Sensorimotor Gait Disorder
Conditions
Keywords
sensomotoric insoles, postural control, proprioceptive insoles, insoles
Brief summary
People with weak balance ability or subjective feeling of dizziness and unsure gait are separated into 3 training-groups. One Group is getting no insoles, the second group is getting modern sensomotoric insoles, and the third group is getting normal standard insoles. All are passing a 6 week proprioceptive training. Main outcome measurements are posturography at baseline, 3 weeks and 6 weeks. Secondary measurements are ABC-Scale, Tinetti Gait and balance test and functional reach test at baseline and after 6 weeks.
Detailed description
People with weak balance ability or subjective feeling of dizziness and unsure gait are separated into 3 training-groups. Exclusion criteria are structural neuropathic cause for dizziness, severe ocular deficience, cochlear causes for dizziness. The 3 Groups differ in following criteria: Group 1: Gets basic insoles after 3-D-Scan of the foot Group 2: Gets sensomotoric insoles (Jahrling) after 3-D-Scan of the foot. Group 3: Control-Group = no insoles Alle groups are doing a 6 weeks proprioceptive training 2 times a week for 45min. Balance-Ability is measured by a posturographic plate prior to the training, after 3 weeks training and after 6 weeks of training. ABC-Score, Tinetti Gait and Balance test and functional reach test are secondary outcome measurements and are evaluated prior the training and after 6 weeks of training.
Interventions
DEVICEsensomotoric insoles
sensomotoric insoles were published by Jahrling (2007) and have a certain shape that could improve balance abilities. The toes 2-4 are higher that toe 1, so that the tendons of the toe-flectors are pre-stressed.
DEVICEnormal standard insoles
Normal standard insole like you will get them by receipe from an orthotic shop
OTHERNo insoles
control group with no insoles in the shoes
Sponsors
Ludwig-Maximilians - University of Munich
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Masking description
Sensomotoric insoles and normal insoles or no insoles are not maskable.Patients and all involved persons will be able to easily see which type of insoles are used. No blinding possible.
Intervention model description
Prospective randomized controlled trial
Eligibility
Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
Yes
Inclusion criteria
ABC-Scale \< 70% Functional reach test \< 30cm Subjective feeling of unsure gait or several falls in the last 5 years
Exclusion criteria
Structural pathologies in the balance system Neuropathologies like Polyneuropathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Posturographic measurement with Kistler's measuring plate | 30 min. | a validated posturgraphy plate is measuring the balance ability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tinetti Balance and Gait instrument | 15 min. | Well established tool for measuring balance ability of elderly people |
| Functional reach test | 5 min | Well established tool for measuring balance ability |
| ABC-Scale | 15 min | Questionnaire-Score for evaluation subjective feelings of unsure gait patterns or dizziness |
Countries
Germany
Outcome results
None listed