Effect of Hard- and Soft-Density Insoles on the Postural Control of Adults over 65 Years of Age: A Cross over Clinical Trial
2024

Impact of Insoles on Balance in Older Adults

Sample size: 150 publication Evidence: high

Author Information

Author(s): Martínez-Córcoles Vicenta, Becerro-de-Bengoa-Vallejo Ricardo, Calvo-Lobo César, Pérez-Boal Eduardo, Losa-Iglesias Marta Elena, Rodríguez-Sanz David, Casado-Hernández Israel, Martínez-Jiménez Eva María

Primary Institution: Miguel Hernández University of Elche

Hypothesis

Both types of insoles would decrease postural sway when compared to going barefoot.

Conclusion

Hard and soft insoles show no improvement in postural control compared to barefoot standing, with soft insoles potentially impairing balance.

Supporting Evidence

  • All tests were statistically significant (p < 0.001).
  • The test with soft insoles presented higher stabilometric values and worse postural control compared to barefoot and hard insoles.
  • Going barefoot showed better stabilometric data with a reduction in ellipse area and better postural control.
  • Hard insoles offered results that were more similar to the barefoot position.
  • Soft insoles generated greater instability, which could increase the risk of falls.

Takeaway

This study looked at how different types of shoe insoles affect balance in older people. It found that going barefoot is better for balance than using insoles.

Methodology

A crossover clinical trial was conducted with 150 healthy adults over 65 years, comparing postural control in barefoot, hard insoles, and soft insoles.

Limitations

Participants' foot types were not assessed, and measurements of ankle flexion and range of motion were not taken.

Participant Demographics

150 healthy adults (69 male, 81 female) with a mean age of 69.03 years.

Statistical Information

P-Value

p<0.001

Confidence Interval

95%

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.3390/bioengineering11121276

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