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Toe Clearance Rehabilitative Slippers for Older Adults With Fall Risk: A Randomized Controlled Trial.

Atsuko Satoh1, Yukoh Kudoh2, Sangun Lee3

  • 1Faculty of Nursing, Hirosaki Gakuin University, Hirosaki, Japan.

Geriatric Orthopaedic Surgery & Rehabilitation
|August 5, 2021
PubMed
Summary

Weighted rehabilitation slippers significantly reduced falls in older adults. This study found that wearing these specialized slippers improved balance and mobility, leading to fewer fall incidents over a 12-month period.

Keywords:
balancefallolder adultspreventtraining

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Area of Science:

  • Gerontology
  • Rehabilitation Science
  • Biomechanics

Background:

  • Falls are a major concern for older adults, impacting independence and quality of life.
  • Developing effective fall-prevention strategies is crucial for geriatric care.
  • Rehabilitative footwear presents a novel approach to address fall risks in the elderly.

Purpose of the Study:

  • To evaluate the efficacy of fall-prevention rehabilitative slippers in reducing falls among self-caring, independent older adults.
  • To assess the impact of weighted slippers on balance and mobility.
  • To determine the safety and feasibility of using rehabilitative slippers in a geriatric population.

Main Methods:

  • A 1-year, assessor-blinded, randomized controlled trial involving 59 independent older adults (mean age 84.0 ± 5.3 years).
  • Participants were assigned to wear top-weighted slippers (200, 300, or 400 g) for 10-20 minutes, 1-3 days/week, or served as controls.
  • Fall risk was assessed using the Berg Balance Scale and Tinetti Performance-Oriented Mobility Assessment (POMA) at baseline and 3-month intervals.

Main Results:

  • The intervention group showed significant improvements in Berg Balance Scale and POMA scores compared to the control group (p < .05 and p < .01, respectively).
  • Mobility scores significantly improved within the intervention group post-intervention (p < .01).
  • Falls decreased from 10 to 7 in the intervention group, while increasing from 9 to 16 in the control group (p = .02).

Conclusions:

  • Rehabilitation training slippers, particularly weighted ones, may be an effective intervention for reducing falls in older adults.
  • The use of weighted slippers demonstrated improvements in balance and mobility, contributing to fall reduction.
  • No adverse events were reported, indicating the safety of this rehabilitative approach.