Immediate effect of insoles on balance in older adults

Park, Joohee; Jeon, Hye‐Seon; Kim, Jihyun; Yoon, Hyeo-bin; Lim, One-bin; Jeon, Min-Jae

doi:10.1016/j.foot.2020.101768

Cited by 14 publications

(6 citation statements)

References 37 publications

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“…In a meta-analysis of 8 RCTs and quasi-randomized trials including 1834 patients with visually significant bilateral cataracts, the first cataract surgery was associated with a reduction in fall risk (RR, 0.68; 95% CI, 0.48-0.96; absolute benefit not reported), 63 while surgery on the second eye showed no additional benefit. 63,64 One of 2 clinical trials among 545 patients randomized to expedited (4 weeks) vs longer (12 months) waiting time for cataract surgery demonstrated 68 A metaanalysis of 7 observational studies (156 participants) found an association with textured or vibrational insoles and improved balance in older adults 69 but did not assess fall risk. Multifactorial interventions that include podiatry as a potential component were also associated with decreased fall risk (4 studies; 1964 patients; RR, 0.73; 95% CI, 0.54-0.98; absolute difference not available).…”

Section: Vision Interventionsmentioning

confidence: 99%

“…Multicomponent podiatry interventions including podiatry examination, custom footwear, orthoses if indicated, education, and home-based foot and ankle exercises were associated with decreased fall rate compared with usual care (3 studies; 1358 patients; RR, 0.77; 95% CI, 0.61-0.99; absolute difference not available) . A meta-analysis of 7 observational studies (156 participants) found an association with textured or vibrational insoles and improved balance in older adults but did not assess fall risk. Multifactorial interventions that include podiatry as a potential component were also associated with decreased fall risk (4 studies; 1964 patients; RR, 0.73; 95% CI, 0.54-0.98; absolute difference not available).…”

Section: Preventionmentioning

confidence: 99%

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

Colón-Emeric,

McDermott,

Lee

et al. 2024

JAMA

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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.

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Section: Vision Interventionsmentioning

confidence: 99%

Section: Preventionmentioning

confidence: 99%

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

Colón-Emeric,

McDermott,

Lee

et al. 2024

JAMA

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“…Participants were randomized to receive a biomechanical insole or a postural insole and following a 4-week washout period, the participants crossed over to the other treatment. Even though many studies have investigated the effect of insoles on balance, with benefits on postural balance and control, as far as we know, no studies have yet investigated the effect of insoles on balance using wearable inertial sensors during sport-specific movements [ 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Using Wearable Inertial Sensors to Monitor Effectiveness of Different Types of Customized Orthoses during CrossFit® Training

Brognara

Mazzotti

Rossi

et al. 2023

Sensors

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Background: Dynamic balance plays a key role in high-impact sports, such as CrossFit, where athletes are required to maintain balance in various weightlifting exercises. The loss of balance in these sport-specific movements may not only affect athlete performance, but also increase the risk of injuries. Objectives: The aim of the study is to achieve greater insight into the balance and athlete position during the CrossFit training by means of inertial sensors, with a particular focus on the role of different custom foot orthoses (CFOs) in order to detect correlations with the role of the cavus foot. Methods: A total of 42 CrossFit® athletes, aged 25 to 42 years, were enrolled in this study. One-way ANOVA tests with post-hoc analysis of variance were used to compare foot posture groups and effects of different types of customized foot orthoses. Results: When comparing the effects of CFOs with the respective balance basal level during the pistol squat exercise, we observed a significant (p = 0.0001) decrease in the sway area, antero-posterior displacement (APD) and medio-lateral displacement (MLD) compared to the basal using both types of CFOs. Conclusion: No significant positive effects of CFOs were observed in some static tests. On the contrary, positive effects of CFOs and, in particular, postural insoles, are relevant to dynamic balance.

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“…Conversely, according to a PRISMA systematic review, insoles and shoes have been reported to have positive effects on gait parameters and balance in patients with PD [ 10 ]. Insoles and shoes are simple, safe, and easy-to-use, and offer immediate results [ 11 ]; in addition, they are expected to improve the balance and walking function of patients with PD regarding toe and foot function.…”

Section: Introductionmentioning

confidence: 99%

Effects of Insole with Toe-Grip Bar on Barefoot Balance and Walking Function in Patients with Parkinson’s Disease: A Randomized Controlled Trial

et al. 2022

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The maintenance and improvement of balance and walking function in patients with Parkinson’s disease (PD) is essential. Toe dysfunction in patients with PD is related to balance and walking. Recently, insoles have been developed to improve toe function, but their effects on the physical functions of patients with PD remain unclear. In this randomized controlled study, we investigated the effects of insoles with a toe-grip bar on balance and walking function in such patients. Twenty-nine patients with PD in Hoehn and Yahr stages II–IV were randomly assigned to an intervention or control group. Patients in the intervention and control groups wore shoes having insoles with and without a toe-grip bar for 4 weeks, respectively. The center of gravity sway of standing posture (total trajectory length, envelope area, and maximum anterior–posterior center of pressure [AP-COP] distance) and walking parameters at normal and fast speeds were measured pre- and post-intervention in the rehabilitation room. All measurements were performed with the participants being barefoot. The maximum AP-COP distance and step length of the fast-walking condition were significantly improved in the intervention compared to the control group (p < 0.05). Thus, insoles with a toe-grip bar may improve balance and walking function in patients with PD.

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Immediate effect of insoles on balance in older adults

Cited by 14 publications

References 37 publications

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

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

Using Wearable Inertial Sensors to Monitor Effectiveness of Different Types of Customized Orthoses during CrossFit® Training

Effects of Insole with Toe-Grip Bar on Barefoot Balance and Walking Function in Patients with Parkinson’s Disease: A Randomized Controlled Trial

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