Abstract

Background/aim Changes in balance and postural control have been reported during the perimenopausal period. We investigated the effect of medial longitudinal arch height and medial arch support insoles on postural sway and balance in middle-aged perimenopausal women. Materials and methods 29 women with normal arches and 29 women with low arches were included in the study. The foot arches of the participants were determined using the arch height index. The static balance index (SBI) measured by Kinesthetic Ability Trainer 3000 and functional reach test were used to evaluate postural balance. Measurements were obtained from all participants with and without medial arch support insoles. Results The SBI-total scores without the insoles were found to be significantly higher in the lower arch group than in the normal arch group. SBI-total, SBI-anteroposterior, and SBI-mediolateral scores significantly improved in the low arch group in the presence of insoles, whereas the usage of insoles resulted in no difference in the normal arch group. In the presence of insoles, the reach distances to left and right sides increased in both groups, while the forward functional reach distances decreased. Conclusion Medial longitudinal arch height and medial arch support insoles affect the balance parameters in perimenopausal women.

Highlights

  • Pes planus is defined as a decrease in medial longitudinal arch (MLA) height, hyperabduction of the forefoot, and valgus posture of the midfoot and hindfoot

  • static balance index (SBI)-total, SBI-anteroposterior, and SBI-mediolateral scores significantly improved in the low arch group in the presence of insoles, whereas the usage of insoles resulted in no difference in the normal arch group

  • In this study, we showed that low MLA has a negative effect on SBI in perimenopausal women

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Summary

Introduction

Pes planus is defined as a decrease in medial longitudinal arch (MLA) height, hyperabduction of the forefoot, and valgus posture of the midfoot and hindfoot. The exact cause is unknown, a low MLA negatively affects balance by disrupting the stability of the foot and the relation between the foot and the floor [3,4,5,6]. There are studies in the literature which report a relationship between arch pathologies and poor postural sway in young adults and seniors over 65 years of age [3,6,7]. It has been reported that the frequency of falls in middle and advanced ages is higher in women [8]

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