By Shannon Stocks, MS, CCC‑SLP
Speech Language Pathologist
LSVT LOUD Certified Clinician
PA South East 2

I recently found out that a patient had tripped while walking down the hallway and took her husband down with her. Although the couple was nothing more than shaken up over the incident, it was imperative to prevent such an event from happening again. So I asked all the usual preventative questions. 

Where did the fall occur? Who was present? 

There were no obstacles in the hallway at the time of the fall, and even the home health aide was present. While learning of a patient’s fall is disconcerting, this news was particularly difficult to swallow. 

What actually caused the collapse of two people in an otherwise safe environment?

As I reviewed fall prevention strategies with my patient, I looked down and noticed that her white sneakers appeared worn. The treading on the bottom of the shoe was deteriorating and her shoe laces were frayed and often came loose from their ties. So it turned out that in a hallway without obstacles, the greatest obstacle was her own two feet.  

When thinking about fall prevention as clinicians, we tend to cover the basics with our older adult patients. We might emphasize the importance of ensuring adequate lighting, clearing common areas, using non-slip mats, and flattening rugs. Yet the argument for proper footwear can be utterly overlooked. This often means getting rid of worn-out shoes or selecting a more appropriate style.

When to Choose a New Shoe

Proper footwear is important no matter what your age. However, as we age and our risk of falling increases, choosing the right shoes becomes crucial. Sometimes that means simply finding a better pair and tossing older, unsafe footwear. 

Deciding when to put down well-loved sneakers or hand over a pair of boots to the Goodwill bin can be challenging because it can be difficult to determine when a good pair of shoes goes from worn-in to worn-out.

Shoes tend to last, on average, between 8 to 12 months. Depending on the quality of the shoe and the wear and tear on the soles, this time frame can vary. 

Something that is not often considered is that feet continue to grow as we age. As adults age, tendons and ligaments in their feet can stretch. And conditions such as callouses, bunions, fallen arches, hammertoe, and weight gain can change one’s shoe size. Anytime a shoe no longer fits comfortably, it may be time for a change. 

Perhaps the most essential consideration is the noticeable wear and tear on the shoe. Cracking and wrinkles in the midsole layer of the shoe could indicate the material will not hold up much longer. Extreme wear on the balls of the foot and edge of the heels are a sure-tell sign of shoe damage.And, if a pair of shoes no longer sits evenly on a surface and rocks or tips over, then the outer soles are worn out and the pair needs to be replaced.

3 Things to Consider When Choosing Footwear for Fall Prevention

Once you and your patients decide it’s time for a new pair of shoes, you need to consider a few things before purchasing. When it comes to selecting proper footwear for fall prevention, it is crucial to consider the following elements:

FIT

If the shoe is too tight, this can cause foot pain. If the shoe is too loose, the wearer may slip and slide. Either of these issues can cause a lack of balance while ambulating.

TREAD

The shoe soles should be sturdy and slip-resistant. If a sole is too smooth it can be slippery. A good grip is crucial to keep one steady in all types of weather conditions. 

WEIGHT

Heavy shoes can contribute to a shuffling gait. Thinner, low-heeled shoes provide better stability while walking and help with posture and balance. 

5 Best Shoe Brands for Fall Prevention

Whether searching for a sturdy walking shoe or around-the-house footwear, the following brands have an impressive line-up of stylish and comfortable options. 

1. Skechers

Skechers produces lightweight and non-slip rubber soled shoes. Known for breathability, most Skechers shoes also have cushioned fabric to prevent blisters. Look for the Women’s Skechers Go Walk, or the Men’s Glide-Step Flex for extra supportive slip-on options. 

2. New Balance

While New Balance may be on the pricier side, these shoes were built to last. Check out the Women’s or Men’s version of the “Made in USA 990v5.” You may just even find the right sneaker to fit your own lifestyle. 

3. Propet

Propet shoes were designed specifically with comfort in mind. Specifically, the Wash & Wear Slip On is a safe choice. Not to mention, you can throw this pair in the washing machine for an easy clean!

4. Hush Puppies

Hush Puppies as a brand displays a variety of shoe opportunities for seniors. The Power Walker shoes may be durable for around the home, while the Women’s Epic Mary Jane can bring comfort to everyday settings. 

5. Orthofeet

As a company, Orthofeet is unique in that you can navigate the website by submitting the specific conditions (e.g. arthritis, back pain, gout, neuropathy) and features (e.g. extra wide, arch support, non-slip) you prefer. Consider the Lava No-Tie Men’s athletic sneakers or the Women’s Palma Stretch Knit with a built-in cushion for anatomical arch support.