Foot Pain and Disability in Older Persons: An Epidemiologic Survey

Benvenuti, Francesco; Ferrucci, Luigi; Guralnik, Jack M.; Gangemi, Sebastiano; Baroni, A.

doi:10.1111/j.1532-5415.1995.tb06092.x

Cited by 315 publications

(274 citation statements)

References 17 publications

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“…Although people with hallux valgus are more likely to report foot pain (12,44) and big toe pain (15), they are also more likely to report pain in other body regions such as the knee (15); results confirmed in the current study for low back, hip, knee, and foot pain. It is therefore important to delineate the specific contributions of hallux valgus and pain in other regions of the lower extremity that may impact HRQOL.…”

Section: Discussionsupporting

confidence: 76%

“…This is problematic, not only because different case definitions have been used (involving simple clinical observation [9,12,13] or self-report [8,10,11]), but also because the degree of deformity varies considerably. Although there are now 2 validated clinical assessment tools that enable the severity of the deformity to be documented (using either 4-or 5-level classifications [27,28]), these scales have generally been dichotomized prior to analysis.…”

Section: Introductionmentioning

confidence: 99%

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Impact of hallux valgus severity on general and foot‐specific health‐related quality of life

Menz¹,

Roddy²,

Thomas³

et al. 2011

Arthritis Care & Research

147

151

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Objective. To explore the prevalence of and factors associated with hallux valgus and to assess the impact of hallux valgus severity on general and foot-specific health-related quality of life (HRQOL) in older people. Methods. People age >56 years who participated in the 6-year followup of the North Staffordshire Osteoarthritis Project (n ‫؍‬ 2,831) completed a survey that included the Medical Outcomes Study Short Form 36 (SF-36) health survey and the Manchester Foot Pain and Disability Index (FPDI). Self-reported hallux valgus severity was assessed using a validated instrument. Comparisons of SF-36 and FPDI scores were made across 5 severity grades of hallux valgus. Results. Hallux valgus was present in 36.3% of the study population and was associated with female sex, older age, and pain in other bodily regions. There was a progressive reduction in all SF-36 component scores as the severity of hallux valgus increased; this association remained after adjusting for age, sex, education, and body mass index. The strength of these associations diminished after also adjusting for pain in the back, hip, knee, and foot, but hallux valgus severity remained significantly associated with reduced physical function, bodily pain, general health, social function, and mental health subscale scores. Among participants with foot pain, increasing hallux valgus severity was also significantly associated with greater impairment on the pain and function subscales of the FPDI after adjusting for age, sex, and body mass index. Conclusion. There is a progressive reduction in both general and foot-specific HRQOL with increasing severity of hallux valgus deformity.

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Section: Discussionsupporting

confidence: 76%

Section: Introductionmentioning

confidence: 99%

Impact of hallux valgus severity on general and foot‐specific health‐related quality of life

Menz¹,

Roddy²,

Thomas³

et al. 2011

Arthritis Care & Research

147

151

View full text Add to dashboard Cite

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“…Comorbidities were second only to the hip as the single main influence on rising from a seated position. So although we understand that the presence of comorbidities in the older population is high (29), particularly in persons with pain (4) and joint pathologies (30,31), they must be considered as an important factor in the ability to undertake simple functional tasks. Once again, exclusion of comorbidities in clinical trials seriously limits their generalizability in older populations.…”

Section: Discussionmentioning

confidence: 99%

Impact of multiple joint problems on daily living tasks in people in the community over age fifty‐five

Keenan¹,

Tennant²,

Fear³

et al. 2006

Arthritis & Rheumatism

133

150

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Objective. To establish the prevalence of multiple joint problems and their impact on everyday tasks. Methods. A random sample of the UK population was assessed using a postal questionnaire. Data on overall joint pain, swelling and stiffness, and activities of daily living were obtained from 16,222 individuals >55 years of age (86% response rate). Prevalence estimates of joint problems were established and the impact of multiple joint pathologies on common physical tasks was determined. Results. Single joint involvement was unusual (median joint involvement 4). Although the knee was the most frequently involved joint (220.30 per 1,000), isolated knee pathology accounted for only 1 in 11 patients with knee pain. Although single joint disorders increased the risk of experiencing functional difficulty, this risk was substantially increased with multiple joint problems: individuals with knee and feet problems were 14 times more likely to experience difficulty standing and walking than those without knee problems (odds ratio [OR] 14.50); knee and hip problems increased the risk >12 times (OR 12.43) whereas knee, back, feet, and hip involvement increased the risk 60 times (OR 62.41). Conclusion. Multiple-site joint problems are much more common than single joint problems. Although individual joint problems have a considerable impact on a person's functional ability, this risk is substantially increased when other joints are involved. With the increasing burden associated with the aging population, it is essential that the management of joint pain be considered in light of the impact of multiple, rather than single, joint problems.

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“…These data are similar to findings of a different study 10 with 417 elderly aged above 60 years, which has observed 84% prevalence of dermatological feet affections and 86% of toe deformities. A different study 11 , also evaluating feet of 459 elderly with foot pain and aged 65 years or above, has reported a high prevalence of talipes valgus and toe deformities, in addition to the fact that foot pain was significantly correlated to those types of feet and deformities.…”

Section: Discussionmentioning

confidence: 99%