Aging is associated with decreases in gait performance and mobility. Toe-only rocker sole is prescribed as a common shoe modification in restricted foot and ankle joints mobility. Therefore, this study aimed to determine the effect of toe-only rocker sole shoes on the ground reaction force (GRF) in the elderly. Twenty-one older adults walked on a walkway equipped with one force plate under six different conditions including barefoot (BF), normal shoe (NS), and four types of toe-only rocker sole shoes (RS) with various degrees of rocker angle (RS10, RS20, RS30, and RS40). The peaks of the GRFs in three planes were obtained. Different rocker angles could affect GRF parameters. The first peak of GRF (FZ) significantly increased with both RS30 and RS40 compared to BF, NS, RS10, and RS20. FZ significantly decreased with RS30 compared to RS40. The braking force (FX) was significantly lower with NS compared to RS30 and RS40. FX was significantly higher with RS40 compared to the other shoe conditions. The propulsive force (FX) significantly decreased during walking with BF compared to NS, RS20, RS30, and RS40. A higher FX was observed in RS40 than the other shoe conditions except RS30. Also, FX was significantly lower with RS10 compared to RS30. Increasing rocker angle may result in an increase in the peak magnitude of FZ, FX, FX in the elderly without any improvement in walking speed.
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http://dx.doi.org/10.1177/09544119221098529 | DOI Listing |
Cochrane Database Syst Rev
June 2024
School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Australia.
Background: Osteoarthritis (OA) affecting the first metatarsophalangeal joint (hallux rigidus) is common and painful. Several non-surgical treatments have been proposed; however, few have been adequately evaluated. Since the original 2010 review, several studies have been published necessitating this update.
View Article and Find Full Text PDFClin Biomech (Bristol)
June 2024
University of Groningen, University Medical Center Groningen, Department of Human Movement Sciences, Groningen, the Netherlands.
Background: Rocker shoes can be used to reduce foot pressure and adjust lower limb kinetics for various patient population, such as people with diabetic peripheral neuropathy. Selecting adequate properties of the rocker sole is of great importance for its efficacy. This study investigated the capability of human-in-the-loop optimization (HILO) to individually optimize apex position and angle of rocker shoe to reduce peak pressure and collision work simultaneously.
View Article and Find Full Text PDFGerontology
August 2024
Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
Background: Footwear, orthoses, and insoles have been shown to influence balance in older adults; however, it remains unclear which features, singular or in combination, are considered optimal. The aim of this scoping review was to identify and synthesise the current evidence regarding how footwear, orthoses, and insoles influence balance in older adults. Four electronic databases (MEDLINE, CINAHL, Embase, and AMED) were searched from inception to October 2023.
View Article and Find Full Text PDFJ Orthop Case Rep
February 2023
Department of Trauma and Orthopaedics, Sant'Andrea Hospital, Sapienza University of Rome, Rome, Italy.
Healthcare (Basel)
December 2022
College of Fashion and Design, Donghua University, Shanghai 200051, China.
Falls are an inescapable problem influencing the health and threatening the safety of older adults. Exploring the kinematic strategies of aging adults can help reduce the risk of falls. To study kinematic strategies of aging adults in response to footwear (flat shoes, toe spring shoes, rocker sole shoes) and ground surfaces (level ground, grassland and rock road), a 3D motion capture system and subjective stability evaluation, with 14 female participants, were performed.
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