Footwear Style and Risk of Falls in Older Adults

Koepsell, Thomas D.; Wolf, Marsha E.; Buchner, David M.; Kukull, Walter A.; LaCroix, Andrea Z.; Tencer, Allan F.; Frankenfeld, Cara L.; Tautvydas, Milda; Larson, Eric B.

doi:10.1111/j.1532-5415.2004.52412.x

Cited by 158 publications

(111 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The observed differences between the three shoe conditions are consistent with this interpretation: When standing in an athletic shoe, which has been shown to carry the least risk of falling (Koepsell et al 2004), the higher order movement components contributed more to the entire postural changes as compare to the less stable barefoot or unstable shoe conditions (Figure 2). One may speculate that the collar of the shoes might provide additional sensory information that triggers higher order postural control movements earlier than when standing barefoot.…”

Section: Discussionsupporting

confidence: 77%

“…A direct assessment of the occurrence of falls in an elderly population provided conclusive evidence that footwear had a substantial effect on the risk of falls (Koepsell et al 2004). In this study athletic style footwear and canvas shoes were associated with the lowest risk of fall while 4 for barefoot or stocking conditions a 1.3-fold increased risk of falls was observed.…”

Section: Introductionmentioning

confidence: 65%

See 1 more Smart Citation

The effect of footwear on postural control in bipedal quiet stance

2012

View full text Add to dashboard Cite

This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Federolf, P., Roos, L., Nigg, B. (2012). The effect of footwear on postural control in bipedal quiet stance. Footwear Science, 4, 115-122.Dette er siste tekst-versjon av artikkelen, og den kan inneholde små forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på www.tandfonline.com: http://dx

show abstract

Section: Discussionsupporting

confidence: 77%

Section: Introductionmentioning

confidence: 65%

The effect of footwear on postural control in bipedal quiet stance

2012

View full text Add to dashboard Cite

show abstract

“…Additionally, footwear should be equipped with a rigid, but not too thick, outsole for it to adequately support postural balance [21]. The sole should be textured to increase the contact area between the footwear and the floor while enabling the drainage of contaminants such as water, which may otherwise pose a risk of slipping and falling.…”

Section: Recommendations For Anti-slip Protective Footwearmentioning

confidence: 99%

“…In summary, according to the literature guidelines and recommendations concerning the effects of different types of footwear on the risk of slipping and falling, older persons should wear footwear with short heels (less than 2.5 cm) to avoid the undesirable impact of high-heeled footwear on maintaining the optimum posture and balance [16,21,30,34,38,47].…”

Section: Recommendations For Anti-slip Protective Footwearmentioning

confidence: 99%

“…Importantly, in older persons, involution processes lead to a limited range of motion, reduce the strength of the lower limbs by up to 40% [23], and impaired muscle tone and balance, significantly elevating susceptibility to slipping and falling [46]. The environmental factors predisposing older persons to fall events include uncomfortable, ill-fitting, and slippery footwear [1,2,21,47]. Pursuant to EU law, footwear classified as personal protective equipment is subjected to detailed laboratory evaluation, including slip resistance.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Protective Footwear And The Risk Of Slipping In Older Workers – Definitions, Achievements, Recommendations

Irzmańska

2015

Autex Research Journal

View full text Add to dashboard Cite

Foot slippage is the most widespread unforeseen event causing falls on the same level, and a potentially contributing factor to falls from height and falls to a lower level. Statistical data on the number of slip-related accidents at work show the importance of the problem of slipping and indicate the need to continuously improve preventive measures designed to reduce injuries related to slipping, tripping, and falling (STF) on the same level. It is therefore necessary to continuously and insightfully analyze the causes of falls and undertake efforts to eliminate the occurrence of slip- and trip-induced workplace accidents. The occurrence of slips and trips is primarily related to the type and quality of floor surfaces, but it also depends on the biomechanical characteristics of the lower limbs in the transitional phases of walking gait, sole material and tread, human factors such as age, weight, and motor and vision function, the ability to adapt to the floor surface conditions, as well as on a number of factors linked to the workplace environment and work organization. This problem is going to escalate as a result of the higher retirement age, due to which many persons over the age of 60 will have to continue working, often in hazardous conditions.

show abstract

Risk Assessment and Prevention of Falls in Older Community-Dwelling Adults

Colón-Emeric,

McDermott,

Lee

et al. 2024

JAMA

View full text Add to dashboard Cite

ImportanceFalls are reported by more than 14 million US adults aged 65 years or older annually and can result in substantial morbidity, mortality, and health care expenditures.ObservationsFalls result from age-related physiologic changes compounded by multiple intrinsic and extrinsic risk factors. Major modifiable risk factors among community-dwelling older adults include gait and balance disorders, orthostatic hypotension, sensory impairment, medications, and environmental hazards. Guidelines recommend that individuals who report a fall in the prior year, have concerns about falling, or have gait speed less than 0.8 to 1 m/s should receive fall prevention interventions. In a meta-analysis of 59 randomized clinical trials (RCTs) in average-risk to high-risk populations, exercise interventions to reduce falls were associated with 655 falls per 1000 patient-years in intervention groups vs 850 falls per 1000 patient-years in nonexercise control groups (rate ratio [RR] for falls, 0.77; 95% CI, 0.71-0.83; risk ratio for number of people who fall, 0.85; 95% CI, 0.81-0.89; risk difference, 7.2%; 95% CI, 5.2%-9.1%), with most trials assessing balance and functional exercises. In a meta-analysis of 43 RCTs of interventions that systematically assessed and addressed multiple risk factors among individuals at high risk, multifactorial interventions were associated with 1784 falls per 1000 patient-years in intervention groups vs 2317 falls per 1000 patient-years in control groups (RR, 0.77; 95% CI, 0.67-0.87) without a significant difference in the number of individuals who fell. Other interventions associated with decreased falls in meta-analysis of RCTs and quasi-randomized trials include surgery to remove cataracts (8 studies with 1834 patients; risk ratio [RR], 0.68; 95% CI, 0.48-0.96), multicomponent podiatry interventions (3 studies with 1358 patients; RR, 0.77; 95% CI, 0.61-0.99), and environmental modifications for individuals at high risk (12 studies with 5293 patients; RR, 0.74; 95% CI, 0.61-0.91). Meta-analysis of RCTs of programs to stop medications associated with falls have not found a significant reduction, although deprescribing is a component of many successful multifactorial interventions.Conclusions and RelevanceMore than 25% of older adults fall each year, and falls are the leading cause of injury-related death in persons aged 65 years or older. Functional exercises to improve leg strength and balance are recommended for fall prevention in average-risk to high-risk populations. Multifactorial risk reduction based on a systematic clinical assessment for modifiable risk factors may reduce fall rates among those at high risk.

show abstract

Footwear Style and Risk of Falls in Older Adults

Abstract: Contrary to findings from gait-laboratory studies, athletic shoes were associated with relatively low risk of a fall in older adults during everyday activities. Fall risk was markedly increased when participants were not wearing shoes.

Cited by 158 publications

References 42 publications

The effect of footwear on postural control in bipedal quiet stance

The effect of footwear on postural control in bipedal quiet stance

Protective Footwear And The Risk Of Slipping In Older Workers – Definitions, Achievements, Recommendations

Risk Assessment and Prevention of Falls in Older Community-Dwelling Adults

Contact Info

Product

Resources

About