Effects of proprioceptive insoles on posture

NewsBot · Nov 1, 2014

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Effects on posture by different neuromuscular afferent stimulations and proprioceptive insoles: Rasterstereographic evaluation
Peter Dankerl, Andrea Kerstin Keller, Lothar Häberle, Thomas Stumptner, Gregor Pfaff, Michael Uder, Raimund Forst
Prosthet Orthot Int October 31, 2014

Background: Proprioceptive neuromuscular stimulating insoles are increasingly applied in treating functional complaints, chronic pain, foot disorders and so on.
Objectives: To evaluate rasterstereography as a tool in objectifying postural changes resulting from neuromuscular afferent stimulation and proprioceptive neuromuscular stimulating insoles and to compare the respective effects on posture.
Study design: This is a prospective experimental study.
Methods: A total of 27 healthy volunteers were consecutively exposed to six different varying intense neuromuscular afferent stimulating test conditions at three different times. One test condition featured proprioceptive neuromuscular stimulating insoles. In each test condition, a sequence of 12 rasterstereographic recordings of back shape was documented. Changes between six different test conditions and over time for 14 posture characterising parameters were investigated, for example, trunk inclination, pelvic torsion, lateral deviation of the spine’s amplitude or sagittal spinal curve.
Results: Standard deviation of our rasterstereographic measurements (±2.67 mm) was better than in most comparable reference values. Different neuromuscular stimuli were found to provoke significant changes to various posture parameters, including trunk inclination, pelvic torsion and so on ( each p < 0.001, F-tests). Proprioceptive neuromuscular stimulating insoles induced significant changes for parameter lateral deviation of the spine’s amplitude (p = 0.03).
Conclusion: Neuromuscular afferent stimulation and proprioceptive neuromuscular stimulating insoles induce postural changes, which can be detected reliably by rasterstereography.
Clinical relevance We demonstrated that rasterstereography – a radiation-free imaging modality – enables visualisation and documentation of subtle postural changes induced by varying intense neuromuscular afferent stimulation and the application of proprioceptive neuromuscular stimulating insoles.
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Admin2 · Nov 1, 2014

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Craig Payne · Nov 2, 2014

I not sure I get this one, The measurements of back posture were done during static stance, so assume anything they measure is "mechanical" and not "proprioceptive" ??

This is what they did:

Test condition 6: stance with PNSI (PNSI) – normal relaxed barefoot stance on a pair of PNSI. Each subject received PNSI which were fitted to individual shoe sizes. The pressure in each of the nine firm elastic pads was manually adjusted to the starting pres- sure level that is usually adopted during therapy. This was performed by an expert with 10 years of experience in the use of PNSI. We expect to detect an alteration of posture parameters similar to the ones altered in test condition JS. With test condition PNSI inducing passive reflectory movement, we do not expect to see similar change in amplitude compared to the active and most intense stimulation in JS.
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Picture of insole below.

I can't understand exactly what they did with the stats - its confusingly written and there is no table of the raw numbers of each intervention - just a box plot of the data and when I look at the box plots I can't see the differences that they claim they found. There is nothing provided on the magnitude of the measured parameters and the mean values for each intervention --> how did that get through the peer review process?

NewsBot · Nov 26, 2016

Influence of proprioceptive insoles on spinal curvature in patients with slight idiopathic scoliosis.
Noll C, Steitz V, Daentzer D
Technol Health Care. 2016 Nov 18.

PURPOSE:
Proprioceptive insoles are known to influence the functions of posture and gait by modulations of the sensory structures at the sole of the foot. Literature has shown that they could improve the position of the upper-body in patients with postural complaints of the musculoskeletal system. The aim of this study was to evaluate the influence of proprioceptive insoles on the spinal curvature in patients with slight idiopathic scoliosis.
PATIENTS AND METHODS:
Eighteen patients were included in this prospective, single-centre, randomized study. All patients needed to have a relevant growth potential and suffered from a slight idiopathic scoliosis. Two groups were used, where Group 1 performed physiotherapy twice a week, whereas group 2 was additionally supplied with proprioceptive insoles. Patients underwent three-dimensional rasterstereography for back-shape analysis. Furthermore, a conventional x-ray imaging of the spine was performed at the beginning and 1 year later to document the curvatures.
RESULTS:
There was no statistical difference in the Cobb angles, and in almost all parameters of the rasterstereography, there was no statistically significant change between and within both groups.
CONCLUSION:
According to the results of this study, there was no evidence of any statistical significant effect of proprioceptive insoles on spinal curvature in patients with slight idiopathic scoliosis.
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NewsBot · Oct 11, 2017

Influence of proprioceptive insoles on spinal curvature in patients with slight idiopathic scoliosis.
Noll C, Steitz V, Daentzer D
Technol Health Care. 2017;25(1):143-151. doi: 10.3233/THC-161271.

PURPOSE:
Proprioceptive insoles are known to influence the functions of posture and gait by modulations of the sensory structures at the sole of the foot. Literature has shown that they could improve the position of the upper-body in patients with postural complaints of the musculoskeletal system. The aim of this study was to evaluate the influence of proprioceptive insoles on the spinal curvature in patients with slight idiopathic scoliosis.
PATIENTS AND METHODS:
Eighteen patients were included in this prospective, single-centre, randomized study. All patients needed to have a relevant growth potential and suffered from a slight idiopathic scoliosis. Two groups were used, where group 1 performed physiotherapy twice a week, whereas group 2 was additionally supplied with proprioceptive insoles. Patients underwent three-dimensional rasterstereography for back-shape analysis. Furthermore, a conventional x-ray imaging of the spine was performed at the beginning and 1 year later to document the curvatures.
RESULTS:
There was no statistical difference in the Cobb angles, and in almost all parameters of the rasterstereography, there was no statistically significant change between and within both groups.
CONCLUSION:
According to the results of this study, there was no evidence of any statistical significant effect of proprioceptive insoles on spinal curvature in patients with slight idiopathic scoliosis.
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NewsBot · Nov 1, 2017

Analysis of modifications of the plantar parameters after the use of a proprioceptive insole: regular gait.
Nobili CO et al
J Sports Med Phys Fitness. 2017 Oct 27. doi: 10.23736/S0022-4707.17.07524-7.

BACKGROUND:
The human foot is the basis of support and propulsion for gait and it provides support and flexibility for effective weight transfer. Therefore a correct distribution of loads and pressures on the surface of the foot is of fundamental importance to ensure a correct walking and maintaining balance in both static and dynamic conditions. The aim of our study was to evaluate the effects of innovative insoles, named Regular Gait, on plantar pressures distribution during standing position and walking in healthy subjects; therefore, we investigated whether these effects are maintained after insole removing.
METHODS:
50 subjects were tested; these were free of foot diseases or damage to the anatomical structures involved in the processes above posture. These subjects underwent rating scales and static and dynamic baropodometric examination before and after using Regular Gait.
RESULTS:
The results obtained shown that the Regular Gait, for as we have designed, are able to change the distribution of the parameters both in static and dynamic conditions. We have also shown that the best results were obtained only after a month of treatment with Regular Gait and that the results obtained persist even in the tests post-treatment without insoles.
CONCLUSIONS:
In conclusion, the data obtained in this study suggest that Regular Gait could be efficient in acting on parameters related to maintenance of upright posture and gait. This would allow the treated subjects to improve their posture both while walking and during the maintenance of the upright position.
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NewsBot · Mar 5, 2019

Analysis of modifications of the plantar parameters after the use of a proprioceptive insole: regular gait.
Oro Nobili C et al
J Sports Med Phys Fitness. 2019 Jan;59(1):65-70

BACKGROUND:
The human foot is the basis of support and propulsion for gait and it provides support and flexibility for effective weight transfer. Therefore a correct distribution of loads and pressures on the surface of the foot is of fundamental importance to ensure a correct walking and maintaining balance in both static and dynamic conditions. The aim of our study was to evaluate the effects of innovative insoles, named regular gait (RG), on plantar pressures distribution during standing position and walking in healthy subjects; therefore, we investigated whether these effects are maintained after insole removing.

METHODS:
Fifty subjects were tested; these were free of foot diseases or damage to the anatomical structures involved in the processes above posture. These subjects underwent rating scales and static and dynamic baropodometric examination before and after using RG.

RESULTS:
The results obtained shown that the RG, for as we have designed, are able to change the distribution of the parameters both in static and dynamic conditions. We have also shown that the best results were obtained only after a month of treatment with RG and that the results obtained persist even in the tests post-treatment without insoles.

CONCLUSIONS:
In conclusion, the data obtained in this study suggest that RG could be efficient in acting on parameters related to maintenance of upright posture and gait. This would allow the treated subjects to improve their posture both while walking and during the maintenance of the upright position.
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Effects of proprioceptive insoles on posture

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Effects of proprioceptive insoles on posture

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Craig Payne Moderator

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