Article

Foot orthoses are used to optimize lower extremity function and can
improve postural stability by enhancing the afferent somatosensory feedback
available to the central nervous system.
The aim of this review was to
evaluate the effect of foot orthoses on balance control in older subjects. METHODS:
The search strategy was based on the
Population Intervention Comparison Outcome method.
A search was performed in
PubMed, Science Direct, Google Scholar, and ISI Web of Knowledge databases by
using selected keywords.
A total of 22 articles were selected for final
evaluation. RESULTS: The results demonstrated that older people should be advised
to wear thin, hard-soled footwear with high collars to reduce the risk of
falling. The findings for insoles demonstrated an increase in balance control via
vibratory or magnetic insoles,
but textured insoles do not appear to be
beneficial for balance improvement. CONCLUSION: Foot orthoses improve postural
stability via a somatosensory or biomechanical effect. Use of footwear with the
proper features can be an appropriate intervention in order to increase the
balance in the older population and reduce falls.
CLINICAL RELEVANCE:
Loss of balance is an important factor in increasing the risk of falling in older
subjects. Foot orthoses can improve functional measures of stability in older
adults. In this review, results from studies suggest a number of recommendations
regarding the optimal footwear for older people to reduce the risk of falling.
CI - (c) The International Society for Prosthetics and Orthotics 2015.

Langue : ANGLAIS