Footwear Characteristics and Foot Problems in Older People

Gerontology ◽  
2005 ◽  
Vol 51 (5) ◽  
pp. 346-351 ◽  
Author(s):  
Hylton B. Menz ◽  
Meg E. Morris
Keyword(s):  
Older People ◽  
Foot Problems

Foot problems

2017 ◽  
pp. 585-590
Author(s):  
Hylton B. Menz
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Weight Bearing ◽  
Older Person ◽  
Vascular Disorders ◽  
Foot Problems ◽  
Detrimental Impact

Foot problems affect one in four people aged over 65 years and have a major detrimental impact on mobility and quality of life. With advancing age, the foot undergoes several cutaneous, vascular, neurological, and musculoskeletal changes, all of which may impair this important weight bearing function and predispose the older person to the development of foot symptoms. This chapter provides an overview of the prevalence and impact of foot problems in older people, and briefly discusses the management of common foot problems in older people including skin and nail disorders, vascular disorders, and structural deformities. The important role of footwear in the management of foot problems is also highlighted.

The management of foot problems in the older person through podiatry services

2011 ◽  
Vol 21 (4) ◽  
pp. 331-339 ◽  
Author(s):  
Wesley Vernon ◽  
Alan Borthwick ◽  
Jeremy Walker
Keyword(s):  
At Risk ◽  
Older People ◽  
Self Care ◽  
Evidence Base ◽  
Professional Autonomy ◽  
Scope Of Practice ◽  
Older Person ◽  
Foot Care ◽  
Foot Problems

SummaryThe scale of foot problems in the population is high, and highest in older people. Whilst podiatry is solely concerned with the foot, other professions with a broader remit are also involved in foot care, as not only the foot may be at risk but also there may be serious systemic sequelae. Foot problems can be usefully viewed from a functional, hierarchical perspective. The interventions required are suggested by considering problems according to this hierarchy. Many approaches exist for the management of foot conditions from educated self-care to surgery. In managing such conditions, multi-disciplinary approaches are required. Podiatry has developed considerably over the years, has a growing research base, an extensive scope of practice and anticipated developments. The profession can develop further, particularly in its preventative role, in terms of professional autonomy and in further increasing its evidence base.

Foot problems in older people

2009 ◽  
Vol 7 (1) ◽  
pp. 51
Author(s):  
J. Dohle
Keyword(s):  
Older People ◽  
Foot Problems

Foot Pain Impairs Balance and Functional Ability in Community-Dwelling Older People

2001 ◽  
Vol 91 (5) ◽  
pp. 222-229 ◽  
Author(s):  
Hylton B. Menz ◽  
Stephen R. Lord
Keyword(s):  
Older People ◽  
Functional Ability ◽  
Postural Sway ◽  
Community Dwelling ◽  
Foot Pain ◽  
Significant Independent Predictor ◽  
Balance Test ◽  
Impaired Performance ◽  
Foot Problems ◽  
Community Dwelling Older People

Foot problem assessments were performed on 135 community-dwelling older people in conjunction with clinical tests of balance and functional ability. Eighty-seven percent of the sample had at least one foot problem, and women had a higher prevalence than men of foot pain, hallux valgus, plantar hyperkeratosis, lesser digital deformity, and digital lesions. Postural sway did not differ between older people with and without each of these foot conditions. However, the presence of specific foot conditions impaired performance in a more challenging balance test and in some functional tests. In particular, older people with foot pain performed worse in a leaning balance test, stair ascent and descent, an alternate step-up test, and a timed six-meter walk. Furthermore, multiple regression analyses revealed that foot pain was a significant independent predictor of performance in each of these tests. These results show that the presence of foot problems, particularly foot pain, impairs balance and functional ability. As foot pain is amenable to treatment, podiatric intervention has the potential to improve mobility and independence in older people. (J Am Podiatr Med Assoc 91(5): 222-229, 2001)

Managing common foot problems in older people

2011 ◽  
Vol 13 (12) ◽  
pp. 572-577
Author(s):  
Elaine A Ricci
Keyword(s):  
Older People ◽  
Foot Problems

scholarly journals POS1285 FOOT DISORDERS AND FALLS RISK IN OLDER PERSONS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 925.1-925
Author(s):  
N. Fani ◽  
E. Toulgui ◽  
D. Khalifa ◽  
S. Mtaoua ◽  
W. Ouanes ◽  
...  
Keyword(s):  
Older People ◽  
Hallux Valgus ◽  
Independent Living ◽  
Healthy Aging ◽  
University Hospital ◽  
Foot Deformities ◽  
Timed Up And Go ◽  
Cross Sectional ◽  
Foot Problems ◽  
Walking Performance

Background:Falls are major problems in older people, leading to serious morbidity and mortality. Many studies have identified intrinsic and extrinsic fall risk factors in order to develop preventive strategies and guidelines. There are few reports which studied the impacts of aging feet on falls [1].Objectives:The present study aimed to explore foot musculoskeletal disorders and their relationship to falls in a healthy aging population.Methods:This was a cross-sectional descriptive study involving the patients aged 65 years and over who were independent in self-care and walking followed at the physical medicine and rehabilitation department of the university hospital of sousse over 3 months. The analysed data focused on the epidemiological and clinical characteristics.Trained physicians evaluated health status, foot problems, and fall(s) history of all subjects. Walking performance was assessed using the ‘Timed Get Up & Go’ test and the unipedal stance test was used for the assessment of balance. Footprints were taken from the standing position. Associated factors of foot disorders and falls were analyzed.Results:There were 45 subjects: 18 men, 27 women with a mean age of 69.6 [65-86] years. Foot deformities presented in 87% and were a significantly associated with walking performance or falls (p=0.01, p=0.02). The most common foot musculoskeletal disorder were Halux valgus 31%, followed by Mallet toe 15%. Arch of foot classified by physical examination revealed that pes planus was presented in 35% of cases. There was a significant correlation between BMI and an arch index (p=0.04). Foot problems remained significantly associated with impaired timed up and go test and the unipedal stance test. The causes of pain were plantar fasciitis, hallux valgus, callus, metatarsalgia, and inappropriate footwear. Falls were reported in 33.3 of patients. Falls were significantly associated with Hallux valgus, mallet toe and pain (p<0.05).Conclusion:Independent of the influence of age, gender, common conditions; foot problems have a significant impact on the ability to perform functional tasks integral to independent living.References:[1]Menz HB, Lord SR: Foot problems, functional impairment, and falls in older people. J Am Podiatr Med Assoc 1999;89:458– 467. 3 AmericDisclosure of Interests:None declared

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