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The effects of textured materials on static balance in healthy young and older adults: A systematic review with meta-analysis
Affiliation:1. Podiatry Service Torbay and Southern Devon Health and Care NHS Trust, United Kingdom;2. School of Health Professions, Faculty of Health and Human Sciences Plymouth University, United Kingdom;3. Faculty of Health Sciences, Staffordshire University, Stoke-on-Trent, United Kingdom;1. Sports Medicine and Neuromechanics Laboratory, Department of Movement Sciences and Health, University of West Florida, Pensacola, FL, USA;2. Neuromechanics Laboratory, Department of Kinesiology, Mississippi State University, Mississippi State, MS, USA;3. Biomechanics Laboratory, Department of Health Sciences and Kinesiology, Georgia Southern University, Statesboro, GA, USA;4. Department of Orthopaedic Surgery, Columbus Orthopaedic, Columbus, MS, USA;1. Biodynamics Research Laboratory, Department of Kinesiology, University of North Carolina at Charlotte, Charlotte, NC, USA;2. Laboratory of Systems Physiology, Department of Kinesiology, University of North Carolina at Charlotte, Charlotte, NC, USA;1. School of Human Movement Science, Faculty of Medicine and Surgery, University of Rome ‘‘Tor Vergata’’, Rome, Italy;2. Department of Human Neuroscience, Faculty of Medicine and Dentistry, Sapienza University of Rome, Italy;3. Department of Human Sciences and Promotion of the Quality of Life, San Raffaele Roma Open University, Italy;4. Department of Medicine Systems, University of Rome ‘‘Tor Vergata’’, Rome, Italy;5. Centre of Space Bio-Medicine, “Tor Vergata” University of Rome, Rome, Italy;1. Niederrhein University of Applied Sciences, Faculty of Health Care, Therapeutic Sciences, Reinarzstr. 49, 47805, Krefeld, Germany;2. German Sport University Cologne, Department of Further Education, M.Sc. Sport Physiotherapy, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany;3. German Sport University Cologne, Institute of Movement and Neurosciences, Am Sportpark Müngersdorf 6, 50933, Cologne, Germany
Abstract:BackgroundStanding on textured materials can improve static balance, potentially by modulating somatosensory inputs from the soles of the feet.Research questionTo synthesise and quantify the immediate effects of textured materials on static balance in healthy young and older adults.MethodsPrimary outcomes were the centre of pressure (COP) displacement and velocity, during eyes open and eyes closed conditions. Ten crossover studies (n = 318, 58% female) met the inclusion criteria. A random effects meta-analysis model derived pooled standardised mean differences (SMD; Hedges g) to quantify the effects of textured materials. Heterogeneity was quantified with the tau-statistic (τ). A 95% prediction interval quantified the likely range of true effects on COP outcomes in similar future studies.ResultsThere was a small to moderate beneficial effect for textured materials vs control conditions in: COP displacement during both eyes open (SMD: 0.29; 95% CI -0.06 to 0.64; τ = 0.32) and eyes closed (SMD: 0.75; 95% CI 0.18 to 1.33; τ = 0.55). A trivial to small beneficial effect was observed in COP velocity during eyes open (SMD: 0.14; 95% CI -0.14 to 0.43; τ = 0.18) and eyes closed (SMD: 0.20; 95% CI 0.01 to 0.40; τ = 0.18) for textured materials. The 95% prediction intervals showed texture may not consistently provide beneficial results across studies for all outcomes: COP displacement EC (-0.61 to 2.12), EO (-0.54 to 1.12), COP velocity EC (-0.27 to 0.68) and EO (-0.44 to 0.73).SignificanceOverall, textured materials improved balance, but these effects were heterogeneous. This research may therefore inform applied investigations into balance improvements for healthy populations, for example, in functional movements and sports.
Keywords:Textured insoles  Mechanoreceptors  Postural sway  Healthy adults  Prediction interval
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