Dixon J, Hatton A L, Robinson J, Gamesby-Iyayi H, Hodgson D, Rome K, Warnett R, Martin D J
Health and Social Care Institute, Teesside University, Middlesbrough, UK.
School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Physiotherapy. 2014 Jun;100(2):142-9. doi: 10.1016/j.physio.2013.06.003. Epub 2013 Sep 23.
To investigate the immediate effects of textured insoles on balance and gait in people with multiple sclerosis (MS), and to explore any effects after 2 weeks of wear.
Within-session repeated-measures design with an exploratory follow-up period.
Hospital gait laboratory.
Forty-six individuals with MS (34 females, 12 males), with a mean (SD) age of 49 (7) years, who could walk 100m unassisted or using one stick/crutch.
Participants were tested wearing three types of insoles in a random order: control (smooth), Texture 1 (Algeos) or Texture 2 (Crocs™). Participants were allocated at random to wear one type of textured insoles for 2 weeks, after which they were retested.
Standing balance (centre of pressure excursions and velocity) was measured with eyes open and eyes closed on a Kistler force platform. Spatio-temporal parameters of gait were measured using a GAITRite system.
The textured insoles had no significant immediate effects on balance or gait, apart from an increase in anteroposterior sway range with eyes open for Texture 2 insoles [mean difference 4.5 (95% confidence interval 0.6 to 8.4)mm]. After 2 weeks, balance was not significantly different, but both types of textured insoles showed significant effects on spatio-temporal parameters of gait, with mean stride length increases of 3.5cm (Texture 1) and 5.3cm (Texture 2) when wearing the insoles.
After 2 weeks of wear, there were improvements in spatio-temporal parameters of gait. However, it is unclear whether this was a placebo effect or a learning effect.
研究纹理鞋垫对多发性硬化症（MS）患者平衡能力和步态的即时影响，并探讨佩戴2周后的任何效果。
采用会话内重复测量设计及探索性随访期。
医院步态实验室。
46例MS患者（34名女性，12名男性），平均（标准差）年龄为49（7）岁，能够独立行走100米或使用一根手杖/拐杖行走。
参与者以随机顺序穿着三种类型的鞋垫进行测试：对照组（光滑）、纹理1（Algeos）或纹理2（卡骆驰™）。参与者被随机分配佩戴一种纹理鞋垫2周，之后再次进行测试。
在奇石乐测力平台上睁眼和闭眼时测量站立平衡（压力中心偏移和速度）。使用GAITRite系统测量步态的时空参数。
除了纹理2鞋垫睁眼时前后摆动范围增加[平均差异4.5（95%置信区间0.6至8.4）mm]外，纹理鞋垫对平衡或步态没有显著的即时影响。2周后，平衡无显著差异，但两种纹理鞋垫对步态的时空参数均有显著影响，佩戴鞋垫时平均步幅长度分别增加3.5厘米（纹理1）和5.3厘米（纹理2）。
佩戴2周后，步态的时空参数有所改善。然而，尚不清楚这是安慰剂效应还是学习效应。
