Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly

Tzu-Hsuan Chen,1,* Li-Wei Chou,2,3,* Mei-Wun Tsai,4 Ming-Jor Lo,5 Mu-Jung Kao4,5 1Department of Rehabilitation, Mackay Memorial Hospital, Hsinchu, Taiwan; 2Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 3School of Chinese Medicine, College...

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Autores principales:	Chen TH, Chou LW, Tsai MW, Lo MJ, Kao MJ
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	insole heel cup stability standing balance elderly Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/2fe30d1d2b554d2180f75ad48aa8b5ae
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spelling	oai:doaj.org-article:2fe30d1d2b554d2180f75ad48aa8b5ae2021-12-02T03:14:34ZEffectiveness of a heel cup with an arch support insole on the standing balance of the elderly1178-1998https://doaj.org/article/2fe30d1d2b554d2180f75ad48aa8b5ae2014-02-01T00:00:00Zhttps://www.dovepress.com/effectiveness-of-a-heel-cup-with-an-arch-support-insole-on-the-standin-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Tzu-Hsuan Chen,1,* Li-Wei Chou,2,3,* Mei-Wun Tsai,4 Ming-Jor Lo,5 Mu-Jung Kao4,5 1Department of Rehabilitation, Mackay Memorial Hospital, Hsinchu, Taiwan; 2Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 3School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 4Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan; 5Department of Rehabilitation, Yangming Branch, Taipei City Hospital, Taipei, Taiwan *These authors contributed equally to this paper Background: The use of insoles may enhance postural stability and prevent falls. The aim of this study was to design a new insole and to explore the effectiveness of the insole on the standing balance of the healthy elderly. Methods: The study was conducted at a community hospital. Patients older than 65 years at an outpatient clinic without abnormal gait patterns, lower limb deformities, or foot pain were enrolled. The participants were assigned to good- and poor-stability groups on the basis of the stability index (SI), using the Biodex® Balance System. A heel cup with an arch support insole was provided. Participants wore the insole for 8 weeks for a minimum of 4 hours/day. A static balance test for SI was performed at the initial meeting and 8 weeks after the assigned insoles were worn for each participant. Results: Five participants (10.0%) of 50 total did not finish the study. There were 25 patients in the good-stability group and 20 in the poor-stability group. The SI, before and after intervention, was significantly different for all 45 participants (3.244±0.688 versus 3.064±0.671; P<0.001). The differences in SI before and after the intervention both in the good-stability group (2.764±0.546 versus 2.592±0.538) and the poor-stability group (3.845±0.188 versus 3.655±0.128) were statistically significant (P<0.001). No statistically significant difference on changes of SI were seen between the two groups. Conclusion: The results suggest a heel cup with arch support insole is effective in enhancing the standing balance of the elderly. This may be of benefit in preventing falls. Keywords: insole, heel cup, stability, standing balance, elderlyChen THChou LWTsai MWLo MJKao MJDove Medical Pressarticleinsoleheel cupstabilitystanding balanceelderlyGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 351-356 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	insole heel cup stability standing balance elderly Geriatrics RC952-954.6
spellingShingle	insole heel cup stability standing balance elderly Geriatrics RC952-954.6 Chen TH Chou LW Tsai MW Lo MJ Kao MJ Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly
description	Tzu-Hsuan Chen,1,* Li-Wei Chou,2,3,* Mei-Wun Tsai,4 Ming-Jor Lo,5 Mu-Jung Kao4,5 1Department of Rehabilitation, Mackay Memorial Hospital, Hsinchu, Taiwan; 2Department of Physical Medicine and Rehabilitation, China Medical University Hospital, Taichung, Taiwan; 3School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung, Taiwan; 4Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan; 5Department of Rehabilitation, Yangming Branch, Taipei City Hospital, Taipei, Taiwan *These authors contributed equally to this paper Background: The use of insoles may enhance postural stability and prevent falls. The aim of this study was to design a new insole and to explore the effectiveness of the insole on the standing balance of the healthy elderly. Methods: The study was conducted at a community hospital. Patients older than 65 years at an outpatient clinic without abnormal gait patterns, lower limb deformities, or foot pain were enrolled. The participants were assigned to good- and poor-stability groups on the basis of the stability index (SI), using the Biodex® Balance System. A heel cup with an arch support insole was provided. Participants wore the insole for 8 weeks for a minimum of 4 hours/day. A static balance test for SI was performed at the initial meeting and 8 weeks after the assigned insoles were worn for each participant. Results: Five participants (10.0%) of 50 total did not finish the study. There were 25 patients in the good-stability group and 20 in the poor-stability group. The SI, before and after intervention, was significantly different for all 45 participants (3.244±0.688 versus 3.064±0.671; P<0.001). The differences in SI before and after the intervention both in the good-stability group (2.764±0.546 versus 2.592±0.538) and the poor-stability group (3.845±0.188 versus 3.655±0.128) were statistically significant (P<0.001). No statistically significant difference on changes of SI were seen between the two groups. Conclusion: The results suggest a heel cup with arch support insole is effective in enhancing the standing balance of the elderly. This may be of benefit in preventing falls. Keywords: insole, heel cup, stability, standing balance, elderly
format	article
author	Chen TH Chou LW Tsai MW Lo MJ Kao MJ
author_facet	Chen TH Chou LW Tsai MW Lo MJ Kao MJ
author_sort	Chen TH
title	Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly
title_short	Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly
title_full	Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly
title_fullStr	Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly
title_full_unstemmed	Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly
title_sort	effectiveness of a heel cup with an arch support insole on the standing balance of the elderly
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/2fe30d1d2b554d2180f75ad48aa8b5ae
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Effectiveness of a heel cup with an arch support insole on the standing balance of the elderly

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