Ma Christina Zong-Hao, Lam Wing-Kai, Chang Bao-Chi, Lee Winson Chiu-Chun
J Aging Phys Act. 2020 Jun 4;28(6):971-986. doi: 10.1123/japa.2019-0293. Print 2020 Dec 1.
This systematic review investigated the effects of orthopedic, vibrating, and textured insoles on the postural balance of community-dwelling older adults. Articles published in English from 1999 to 2019 investigating the effects of (a) orthopedic, (b) vibrating, and (c) textured insoles on static and dynamic balance in community-dwelling older adults were considered. Twenty-four trials with a total of 634 older adults were identified. The information gathered generally supported the balance-improving effects of orthopedic, vibrating, and textured insoles in both static and dynamic conditions among community-dwelling older adults. Further examination found that rigidity, texture patterns, vibration thresholds, and components like arch supports and heel cups are important factors in determining whether insoles can improve balance. This review highlights the potential of insoles for improving the static and dynamic balance of community-dwelling older adults. Good knowledge in insole designs and an understanding of medical conditions of older adults are required when attempts are made to improve postural balance using insoles.
本系统评价研究了矫形鞋垫、振动鞋垫和纹理鞋垫对社区居住老年人姿势平衡的影响。纳入了1999年至2019年发表的英文文章，这些文章研究了以下方面对社区居住老年人静态和动态平衡的影响：（a）矫形鞋垫；（b）振动鞋垫；（c）纹理鞋垫。共识别出24项试验，涉及634名老年人。收集到的信息总体上支持矫形鞋垫、振动鞋垫和纹理鞋垫在社区居住老年人的静态和动态条件下均具有改善平衡的作用。进一步研究发现，鞋垫的硬度、纹理模式、振动阈值以及诸如足弓支撑和后跟杯等部件是决定鞋垫能否改善平衡的重要因素。本综述强调了鞋垫在改善社区居住老年人静态和动态平衡方面的潜力。在尝试使用鞋垫改善姿势平衡时，需要具备良好的鞋垫设计知识并了解老年人的健康状况。
