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
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
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
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]