The Effect of Non-Slippery Flooring on Postural Stability and Gait Parameters in Severe Osteoporosis Elderly

Abstract

Objectives: Investigating the effective factors in controlling and increasing stability due to weakening of the balance parts of the body in the elderly with osteoporosis, in order to prevent falling is of particular importance, so in this study, the effect of anti-slip flooring in the stimulation of the somatosensory part of the sole of the foot to improve postural stability and gait balance has been evaluated in the elderly with osteoporosis. Methods: 22 elderlies participated (11 elderly women with severe osteoporosis,11 healthy elderly women) in this study in two static and dynamic condition on three different surfaces including sponge non-slippery flooring (FL), PVC patterned non-slippery flooring (SF) and control surface (CO). In the static part, each participant was standing on the force plate for 30 seconds with eyes open and eyes closed. The values of the length, sway and average velocity of the anterior-posterior and internal-external center of pressure of the foot were measured. In the dynamic part, each participant walked at a selected speed on different surfaces and the values of the normalized step and stride length, step width, step and stride time, and average step and stride velocity were measured. Results: PVC non-slippery flooring (SF) and control surface (CO) reduced all postural stability and gait variables (P < 0.05) in osteoporosis and healthy elderly than soft Sponge Surface (SF). Moreover, all postural stability variable and spatial and temporal gait parameters were significantly more in the osteoporosis elderly than in healthy elderlies (P < 0.05). Moreover, anterior-posterior mean velocity in open-eyed state significantly reduced in both elderly groups than close-eyed state (P < 0.05). Conclusion: Stiff and patterned surfaces are more effective than soft spongy surfaces in stimulating the somatosensory part of the foot sole to improve stability in both osteoporotic and healthy elderly groups. The results of this study may be helpful to understand the characteristics of the elderly while walking and standing on non-slippery flooring in different environments and the ergonomic design of the environment in order to reduce slips and falls and as a result possible fracture in the elderly with severe osteoporosis. In addition, observation of instability between the elderly with osteoporosis and healthy suggests the need for further investigation and the use of auxiliary exercises to correct and improve stability.