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Background and Objective: Proprioceptors of the plantar surfaces of the foot have less efficiency and the stimulation and reinforcement of them may be lead to reduction of falling risk. One of the methods to reinforce proprioceptor receptors in these individuals is using textured foot orthoses. The aim of this study was to evaluate the effect of textured foot orthoses on frequency spectrum of lower extremity muscles, stance time and comfort in individuals over age of 55 years during walking.
Methods: This quasi-experimental study was done on the 14 females and 14 males age ranged of 56-70 years with the ability to walk independently and with physical and mental health status. Subjects were compared during five conditions including without foot orthoses and using four foot orthoses (including small and large foot orthoses with two types of flexible and rigid), flexible and rigid large textured foot orthoses. The 8 electrodes were located on tibialis anterior, medial gastrocnemius, vastus medialis, vastus lateralis, biceps femoris, semitendinisus, gluteus, and erector spinae in 3 lumbar vertebrae region muscles.
Results: Frequency content of tibialis anterior and vastus medialis was significantly increased in males than female (P<0.05). Vastus medialis frequency during walking with large foot orthoses was more than walking without foot orthoses (P<0.05). The comfort level was different during flexible large textured foot orthoses condition compared with flexible small textured foot orthoses condition (P<0.05). The stance time was not significant between all conditions.
Conclusion: Increased frequency content of the vastus medialis muscle can increase the absorption and decrease the vertical loading rate imposed on the foot, which in turn reduces the risk of injury of the lower limb in older adults.

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Background and Objective: Multiple sclerosis (MS) is one of the most common diseases of the central nervous system. MS is more common among women. Gait pattern dysfunction is a relevant symptom in these patients. This study was conducted to compare the electromyography activity of selected lower extremity muscles and the ellipse area of center of pressure during unplanned gait termination in female patients with multiple sclerosis and healthy individuals.
Methods: This case-control study was performed on 10 female patients with MS (classified based on the EDSS scale) and 10 healthy subjects matched for height, age and weight. Electromyography activity of rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL), biceps femoris (BF), semitendinosus (SM), gastrocnemius medius (GM) and tibialis anterior (TA) and center of pressure (CoP) recorded using foot pressure system during unplanned gait termination. Subjects were instructed to stop, as soon as possible, in response to an auditory cue delivered when the heel strike phase accidentally.
Results: Vastus Lateralis muscle activity was significantly higher in able-bodied group than patients (P<0.05), whereas in the patient group gastrocnemius medius muscle activity increased significantly (P<0.05). Also, the ellipse area of center of pressure significantly reduced in MS group in compered to able-bodied group (P<0.05).
Conclusion: Increased gastrocnemius medius muscle activity in MS patients may be due to their attempt to slow down the displacement of the center of mass to limit the tibia forward translation consequently, attempting to control balance as a strategy to limit the ellipse area of center of pressure to prevent fall.