Structural and functional foot and ankle characteristics associated with falls in older people
Autor: | Saeed Forghany, Sayed Mohsen Hosseini, Hylton B. Menz, Alireza Taheri, Fateme Pol |
---|---|
Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Population Biophysics Logistic regression 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Range of Motion Articular education Aged Univariate analysis education.field_of_study business.industry Forefoot Rehabilitation 030229 sport sciences Odds ratio medicine.anatomical_structure Physical therapy Female Independent Living Ankle business Range of motion Ankle Joint 030217 neurology & neurosurgery Foot (unit) |
Zdroj: | Gait & Posture. 88:78-83 |
ISSN: | 0966-6362 |
Popis: | Background Falls affect approximately one in three older people, and foot problems are amongst the modifiable potential risk factors. Research question what are the associations between foot and ankle functional and structural characteristics with falls in community-dwelling older adults? Method One hundred eighty-seven community-dwelling older adults (106 females) aged 62–90 years (mean 70.5 ± 5.2) from Isfahan, Iran were recruited. Foot and ankle structure and function (including foot posture, range of motion, muscle strength, deformity, pain and plantar loading patterns during walking) were measured. Fall history was documented in the preceding year. Univariate analyses compared fallers and non-fallers on all variables to determine significant differences and logistic regression analysis identified variables independently associated with falls. Results Seventy-four participants (39.9 %) had experienced a fall in the previous year. Logistic regression analysis revealed that less first metatarsophalangeal joint extension (odds ratio 0.82, 95 % CI 0.73−0.91), less plantarflexor muscle strength (odds ratio 0.29, 95 % CI 0.15−0.55), greater pressure-time integral in the medial forefoot (odds ratio 2.65, 95 %CI 1.10–6.38), greater center of pressure velocity in the forefoot (odds ratio 1.27, 95 % CI 1.07–1.49) and greater foot pain (odds ratio 1.09, 95 % CI 1.02–1.16) were significantly and independently associated with falls after accounting for physiological falls risk factors. Significance We have identified several structural and functional foot and ankle characteristics associated with falling in older people. Future development of interventions to help prevent or treat these potentially modifiable risk factors may help decrease the risk of falling in this population. |
Databáze: | OpenAIRE |
Externí odkaz: |