Evaluating the Effects of Foot Orthoses on Walking and Balance in Adults with Cerebellar Ataxia

What this Trial Is About

Researchers are evaluating how foot orthoses affect walking and balance in adults with cerebellar ataxia CA, a condition characterized by unique joint movements and sensory challenges. This is the first randomized controlled trial to systematically test how different orthoses impact gait and balance in this population. The study addresses a significant gap in knowledge that could improve clinical guidelines and patient care by providing evidence-based recommendations for orthotic use in CA. Participants will be randomly assigned to one of two groups one receiving custom supramalleolar orthoses designed to provide stability and proprioceptive feedback by covering the foot and ankle up to the malleoli, and the other receiving off-the-shelf carbon fiber shoe inserts that offer stability and feedback placed under the shoe insole. Participants will wear their assigned orthoses at home and keep a record of the wearing time. The study compares these two types of foot orthoses over a 14-day period. During the study, participants walking and balance will be assessed at baseline and after 14 days of wearing the orthoses using the Zeno Walkway and a 6-minute walk test. Satisfaction with the assistive technology will also be measured through a survey. Researchers will monitor gait and mobility changes while participants wear the orthoses at home. The total participation lasts at least two weeks, with assessments conducted at the start and end of this period.

Impact of Foot Orthoses on Gait in Individuals With Ataxia