individuals with stroke (mean (SD) age=53.0 (9.3) years) were randomly assigned to an experimental (n=17) or control group (n=18). Time post stroke was less than six months for most subjects (n=27, 77%). Interventions: Subjects participated in 15 rehabilitation sessions including 30 minutes of gait retraining per session. During gait retraining, the experimental group used an insole shoe wedge and sensors set-up (I-ShoWS) while the control group received a conventional programme. The I-ShoWS set-up consisted of a wedge insole and a footswitch for the non-paretic leg and a pressure sensor on the paretic leg. Outcome measures: Gait speed, step length and single support time asymmetry ratio, balance and amount of load on paretic leg during stance were evaluated twice: one day before and after training. Results: The experimental group demonstrated significant increase in standing and gait symmetry compared with the control group (P<0.05). They demonstrated 3 times greater improvement in gait speed than the control group (P=0.02). Balance improvement was significantly greater for the experimental than for the control group (P<0.05). Conclusion: Gait retraining using the I-ShoWS set-up was more effective in restoration of gait speed, standing and walking symmetry and balance than a conventional treatment programme. These results indicate the benefit of implementing feedback during gait retraining. © The Author(s), 2010. 2018-09-04T04:22:00Z 2018-09-04T04:22:00Z 2011-04-01 Journal 14770873 02692155 2-s2.0-79953894914 10.1177/0269215510386125 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=79953894914&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/50019
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Health Professions
Medicine
spellingShingle Health Professions
Medicine
Somporn Sungkarat
Beth E. Fisher
Apichana Kovindha
Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial
description Objective: To determine whether external feedback to promote symmetrical weight distribution during standing and walking would improve gait performance and balance in people with stroke. Design: Randomized, controlled, assessor-blinded trial. Setting: Rehabilitation unit and physical therapy department. Subjects: Thirty-five individuals with stroke (mean (SD) age=53.0 (9.3) years) were randomly assigned to an experimental (n=17) or control group (n=18). Time post stroke was less than six months for most subjects (n=27, 77%). Interventions: Subjects participated in 15 rehabilitation sessions including 30 minutes of gait retraining per session. During gait retraining, the experimental group used an insole shoe wedge and sensors set-up (I-ShoWS) while the control group received a conventional programme. The I-ShoWS set-up consisted of a wedge insole and a footswitch for the non-paretic leg and a pressure sensor on the paretic leg. Outcome measures: Gait speed, step length and single support time asymmetry ratio, balance and amount of load on paretic leg during stance were evaluated twice: one day before and after training. Results: The experimental group demonstrated significant increase in standing and gait symmetry compared with the control group (P<0.05). They demonstrated 3 times greater improvement in gait speed than the control group (P=0.02). Balance improvement was significantly greater for the experimental than for the control group (P<0.05). Conclusion: Gait retraining using the I-ShoWS set-up was more effective in restoration of gait speed, standing and walking symmetry and balance than a conventional treatment programme. These results indicate the benefit of implementing feedback during gait retraining. © The Author(s), 2010.
format Journal
author Somporn Sungkarat
Beth E. Fisher
Apichana Kovindha
author_facet Somporn Sungkarat
Beth E. Fisher
Apichana Kovindha
author_sort Somporn Sungkarat
title Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial
title_short Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial
title_full Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial
title_fullStr Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial
title_full_unstemmed Efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: A randomized controlled trial
title_sort efficacy of an insole shoe wedge and augmented pressure sensor for gait training in individuals with stroke: a randomized controlled trial
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=79953894914&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/50019
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