Effect of painful keratoses debridement on foot pain, balance and function in older adults

Background: Although foot pain has been linked to fall risk, contributions of pain severity, foot posture, or foot function are unclear. These factors were examined in a cohort of older adults. Objective: The purpose of this study was to examine the associations of foot pain, severity of foot pain, and measures of foot posture and dynamic foot function with reported falls in a large, well-described cohort of older adults from the Framingham Foot Study. Methods: Foot pain, posture, and function were collected from Framingham Foot Study participants who were queried about falls over the past year (0, 1, and ≥2 falls). Logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for the relation of falls with foot pain, pain severity, foot posture, and foot function adjusting for covariates. Results: The mean age of the 1,375 participants was 69 years; 57% were female, and 21% reported foot pain (40% mild pain, 47% moderate pain, and 13% severe pain). One-third reported falls in the past year (1 fall: n = 263, ≥2 falls: n = 152). Foot pain was associated with a 62% increased odds of recurrent falls. Those with moderate and severe foot pain showed increased odds of ≥2 falls (OR 1.78, CI 1.06-2.99, and OR 3.25, CI 1.65-7.48, respectively) compared to those with no foot pain. Foot function was not associated with falls. Compared to normal foot posture, those with planus foot posture had 78% higher odds of ≥2 falls. Conclusion: Higher odds of recurrent falls were observed in individuals with foot pain, especially severe foot pain, as well as in individuals with planus foot posture, indicating that both foot pain and foot posture may play a role in increasing the risk of falls among older adults.

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Foot Pain and Pronated Foot Type Are Associated with Self-Reported Mobility Limitations in Older Adults: The Framingham Foot Study

Gerontology ◽

10.1159/000442089 ◽

2015 ◽

Vol 62 (3) ◽

pp. 289-295 ◽

Cited By ~ 7

Author(s):

Hylton B. Menz ◽

Alyssa B. Dufour ◽

Patricia Katz ◽

Marian T. Hannan

Keyword(s):

Older Adults ◽

Weight Bearing ◽

Community Dwelling ◽

The Body ◽

Pressure Measurements ◽

Foot Pain ◽

Mobility Limitations ◽

Foot Posture ◽

Foot Function ◽

And Function

Background: The foot plays an important role in supporting the body when undertaking weight-bearing activities. Aging is associated with an increased prevalence of foot pain and a lowering of the arch of the foot, both of which may impair mobility. Objective: To examine the associations of foot pain, foot posture and dynamic foot function with self-reported mobility limitations in community-dwelling older adults. Methods: Foot examinations were conducted on 1,860 members of the Framingham Study in 2002-2005. Foot posture was categorized as normal, planus or cavus using static pressure measurements, and foot function was categorized as normal, pronated or supinated using dynamic pressure measurements. Participants were asked whether they had foot pain and any difficulty performing a list of eight weight-bearing tasks. Multivariate logistic regression and linear regression models were used to examine the associations of foot pain, posture, function and ability to perform these activities. Results: After adjusting for age, sex, height and weight, foot pain was significantly associated with difficulty performing all eight weight-bearing activities. Compared to those with normal foot posture and function, participants with planus foot posture were more likely to report difficulty remaining balanced [odds ratio (OR) = 1.40, 95% confidence interval (CI) 1.06-1.85; p = 0.018] and individuals with pronated foot function were more likely to report difficulty walking across a small room (OR = 2.07, 95% CI 1.02-4.22; p = 0.045). Foot pain and planus foot posture were associated with an overall mobility limitation score combining performances on each measure. Conclusion: Foot pain, planus foot posture and pronated foot function are associated with self-reported difficulty undertaking common weight-bearing tasks. Interventions to reduce foot pain and improve foot posture and function may therefore have a role in improving mobility in older adults.

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Faculty Opinions recommendation of Trajectories of symptoms and function in older adults with low back disorders.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.725510991.793519833 ◽

2016 ◽

Author(s):

Massimo Allegri

Keyword(s):

Older Adults ◽

Low Back ◽

Back Disorders ◽

Low Back Disorders ◽

And Function

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Orbicularis Oculi Muscle Size and Function: Exploring the Influence of Aging and Exercise Training

Cosmetics ◽

10.3390/cosmetics8020029 ◽

2021 ◽

Vol 8 (2) ◽

pp. 29

Author(s):

Takashi Abe ◽

Jeremy P. Loenneke

Keyword(s):

Older Adults ◽

Exercise Training ◽

Muscle Hypertrophy ◽

Peak Velocity ◽

Muscle Thickness ◽

Muscle Size ◽

Sphincter Muscle ◽

Orbicularis Oculi Muscle ◽

Orbicularis Oculi ◽

And Function

The orbicularis oculi muscle is the sphincter muscle of the eyelids that blinks and closes the eyes. In this review, our aim was threefold: (1) to introduce the performance characteristics of blinking activity in young and older adults, (2) to discuss the influence of aging on the orbicularis oculi muscle in healthy adults, and (3) to provide information about the effect of facial exercise training on the orbicularis oculi muscle. To achieve the purpose of this review, a search using two electronic databases (PubMed and Scopus) and a search engine (Google Scholar) was conducted. The amplitude and peak velocity of spontaneously blinking behavior, which is an index of muscle function of the orbicularis oculi, appear to be affected by aging. The muscle thickness of the orbicularis oculi tends to be low in older adults, but there are issues that need to be examined further, such as differences in sex and measurement positions. There was no study on the effect of exercise training; however, the results of a highly trained man indicate that the orbicularis oculi muscles might elicit muscle hypertrophy through non-traditional resistance exercise.

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The Association Between Sarcopenia and Postoperative Outcomes Among Older Adults With Hip Fracture: A Systematic Review

Journal of Applied Gerontology ◽

10.1177/07334648211006519 ◽

2021 ◽

pp. 073346482110065

Author(s):

Ming-Hsiu Chiang ◽

Yi-Jie Kuo ◽

Yu-Pin Chen

Keyword(s):

Systematic Review ◽

Older Adults ◽

Hip Fracture ◽

Postoperative Mortality ◽

Clinical Event ◽

High Morbidity ◽

Adverse Health Outcomes ◽

Age Related ◽

Study Selection ◽

And Function

Hip fracture is a serious clinical event with high morbidity and mortality. Sarcopenia is characterized by age-related loss of muscle mass and function, leading to several adverse health outcomes. In this systematic review, no limitation criteria were used for study selection and 327 studies were identified in the initial search. Of these, 11 studies comprising a total of 2,314 patients were selected. The overall proportion of older adults with hip fracture having sarcopenia was 44%, with a disparity of approximately 10% between men and women. Most studies have indicated that older adults with sarcopenia had poorer postoperative functional recovery than those without sarcopenia; the association between sarcopenia and high postoperative mortality or long hospital stay was heterogeneous. Well-organized studies with longer follow-up periods are warranted.

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Sexual Health and Function in Later Life: A Population-Based Study of 606 Older Adults with a Partner

American Journal of Geriatric Psychiatry ◽

10.1016/j.jagp.2014.03.006 ◽

2015 ◽

Vol 23 (3) ◽

pp. 227-233 ◽

Cited By ~ 42

Author(s):

Vicki Wang ◽

Colin A. Depp ◽

Jennifer Ceglowski ◽

Wesley K. Thompson ◽

David Rock ◽

...

Keyword(s):

Older Adults ◽

Sexual Health ◽

Later Life ◽

Population Based ◽

Population Based Study ◽

And Function

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Age and Perceptions of Usability on Telephone Menu Systems

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/154193120204600201 ◽

2002 ◽

Vol 46 (2) ◽

pp. 175-179 ◽

Cited By ~ 4

Author(s):

Christopher Reynolds ◽

Sara J. Czaja ◽

Joseph Sharit

Keyword(s):

Older Adults ◽

Real World ◽

Community Dwelling ◽

Relative Importance ◽

Menu System ◽

And Function ◽

Sample Set

The objectives of this study were to determine if older adults encounter difficulty using real-world telephone menu system applications and to gather data on the usability features of these systems. Six real-world telephone menu systems, which varied in complexity and function, were examined. The sample included 32 community dwelling adults ranging in age from 18–80 years. Participants interacted with the menu systems to perform a sample set of tasks. They were also asked to rate the usability features of the system in terms of their goodness and their relative importance. The data indicated that in addition to taking longer, the older adults tended to have more difficulty performing the tasks. The findings also indicated that memorability was an important usability feature, and that the ratings of overall usability and overall satisfaction were significantly worse for the older adults.

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Abstract 3017: Physiological Factors Associated with Fatigue in Older Adults after Myocardial Infarction

Circulation ◽

10.1161/circ.116.suppl_16.ii_675-c ◽

2007 ◽

Vol 116 (suppl_16) ◽

Author(s):

Patricia B Crane ◽

Jerilyn Allen

Keyword(s):

Myocardial Infarction ◽

Older Adults ◽

Multiple Linear Regression Model ◽

Unexpected Finding ◽

Physiological Factors ◽

Convenience Sample ◽

Fatigue Score ◽

Total Score Range ◽

And Gender ◽

And Function

Fatigue after myocardial infarction (MI) is a barrier to secondary prevention behaviors such as engaging in recommended levels of physical activity. However, little is known about physiologic factors that may contribute to fatigue. The purpose of this study was to describe the prevalence of fatigue in older adults after MI and to examine the associations of physiological factors of cardiac function (b-natriuretic peptide [BNP], mean arterial pressure, heart rate), inflammation (IL-6), BMI, and hemoglobin (Hgb) with self-reported fatigue. Methods: A convenience sample of women ( n =49) and men ( n =49) ages ≤65 completed questionnaires and underwent physiologic measures 6 – 8 months after discharge post MI. Subjects completed a demographic health form and fatigue measures (Revised Piper Fatigue Scale and the Multidimensional Assessment of Fatigue Scale functional items), and had height, weight, pulse, and blood pressure measured. Fatigue was measured as a total score (range 0 –310) and as 5 subscales (behavior/severity, affective, sensory, cognitive/mood, and function). Blood samples were also taken, and Hgb, IL-6, and BNP were measured in the same laboratory using standardized procedures. Results: Patients were an average of 75.69 ± 6.45 years of age. Fatigue was reported by 75 (77%) with a mean score of 102.46 (SD=57.7; range 8 –235). More women (84%) reported fatigue than men (69%), though this difference was not statistically significant. Patients reported higher fatigue scores on the behavior/severity and sensory subscales compared to the other fatigue subscales. Bivariate correlations of physiological factors and the total fatigue score revealed one significant physiological correlate, IL-6 ( r =.29). Controlling for age and gender, a multiple linear regression model explained 8.7% of the variance in fatigue ( F = 2.769 ; p <.05) with IL-6 as the only significant independent variable ( p =.010). An unexpected finding was that BNP did not correlate with fatigue. Discussion: Fatigue is prevalent in the majority of older adults after MI. Results indicate that inflammation may play a stronger role in fatigue than other physiological factors. Further research is needed to examine how inflammation and other physiologic factors may influence fatigue post MI.

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