Which Shoes Help Reduce Falls in Older People?

No shoe can guarantee that an older person will not fall. Footwear may reduce avoidable risks when it fits correctly, stays securely attached and provides a predictable base. Look for a low broad heel, a firm supportive sole, useful tread, adequate toe room and an adjustable fastening.

Use a safety checklist, not a marketing label

RDaSH NHS guidance describes appropriate footwear as well fitting, with a low wide heel, firm supportive sole, deep toe box and secure lace, Velcro or buckle fastening. The right design also depends on the person's gait, strength, sensation, mobility aid and the surfaces they use.

Check Safer sign Warning sign
Heel Held securely Repeated lift or crushed back
Sole Stable with intact tread Worn smooth, split or tilted
Fastening Easy to adjust and secure Loose slip-on or trailing laces
Toe area Enough width and depth Toes curled or upper strained
Heel height Low with a broad base High or narrow heel

“Non-slip” should not be read as slip-proof. Grip changes with the floor, contamination and tread wear. Check both shoes regularly and replace footwear that has become distorted.

Indoor footwear matters too

Many falls happen at home. Loose backless slippers, socks on smooth floors and shoes worn with the heel crushed down can all reduce control. A secure indoor shoe or well-fitted slipper with a closed back and fastening is often a stronger choice.

Put shoes on while seated. Keep walking routes clear and ensure the person's usual mobility aid is within reach before standing. Footwear is only one part of falls prevention alongside strength, vision, medicines, blood pressure, home hazards and health conditions.

FitVille examples to assess, not guarantees

The FitVille EasyTop Wings V2 lists an adjustable strap, rubber outsole and widths up to 6E. The FitVille Women's Rebound Core V9 lists 2E and 4E widths and a broad platform. Either must be tested for heel hold, turning and toe clearance; no product specification proves it will prevent a fall for an individual.

If someone has fallen, feels newly unsteady, becomes dizzy or has a sudden change in walking, arrange a GP, falls-service, physiotherapy or podiatry assessment as appropriate.

FAQ

Are trainers good for fall prevention?

A well-fitted supportive trainer can be suitable, but very thick, unstable cushioning or a poor fit may be unhelpful. Judge the complete shoe and the wearer together.

Should older people wear shoes indoors?

Secure indoor footwear can provide protection and grip. It should fit properly and must not become a loose trip hazard.

Bottom line

Choose secure, low, stable and correctly fitted footwear, then include it in a broader falls review. Shoes may reduce footwear-related risk; they cannot remove every cause of falling.

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