A recently published article analyzed shoe fit in older adults. 111 older adults aged 60 years and over were recruited to study proper shoe wear in older adults. Overall, 72% of participants were wearing footwear that did not fit correctly on both feet, 90% had shoes with smooth, partly worn or fully worn sole treading and 67% reported wearing slippers at home (BMC Geriatr 20, 55 (2020)).

Dr Atanelov representing Steady Strides had been working closely with the National Council of Fall Risk Awareness and Prevention and published a high profile review article titled Lower-Limb Factors Associated with Balance and Falls in Older Adults: A Systematic Review and Clinical Synthesis (J Am Podiatr Med Assoc. 2019 Nov 19). This study showed that fall risk factors include improper footware.

How to pick the right shoe?

Shoe has to fit well. Make sure the soles and heels are not rubbed out. For flat feet-get arch support. For bunions-get wide toe box shoes. If your ankle rolls-get good ankle support: A high and firm heel collar (the back part of the shoe, it should feel hard and not soft when you touch it) can help stabilize the ankle and prevent foot from “rolling.” No slippers or flip-flops. Laces or buckles should be tied tightly to help the shoe contour well and hold during ambulation instead of slipping off as you walk, as it happens with slippers and flip-flops (which should be avoided).

Steady Strides is nation’s first comprehensive medical fall prevention institute. Dr Atanelov, MD developed a gait and balance rehabilitation program bridging modern medicine with human biomechanics science to diagnose and treat conditions causing increased fall risk. Call 443 898 8160 to book an appointment if you or your loved ones are concerned about falls.