Characteristics of dynamic standing balance with and without an insole in patients with spastic diplegia cerebral palsy.
Yasuaki Kusumoto, Junko Tsuchiya, Yoshiteru Watanabe and 4 others
PMID 32082023WHAT IT FOUND
In 11 patients with spastic diplegia cerebral palsy, custom insoles did not change the index of postural stability compared with barefoot.
Side-to-side movement increased, but that was one balance measure.
Key findings
01Wearing the insoles did not change the Index of postural stability: 1.13 ± 0.44 barefoot and 1.12 ± 0.41 with insoles (p=0.85).
02The center movement distance between right and left positions was higher with insoles: 9.5 ± 3.2 cm barefoot and 11.4 ± 4.0 cm with insoles (p=0.01).
03The barefoot Index of postural stability correlated with PEDI-CAS mobility and PEDI-FSS self-care.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only 11 participants were included, so the results are imprecise. The participants ranged in age from 6 to 55 years, and the authors note the wide age range as a limitation. The measurements were made on the same day after a 3-minute warm-up, so the study reports immediate balance values, not longer-term function. The authors conclude that insoles are effective for standing balance and dynamic balance, but the Index of postural stability and area of postural sway were not significantly different.
Declared interests
The authors declare no conflict of interest.
The easy way to misread this
Do not conclude that custom insoles improve dynamic standing balance in spastic diplegia cerebral palsy. The index of postural stability was 1.13 ± 0.44 barefoot and 1.12 ± 0.41 with insoles, p=0.85, and only the right-left center movement distance was significant.