Effects of Slipper Features and Properties on Walking and Sit-to-Stand Tasks of Older Women

Lo, Wai-Ting; Yick, Kit Lun; Lau, Newman; Tse, L.T.; Ng, S.W.; Yip, Joanne

doi:10.1123/japa.2016-0298

Cited by 4 publications

(5 citation statements)

References 43 publications

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“…Compared with the two rigid insoles (i.e., Pe-Lite and Nora Lunalight A fresh), the ROMs of the ankle and knee joints were higher with the soft insole materials (i.e., PORON ® medical 4708 and Nora Lunalastik EVA) during gait. Lo et al [46] found that the rearfoot angle was significantly increased when soft slippers were donned as opposed to the barefoot condition. Eng et al [47] proved that soft orthotics increased the ROM of the knee joints at the contact and mid-stance phases during running.…”

Section: Discussionmentioning

confidence: 99%

Influence of Contoured Insoles with Different Materials on Kinematics and Kinetics Changes in Diabetic Elderly during Gait

Shi

Yick

et al. 2022

IJERPH

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Background: Alterations in the lower limb kinematics and kinetics of diabetic patients have been reported in previous studies. Inappropriate choices of orthopedic insole materials, however, fail to prevent diabetic foot ulcers and modify abnormal gait. The aim of this study was to quantitatively compare the effects of contoured insoles with different materials on the kinematics of and kinetics changes in the diabetic elderly during gait. Methods: There were 21 diabetic patients who participated in this study. Three-dimensional (3D) experimental contoured insoles constructed of soft (i.e., Nora Lunalastik EVA and PORON® Medical 4708) and rigid (i.e., Nora Lunalight A fresh and Pe-Lite) materials with Langer Biomechanics longitudinal PPT® arch pads were adopted. An eight-camera motion capture system (VICON), two force plates, and an insole measurement system—Pedar® with 99 sensors—were utilized to obtain the kinematics and kinetics data. The plug-in lower body gait model landmarks were used for dynamic data acquisition during gait. The corresponding data from five gait cycles were selected and calculated. Results: The range of motions (ROMs) of the ankle joint (p = 0.001) and knee joint (p = 0.044) were significantly influenced when the contoured insoles were worn in comparison to the barefoot condition. The joint moments of the lower limbs with maximum ankle plantarflexion during the loading response and maximum knee and hip flexions were significantly influenced by the use of contoured insoles with different materials in the diabetic elderly. The peak plantar pressure (PPP) of the forefoot (p < 0.001), midfoot (p = 0.009), and rearfoot (p < 0.001) was significantly offloaded by the contoured insoles during the stance phase, whilst the PPP of the rearfoot (p < 0.001) was significantly offloaded during the swing phase. Conclusions: The contoured insoles, especially those constructed with soft materials, significantly offloaded the PPP during gait—hence accommodating certain abnormal gait patterns more effectively compared to going barefoot.

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Section: Discussionmentioning

confidence: 99%

Influence of Contoured Insoles with Different Materials on Kinematics and Kinetics Changes in Diabetic Elderly during Gait

Shi

Yick

et al. 2022

IJERPH

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“…Footwear has the potential to influence balance in either a harmful or favourable manner, and is therefore an important consideration in relation to the prevention of falls. Laboratory-based studies have shown that elevated heels [ 2 – 5 ], cushioned soles [ 3 , 4 , 6 ] and inadequate fixation [ 7 ] are detrimental to balance. This is of particular concern for older women, as many styles of female footwear incorporate these potentially hazardous features.…”

Section: Introductionmentioning

confidence: 99%

“…This is of particular concern for older women, as many styles of female footwear incorporate these potentially hazardous features. For example, women are more likely to wear shoes with high heels [ 5 ] or slippers [ 7 ] than men.…”

Section: Introductionmentioning

confidence: 99%

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Effects of supportive and minimalist footwear on standing balance and walking stability in older women

Azhar

Munteanu

Menz

2023

Journal of Foot and Ankle Research

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Background Footwear has been shown to influence balance and is an important consideration in relation to the prevention of falls. However, it remains unclear as to what type of footwear is most beneficial for balance in older people: sturdy, supportive footwear, or minimalist footwear to maximise plantar sensory input. The objectives of this study were therefore to compare standing balance and walking stability in older women wearing these two footwear styles, and to investigate participants’ perceptions in relation to comfort, ease of use and fit. Methods Older women (n = 20) aged 66 to 82 years (mean 73.4, SD 3.9) performed a series of laboratory tests of standing balance (eyes open and closed on floor and foam rubber mat, near tandem standing) and walking stability (treadmill, level and irregular surface) using a wearable sensor motion analysis system. Participants were tested wearing supportive footwear (incorporating design features to improve balance) and minimalist footwear. Perceptions of the footwear were documented using structured questionnaires. Results There were no statistically significant differences in balance performance between the supportive and minimalist footwear. Participants perceived the supportive footwear to be significantly more attractive to self and others, easier to put on and off but heavier compared to the minimalist footwear. Overall comfort was similar between the footwear conditions, although the supportive footwear was reported to be significantly more comfortable in the heel, arch height, heel cup, heel width and forefoot width regions. Eighteen participants (90%) reported that they felt more stable in the supportive footwear and 17 (85%) reported that they would consider wearing them to reduce their risk of falling. Conclusion Balance performance and walking stability were similar in supportive footwear designed to reduce the risk of falling and minimalist footwear, although participants preferred the supportive footwear in relation to aesthetics, ease of use, comfort and perceived stability. Prospective studies are now required to ascertain the longer-term advantages and disadvantages of these footwear styles on comfort and stability in older people. Trial registration Australian New Zealand Clinical Trials Registry. ACTRN12622001257752p, 20/9/2022 (prospectively registered).

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“…Footwear has the potential to in uence balance in either a harmful or favourable manner, and is therefore an important consideration in relation to the prevention of falls. Laboratory-based studies have demonstrated that elevated heels [2][3][4][5], cushioned soles [3,4,6] and inadequate xation [7] are detrimental to balance. This is of particular concern for older women, as many styles of female footwear incorporate these potentially hazardous features.…”

mentioning

confidence: 99%

Effects of supportive and minimalist footwear on standing balance and walking stability in older women

Azhar

Munteanu

Menz

2023

Preprint

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Background Footwear has been shown to influence balance and is an important consideration in relation to the prevention of falls. However, it remains unclear as to what type of footwear is most beneficial for balance in older people: sturdy, supportive footwear, or minimalist footwear to maximise plantar sensory input. The objectives of this study were therefore to compare standing balance and walking stability in older women wearing these two footwear styles, and to investigate participants’ perceptions in relation to comfort, ease of use and fit. Methods Older women (n = 20) aged 66 to 82 years (mean 73.4, SD 3.9) performed a series of laboratory tests of standing balance (eyes open and closed on floor and foam rubber mat, near tandem standing) and walking stability (treadmill, level and irregular surface) using a wearable sensor motion analysis system. Participants were tested wearing supportive footwear (incorporating design features to improve balance) and minimalist footwear. Perceptions of the footwear were documented using structured questionnaires. Results There were no statistically significant differences in balance performance between the supportive and minimalist footwear. However, trends were observed which indicated that standing balance was better in the minimalist footwear, while walking stability was better in the supportive footwear. Participants perceived the supportive footwear to be significantly more attractive to self and others, easier to put on and off but heavier compared to the minimalist footwear. Overall comfort was similar between the footwear conditions, although the supportive footwear was reported to be significantly more comfortable in the heel, arch height, heel cup, heel width and forefoot width regions. Eighteen participants (90%) reported that they felt more stable in the supportive footwear and 17 (85%) reported that they would consider wearing them to reduce their risk of falling. Conclusion Balance performance and walking stability were similar in supportive footwear designed to reduce the risk of falling and minimalist footwear, although participants preferred the supportive footwear in relation to aesthetics, ease of use, comfort and perceived stability. Prospective studies are now required to ascertain the longer-term advantages and disadvantages of these footwear styles on comfort and stability in older people. Trial registration: Australian New Zeland Clinical Trials Registry. ACTRN12622001257752p, 20/9/2022 (prospectively registered). https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=384670&isReview=true

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Effects of Slipper Features and Properties on Walking and Sit-to-Stand Tasks of Older Women

Cited by 4 publications

References 43 publications

Influence of Contoured Insoles with Different Materials on Kinematics and Kinetics Changes in Diabetic Elderly during Gait

Influence of Contoured Insoles with Different Materials on Kinematics and Kinetics Changes in Diabetic Elderly during Gait

Effects of supportive and minimalist footwear on standing balance and walking stability in older women

Effects of supportive and minimalist footwear on standing balance and walking stability in older women

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