The effect of foot orthoses on balance, foot pain and disability in elderly women

NewsBot · Nov 30, 2012

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The effect of foot orthoses on balance, foot pain and disability in elderly women with osteoporosis: a randomized clinical trial.
de Morais Barbosa C, Barros Bértolo M, Marques Neto JF, Bellini Coimbra I, Davitt M, de Paiva Magalhães E.
Rheumatology (Oxford). 2012 Nov 28. [Epub ahead of print]

Objective. To evaluate the effect of insoles with medial arch support and metatarsal pad on balance, foot pain and disability in elderly women with osteoporosis.

Methods. This was a randomized controlled clinical trial. Ninety-four elderly women (>60 years) with osteoporosis in treatment in the outpatient clinic of the Rheumatology Division of UNICAMP were randomly assigned to an intervention group (IG) with foot orthoses or to a control group (CG) without orthoses. The Berg Balance Scale (BBS), the Timed Up and Go test (TUG), the Manchester Foot Pain and Disability Index (MFPDI) and a numeric pain scale (NPS) were assessed at baseline and after 4 weeks. The chi-squared test, Fisher's exact test and Mann-Whitney test were applied to compare baseline values between the two groups. Repeated measures of analysis of variance followed by Tukey's test for multiple comparisons and the contrast profile test were used to compare the longitudinal measures. For numeric variable relationship analysis, the Spearman correlation coefficient was used.

Results. The groups were similar at baseline. Only subjects from the IG displayed improvements in balance (both BBS and TUG), foot pain (NPS) and disability (MFPDI) (P < 0.001). Minor adverse effects were noted.

Conclusion. Foot orthoses were effective for improving balance and for reducing pain and disability in elderly women. Orthoses can be used as an adjuvant strategy to improve balance and to prevent falls in the elderly.
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Admin2 · Dec 1, 2012

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NewsBot · Apr 27, 2019

The effect of medial longitudinal arch height and medial longitudinal arch support insoles on postural balance in perimenopausal women
Karataş L, Vurallı D, Günendi Z.
Turk J Med Sci. 2019 Apr 26;49(3)

BACKGROUND/AIM:
Changes in balance and postural control have been reported during the perimenopausal period. We investigated the effect of medial longitudinal arch height and medial arch support insoles on postural sway and balance in middle-aged perimenopausal women.

MATERIALS AND METHODS:
29 women with normal arches and 29 women with low arches were included in the study. The foot arches of the participants were determined using the arch height index. The static balance index (SBI) measured by Kinesthetic Ability Trainer 3000 and functional reach test were used to evaluate postural balance. Measurements were obtained from all participants with and without medial arch support insoles.

RESULTS:
The SBI-total scores without the insoles were found to be significantly higher in the lower arch group than in the normal arch group. SBI-total, SBI-anteroposterior, and SBI-mediolateral scores significantly improved in the low arch group in the presence of insoles, whereas the usage of insoles resulted in no difference in the normal arch group. In the presence of insoles, the reach distances to left and right sides increased in both groups, while the forward functional reach distances decreased.

CONCLUSION:
Medial longitudinal arch height and medial arch support insoles affect the balance parameters in perimenopausal women.
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