Effects of ICB orthopedic sole on balance and walking function in stroke survivors with hemiplegia

Abstract

Objective To observe the effects of ICB orthopedic sole combined with rehabilitation training on balance and walking function in stroke survivors. Methods Thirty hemiplegic stroke patients were recruited and divided into a study group (n=15) and a control group (n=15) by using a random number table. Both groups took exercises based on the principles of a motor relearning program and conducted core stability control training, and the study group additionally undertook hemiplegic lower extremity weight-bearing exercises and walking with ICB orthopedic sole used in daily living. The program was administered 20 min twice per day for 4 weeks. All patients were evaluated with Rest Calcaneus Standing Position (RCSP), Malleolar Position (MP), Forefoot Position (FP), Berg Balance Scale (BBS), 10 m Maximum Walking Speed (MWS) and walking section of Motor Assessment Scale (MAS) before and after the program. Results After 4 weeks of intervention, all the measurements except the FP in both groups improved significantly, and significant differences were observed between the two groups. After 4 weeks of training, the average RCSP (1.78±0.32)° and MP (13.33±2.51)° were improved significantly compared to those of the control group [(2.58±0.59)° and (12.45±3.31)°, respectively]. Moreover, the average BBS, MAS and MWS improved significantly compared to the control group. Conclusions ICB orthopedic sole combined with rehabilitation training can improve the weight-bearing, balance and ambulation abilities of stroke survivors. Key words: ICB orthopedic sole; Stroke; Balance; Ambulation