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

Satoh, Atsuko; Kudoh, Yukoh; Lee, Sangun; Saitoh, Masumi; Miura, Miwa; Ohnuma, Yuka; Fukushi, Naoki; Ono, Aya et al. · Geriatr Orthop Surg Rehabil · 2021

rct · Level II

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Abstract

To evaluate fall-prevention rehabilitative slippers for use by self-caring, independent older adults. This assessor-blinded, randomized, and controlled 1-year study included 59 self-caring, independent participants (49 women) who attended day services. The mean age of participants was 84.0 ± 5.3 years. Participants were randomly selected from 8 nursing homes. We tested slippers top-weighted with a lead bead (200, 300, or 400 g). Intervention group participants walked while wearing the slippers for 10-20 min, 1-3 days/week at the day service center. Fall risk was measured using the Berg Balance Scale and the Tinetti Performance-Oriented Mobility Assessment (POMA) before and at 3-month intervals after the intervention/control phase. After 12 months, the intervention group demonstrated significant improvement. Berg Balance and POMA compared to the control group (<i>p</i> < .05 <i>p</i> < .01, respectively). Mobility scores improved significantly for both measurements in the intervention group before and after (<i>p</i> < .01), but the control group had significantly lower scores. Overall, falls decreased in the intervention group from 10 to 7, and control group falls increased from 9 to 16 (<i>p</i> = .02). No adverse events related to the intervention were reported. Rehabilitation training slippers may reduce falls in older adults.