from Part I - Epidemiology and Risk Factors for Falls
Published online by Cambridge University Press: 04 November 2021
As outlined in earlier chapters, falls in older people result from the interaction between intrinsic, or physiological risk factors (such as visual impairment, muscle weakness, and slowed reaction time), and extrinsic, or environmental risk factors (such as slippery surfaces, cracked footpaths, or loose floor rugs). Because the foot is the only direct source of contact with the supporting surface when undertaking weightbearing activities, it represents an important interface between intrinsic and extrinsic falls risk factors. This interface is further modified by footwear, which can affect balance in either a beneficial or detrimental manner. As such, foot problems and footwear have a significant influence on risk of falling in older people. This chapter provides an overview of the contribution of foot problems and footwear to falls in older people, and the role of podiatry in preventing falls. The use of footwear and foot orthoses as interventions is further addressed in Chapter 22.
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