Aruin Alexander S, Rao Noel
Department of Physical Therapy, University of Illinois at Chicago, Chicago.
Department of Clinical Sciences, Rosalind Franklin University and Marianjoy Rehabilitation Hospital, Wheaton, Illinois, USA.
Int J Rehabil Res. 2018 Sep;41(3):218-223. doi: 10.1097/MRR.0000000000000287.
Rehabilitation interventions designed to restore gait symmetry in individuals with stroke are not always effective. The goal was to evaluate the long-term effect of using a single textured insole in gait rehabilitation. Ten individuals with stroke who showed asymmetrical stance were randomly divided into two groups and participated in physical therapy. Individuals in the experimental group received a 6-week physical therapy while being provided with a textured insole in the shoe on the unaffected side. Individuals in the control group received a 6-week physical therapy only. Both groups underwent a battery of identical tests before the start of the rehabilitation intervention, following its completion, and 4 months after the end of therapy. After the intervention, weight bearing (WB) on the affected side and gait velocity increased in the experimental group (P<0.05) to a larger degree compared with the control group. Moreover, symmetry of gait was increased in the experimental group (P<0.05). Improvements in WB, gait velocity, and symmetry of gait were maintained in the experimental group after the end of 4-month retention period. The study outcome revealed that a 6-week intervention involving a single textured insole could result in a long-lasting improvement of gait velocity, symmetry of WB, and gait in individuals with stroke.
旨在恢复中风患者步态对称性的康复干预措施并非总是有效。本研究的目的是评估在步态康复中使用单一纹理鞋垫的长期效果。将10名表现出不对称站立姿势的中风患者随机分为两组,并参与物理治疗。实验组的患者在接受为期6周的物理治疗的同时,在患侧鞋中使用纹理鞋垫。对照组的患者仅接受为期6周的物理治疗。两组患者在康复干预开始前、干预结束后以及治疗结束4个月后均接受了一系列相同的测试。干预后,与对照组相比,实验组患侧的负重(WB)和步态速度有更大程度的增加(P<0.05)。此外,实验组的步态对称性有所提高(P<0.05)。在为期4个月的观察期结束后,实验组的负重、步态速度和步态对称性的改善得以维持。研究结果表明,为期6周的单一纹理鞋垫干预可使中风患者的步态速度、负重对称性和步态得到长期改善。