Effects of the Insole on Balance Capacity in Chronic Stroke

Taipei Medical University

Status: Completed

Conditions: Stroke, Cardiovascular

Treatments: Other: insole

Study type: Interventional

Funder types: Other

Identifiers

NCT03194282

N201705003

Details and patient eligibility

About

Poor balance capacity is one of clinical symptoms of stroke patient. The reason of loss balance capacity is motor impairment, as well as a diminished capacity to voluntarily shift body weight or to with stand external pertubations. Postural movement patterns include three discrete control strategies: hip, knee, and ankle strategy. The ankle rocker is an important factor to maintain balance during standing and the ankle strategy restores the center of mass (CoM) to a position of stability through body movement. As a result, effective control of foot motion and ankle stability may decrease postural sway and the risk of fall in chronic stroke.The purpose of this study is to investigate the effects of the insole on balance capacity in chronic stroke.

Full description

An important determinant of activities of daily living performance is standing balance. Therefore, poor balance, or postural stability, is significant predictors the risk of fall. After a fall, the patient can experience psychological, physical, social, economic, and sometimes fatal effects. The injuries can reduce the patient's mobility as well as independence and influence quality of life.Patients with chronic stroke wearing functional insoles and sham insoles to challenge balance tests.

Enrollment: 32 patients

Sex: All

Ages: 20 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• A history of unilateral chronic stroke occurrence over 6 months prior to the study
• Ability to understand verbal instructions.
• Ability to walk 5 meters independently without the need of ankle-foot orthosis.

Exclusion criteria

• A diagnosis of other neurological or musculoskeletal disorders that could affect postural balance.

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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32 participants in 2 patient groups

chronic stroke patient with insole

Experimental group

Description:

Poor balance capacity is one of clinical symptoms of stroke patient.Poor balance, or postural stability, is significant predictors the risk of fall.

Treatment:

Other: insole

chronic stroke patient without insole

Sham Comparator group

Description:

Poor balance capacity is one of clinical symptoms of stroke patient.Poor balance, or postural stability, is significant predictors the risk of fall.

Treatment:

Other: insole