Altering gait by way of stimulation of the plantar surface of the foot: the immediate effect of wearing textured insoles in older fallers

Anna L Hatton, John Dixon, Keith Rome, Julia L Newton, Denis J Martin, Anna L Hatton, John Dixon, Keith Rome, Julia L Newton, Denis J Martin

Abstract

Background: Evidence suggests that textured insoles can alter gait and standing balance by way of enhanced plantar tactile stimulation. However, to date, this has not been explored in older people at risk of falling. This study investigated the immediate effect of wearing textured insoles on gait and double-limb standing balance in older fallers.

Methods: Thirty older adults >65 years (21 women, mean [SD] age 79.0 [7.1]), with self-reported history of ≥2 falls in the previous year, conducted tests of level-ground walking over 10 m (GAITRite system), and double-limb standing with eyes open and eyes closed over 30 seconds (Kistler force platform) under two conditions: wearing textured insoles (intervention) and smooth (control) insoles in their usual footwear.

Results: Wearing textured insoles caused significantly lower gait velocity (P = 0.02), step length (P = 0.04) and stride length (P = 0.03) compared with wearing smooth insoles. No significant differences were found in any of the balance parameters (P > 0.05).

Conclusions: A textured insole worn by older adults with a history of falls significantly lowers gait velocity, step length and stride length, suggesting that this population may not have an immediate benefit from this type of intervention. The effects of prolonged wear remain to be investigated.

Figures

Figure 1
Figure 1
Textured and control insoles.
Figure 2
Figure 2
Cross-sectional frontal view of textured insole.

References

    1. Galica A, Kang H, Priplata A, D’Andrea S, Starobinets O, Sorond F, Cupples L, Lipsitz L. Subsensory vibrations to the feet reduce gait variability in elderly fallers. Gait Posture. 2009;30:383–387. doi: 10.1016/j.gaitpost.2009.07.005.
    1. Jenkins M, Almeida Q, Spaulding S, Van Oostveen R, Holmes J, Johnson A, Perry S. Plantar cutaneous sensory stimulation improves single-limb support time and EMG activation patterns among individuals with Parkinson’s disease. Parkinsonism Relat Disord. 2009;15:697–702. doi: 10.1016/j.parkreldis.2009.04.004.
    1. Kelleher K, Spence W, Solomonidis S, Apatsidis D. The effect of textured insoles on gait patterns of people with multiple sclerosis. Gait Posture. 2010;32:67–71. doi: 10.1016/j.gaitpost.2010.03.008.
    1. Maki B, Perry S, Norrie R, McIllroy W. Effect of facilitation of sensation from plantar foot-surface boundaries on postural stabilization in young and older adults. J Gerontol A Biol Sci Med Sci. 1999;54A:M281–M287.
    1. Novak P, Novak V. Effect of step-synchronized vibration stimulation of soles on gait in Parkinson's disease: a pilot study. J Neuroeng Rehabil. 2006;3:9–9. doi: 10.1186/1743-0003-3-9.
    1. Nurse M, Hulliger M, Wakeling J, Nigg B, Stefanyshyn D. Changing the texture of footwear can alter gait patterns. J Electromyogr Kinesiol. 2005;15:496–506. doi: 10.1016/j.jelekin.2004.12.003.
    1. Perry S, Radtke A, McIllroy W, Fernie G, Maki B. Efficacy and effectiveness of a balance-enhancing insole. J Gerontol A Biol Sci Med Sci. 2008;63A:595–602.
    1. Ramdharry G, Marsden J, Day B, Thompson A. De-stabilizing and training effects of foot orthoses in multiple sclerosis. Mult Scler. 2006;12:219–226. doi: 10.1191/135248506ms1266oa.
    1. Corbin D, Hart J, McKeon P, Ingersoll C, Hertel J. The effect of textured insoles on postural control in double and single limb stance. J Sport Rehabil. 2007;16:363–372.
    1. Palluel E, Nougier V, Olivier I. Do spike insoles enhance postural stability and plantar-surface cutaneous sensitivity in the elderly? AGE. 2008;30:53–61. doi: 10.1007/s11357-008-9047-2.
    1. Palluel E, Olivier I, Nougier V. The lasting effects of spike insoles on postural control in the elderly. Behav Neurosci. 2009;123:1141–1147.
    1. Priplata A, Niemi J, Harry J, Lipsitz L, Collins J. Vibrating insoles and balance control in elderly people. Lancet. 2003;362:1123–1124. doi: 10.1016/S0140-6736(03)14470-4.
    1. Hatton A, Dixon J, Martin D, Rome K. The effect of textured surfaces on postural stability and lower limb muscle activity. J Electromyogr Kinesiol. 2009;19:957–964. doi: 10.1016/j.jelekin.2008.04.012.
    1. Hatton A, Dixon J, Martin D, Rome K. Standing on textured surfaces: effects on standing balance in healthy older adults. Age Ageing. 2011;40:363–368. doi: 10.1093/ageing/afr026.
    1. McKeon P, Stein A, Ingersoll C, Hertel J. Altered plantar receptor stimulation impairs postural control in those with chronic ankle instability. J Sport Rehabil. In press.
    1. Watanabe I, Okubo J. The role of plantar mechanoreceptors in equilibrium control. Ann NY Acad Sci. 1981;77:855–864.
    1. 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;27:36–42. doi: 10.1016/j.gaitpost.2006.12.006.
    1. Menz H, Latt M, Tiedemann A, Mun San Kwan M, Lord S. Reliability of the GAITRite walkway system for the quantification of temporo-spatial parameters of gait in young and older people. Gait Posture. 2004;20:20–25. doi: 10.1016/S0966-6362(03)00068-7.
    1. Bilney B, Morris M, Webster K. Concurrent validity of the GAITRite walkway system for quantification of the spatial and temporal parameters of gait. Gait Posture. 2003;17:68–74. doi: 10.1016/S0966-6362(02)00053-X.
    1. World Health Organization Disability Assessment Schedule II. .
    1. Leveille S, Jones R, Kiely D, Hausdorff J, Shmerling R, Guralnik J, Kiel D, Lipsitz L, Bean J. Chronic musculoskeletal pain and the occurrence of falls in an older population. JAMA. 2009;302:2214–2221. doi: 10.1001/jama.2009.1738.
    1. Du Pasquier R, Blanc Y, Sinnreich M, Landis T, Burkhard P, Vingerhoets F. The effect of aging on postural stability: a cross sectional and longitudinal study. Neurophysiol Clin. 2003;33:213–218. doi: 10.1016/j.neucli.2003.09.001.
    1. Samson M, Crowe A. Intra-subject inconsistencies in quantitative assessments of body sway. Gait Posture. 1996;4:252–257. doi: 10.1016/0966-6362(95)01050-5.
    1. Khemlani M, Carr J, Crosbie W. Muscle synergies and joint linkages in sit-to-stand under two initial foot positions. Clin Biomech. 1999;14:236–246. doi: 10.1016/S0268-0033(98)00072-2.
    1. Raymakers J, Samson M, Verhaar H. The assessment of body sway and the choice of stability parameter(s) Gait Posture. 2005;21:48–58. doi: 10.1016/j.gaitpost.2003.11.006.
    1. Le Clair K, Riach C. Postural stability measures: what to measure and for how long. Clin Biomech. 1996;11:176–178. doi: 10.1016/0268-0033(95)00027-5.
    1. Kennedy P, Inglis J. Distribution and behaviour of glabrous cutaneuous receptors in the human foot sole. J Physiol. 2002;538(3):995–1002. doi: 10.1113/jphysiol.2001.013087.
    1. Hoch M, McKeon P, Andreatta R. Plantar vibrotactile detection deficits in adults with chronic ankle instability. Med Sci Sports Exerc. 2012;44:666–672. doi: 10.1249/MSS.0b013e3182390212.
    1. Hijmans J, Geertzen J, Dijkstra P, Postema K. A systematic review of the effects of shoes and other ankle or foot appliances on balance in older people and people with peripheral nervous system disorders. Gait Posture. 2007;25:316–323. doi: 10.1016/j.gaitpost.2006.03.010.
    1. Peel C, Utsey C, McGregor J. Exercise training for older adults with limitations in physical function. J Aging Phys Act. 1999;7:62–75.
    1. Purser J, Weinberger M, Cohen H, Pieper C, Morey M, Li T, Williams G, Lapuerta P. Walking speed predicts health status and hospital costs for frail elderly male veterans. J Rehabil Res Dev. 2005;42(4):535–546. doi: 10.1682/JRRD.2004.07.0087.
    1. Sharpe P, Jackson K, White C, Vaca V, Hickey T, Gu J, Otterness C. Effects of a one-year physical activity intervention for older adults at congregate nutrition sites. Gerontologist. 1997;37:208–215. doi: 10.1093/geront/37.2.208.
    1. Menant J, Steele J, Menz H, Munro B, Lord S. Effects of footwear features on balance and stepping in older people. Gerontology. 2008;54:18–23. doi: 10.1159/000115850.
    1. Horgan N, Crehan F, Bartlett E, Keogan F, O’Grady A, Moore A, Donegan C, Curran M. The effects of usual footwear on balance amongst elderly women attending a day hospital. Age Ageing. 2009;38:62–67.

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