Minimal shoes improve stability and mobility in persons with a history of falls
Postural and walking instabilities contribute to falls in older adults. Given that shoes affect human locomotor stability and that visual, cognitive and somatosensory systems deteriorate during aging, we aimed to: (1) compare the effects of footwear type on stability and mobility in persons with a h...
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description | Postural and walking instabilities contribute to falls in older adults. Given that shoes affect human locomotor stability and that visual, cognitive and somatosensory systems deteriorate during aging, we aimed to: (1) compare the effects of footwear type on stability and mobility in persons with a history of falls, and (2) determine whether the effect of footwear type on stability is altered by the absence of visual input or by an additional cognitive load. Thirty participants performed standing and walking trials in three footwear conditions, i.e. conventional shoes, minimal shoes, and barefoot. The outcomes were: (1) postural stability (movement of the center of pressure during eyes open/closed), (2) walking stability (Margin of Stability during normal/dual-task walking), (3) mobility (the Timed Up and Go test and the Star Excursion Balance test), and (4) perceptions of the shoes (Monitor Orthopaedic Shoes questionnaire). Participants were more stable during standing and walking in minimal shoes than in conventional shoes, independent of visual or walking condition. Minimal shoes were more beneficial for mobility than conventional shoes and barefoot. This study supports the need for longitudinal studies investigating whether minimal footwear is more beneficial for fall prevention in older people than conventional footwear. |
doi_str_mv | 10.1038/s41598-020-78862-6 |
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Given that shoes affect human locomotor stability and that visual, cognitive and somatosensory systems deteriorate during aging, we aimed to: (1) compare the effects of footwear type on stability and mobility in persons with a history of falls, and (2) determine whether the effect of footwear type on stability is altered by the absence of visual input or by an additional cognitive load. Thirty participants performed standing and walking trials in three footwear conditions, i.e. conventional shoes, minimal shoes, and barefoot. The outcomes were: (1) postural stability (movement of the center of pressure during eyes open/closed), (2) walking stability (Margin of Stability during normal/dual-task walking), (3) mobility (the Timed Up and Go test and the Star Excursion Balance test), and (4) perceptions of the shoes (Monitor Orthopaedic Shoes questionnaire). Participants were more stable during standing and walking in minimal shoes than in conventional shoes, independent of visual or walking condition. Minimal shoes were more beneficial for mobility than conventional shoes and barefoot. 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Scientific reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cudejko, Tomasz</au><au>Gardiner, James</au><au>Akpan, Asangaedem</au><au>D’Août, Kristiaan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Minimal shoes improve stability and mobility in persons with a history of falls</atitle><jtitle>Scientific reports</jtitle><stitle>Sci Rep</stitle><stitle>SCI REP-UK</stitle><addtitle>Sci Rep</addtitle><date>2020-12-10</date><risdate>2020</risdate><volume>10</volume><issue>1</issue><spage>21755</spage><epage>21755</epage><pages>21755-21755</pages><artnum>21755</artnum><issn>2045-2322</issn><eissn>2045-2322</eissn><abstract>Postural and walking instabilities contribute to falls in older adults. Given that shoes affect human locomotor stability and that visual, cognitive and somatosensory systems deteriorate during aging, we aimed to: (1) compare the effects of footwear type on stability and mobility in persons with a history of falls, and (2) determine whether the effect of footwear type on stability is altered by the absence of visual input or by an additional cognitive load. Thirty participants performed standing and walking trials in three footwear conditions, i.e. conventional shoes, minimal shoes, and barefoot. The outcomes were: (1) postural stability (movement of the center of pressure during eyes open/closed), (2) walking stability (Margin of Stability during normal/dual-task walking), (3) mobility (the Timed Up and Go test and the Star Excursion Balance test), and (4) perceptions of the shoes (Monitor Orthopaedic Shoes questionnaire). Participants were more stable during standing and walking in minimal shoes than in conventional shoes, independent of visual or walking condition. Minimal shoes were more beneficial for mobility than conventional shoes and barefoot. This study supports the need for longitudinal studies investigating whether minimal footwear is more beneficial for fall prevention in older people than conventional footwear.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>33303964</pmid><doi>10.1038/s41598-020-78862-6</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-1902-3416</orcidid><orcidid>https://orcid.org/0000-0002-1764-8669</orcidid><orcidid>https://orcid.org/0000-0001-8290-7674</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | 692/700/1518 692/700/228/491 692/700/459/284 Accidental Falls - prevention & control Aged Aging Aging - physiology Aging - psychology Balance Biomechanical Phenomena Cognition Cognitive ability Equipment Design Falls Female Humanities and Social Sciences Humans Locomotion - physiology Longitudinal studies Male Middle Aged Mobility multidisciplinary Multidisciplinary Sciences Older people Postural Balance - physiology Posture Science Science & Technology Science & Technology - Other Topics Science (multidisciplinary) Sensation Shoes & boots Shoes - adverse effects Visual Acuity Walking - physiology |
title | Minimal shoes improve stability and mobility in persons with a history of falls |
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