@article{ref1,
title="Effects of using insoles of different thicknesses in older adults: which thickness has the best impact on postural stability and risk of falling?",
journal="Journal of the American Podiatric Medical Association",
year="2018",
author="Büyükturan, Öznur and Demirci, Serdar and Büyükturan, Buket and Yakut, Yavuz",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="BACKGROUND: Postural stability (PS) problems arise as an individual grows older, and as a result, risk of falling (RoF) increases in older adults. The purpose of this study was to examine the effects of insoles of various thicknesses on PS and RoF in older adults. <br><br>METHODS: Fifty-six individuals participated in the study. PS and RoF were evaluated both statically and dynamically using Biodex Balance System. PS and RoF assessments were perfomed under five different conditions: 1) barefoot, 2) only shoes, 3) with 5 mm insole, 4) with 10 mm insole, 5) with 15 mm insole. Standard shoes with identical features were used fitting the foot size of the individuals. In order to avoid time-dependent problems, these assessments were re-measured under the same conditions in 3 consecutive weeks. The average of these 3 values were recorded as the individuals' PS and RoF scores. <br><br>RESULTS: Insoles of different thicknesses significantly affected static PS [overall, p:0.003; medio-lateral (ML), p:0.021; antero-posterior (AP), p:0.006], static RoF (overall, p:<0.001; ML, p:<0.001; AP, p:<0.001), dynamic RoF (overall, p:0.003; ML, p:0.042; AP, p:0.050) and dynamic PS (overall, p:0.034;AP, p:0.041). However, thickness of the insoles did not have any impact on dynamic PS-ML (p:0.071). Amongst all measurements of static PS-overall, dynamic PS-AP, static RoF-overall, static RoF-ML, dynamic RoF-overall, dynamic RoF-ML, the highest PS scores and the lowest RoF were recorded in case of using 10 mm insole (p<0.05). <br><br>CONCLUSIONS: The use of insoles with different thicknesses has been shown to be effective on all RoF and PS measurements (except for dynamic PS-ML). 10-mm-thick insole turned out to be a better option for elderly individuals to increase PS and reduce RoF compared the barefoot, only shoes, 5 and 15 mm insoles. For older adults, 10-mm-thick insoles made of medium-density plastozote may be recommended to help them with a better PS and a reduced RoF.<p /> <p>Language: en</p>",
language="en",
issn="8750-7315",
doi="10.7547/17-085",
url="http://dx.doi.org/10.7547/17-085"
}