Browse > Article

The Effect of a Rollator on Plantar Pressure and Foot Balance during Gait in old-aged Adults  

Koo, Hyung-Mo (Department of Physical Therapy, College of Health Science, Youngsan University)
Kim, Min-Hee (Laboratory of Neuroscience, Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
Publication Information
The Journal of Korean Physical Therapy / v.22, no.5, 2010 , pp. 71-76 More about this Journal
Abstract
Purpose: The present study was designed to investigate the effect of a Rollator on plantar pressure and foot balance during gait in older adults. Methods: Twenty consecutive subjects (8 men, 12 women; age: $69.9{\pm}8.9$) had the following measurements done: plantar pressure in 10 areas of the foot, foot balance including heel rotation, foot balance, forefoot balance, medial forefoot balance, and meta loading during gait with or without a Rollator. Results: Significant differences in plantar pressure were observed in the areas of toes 2-5 or etatarsal areas 1, 4, 5 during gait with and without a Rollator. There were no significant differences in other areas of the foot. Regarding foot balance during gait with or without a Rollator, there were statistically significant differences in heel rotation, forefoot balance, medial forefoot balance, and meta loading. Conclusion: For older adults, the use of a Rollator can decrease plantar pressure and increase foot balance in various foot areas.
Keywords
Gait; Foot balance; Old-aged adult; Plantar pressure; Rollator;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Brandt A, Iwarsson S, Stahl A. Satisfaction with rollators among community-living users: a follow-up study. Disabil Rehabil. 2003;25(7):343-53.   DOI   ScienceOn
2 Bateni H, Maki BE. Assistive devices for balance and mobility: benefits, demands, and adverse consequences. Arch Phys Med Rehabil. 2005;86(1):134-45.   DOI   ScienceOn
3 Mahoney J, Euhardy R, Carnes M. A comparison of a two-wheeled walker and a three-wheeled walker in a geriatric population. J Am Geriatr Soc. 1992;40(3):208-12.
4 Kim MY, Moon JH, Kim HJ et al. The changes of foot pressure distribution after orthotic shoes wearing in flatfoot. J Kor Acad of Rehab Med. 1998;22(1):217-23.
5 Park SJ, Kim MH, Kim JS. Changes of relative impulse of foot on carrying 5 types of schoolbag during level walking. J Kor Soc Phys Ther 2009;21(3):61-8.   과학기술학회마을
6 Savelberg HH, Schaper NC, Willems PJ et al. Redistribution of joint moments is associated with changed plantar pressure in diabetic polyneuropathy. 2009;10:16.
7 Bateni H, Heung E, Zettel J et al. Can use of walkers or canes impede lateral compensatory stepping movement? Gait Posture. 2004;20(1):74-83.   DOI   ScienceOn
8 Kim BK, Kim TH. The change of lower-limb muscle activity according to gait speed when normal and assistive gait of older. Korean J Orthop Manu Ther. 2008;14(2):60-7.
9 Pils K, Neumann F, Meisner W et al. Predictors of falls in elderly people during rehabilitation after hip fracture--who is at risk of a second one? Z Gerontol Geriat. 2003;36(1): 16-22.   DOI   ScienceOn
10 Cetin E, Muzembo J, Pardessus V et al. Impact of different types of walking aids on the physiological energy cost during gait for elderly individuals with several pathologies and dependent on a technical aid for walking. Annals of Physical and Rehabilitation. 2010[Epub ahead of print].
11 Graafmans WC, Lips P, Wijlhuizen GJ et al. Daily physical activity and the use of a walking aid in relation to falls in elderly people in a residential care setting. Z Gerontol Geriatr. 2003;36(1):23-8.   DOI   ScienceOn
12 Alkjaer T, Larsen PK, Pedersen G et al. Biomechanical analysis of rollator walking. Biomed Eng Online. 2006;5:2.   DOI
13 Bohannon RW. Gait performance with wheeled and standard walkers. Percept Mot Skills. 1997;85(3 Pt 2):1185-6.   DOI
14 Hausdorff JM, Edelberg HK, Mitchell SL et al. Increased gait unsteadiness in community-dwelling elderly fallers. Arch Phys Med Rehabil. 1997;78(3):278-83.   DOI   ScienceOn
15 Lee SY, Bae SS. The studies on the foot stability and kinesiology by direction of carry a load during gait. J Kor Soc Phys Ther. 2009;21(2):97-101.   과학기술학회마을
16 Meyring S, Diehl RR, Milani TL et al. Dynamic plantar pressure distribution measurements in hemiparetic patients. Clin Biomech (Bristol, Avon). 1997;12(1):60-5.   DOI   ScienceOn
17 Shu L, Hua T, Wang Y et al. In-shoe plantar pressure measurement and analysis system based on fabric pressure sensing array. IEEE Trans Inf Technol Biomed. 2010[Epub ahead of print].
18 Hessert MJ, Vyas M, Leach J et al. Foot pressure distribution during walking in young and old adults. BMC Geriatr. 2005;5:8.   DOI
19 Yoon SH. Biomechanical analysis of the elderly gait with a walking assistive device. Korean Journal of Sport Biomechanics. 2007;17(2):1-9.   과학기술학회마을   DOI
20 Churchill JD, Galvez R, Colcombe S et al. Exercise, experience and the aging brain. Neurobiol Aging. 2002;23(5): 941-55.   DOI   ScienceOn
21 Foley MP, Prax B, Crowell R et al. Effects of assistive devices on cardiorespiratory demands in older adults. Phys Ther. 1996;76(12):1313-9.
22 van Gelder BM, Tijhuis MA, Kalmijn S et al. Physical activity in relation to cognitive decline in elderly men: the FINE study. Neurology. 2004;63(12):2316-21.   DOI   ScienceOn
23 Eggermont LH, van Heuvelen MJ, van Keeken BL et al. Walking with a rollator and the level of physical intensity in adults 75 years of age or older. Arch Phys Med Rehabil. 2006;87(5):733-6.   DOI   ScienceOn
24 Edward NI, Jones DA. Ownership and use of assistive devices amongst older people in the community. Age Ageing. 1998; 27(4):463-8.   DOI   ScienceOn
25 Li S, Armstrong CW, Cipriani D. Three-point gait crutch walking: variability in ground reaction force during weight bearing. Arch Phys Med Rehabil. 2001;82(1):86-92.   DOI   ScienceOn
26 Youdas JW, Kotajarvi BJ, Padgett DJ et al. Partial weightbearing gait using conventional assistive devices. Arch Phys Med Rehabil. 2005;86(3):394-8.   DOI   ScienceOn