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Effects of Arch Support Insoles on Single- and Dual-Task Gait Performance Among Community-Dwelling Older Adults

Authors Peng HT, Lin CH, Kuo YC, Song CY

Received 18 March 2020

Accepted for publication 12 July 2020

Published 10 August 2020 Volume 2020:15 Pages 1325—1332

DOI https://doi.org/10.2147/CIA.S254474

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Zhi-Ying Wu


Hsien-Te Peng,1 Chueh-Ho Lin,2,3 Yu-Chi Kuo,4 Chen-Yi Song5

1Department of Physical Education, Chinese Culture University, Taipei, Taiwan; 2Master Program in Long-Term Care, College of Nursing, Taipei Medical University, Taipei, Taiwan; 3Center for Nursing and Healthcare Research in Clinical Practice Application, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan; 4Department of Exercise and Health Science, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan; 5Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan

Correspondence: Chen-Yi Song
Department of Long-Term Care, National Taipei University of Nursing and Health Sciences, 365 Ming-Te Road, Taipei 11219, Taiwan
Tel +886 2 28227101 Ext 6136
Fax +886 2 23891464
Email cysong@ntunhs.edu.tw

Purpose: To explore the immediate and prolonged effects of arch support insoles on single- and dual-task gait performance among community-dwelling older adults.
Methods: Twenty women performed single- and dual-task walking for 10 m at self-selected comfortable and fast paces while performing serial subtractions (cognitive interference) or carrying a tray (motor interference). Spatiotemporal gait parameters were measured and compared with measurements without arch support immediately after the insertion of the insoles and at 1-week follow-up.
Results: Some effects were noted, with small-to-medium effect sizes. During comfortable-paced single-task walking, stride length and walk ratio (step length/cadence) increased after arch support use. During comfortable-paced motor dual-task walking, arch support use increased cadence, stride length, and speed and decreased dual-task costs (DTCs) on cadence and speed. During fast-paced motor dual-task walking, cadence increased and the DTC on cadence decreased after arch support use at the 1-week follow-up. During comfortable-paced cognitive dual-task walking, cadence increased and the walk ratio decreased following arch support use. At the 1-week follow-up, DTCs on cadence reduced, but those on stride length and speed increased. During fast-paced cognitive dual-task walking, the speed and stride length demonstrated immediate decreases followed by increases at the 1-week follow-up.
Conclusion: The study results indicate that the use of arch support improves single- and motor dual-task gait performance, which may contribute to gait and balance training in older adults.

Keywords: gait, dual-task, insole, elderly

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