Use of textured footwear as an intervention for falls in healthy older adults

Falling due to loss of balance in adults over 65 years of age is common. Prior to a fall occurring progressive muscle weakness and reduced sensory input occurs with sarcopenia commencing from 40 years and mechanoreceptors shrinking 75% by 60. It is well established that exercises in at risk populations improves balance and there is growing evidence to support cutaneous stimulation of the foot with textured surfaces. However, compliance to adhere to treatment can be varied and the initial effect is lost after time. Textured footwear used for athletes improved recovery (Hirai et al., 2019). Using footwear as an intervention for balance would address compliance and could revolutionize falls prevention.