Are foot deformity and plantar sensitivity impairment associated with physical function of community-dwelling older adults?

Santos, Aurélio Dias; Prado-Rico, Janina Manzieri; Cirino, Nayara Tasse de Oliveira; Perracini, Mônica Rodrigues

doi:10.1016/j.bjpt.2021.07.002

Cited by 5 publications

(1 citation statement)

References 43 publications

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“…Individuals with foot deformities are more susceptible to falls and loss of balance, which affect their quality of life (QoL) [ 11 , 12 , 13 ]. In clinical practice, foot structural deformities have a high prevalence of 50% to 80% among adults [ 14 ]. Several studies reported the negative impacts of different foot deformities on the QoL.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Various Radiological Measurements in the Evaluation and Differentiation of Flatfoot: A Cross-Sectional Study

et al. 2022

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Arch angle is used to indicate flatfoot, but in some cases, it is not easily defined. The presence of flatfoot deformity remains difficult to diagnose due to a lack of reliable radiographic assessment tools. Although various assessment methods for flatfoot have been proposed, there is insufficient evidence to prove the diagnostic accuracy of the various tools. The main purpose of the study was to determine the best radiographic measures for flatfoot concerning the arch angle. Fifty-two feet radiographs from thirty-two healthy young females were obtained. Five angles and one index were measured using weight-bearing lateral radiographs; including arch angle, calcaneal pitch (CP), talar-first metatarsal angle (TFM), lateral talar angle (LTA), talar inclination angle (TIA) and navicular index (NI). Receiver-operating characteristics were generated to evaluate the flatfoot diagnostic accuracy for all radiographic indicators and Matthews correlation coefficient was calculated to determine the cutoff value for each measure. The strongest correlation was between arch angle and CP angle [r = −0.91, p ≤ 0.0001, 95% confidence interval (CI) (from −0.94 to −0.84)]. Also, significant correlations were found between arch angle and NI [r = 0.62, p ≤ 0.0001, 95% CI (0.42 to 0.76)], and TFM [r = 0.50, p ≤ 0.0001, 95% CI (from 0.266 to 0.68)]. Furthermore, CP (cutoff, 12.40) had the highest accuracy level with value of 100% sensitivity and specificity followed by NI, having 82% sensitivity and 89% specificity for the cutoff value of 9.90. In conclusion, CP angle is inversely correlated with arch angle and considered a significant indicator of flatfoot. Also, the NI is easy to define radiographically and could be used to differentiate flat from normal arched foot among young adults.

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Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of Various Radiological Measurements in the Evaluation and Differentiation of Flatfoot: A Cross-Sectional Study

et al. 2022

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Selected hallmarks of hallux valgus in older women with symptomatic hallux valgus compared to middle-aged women with and without deformation of the forefoot

Jankowicz-Szymańska

Wódka

Bibro

et al. 2022

Sci Rep

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The aim of the study was to compare the shape of the feet, the mobility of the metatarsophalangeal and interphalangeal joints and the flexibility of the calf muscles in older women with hallux valgus versus middle-aged women with and without this deformation to identify the presence of features which correlate particularly strongly with hallux valgus, and on which prophylaxis and conservative treatment should focus. The study involved 201 women: 92 aged 60–84 years with hallux valgus of both toes, 78 aged 38–59 with hallux valgus of both toes, and 31 aged 38–57 years with correctly shaped feet. The intensity of pain in the foot, the valgus angle of the big toe and fifth toe, the longitudinal and transverse arches of the foot, the symmetry of foot load with body weight, toe joint mobility and muscle flexibility were analysed. Both groups of women with hallux valgus differed from women with normal feet in the height of the transverse arch, the extent of dorsal extension in the first metatarsophalangeal joint and plantar flexion in the first interphalangeal joint. Older women were additionally characterised by reduced plantar flexion in the metatarsophalangeal joint of the big toe, limited flexibility of the soleus and gastrocnemius muscles as well as less pain in the toe area than in the foot itself. The most characteristic changes which were observed in older women with hallux valgus are a limited range of motion in the MTP and IP joints of the big toe, a reduced transverse arch and increased restriction of calf muscle flexibility.

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Diferentes intervenções de fisioterapia na melhora da sensibilidade plantar e equilíbrio de idosas

Trennepohl

Thum²,

Rosa³

et al. 2022

PAJAR, Pan Am. J. Aging Res.

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Objetivo: comparar os efeitos de dois diferentes protocolos de fisioterapia no tratamento da sensibilidade plantar e equilíbrio em idosas da comunidade do município de Panambi. Métodos: ensaio clínico piloto, quantitativo e descritivo. As participantes responderam questionário sobre condições de saúde e autopercepção de sensibilidade plantar. Após, passaram por avaliação da sensibilidade plantar com estesiômetro Semmes-Weinstein. Foram selecionadas apenas idosas com sensibilidade diminuída. O equilíbrio foi avaliado através da Escala de Equilíbrio de Berg e teste Timed Up and Go. As 13 participantes selecionadas foram divididas em grupo sensibilidade plantar e grupo proprioceptivo, com a realização de 10 intervenções com cada grupo, com estímulo específico conforme alocação nos grupos. Após houve a reavaliação das participantes com estesiômetro, Escala de Equilíbrio de Berg e Timed Up and Go. As comparações das variáveis quantitativas foram realizadas através do teste t de Student, com nível de significância adotado de 5% (p<0,05). Resultados: 12 idosas concluíram o estudo, porém apenas cinco relataram perceber diminuição de sensibilidade plantar. As regiões plantares com maior perda de sensibilidade foram nos metatarsos, região lateral do pé e calcâneo. Já a região medial, apresentou menor perda sensorial. Após os treinos, ambos os grupos mostraram melhora estatisticamente significativa na sensibilidade plantar. Já no equilíbrio, o grupo sensibilidade plantar apresentou resultados estatisticamente significativos no teste Timed Up and Go e o grupo proprioceptivo na Escala de Equilíbrio de Berg. Conclusão: os treinos mostraram-se efetivos na sensibilidade plantar e equilíbrio das participantes, indicando que a combinação dessas intervenções no tratamento do controle postural é uma boa opção para fisioterapeutas.

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Are foot deformity and plantar sensitivity impairment associated with physical function of community-dwelling older adults?

Cited by 5 publications

References 43 publications

Diagnostic Accuracy of Various Radiological Measurements in the Evaluation and Differentiation of Flatfoot: A Cross-Sectional Study

Diagnostic Accuracy of Various Radiological Measurements in the Evaluation and Differentiation of Flatfoot: A Cross-Sectional Study

Selected hallmarks of hallux valgus in older women with symptomatic hallux valgus compared to middle-aged women with and without deformation of the forefoot

Diferentes intervenções de fisioterapia na melhora da sensibilidade plantar e equilíbrio de idosas

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