Gait plates

NewsBot · Feb 23, 2016

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The efficiency of gait plate insole for children with in-toeing gait due to femoral antetorsion
Sahar Ganjehie; Hassan Saeedi; Behshid Farahmand; Sarah Curran
Prosthet Orthot Int February 23, 2016

Background: One of the most common gait disorders in children is in-toeing. Few studies have examined the efficacy gait plate insole in in-toeing. we used more precise apparatus than previous studies.
Objectives: The aim of this study was to investigate the immediate effect of gait plate insole on the angle of gait and center of pressure displacement in children with in-toeing gait.
Study design: Quasi-experimental before -after study.
Methods: The angle of gait and center of pressure displacement were measured in 17 children aged 4?10 years with in-toeing gait. The RS scan pressure platform was employed to perform walking tests in three conditions including barefoot, with shoes only, and gait plate insole with shoes.
Results: The gait plate insole with shoes as well as shoes alone produced a significant 11.1? and 3.85? increase in the angle of gait in in-toeing children respectively (p < 0.05). The medial?lateral displacement of center of pressure showed a significant difference (3 mm) in shoes only condition when compared with barefoot condition. The shoes only and gait plate insole compared with barefoot condition increased the anterior?posterior displacement by 28 and 30 mm respectively.
Conclusion: The gait plate insole with ordinary shoes and shoes only were able to increase angle of gait and the center of pressure displacement in the anterior?posterior direction in children with in-toeing gait due to excessive femoral anteversion.
Clinical relevance The use of a gait plate insole inserted in ordinary shoes can improve gait appearance in children with in-toeing gait caused by Excessive femoral anteversion.
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Admin2 · Feb 23, 2016

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NewsBot · Feb 10, 2017

The efficiency of gait plate insole for children with in-toeing gait due to femoral antetorsion
Sahar Ganjehie, Hassan Saeedi, Behshid Farahmand, Sarah Curran
Prosthetics and Orthotics International February 23,

Background:
One of the most common gait disorders in children is in-toeing. Few studies have examined the efficacy gait plate insole in in-toeing. we used more precise apparatus than previous studies.

Objectives:
The aim of this study was to investigate the immediate effect of gait plate insole on the angle of gait and center of pressure displacement in children with in-toeing gait.

Study design:
Quasi-experimental before -after study.

Methods:
The angle of gait and center of pressure displacement were measured in 17 children aged 4–10 years with in-toeing gait. The RS scan pressure platform was employed to perform walking tests in three conditions including barefoot, with shoes only, and gait plate insole with shoes.

Results:
The gait plate insole with shoes as well as shoes alone produced a significant 11.1° and 3.85° increase in the angle of gait in in-toeing children respectively (p < 0.05). The medial–lateral displacement of center of pressure showed a significant difference (3 mm) in shoes only condition when compared with barefoot condition. The shoes only and gait plate insole compared with barefoot condition increased the anterior–posterior displacement by 28 and 30 mm respectively.

Conclusion:
The gait plate insole with ordinary shoes and shoes only were able to increase angle of gait and the center of pressure displacement in the anterior–posterior direction in children with in-toeing gait due to excessive femoral anteversion.

Clinical relevance
The use of a gait plate insole inserted in ordinary shoes can improve gait appearance in children with in-toeing gait caused by Excessive femoral anteversion.
Click to expand...

NewsBot · Feb 3, 2024

Effectiveness of gait plate insole and lateral sole wedged shoes on foot progression angle in children with in-toeing gait: A prospective randomized control trial
Shahab Parian et al
Gait & Posture; Volume 109, March 2024, Pages 120-125

Background
In-toeing gait is defined as the internal rotation of the long axis of the foot to the line of progression. Although most of the time it is corrected spontaneously but sometimes causes torsional misalignment syndrome and maybe patellofemoral instability and arthritis of the knee.

Research question
What is the effect of gait plate insoles and lateral sole wedged shoes on foot progression angle (FPA) in children with in-toeing?

Method
In this study, a randomized control trial was conducted with 11 participants (18 feet) who were girls aged between seven and ten years old. They were randomly assigned to either the gait plate group (6 girls, 11 feet) or the lateral sole wedge group (5 girls, 11 feet). The foot progression angle was measured using the RS scanner pressure platform before and after four weeks of intervention, both with and without interventions. The interaction effects of time and group on outcomes were analyzed using Mixed ANOVA and post-hoc complementary tests with a confidence interval of 95%.

Results
It was observed that none of the interventions had an immediate impact on the FPA (P > 0.05). However, after four weeks, the FPA increased by 9.96 degrees with the lateral sole wedge and by 3.51 degrees with the gate plate insole. During the immediate and short-term evaluation, no significant difference was noticed between the two groups (P > 0.05). However, there was a large effect size (eta square = 0.269) observed in the time group interaction between the two groups (P = 0.028).

Significance
Conservative methods like using a gait plate insole or modifying shoes with a lateral sole wedge can improve the foot progression angle in children with in-toeing gait. However, longer studies with larger sample sizes are needed to reach a conclusion.
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