Abstract
Background: Diminished somatosensory function and lower plantar cutaneous sensitivity have been identified as a critical age-related change, which is related to postural instability in the older population. Footwear is suggested that can modulate the postural stability by altering the interface between the foot sole and the ground. However, it is unclear whether this footwear effect could also influence lower limb muscle activation for the elderly. This study aimed to investigate the footwear insole texture and supporting surface condition on static postural stability and lower limb muscle activation for healthy older people.
Methods: This is a single-session study with repeated measurements. Twenty-three healthy older female stood on the firm (i.e., concrete floor) and foam surfaces with their eyes open in the three footwear conditions, namely barefoot, plain shoes and nodulous insole shoes, for 30 seconds. Static postural sway and muscle activation of biceps femoris (BF), vastus lateralis (VL), tibialis anterior (TA), and lateral gastrocnemius (LG) of the dominant leg were measured during each testing condition.
Results: compared to firm surface, standing on the foam could significantly increase the body sway and lower limb muscle activation (p<0.05); compared to barefoot, when standing on the foam, wearing footwear significantly decreased the VL and TA muscle activation and minimize the postural sway in ML and AP direction, while the influence is larger for the nodulous shoes compared to the plain shoes. A positive correlation was observed between the lower limb muscle activation and AP (r=0.327-0.389, p<0.001) and total sway path length (r=0.317-0.427, p<0.001).
Conclusions: footwear could improve the postural stability and decease the fall risk comparing to barefoot when the somatosensory input is in disturbance, while the improvement is larger when wearing nodulous insole footwear for the elderly.