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Textured insoles

Discussion in 'Biomechanics, Sports and Foot orthoses' started by werg, Jan 23, 2013.

  1. werg

    werg Member


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    Hello All,

    I have a patient who has Multiple sclerosis who is beginning to lose a bit of the feeling in her feet and is as a consequence becoming more unstable in her gait.
    Does anyone have any exprience of using textured/proprioceptive insoles in such cases and did you feel that they were of benefit?If so what insole did you use?The only one I can come up with is the croc insole which has dimples on it.I have toyed with the idea of putting cous-cous on a bit of leatherboard and using a very thin top-cover,but that seems awfully crude.
    Your input on different insoles(and dried comestibles) would be appreciated,

    Ian.
     
  2. Firstly, Its exteroceptive not proprioceptive.

    Secondly, rather than adhere foodstuffs to insoles, look to a company like algeos who provide shoe soling material and try that for dimply / textured materials.
     
  3. werg

    werg Member

    Thanks for your reply Robert(and correction!).I wasn't seriously thinking of the cous-cous option.I have spoken to someone at Algeos who couldn't think of using any of their insoles for my purpose.I presume you would turn outer sole upside down and stick it in shoe?The study on M.S. website suggested Crocs or another insole supposedly from Algeos but as I say they were non the wiser,

    Ian.
     
  4. Heres some light reading

    Rome K, Richie DR, Hatton AL. Can orthoses and insoles have an impact on postural stability? Podiatry Today 2010; 23: 45-51.

    Contains eight references in the section on the effect of functional foot orthoses on postural stability and three in the section on the effect of textured insoles on balance and stability.
    Of those three papers in the section on textured insoles, two 1,2 show a significant change in stability / gait kinematics with textured insoles, in some patient groups. The other study (which Prof Rome co-authored) showed no significant change in postural stability with textured insoles in either static or dynamic tests 3

    Another very thorough paper co-authored by Prof Rome (Hatton et al 2009) looked at the effect of textured surfaces on postural stability and lower limb muscle activity and found that the textured insole did not significantly effect either postural sway or lower limb EMG readings in eight dominant lower limb muscles 4. This rather good study is not mentioned in the section on the effects of textured insoles, but does appear elsewhere in the review.


    1. Kelleher KJ, Spence WD, Solomonidis S, Apatsidis D. The effect of textured insoles on gait patterns of people with multiple sclerosis. Gait & posture. 2010 May;32(1):67-71.
    2. Palluel E, Nougier V, Olivier I. Do spike insoles enhance postural stability and plantar-surface cutaneous sensitivity in the elderly? Age 2008; 30(1):53-61.
    3. Wilson M, Rome K, Hodgson D, Ball P. Effect of textured foot orthotics on static and dynamic postural stability in middle-aged females. Gait Posture 2008; 27(1):36-42.
    4. Hatton A L, Dixon J, Martin D, Rome K The effect of textured surfaces on postural stability and lower limb muscle activity Journal of Electromyography and Kinesiology - October 2009 (Vol. 19, Issue 5, Pages 957-964, DOI: 10.1016/j.jelekin.2008.04.012)
    5 Perry S, Radtke A, Mcillroy W, Fernie G, et al. Efficacy and effectiveness of a balance-enhancing insole. J Gerontol 2008; 63A(6):595-602.
    6. Priplata AA, Patritti BL, Niemi JB, Hughes R, et al. Noise-enhanced balance control in patients with diabetes and patients with stroke. Ann Neurol 2006; 59(1):4-12.
     

  5. Yeah, you have to think outside the box a bit.

    http://www.algeos.com/acatalog/vibram_stick_on_soling.html

    This style of thing.

    Although you should rather carefully risk assess the implications of increasing friction as well. Apparently this can cause some harm to the skin...
     
  6. admin

    admin Administrator Staff Member

  7. Ian

    PM me and i will send you something, that may or may not, be usefull.
     
  8. krome

    krome Active Member

    Hi

    We have looked at textured insoles in MS. In fact, we have just been funded by MS Society UK into the long-term effects of textured shoe insoles on balance, walking ability and function in people with MS.

    One publication relating to an earlier study:

    Dixon J, Gamesby H, Robinson J, Hodgson D, Hatton AL, Warnett R, Rome K, Martin D. The effect of textured insoles on gait in people with multiple sclerosis: an exploratory study. Physiotherapy Res Int Oct 28. doi: 10.1002/pri.521
     
  9. pmalleret

    pmalleret Welcome New Poster

    Hello Krome,
    Could you share with me what instrumentation/equipment that you will be using to evaluate balance, walking ability and function?
    Patrick
     
  10. Tkemp

    Tkemp Active Member

    Hiya,

    Textured soles are a good option, however each patient needs to be assessed individually.
    My mother has M.S. and resultant neuropathy means even the small nodules in the bottom of a foot spa can lead to soft tissue damage, as she is unable to always sense when a pressure area is forming and move her feet accordingly.

    My apologies that I have not explained myself very well.
    My point is that you want a more uniform texture rather than spaced-out raised areas, to reduce areas of peak pressure. Also that what suits one may not suit another.

    Re-reading this, I think I need another coffee today :morning:

    Cheers,
    Tracy
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effect of textured insoles on balance and gait in people with multiple sclerosis: an exploratory trial
    J. Dixon, A.L. Hatton, J. Robinson, H. Gamesby-Iyayi, D. Hodgson, K. Rome, R. Warnett, D.J. Martin
    Physiotherapy; Available online 23 September 2013
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Press Release:
    Textured insoles could be a positive step for people with MS
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Site-specific differences in the association between plantar tactile perception and mobility function in older adults.
    Cruz-Almeida Y, Black ML, Christou EA, Clark DJ.
    Front Aging Neurosci. 2014 Apr 11;6:68
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effects of Textured Socks on Balance Control During Single-leg Standing in Healthy Adults
    Jonathan S. Wheat Jeffrey M. Haddad, Katherine Fedirchuka, Keith Davids
    The Engineering of Sport 10 Volume 72, 2014, Pages 120–125
     
  15. NewsBot

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    Articles:
    1
    Enhanced Somatosensory Feedback Reduces Prefrontal Cortical Activity During Walking in Older Adults
    David J. Clark, Evangelos A. Christou, Sarah A. Ring, John B. Williamson and Leilani Doty
    J Gerontol A Biol Sci Med Sci August 11, 2014
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Do textured insoles effect postural control and spatiotemporal parameters of gait and plantar sensation in people with multiple sclerosis?
    Kalron A, Pasitselsky D, Greenberg-Abrahami M, Achiron A.
    PM R. 2014 Aug 18. pii: S1934-1482(14)01327-6
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Immediate and short-term effects of wearing a single textured insole on symmetry of stance and gait in healthy adults
    Charlie C. M et al
    Gait and Posture
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Effects of long term stimulation of textured insoles on postural control in health elderly
    Giuseppe ANNINO et al
    The Journal of Sports Medicine and Physical Fitness 2016 Sep 15
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The effect of flat and textured insoles on the balance of primary care elderly people: a randomized controlled clinical trial.
    de Morais Barbosa C et al
    Clin Interv Aging. 2018 Feb 19;13:277-284. doi: 10.2147/CIA.S149038. eCollection 2018.
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The effect of a single textured insole in gait rehabilitation of individuals with stroke.
    Aruin AS, Rao N
    Int J Rehabil Res. 2018 Sep;41(3):218-223
     
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