Volume 27, Issue 1 (Avicenna Journal of Clinical Medicine-Spring 2020)                   Avicenna J Clin Med 2020, 27(1): 53-60 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Yalfani A, Asgarpoor A, Raeisi Z. Comparison of the Effect of Insole with Different Widgets on Static and Dynamic Balance. Avicenna J Clin Med 2020; 27 (1) :53-60
URL: http://sjh.umsha.ac.ir/article-1-2010-en.html
1- Associate Professor, Department of Sport Injuries and Corrective Exercises, School of Sport Sciences, Bu-Ali Sina University, Hamadan, Iran , Ali_yalfani@yahoo.com
2- Ph.D. Student in Sport Injuries and Corrective Exercises, School of Sport Sciences, Bu-Ali Sina University, Hamadan, Iran
3- Assistant Professor, Department of Sport Injuries and Physiology, School of Sport Sciences, Arak University, Arak, Iran
Abstract:   (2550 Views)
Background and Objective: Improving control of balance is essential for carrying out daily activities of life as a basic functional ability. The importance role of external intervention on the foot balance as main point of contact between land and body has been indicated in the literature. The aim of present study is investigating the comparison effects of using insoles with different wedge on balance control with and without visual input before and after fatigue.
Materials and Methods: The twenty female students with the average age of 24.31±2.47 selected as the research samples according to the study inclusion criteria. Three semi rigid insoles (no wedge, 10-degree lateral and medial wedge) were used in this study. The subjects' balance was recorded using the Biodex balance System while wearing three types insoles before and after applying the fatigue protocol and in the presence and removal of visual information. Data analysis was using repeated-measures ANOVA test.
Results: According to findings of study, statistical analysis showed a significant differences on using of medial (P=0.03) and lateral wedge insoles (P=0.001) in static balance control with the closed eyes before and after fatigue. Further analysis also showed no significant difference in the improvement of dynamic balance.
Conclusion: Using the wedge insoles can reduce effects of fatigue, which leads to a decrease in the static balance of the individuals, but there was no improvement in relation to the dynamic balance.
Full-Text [PDF 910 kb]   (1060 Downloads)    
Type of Study: Original | Subject: Sport Medicine

1. Wilson V, Douris P, Fukuroku T, Kuzniewski M, Dias J, Figueiredo P. The immediate and long-term effects of kinesiotape® on balance and functional performance. Int J Sports Phys Ther. 2016;11(2):247-53. PMID: 27104058
2. Paillard T. Effects of general and local fatigue on postural control: a review. Neurosci Biobehav Rev. 2012;36(1):162-76. PMID: 21645543 DOI: 10.1016/j.neubiorev.2011.05.009
3. Han J, Anson J, Waddington G, Adams R, Liu Y. The role of ankle proprioception for balance control in relation to sports performance and injury. Biomed Res Int. 2015;2015:84804. PMID: 26583139 DOI: 10.1155/2015/842804
4. Riemann BL, Lephart SM. The sensorimotor system, part II: the role of proprioception in motor control and functional joint stability. J Athl Train. 2002;37(1):80-4. PMID: 16558671
5. Assländer L, Peterka RJ. Sensory reweighting dynamics in human postural control. J Neurophysiol. 2014;111(9):1852-64. DOI: 10.1152/jn.00669.2013
6. Haran FJ, Keshner EA. Sensory reweighting as a method of balance training for labyrinthine loss. Journal of neurologic physical therapy: J Neurol Phys Ther. 2008;32(4):186-91. PMID: 19265760 DOI: 10.1097/NPT.0b013e31818dee39
7. Yalfani A, Raeisi Z. The effect of different landing techniques on electromyography (EMG) activity of selected lower extremity muscles before and after fatigue in female athletes. J Sports Med. 2016;8(2):174-59. DOI: 10.22059/JSMED.2017.61460
8. Simoneau M, Bégin F, Teasdale N. The effects of moderate fatigue on dynamic balance control and attentional demands. J Neuroeng Rehabil. 2006;3(1):22. PMID: 17007646 DOI: 10.1186/1743-0003-3-22
9. Vuillerme N, Boisgontier M. Muscle fatigue degrades force sense at the ankle joint. Gait Posture. 2008;28(3):521-4. PMID: 18434157 DOI: 10.1016/j.gaitpost.2008.03.005
10. Allman BL, Rice CL. Neuromuscular fatigue and aging: central and peripheral factors. Muscle Nerve. 2002;25(6):785-96. PMID: 12115966 DOI: 10.1002/mus.10116
11. Lee YJ, Liang JN, Chen B, Ganesan M, Aruin AS. Standing on wedges modifies side-specific postural control in the presence of lateral external perturbations. J Electromyogr Kinesiol. 2017;36:16-24. PMID: 28662461 DOI: 10.1016/j.jelekin.2017.06.005
12. Vie B, Nester CJ, Porte LM, Behr M, Weber JP, Jammes Y. Pilot study demonstrating that sole mechanosensitivity can be affected by insole use. Gait Posture. 2015;41(1):263-8. PMID: 25455433 DOI: 10.1016/j.gaitpost.2014.10.012
13. Palluel E, Olivier I, Nougier V. The lasting effects of spike insoles on postural control in the elderly. Behav Neurosci. 2009;123(5):1141-7. PMID: 19824780 DOI: 10.1037/a0017115
14. Shelburne KB, Torry MR, Steadman JR, Pandy MG. Effects of foot orthoses and valgus bracing on the knee adduction moment and medial joint load during gait. Clin Biomech. 2008;23(6):814-21. PMID: 18362043 DOI: 10.1016/j.clinbiomech.2008.02.005
15. Nigg BM, Nurse MA, Stefanyshyn DJ. Shoe inserts and orthotics for sport and physical activities. Med Sci Sports Exerc. 1999;31(7 Suppl):S421-8. PMID: 10416543 DOI: 10.1097/00005768-199907001-00003
16. de Morais Barbosa C, Bértolo MB, Gaino JZ, Davitt M, Sachetto Z, de Paiva Magalhães E. The effect of flat and textured insoles on the balance of primary care elderly people: a randomized controlled clinical trial. Clin Interv Aging. 2018;13:277-84. PMID: 29497286 DOI: 10.2147/CIA.S149038
17. Losa Iglesias ME, de Bengoa Vallejo RB, Palacios Peña D. Impact of soft and hard insole density on postural stability in older adults. Geriatr Nurs. 2012;33(4):264-71. PMID: 22401984 DOI: 10.1016/j.gerinurse.2012.01.007
18. Katoh H. Effect of lateral-wedge insole on the center of foot pressure and lower extremity muscle activity at gait initiation in patients with medial knee osteoarthritis. J Phys Ther Sci. 2019;31(10): 776-9. PMID: 31645805 DOI: 10.1589/jpts.31.776
19. Sinclair J, Stainton P. Effects of medial and lateral wedged orthoses on knee and ankle joint loading in female Runners. Kinesiology. 2019;51(2):189-97. DOI: 10.26582/k.51.2.9
20. Ganesan M, Lee YJ, Aruin AS. The effect of lateral or medial wedges on control of postural sway in standing. Gait Posture. 2014;39(3):899-903. PMID: 24365327 DOI: 10.1016/j.gaitpost.2013.11.019
21. Bressel E, Yonker JC, Kras J, Heath EM. Comparison of static and dynamic balance in female collegiate soccer, basketball, and gymnastics athletes. J Athl Train. 2007;42(1):42-6. PMID: 17597942
22. Yalfani A, Amini Sumiromi E, Raeisi Z. The effect of musculoskeletal abnormalities of pes planus, pes cavus and hallux valgus on postural sways during quiet stance. J Sports Med. 2015;7(1):143-62. DOI: 10.22059/JSMED.2015.53808
23. Hinman MR. Factors affecting reliability of the Biodex Balance System: a summary of four studies. J Sport Rehabil. 2000;9(3):240-52. DOI: 10.1123/jsr.9.3.240
24. Akbari A, Sarmadi A, Zafardanesh P. The effect of ankle taping and balance exercises on postural stability indices in healthy women. J Phys Ther Sci. 2014;26(5):763-9. PMID: 24926148 DOI: 10.1589/jpts.26.763
25. Derave W, Tombeux N, Cottyn J, Pannier JL, De Clercq D. Treadmill exercise negatively affects visual contribution to static postural stability. Int J Sports Med. 2002;23(1):44-9. PMID: 11774066 DOI: 10.1055/s-2002-19374
26. Orth D, Davids K, Wheat J, Seifert L, Liukkonen J, Jaakkola T, et al. The role of textured material in supporting perceptual-motor functions. PloS One. 2013;8(4):e60349. PMID: 23565232 DOI: 10.1371/journal.pone.0060349
27. Cote KP, Brunet ME, Gansneder BM, Shultz SJ. Effects of pronated and supinated foot postures on static and dynamic postural stability. J Athl Train. 2005;40(1):41-6. PMID: 15902323
28. Karlsson A, Persson T. The ankle strategy for postural control--a comparison between a model-based and a marker-based method. Comput Methods Programs Biomed. 1997;52(3):165-73. PMID: 9051340 DOI: 10.1016/s0169-2607(96)01794-4
29. Ross SE, Guskiewicz KM. Examination of static and dynamic postural stability in individuals with functionally stable and unstable ankles. Clin J Sport Med. 2004;14(6):332-8. PMID: 15523204 DOI: 10.1097/00042752-200411000-00002
30. Chang HY, Chang YC, Cheng SC, Wang CH. The effectiveness of rearfoot medial wedge intervention on balance for athletes with chronic ankle instability. Medicine. 2019;98(26):e16217. PMID: 31261576 DOI: 10.1097/MD.0000000000016217
31. Ochsendorf DT, Mattacola CG, Arnold BL. Effect of orthotics on postural sway after fatigue of the plantar flexors and dorsiflexors. J Athl Train. 2000;35(1):26-30. PMID: 16558604
32. Eslami M, Tanaka C, Hinse S, Farahpour N, Allard P. Effect of foot wedge positions on lower-limb joints, pelvis and trunk angle variability during single-limb stance. Foot. 2006;16(4):208-13. DOI: 10.1016/j.foot.2006.07.007
33. Janin M, Dupui P. The effects of unilateral medial arch support stimulation on plantar pressure and center of pressure adjustment in young gymnasts. Neurosci Lett. 2009;461(3):245-8. PMID: 19545613 DOI: 10.1016/j.neulet.2009.06.043
34. Hsieh RL, Lee WC. Immediate and medium-term effects of custom-moulded insoles on pain, physical function, physical activity, and balance control in patients with knee osteoarthritis. J Rehabil Med. 2014;46(2):156-65. PMID: 24241815 DOI: 10.2340/16501977-1254
35. Sayadnejad F, Esfandiarpour F, Rezazadeh A, Amin M, Derisfard F, Shaterzadeh MJ. Effects of lateral wedge insole on static and dynamic balance in patients with moderate medial knee osteoarthritis. J Babol Univ Med Sci. 2019;21(1):259-65.
36. Riahi N, Goharpey S, Hossein Nassaj G, Ravanbakhsh M, Haghighi M. The immediate effect of lateral heel wedge and soft brace on postural control in subjects with functional ankle instability. Jundishapur Sci Med J. 2019;18(4):329-38. DOI: 10.22118/JSMJ.2019.192400.1742

Add your comments about this article : Your username or Email:

Send email to the article author

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2023 CC BY-NC 4.0 | Avicenna Journal of Clinical Medicine

Designed & Developed by : Yektaweb