Analysis of static postural balance and of intensity of musculoskeletal pains after the use of proprioceptive insoles by ostensive service militaries
DOI:
https://doi.org/10.1590/1809-2950/18011827012020Keywords:
Musculoskeletal Pain, Postural Balance, Orthosis, PressureAbstract
To maintain the balance, the body uses visual, vestibular and proprioceptive systems, which send information to the central nervous system about the body’s conditions in order to stabilize it. This study evaluated the effect of proprioceptive insoles on static postural balance and musculoskeletal pains after two months of use, through a longitudinal analytical study with 15 healthy male soldiers with a mean age of 34±7.5 years. They were subjected to balance evaluation through the Medicapteurs® platform and by CNT protocol. There was no statistical difference for the deviations of the body and speed of the center of pressure. Plantar pressure had a statistically significant change for the left and the right feet, corresponding to p=0.0001 and p=0.0007, respectively. There was a reduction in the mean values of the pains in the knees, feet and heels and a significant decrease in lumbar spine pain, with p=0.0180. The static balance was not significantly altered with the use of proprioceptive insoles by the militaries; however, these insoles provided a better redistribution of plantar pressures and seem to attenuate the musculoskeletal pains of the lower extremities. Therefore, insoles can be considered as a prevention therapy against injuries for this group related to their work activity.
Downloads
References
Foisy A, Kapoula Z. How plantar exteroceptive efficiency
modulates postural and oculomotor control: inter-individual
variability. Front Hum Neurosci. 2016;13(10):228. doi: 10.3389/
fnhum.2016.00228
Duarte M, Freitas SMSF. Revisão sobre posturografia
baseada em plataforma de força para avaliação do
equilíbrio. Rev Bras Fisioter. 2010;14(3):183-92. doi: 10.1590/
S1413-35552010000300003
Kleiner AFR, Schlittler DXC, Sánchez-Arias MR. O papel dos
sistemas visual, vestibular, somatosensorial e auditivo para o
controle postural. Rev Neurocienc [Internet]. 2011;19(2):349-57.
Available from: http://www.revistaneurociencias.com.br/
edicoes/2011/RN1902/revisao%2019%2002/496%20revisao.pdf
Sabchuk RAC, Bento PCB, Rodacki ALF. Comparação entre
testes de equilíbrio de campo e plataforma de força. Rev Bras
Med Esporte. 2012;18(6):404-8. Available from: http://www.
scielo.br/pdf/rbme/v18n6/12.pdf
Janin M. Correlation between clinical and kinetic testing in
sport podiatry. Ter Man. 2012;10(47):7-11.
Ferreira DMA, Barela AMF, Barela JA. Influência de calços
na orientação postural de indivíduos com escoliose
idiopática. Fisioter Mov. 2013;26(2):337-48. doi: 10.1590/
S0103-51502013000200011
Almeida JS, Vanderlei FM, Pastre EC, Martins RADM,
Padovani CR, Filho GC. Comparison of two types of insoles
on Musculoskeletal symptoms and plantar pressure distribution
in a work environment: a randomized clinical trial. Clin Med
Res. 2016;14(2):67-74. doi: 10.3121/cmr.2016.1301
Neto ATC, Faleiro TB, Moreira FD, Jambeiro JS, Schulz RS.
Lombalgia na atividade policial militar: análise da prevalência,
repercussões laborativas e custo indireto. Rev Baiana Saúde
Pública. 2013;37(2):365-74. DOI: 10.22278/2318-2660.2013.v37.
n2.a336
Andersen KA, Grimshaw PN, Kelso RM, Bentley DJ.
Musculoskeletal lower limb injury risk in army populations. Sports
Med Open. 2016;2(22):2-9. doi: 10.1186/s40798-016-0046-z
Przysiezny WL. Manual de reorganização neuromúsculo
articular através de estímulos na região plantar. Brusque:
Associação Brasileira de Pesquisa em Podoposturologia; 2017.
Urabe Y, Maeda N, Kato S, Shinohara H, Sasadai J. Effect of
shoe insole for prevention and treatment of lower extremity
injuries. J Phys Fitness Sports Med. 2014;3(4):385-98. doi:
7600/jpfsm.3.385
Hinz P, Henningsen A, Matthes G, Jäger B, Ekkernkamp A,
Rosenbaum D. Analysis of pressure distribution below the
metatarsals with different insoles in combat boots of the
german army for prevention of march fractures. Gait Posture.
;27(3)535-8. doi:10.1016/j.gaitpost.2007.06.005
Nunes ADM, Fonseca LCS, Scheicher ME. Comparação das
inclinações lateral e anteroposterior no equilíbrio estático
entre jovens, adultos e idosos. Rev Bras Geriatr Gerontol.
;16(4):813-20. doi: 10.1590/S1809-98232013000400015
Foisy A, Gaertner C, Matheron E, Kapoula Z. Controlling posture
and vergence eye movements in quiet stance: effects of thin
plantar inserts. PLOS One. 2015;10(12):e47654. doi: 10.1371/
journal.pone.0143693
Mantovani A, Martinelli AR, Savian NU, Fregonesi CEPT, Lança
AC. Palmilhas proprioceptivas para o controle postural. Colloq
Vitae. 2010;2(2):34-8. doi: 10.5747/cv2010.v02.n2.v035
Ahmadi F, Forghany S, Nester C, Jones R. Effects of
laterally wedged insoles on static balance in patients with
medial compartment knee osteoarthritis. J Foot Ankle Res.
;7(Suppl 1):A22. doi: 10.1186/1757-1146-7-S1-A22
Hemmati F, Forghany S, Nester C. The effects of pronated foot
posture and medial heel and forefoot wedge orthoses on static
balance in older people. J Foot Ankle Res. 2014;7(Suppl 1):A17.
doi: 10.1186/1757-1146-7-S1-A17
Marini I, Alessandri Bonetti G, Bortolotti F, Bartolucci ML,
Gatto MR, Michelotti A. Effects of experimental insoles on
body posture, mandibular kinematics and masticatory muscles
activity. A pilot study in healthy volunteers. J Electromyogr
Kinesiol. 2015;25(3):531-9. doi: 10.1016/j.jelekin.2015.02.001
Christovão TCL, Pasini H, Grecco LAC, Ferreira LAB, Duarte NAC,
Oliveira CS. Effect of postural insoles on static and functional
balance in children with cerebral palsy: a randomized
controlled study. Braz J Phys Ther. 2015;19(1):44-51. doi:
1590/bjpt-rbf.2014.0072
Snyder RA, DeAngelis JP, Koester MC, Spindler KP, Dunn WR.
Does shoe insole modification prevent stress fractures?
A systematic review. HSS J. 2009;5(2):92-8. doi: 10.1007/
s11420-009-9114-y
Ibrahim M, El Hilaly R, Taher M, Morsy A. A pilot study to assess
the effectiveness of orthotic insoles on the reduction of plantar
soft tissue strain. Clin Biomech (Bristol, Avon). 2013;28(1):68-72.
doi: 10.1016/j.clinbiomech.2012.09.003
Ferreira EI, Ávila CAV, Mastroeni MF. Use of custom insoles for
redistributing plantar pressure, decreasing musculoskeletal
pain and reducing postural changes in obese adults. Fisioter
Mov. 2015;28(2):213-21. doi: 10.1590/0103-5150.028.002.AO01
Almeida JS, Filho GC, Pastre CM, Padovani CR, Martins RADM.
Comparison of plantar pressure and musculoskeletal symptoms
with the use of custom and prefabricated insoles in the work
environment. Rev Bras Fisioter. 2009;13(6):542-8. doi: 10.1590/
S1413-35552009005000063
Gerych D, Tvrznik A, Prokesova E, Nemeckova Z, Jelen K.
Analysis of peak pressure, maximal force, and contact area
changes during walking and running with conventional and
shock absorbing insoles in the combat boots of the czecharmy. J Mech Med Biol. 2013;13(2):1350042. doi: 10.1142/
S0219519413500425
Schulze C, Lindner T, Schulz K, Finze S, Kundt G, Mittelmeier W,
Bader R. The influence in airforce soldiers through wearing
certain types of army-issue footwear on muscle activity
in the lower extremities. Open Orthop J. 2011;5:302-6. doi:
2174/1874325001105010302
Chuter V, Spink M, Searle A, Ho A. The effectiveness of
shoe insoles for the prevention and treatment of low back
pain: a systematic review and meta-analysis of randomised
controlled trials. BMC Musculoskelet Disord. 2014;15(140):1-8.
doi: 10.1186/1471-2474-15-140
Cambron JA, Dexheimer JM, Duarte M, Freels S. Shoe orthotics
for the treatment of chronic low back pain: a randomized
controlled trial. Arch Phys Med Rehabil. 2017;98(9):1752-62.
doi: 10.1016/j.apmr.2017.03.028
Sahar T, Cohen MJ, Ne’eman V, Kandel L, Odebiyi DO, Lev I,
et al. Insoles for prevention and treatment of back pain. Cochrane
Database Syst Rev. 2007;4:CD005275. doi: 10.1002/14651858.
CD005275.pub2
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Marina Vasconcelos Souza, Ana Vasconcelos de Souza, Marissol Rabelo de Almeida, Pedro Odimar dos Santos
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
