Footwear Interventions

Hatton, Anna L.; Rome, Keith; Dixon, John; Martin, Denis; McKeon, Patrick O.

doi:10.7547/1030516

Cited by 53 publications

(38 citation statements)

References 42 publications

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“…Recently, the textured insoles have also been considered in improvement of sensation status of plantar surface [20] or ankle injuries [21]. The use of textured insoles is based on the assumption that it changes the discharge rate of the mechanical receptors [19,22,23]. In addition, based on the theory of sensory reweighting, enhancement of sending data via mechanoreceptors may somewhat offset the inadequacy of other sources of balance [21,24,25].…”

Section: Crossmarkmentioning

confidence: 99%

Immediate Effect of Textured Insole on Static Balance in Individuals With Flexible Flatfoot

et al. 2017

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Introduction: Flatfoot is a common orthopedic disorder in the world. Some investigations have demonstrated flatfoot as the cause of many problems such as balance impairment by affecting the proprioception of the soles. Balance reduction can lead to injuries too. In this regard, textured surfaces can be used for stimulating somatosensory system as well as improving proprioception. Therefore, this study aimed to examine the role of textured insole on somatosensory system stimulation and consequently its effect on the balance improvement in individuals with flatfooted. Material and Methods:This study is a kind of interventional quasi-experimental research. Twenty male students of Iran University of Medical Sciences (Mean [SD] age 22.1 [1.3] years with bilateral flexible flatfoot) were recruited in this study by convenience sampling method. The study variables were as follows: anteroposterior and mediolateral displacements and total velocity of the center of pressure that were measured using a Kistler force plate instrument. Repeated measures ANOVA test was used to compare the test values.Results: Textured insole reduced the average of all measured parameters in eyes closed condition. This reduction was significant in both anteroposterior displacement and total velocity parameters (P<0.05). Surprisingly, the common arched medical insole leads to balance reduction when used in shoe.Conclusion: Data analysis demonstrated that using textured insoles can be effective in balance improvement in individuals with flexible flatfooted. This can be the result of extroception and proprioception improvement. On the other hand, we found that common traditional insoles can disturb balance in this group of patients.

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Section: Crossmarkmentioning

confidence: 99%

Immediate Effect of Textured Insole on Static Balance in Individuals With Flexible Flatfoot

et al. 2017

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“…[3] Foot problems may increase the risk of falls with cohort studies indicating a relationship between foot and ankle problems and risk of falling [4,5]. In addition, inappropriate footwear may also contribute to poor balance and an increased risk of falls [6]. A randomised controlled trial (RCT) among 305 community dwelling older people in Australia who had foot pain showed that there was a 36% statistically significant reduction in the rate of falls for people who had received a multifaceted podiatry intervention, comprising of foot and ankle exercises, foot orthoses, footwear advice, subsidy for new footwear, and a falls prevention booklet combined with routine podiatry care compared with those just receiving routine podiatry [7].…”

Section: Introductionmentioning

confidence: 99%

Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial)

et al. 2017

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BackgroundFalls are a major cause of morbidity among older people. A multifaceted podiatry intervention may reduce the risk of falling. This study evaluated such an intervention.DesignPragmatic cohort randomised controlled trial in England and Ireland. 1010 participants were randomised (493 to the Intervention group and 517 to Usual Care) to either: a podiatry intervention, including foot and ankle exercises, foot orthoses and, if required, new footwear, and a falls prevention leaflet or usual podiatry treatment plus a falls prevention leaflet. The primary outcome was the incidence rate of self-reported falls per participant in the 12 months following randomisation. Secondary outcomes included: proportion of fallers and those reporting multiple falls, time to first fall, fear of falling, Frenchay Activities Index, Geriatric Depression Scale, foot pain, health related quality of life, and cost-effectiveness.ResultsIn the primary analysis were 484 (98.2%) intervention and 507 (98.1%) control participants. There was a small, non statistically significant reduction in the incidence rate of falls in the intervention group (adjusted incidence rate ratio 0.88, 95% CI 0.73 to 1.05, p = 0.16). The proportion of participants experiencing a fall was lower (49.7 vs 54.9%, adjusted odds ratio 0.78, 95% CI 0.60 to 1.00, p = 0.05) as was the proportion experiencing two or more falls (27.6% vs 34.6%, adjusted odds ratio 0.69, 95% CI 0.52 to 0.90, p = 0.01). There was an increase (p = 0.02) in foot pain for the intervention group. There were no statistically significant differences in other outcomes. The intervention was more costly but marginally more beneficial in terms of health-related quality of life (mean quality adjusted life year (QALY) difference 0.0129, 95% CI -0.0050 to 0.0314) and had a 65% probability of being cost-effective at a threshold of £30,000 per QALY gained.ConclusionThere was a small reduction in falls. The intervention may be cost-effective.Trial RegistrationISRCTN ISRCTN68240461

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“…Foot and ankle devices, including shoe insoles and AFOs have been shown to alter standing balance, 12 gait kinetics and kinematics 12-14 in healthy young, 13 aging, 12 rheumatoid arthritic 15 and diabetic neuropathic 14 populations. While their mechanism of action remains unclear, current theories suggest that footwear interventions may bring about their effects by way of providing mechanical support, shock attenuation and alterations in sensorimotor control, or a combination of all.…”

Section: Introductionmentioning

confidence: 99%

Effects of foot and ankle devices on balance, gait and falls in adults with sensory perception loss: a systematic review

Paton

Hatton

Rome

et al. 2016

JBI Database of Systematic Reviews and Implementation Reports

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EXECUTIVE SUMMARYBackgroundFoot and ankle devices are being developed as a method of preventing people with sensory perception loss sustaining a fall. Such devices are believed to work by reducing the likelihood of a fall by improving the balance and gait of the user.ObjectivesThe objective of the review was to evaluate the effectiveness of foot and ankle devices for the prevention of falls and the improvement of balance and gait in adults with sensory perception loss.Inclusion criteria Types of participantsParticipants were community-dwelling adults with bilateral pathological sensory perception loss.Types of intervention(s)/phenomena of interestThe current review evaluated any foot or ankle device, including but not restricted to, all types of footwear (therapeutic and retail), insoles (customized and prefabricated) and ankle-foot orthoses (AFOs).Types of studiesIn the absence of randomized controlled trials (RCT), the review considered experimental and epidemiological study designs, except case series, individual case reports and descriptive cross-sectional studies.OutcomesThe primary outcome was number of falls. Secondary outcome measures were clinical or laboratory measures of balance or gait.Search strategyA search for published and unpublished literature from inception to March 2015 written in the English language was conducted across a number of major electronic databases. A three-step search strategy was developed using MeSH terminology and keywords to ensure all that relevant materials are captured.Methodological qualityMethodological quality of included studies was assessed by two reviewers, who appraised each study independently, using standardized Joanna Briggs Institute (JBI) critical appraisal tools.Data extractionQuantitative data were extracted from the studies that were identified as meeting the criteria for methodological quality using the standardized JBI data extraction tools.Data synthesisDue to the heterogeneity of populations, interventions and outcome measures, meta-analyses were not possible and results are presented in narrative form.ResultsNine trials (from 10 papers) involving 238 participants, (14 with multiple sclerosis and 16 with idiopathic peripheral neuropathy, 150 with diabetic neuropathy) and 58 controls were included in the review. No study reported falls as an outcome measure. The results of the included studies found that in people with sensory perception loss, postural sway improved with vibrating insoles and AFO, altering the softness and texture of the top cover had no effect on postural sway, wearing footwear over long distances or AFOs improved step-to-step consistency, and no foot and ankle device was reported to have a negative effect on the balance or gait of people with sensory perception loss. The methodological quality of the included studies was poor. No study used a randomized controlled trial (RCT) methodology. No study incorporated a follow-up period or tested the intervention within the context of the intended clinical environment.ConclusionThere is limited ...

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Footwear Interventions

Cited by 53 publications

References 42 publications

Immediate Effect of Textured Insole on Static Balance in Individuals With Flexible Flatfoot

Immediate Effect of Textured Insole on Static Balance in Individuals With Flexible Flatfoot

Cohort Randomised Controlled Trial of a Multifaceted Podiatry Intervention for the Prevention of Falls in Older People (The REFORM Trial)

Effects of foot and ankle devices on balance, gait and falls in adults with sensory perception loss: a systematic review

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