Age-related changes in postural control for wearing shoes using different process of leg-raising processes in the sitting position: a pilot study.
Ryosuke Miyadera, Tsuneto Furuta
PMID 31037015WHAT IT FOUND
Healthy older men moved their center of pressure farther and used more trunk and hip muscle effort than younger men when crossing a leg to put on shoes.
The easiest, fastest way was lifting the leg slightly without hands.
Key findings
01In these healthy men, pattern A, wearing shoes with the leg raised slightly and no hand support, took the shortest time and was rated easiest.
02Senior adults had larger total center-of-pressure movement than young adults when performing the leg-crossing patterns C and D.
03Senior adults showed higher gluteus maximus and internal oblique muscle effort than young adults across all four shoe-wearing patterns.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
Only nine young adults and nine senior adults were tested, all male and right lower limb dominant, so the results may not apply to women, left lower limb dominant people, or people with disability. The paper is motivated by patients with hemiplegia, but no participants with hemiplegia were tested. It is a pilot study with a convenience sample, so the findings need confirmation in larger clinical samples. The ease score was collected after the posture measures, so it is not clear whether perceived difficulty and measured effort relate in patients.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that crossing the leg over the unaffected side is unsafe for people with hemiplegia. The paper did not test anyone with hemiplegia; it only measured healthy young and senior men.