Impact of Soft and Hard Insole Density on Postural Stability in Older Adults

Iglesias, Marta Elena Losa; Becerro-de-Bengoa-Vallejo, Ricardo; Peña, Domingo Palacios

doi:10.1016/j.gerinurse.2012.01.007

Cited by 45 publications

(37 citation statements)

References 30 publications

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“…In a later meta-analysis carried out by Orth and colleagues, it was concluded that simple stimulation of cutaneous receptors via added texture can improve perceptual-motor system functionality in elderly individuals as well as in young, healthy adults. Several studies have suggested a positive relationship between balance/postural regulation and somatosensory feedback provided by use of textured insoles [4,5,7,32]. Qiu and colleagues [7] suggested that textured insole surfaces, both hard and soft, reduced postural sway during standing in older people.…”

Section: Introductionmentioning

confidence: 99%

“…Qiu and colleagues [7] suggested that textured insole surfaces, both hard and soft, reduced postural sway during standing in older people. At the same time, Losa lglesias and colleagues [5] also reported that hard insole surfaces may be more effective compared to soft insole surfaces for reducing fall risk. Losa lglesias et al [5] concluded that more rigid insoles promoted a more neutral alignment of the talocrural joint in a standing position, limiting the range of foot pronation, thereby, improving the ankle joint stability.…”

Section: Introductionmentioning

confidence: 99%

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Effects of different lower-limb sensory stimulation strategies on postural regulation—A systematic review and meta-analysis

et al. 2017

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Systematic reviews of balance control have tended to only focus on the effects of single lower-limb stimulation strategies, and a current limitation is the lack of comparison between different relevant stimulation strategies. The aim of this systematic review and meta-analysis was to examine evidence of effects of different lower-limb sensory stimulation strategies on postural regulation and stability. Moderate- to high- pooled effect sizes (Unbiased (Hedges’ g) standardized mean differences (SMD) = 0.31–0.66) were observed with the addition of noise in a Stochastic Resonance Stimulation Strategy (SRSS), in three populations (i.e., healthy young adults, older adults, and individuals with lower-limb injuries), and under different task constraints (i.e., unipedal, bipedal, and eyes open). A Textured Material Stimulation Strategy (TMSS) enhanced postural control in the most challenging condition—eyes-closed on a stable surface (SMD = 0.61), and in older adults (SMD = 0.30). The Wearable Garments Stimulation Strategy (WGSS) showed no or adverse effects (SMD = -0.68–0.05) under all task constraints and in all populations, except in individuals with lower-limb injuries (SMD = 0.20). Results of our systematic review and meta-analysis revealed that future research could consider combining two or more stimulation strategies in intervention treatments for postural regulation and balance problems, depending on individual needs.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of different lower-limb sensory stimulation strategies on postural regulation—A systematic review and meta-analysis

et al. 2017

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“…The 12 studies12,13,14,15,16,17,18,19,20,21,22,23 ) involved a total of 392 individuals. The majority involved older volunteers (mean age: 59.2 ± 20.4).…”

Section: Resultsmentioning

confidence: 99%

“…With regard to data acquisition, nine papers12,13,14,15,16,17,18, 22, 23 ) employed balance analysis using a force plate, mainly investigating displacement from the center of pressure and sway in the anteroposterior and mediolateral directions. The remaining papers analyzed postural balance using the following methods: surface electromyography, an electronic version of the Romberg test with a camera-based motion analysis system, and a gait disturbance protocol (Table 3).…”

Section: Resultsmentioning

confidence: 99%

Effect of Different Insoles on Postural Balance: A Systematic Review

et al. 2013

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[Purpose] The aim of the present study was to perform a systematic review of the literature on the effect of different insoles on postural balance. [Subjects and Methods] A systematic review was conducted of four databases. The papers retrieved were evaluated based on the following inclusion criteria: 1) design: controlled clinical trial; 2) intervention: insole; 3) outcome: change in static postural balance; and 4) year of publication: 2005 to 2012. [Results] Twelve controlled trials were found comparing the effects of different insoles on postural balance. The papers had methodological quality scores of 3 or 4 on the PEDro scale. [Conclusion] Insoles have benefits that favor better postural balance and control.

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“…This outcome was in contrast to our hypothesis that the arch support insole should cause less muscle fatigue compared with the flat insole during uphill walking because the center of pressure is evenly redistributed on both feet owing to the arch support. Iglesias et al [34] stated that increasing the insole hardness would increase the physical sensory input. Perry et al [35] measured different midsole hardness conditions during walking along an 8 m walkway.…”

Section: Discussionmentioning

confidence: 99%

How Arch Support Insoles Help Persons with Flatfoot on Uphill and Downhill Walking

Huang

Kim

Song

et al. 2017

Journal of Healthcare Engineering

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The main purpose of this study was to investigate the effect of arch support insoles on uphill and downhill walking of persons with flatfoot. Sixteen healthy college students with flatfoot were recruited in this study. Their heart rate, peak oxygen uptake (VO2), and median frequency (MDF) of surface electromyogram were recorded and analyzed. Nonparametric Wilcoxon signed-rank test was used for statistical analysis. The main results were as follows: (a) peak VO2 significantly decreased with arch support insoles compared with flat insoles during uphill and downhill walking (arch support insole versus flat insole: uphill walking, 20.7 ± 3.6 versus 31.6 ± 5.5; downhill walking, 10.9 ± 2.3 versus 16.9 ± 4.2); (b) arch support insoles could reduce the fatigue of the rectus femoris muscle during downhill walking (MDF slope of arch support insole: 0.03 ± 1.17, flat insole: −6.56 ± 23.07); (c) insole hardness would increase not only the physical sensory input but also the fatigue of lower-limb muscles particularly for the rectus femoris muscle (MDF slope of arch support insole: −1.90 ± 1.60, flat insole: −0.83 ± 1.10) in persons with flatfoot during uphill walking. The research results show that arch support insoles could effectively be applied to persons with flatfoot to aid them during uphill and downhill walking.

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Impact of Soft and Hard Insole Density on Postural Stability in Older Adults

Cited by 45 publications

References 30 publications

Effects of different lower-limb sensory stimulation strategies on postural regulation—A systematic review and meta-analysis

Effects of different lower-limb sensory stimulation strategies on postural regulation—A systematic review and meta-analysis

Effect of Different Insoles on Postural Balance: A Systematic Review

How Arch Support Insoles Help Persons with Flatfoot on Uphill and Downhill Walking

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