Deans' stroke musings: Vibratory Insoles Improve Walking in Individuals with Chronic Post-stroke Hemiparesis

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, January 28, 2021

Vibratory Insoles Improve Walking in Individuals with Chronic Post-stroke Hemiparesis

But do you just need these postural insoles from August 2017? Or do you have incompent doctors and hospital that don't have that already? Why do you accept complete incompetence?

Effect of postural insoles on gait pattern in individuals with hemiparesis: A randomized controlled clinical trial

The latest here:

Vibratory Insoles Improve Walking in Individuals with Chronic Post-stroke Hemiparesis

Kai-YuHo^a VictorHung^a AmandaReilly^a RachelWood^a NikitaYuskov^a Yun-JuLee^b

https://doi.org/10.1016/j.gaitpost.2021.01.016 Get rights and content

Highlights

•: Augmented suprathreshold somatosensory input can alter post-stroke gait.
•: Tactor embedded vibratory insoles improve paretic gait kinematics.
•: Low-cost solution to address inadequate toe clearance in post-stroke gait.

Abstract

Background

Stroke survivors suffer from hemiparesis and somatosensory impairments, which adversely impact walking function, placing them at higher risks for trips and falls. Augmented somatosensory inputs have been demonstrated to improve static standing balance and postural control in non-neurologically impaired, and in people post-stroke. Effects of enhanced somatosensory input on post-stroke walking have not been investigated.

Research question: We sought to investigate whether enhancing somatosensory input using vibratory insoles, can improve post-stroke gait.

Methods

Fifteen individuals with chronic post-stroke hemiparesis and 15 age-similar non-neurologically impaired controls participated in this cross-sectional study. Enhanced somatosensory stimulation was delivered using a pair of tactor-embedded insoles, providing suprathreshold vibratory stimulation to the bottom of the feet. Participants walk over an instrumented treadmill with self-selected speeds, under 5 stimulation conditions: No insole in shoe (NT), insoles in shoe with no vibration (BOFF), vibration under both feet (BON), vibration under one foot only (ION, CON), in a randomized order. Kinetics and kinematics during walking were recorded and analyzed offline.

Results

Our hypothesis that vibratory stimulations applied to the bottom of the feet would improve gait kinetics and kinematics in the paretic legs of individuals with chronic post-stroke hemiparesis was partially supported. We observed increased ankle dorsiflexion in the paretic legs with vibratory insoles.

Significance

Vibratory stimulations applied at suprathreshold intensity to the bottom of the feet to augment somatosensory feedback can be used as a low-cost solution to address the inadequate toe clearance during walking in people post-stroke, which is an important goal in post-stroke rehabilitation.