Influence of footwear on postural sway: A systematic review and meta-analysis on barefoot and shod bipedal static posturography in patients and healthy subjects.

Background: Bipedal static posturography is widely used to assess postural control. However, standardized methods and evidence on the influence of footwear on balance in comparison to barefoot stance is sparse.Research Questions: Is bipedal static posturography applied in a standardized way with res...

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Publicado en:Gait & Posture Vol. 92; pp. 302 - 315
Autores principales: Reutimann, Stefan, Hill-Strathy, MaryJane, Krewer, Carmen, Bergmann, Jeannine, Müller, Friedemann, Jahn, Klaus, Rauen, Katrin
Formato: meta analysis research systematic review Journal Article
Publicado: Elsevier B.V. Feb2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2022
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      pub: Elsevier B.V.
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        10.1016/j.gaitpost.2021.11.022
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        atl: Influence of footwear on postural sway: A systematic review and meta-analysis on barefoot and shod bipedal static posturography in patients and healthy subjects.
      aug:
        au:
          Reutimann, Stefan
          Hill-Strathy, MaryJane
          Krewer, Carmen
          Bergmann, Jeannine
          Müller, Friedemann
          Jahn, Klaus
          Rauen, Katrin
        affil: Department of Health Sciences and Technology, Swiss Federal Institute of Technology, Zurich, Switzerland
      sug:
        subj:
          Foot
          Shoes
          Human
          Research Subjects
          Lower Extremity
          Balance, Postural
          Adult
          Comparative Studies
          Multicenter Studies
          Evaluation Research
          Validation Studies
          Systematic Review
          Meta Analysis
          Adult: 19-44 years
      ab: Background: Bipedal static posturography is widely used to assess postural control. However, standardized methods and evidence on the influence of footwear on balance in comparison to barefoot stance is sparse.Research Questions: Is bipedal static posturography applied in a standardized way with respect to demographics and the experimental set-up (systematic review)? Does habitual footwear influence postural control in comparison to barefoot condition during bipedal static posturography in adult patients and healthy subjects (meta-analysis)?Methods: For this systematic review and meta-analysis, a comprehensive follow-up literature search was conducted from March 2009 until January 2020 according to the PRISMA guidelines. Original, research articles reporting on bipedal, unsupported, static posturography in adults (≥18 years) were included according to inclusion criteria (age, sex, height, weight, duration, repetitions, visual/foot condition, sampling frequency). Studies comparing habitual footwear with barefoot condition during bipedal static posturography were included for the meta-analysis. Center of pressure parameters (sway velocity, range, root mean square, paths lengths) with subjects having eyes closed (EC) or open (EO) were analyzed using random effects models.Results: For this systematic review and meta-analysis, 207 and eight out of 5189 studies with 12'341 and 156 subjects, respectively, were eligible. Most studies (89%) reported barefoot, 5% shod, and 6% barefoot and shod measurements. Less than half of studies (44%) included patients of which the minority (13%) suffered from neurological disease. Sway velocity in the anterior-posterior direction was higher in habitual shoes compared to barefoot with EC (SMD: 1.08; 95% CI: 0.68-1.48; p < 0.01; I2 = 0%), with EO (SMD: 0.68; 95% CI: 0.11-1.26; p = 0.02; I2 = 1%), and in the medio-lateral direction with EC (SMD: 1.30; 95% CI: 0.76-1.85, p < 0.01; I2 = 37%).Significance: Methodical heterogeneity of bipedal static posturography hampers studies' comparability. Thus, we provide a standardized approach to increase knowledge whether habitual footwear decrease postural control in comparison to barefoot stance.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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