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      Patient Preference and Adherence (submit here)

      This international, peer-reviewed Open Access journal by Dove Medical Press focuses on the growing importance of patient preference and adherence throughout the therapeutic process. Sign up for email alerts here.

      34,896 Monthly downloads/views I 2.314 Impact Factor I 3.8 CiteScore I 1.14 Source Normalized Impact per Paper (SNIP) I 0.629 Scimago Journal & Country Rank (SJR)

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      Foot health-related quality of life among elderly with and without lesser toe deformities: a case–control study

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          Abstract

          Purpose

          The aim of this study was to compare the health-related quality of life impact related to foot health and health in general in older adults with lesser toe deformities (LTD) and without any foot conditions.

          Methods

          A case–control observational study was carried out following the Strengthening the Reporting of Observational Studies in Epidemiology criteria. A total of 100 older adults with a mean age of 74.39±6.02 years were recruited at an outpatient clinic; 50 of these subjects had LTD (case group) and 50 subjects were without any foot conditions (control group). Presence of LTD was determined in both feet using the Kelikian push-up test, and the Foot Health Status Questionnaire scores were self-reported.

          Results

          The case group showed lower scores in quality of life in relation to health in general and to foot health specifically. Statistically significant differences ( p<0.05) between case and control groups were shown by means of the Wicoxon test.

          Conclusion

          A negative impact in quality of life in relation to foot health should be considered in older adults with LTD, regardless of gender.

          Most cited references37

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          Risk factors for falls among elderly persons living in the community.

          Mary E. Tinetti, Mark Speechley, Sandra F. Ginter (1988)
          To study risk factors for falling, we conducted a one-year prospective investigation, using a sample of 336 persons at least 75 years of age who were living in the community. All subjects underwent detailed clinical evaluation, including standardized measures of mental status, strength, reflexes, balance, and gait; in addition, we inspected their homes for environmental hazards. Falls and their circumstances were identified during bimonthly telephone calls. During one year of follow-up, 108 subjects (32 percent) fell at least once; 24 percent of those who fell had serious injuries and 6 percent had fractures. Predisposing factors for falls were identified in linear-logistic models. The adjusted odds ratio for sedative use was 28.3; for cognitive impairment, 5.0; for disability of the lower extremities, 3.8; for palmomental reflex, 3.0; for abnormalities of balance and gait, 1.9; and for foot problems, 1.8; the lower bounds of the 95 percent confidence intervals were 1 or more for all variables. The risk of falling increased linearly with the number of risk factors, from 8 percent with none to 78 percent with four or more risk factors (P less than 0.0001). About 10 percent of the falls occurred during acute illness, 5 percent during hazardous activity, and 44 percent in the presence of environmental hazards. We conclude that falls among older persons living in the community are common and that a simple clinical assessment can identify the elderly persons who are at the greatest risk of falling.
          Article 0 comments Cited 1017 times – based on 0 reviews     Review now
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            Prevalence of foot and ankle conditions in a multiethnic community sample of older adults.

            J Dunn, C. Link, D Felson … (2004)
            The prevalence of foot and ankle disorders was determined in a community-based, multiethnic (non-Hispanic White, African American, and Puerto Rican) random sample of 784 community-dwelling adults aged 65 or more years in 2001-2002 in Springfield, Massachusetts. Overall, the five most common conditions were toenail disorders (74.9%), lesser toe deformities (60.0%), corns and calluses (58.2%), bunions (37.1%), and signs of fungal infection, cracks/fissures, or maceration between toes (36.3%); 30.9% had some tenderness to palpation of the foot or ankle, and 14.9% had ankle joint pain on most days in the past 4 weeks. Toenail conditions, fungal symptoms, and ulcers or lacerations were more common in men, while bunions and corns and calluses were more common in women (p < 0.001). Significant racial/ethnic differences, independent of education or gender, were found for the prevalence of most toe deformities and flat feet, as well as for corns and calluses, fungal signs, edema, ankle joint pain, tenderness to palpation, and sensory loss. Foot and ankle disorders are common in these older adults. Examination of their prevalence in different segments of the community may inform future studies to determine etiology and means of prevention.
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              Foot and ankle risk factors for falls in older people: a prospective study.

              H B Menz, M E Morris, S. R. Lord (2006)
              Foot problems are common in older people and are associated with impaired balance and functional ability. Few prospective studies, however, have been undertaken to determine whether foot problems are a risk factor for falls. One hundred seventy-six people (56 men and 120 women, mean age 80.1, standard deviation 6.4 years) residing in a retirement village underwent tests of foot and ankle characteristics (including foot posture, range of motion, strength, and deformity) and physiological falls risk factors (including vision, sensation, strength, reaction time, and balance) and were followed for 12 months to determine the incidence of falls. Seventy-one participants (41%) reported falling during the follow-up period. Compared to those who did not fall, fallers exhibited decreased ankle flexibility, more severe hallux valgus deformity, decreased plantar tactile sensitivity, and decreased toe plantarflexor strength; they were also more likely to have disabling foot pain. Discriminant function analysis revealed that decreased toe plantarflexor strength and disabling foot pain were significantly and independently associated with falls after accounting for physiological falls risk factors and age. Foot and ankle problems increase the risk of falls in older people. Interventions to address these factors may hold some promise as a falls prevention strategy.
              Article 0 comments Cited 124 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Patient Prefer Adherence
                Journal ID (iso-abbrev): Patient Prefer Adherence
                Journal ID (publisher-id): Patient Preference and Adherence
                Title: Patient preference and adherence
                Publisher: Dove Medical Press
                ISSN (Electronic): 1177-889X
                Publication date Collection: 2018
                Publication date (Electronic): 12 February 2018
                Volume: 12
                Pages: 251-255
                Affiliations
                [1 ]Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, Ferrol, Spain
                [2 ]Faculty of Health Sciences, Universidad Rey Juan Carlos, Madrid, Spain
                [3 ]Nursing and Physical Therapy Department, Institute of Biomedicine (IBIOMED), Universidad de León, Ponferrada, León, Spain
                [4 ]School of Sports Science, European University, Villaviciosa de Odón, Madrid, Spain
                [5 ]University Center of Plasencia, Universidad de Extremadura, Extremadura, Spain
                [6 ]School of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, Madrid, Spain
                Author notes
                Correspondence: César Calvo-Lobo, Nursing and Physical Therapy Department, Institute of Biomedicine (IBIOMED), University of León, Av. Astorga, s/n, 24401 Ponferrada, León, Spain, Tel +34 987 44 20 53 ext 2053, Email ccall@ 123456unileon.es
                Patricia Palomo-López, University Center of Plasencia, Universidad de Extremadura, Av. Virgen del Puerto, s/n, 10600 Plasencia, Cáceres, Spain, Tel +34 927 42 70 00 ext 52181, Email patibiom@ 123456unex.es
                Article
                Publisher ID: ppa-12-251
                DOI: 10.2147/PPA.S152269
                PMC ID: 5813943
                PubMed ID: 29483771
                SO-VID: e9b28c3c-f82b-44e7-acfc-922f39310dfb
                Copyright © © 2018 López-López et al. This work is published and licensed by Dove Medical Press Limited.
                License:

                The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                History
                Categories
                Subject: Original Research

                ScienceOpen disciplines: Medicine
                Keywords: aged,foot deformities,foot disease,quality of life,toes
                Data availability:
                ScienceOpen disciplines: Medicine
                Keywords: aged, foot deformities, foot disease, quality of life, toes

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