Something you can do NOW to help Parkinsons folks

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Anything that can help get more balance and coordination info to the higher centers is a plus for Parkinsons folks, and the texture of the surface they are walking on or the texture of the insole is no different. The more afferent info we can get in through the tactile receptors, joint mechanoreceptors and muscle receptors like the spindles and golgi tendon organs, the better. These all feed (eventually or sometimes directly) to the cerebellum, the king of balance.

In this study they placed little half spheres at the distal phalanx of the hallux, heads of metatarsophalangeal joints and heel. Theses are all areas of increased cortical representation when you look at the sensory homunculus.  They wore them for a week and plantar sensation and stride length both improved, but only the increased plantar sensation remained. Neuroplasticity takes time and we are willing to bet that if they wore them longer, the results would have been more profound.

Sometimes the simplest interventions can go a long way.

 

Lirani-Silva E, Vitorio R, Barbieri FA, et al. Continuous use of textured insole improve plantar sensation and stride length of people with Parkinson disease: A pilot study. Gait Posture 2017;58:495-497. [

Textured insoles:What's your take?

One of our readers writes:
I saw the video on cross over running, it was very good. It appeared the glute Med was inhibited and that the penguin walk assisted in activating it. My question is what your philosophy is regarding slightly textured insoles and if this may affect hip and abdominal function and cross posture syndrome?

 Our Response:

Thanks for the kudos. Textured insoles are probably a good thing, as they can help provide more proprioception from the feet (which have a tremendous amount of cortical representation).  They could conceivably affect hip and abdominal function. The research out there seems to be focused on people with MS, but here is another supporting study: http:// www.ncbi.nlm.nih.gov/pubmed/18246902

The Gait Guys…Texturing your mind with new ideas….