The Role of Toe-gap Force for the Evaluation of Falling Risk on the Elderly

Yamashita, K.; Umezawa, Jun; Nomoto, Yohei; Ino, Shuichi; Ifukube, Toru; Koyama, Hideki; Kawasumi, Masashi

doi:10.1007/978-3-540-36841-0_109

Cited by 11 publications

(13 citation statements)

References 4 publications

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“…The OFS and FR tests are commonly used to monitor physical limb function and can identify risk for falling in elderly people 10–13 . The TGF test measures the force of the clipping action with the great and second toes 14 . The results reflect the movement by which the forefoot makes contact with the surface of the ground at each step and thus the TGF test is useful for simply and quantitatively assessing the dexterity of the forefoot and the general muscular power of the lower limbs.…”

Section: Discussionmentioning

confidence: 99%

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Ingrown nails and pachyonychia of the great toes impair lower limb functions: improvement of limb dysfunction by medical foot care

et al. 2011

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Section: Discussionmentioning

confidence: 99%

“…The TGF test developed by Yamashita et al. 14 is used to quantify the muscular strength of the lower limbs. The device measures the strength of grasping with the great and second toes (clipping force) in a sitting position with the knees bent to 90° (Fig.…”

Section: Methodsmentioning

confidence: 99%

Ingrown nails and pachyonychia of the great toes impair lower limb functions: improvement of limb dysfunction by medical foot care

et al. 2011

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“…Devices were used to measure lower limb muscle strength [16][17][18][19]. The apparatuses shown in Fig.…”

Section: Measurement Of Biomechanical Functionmentioning

confidence: 99%

“…In this study, a toe-gap force measurement device ( Fig. 1) was used to evaluate muscle strength under the knee, including total plantar area [16]. The clipping toe-gap force was measured between the great toe and the digitus secundus.…”

Section: Measurement Of Biomechanical Functionmentioning

confidence: 99%

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Reduction in Fall Risk and Medical Cost with Foot Care in the Elderly

Yamashita

Anzai

Yamashita

et al. 2017

ABE

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Objectives: Foot problems are common in the elderly and are associated with impaired lower limb muscle strength, reduced balance function, and foot pain. We investigated the effect of foot care on these parameters as well as on medical costs in 32 community-dwelling elderlies (mean age 75.3 ± 6.1 years). They were divided into two groups based on pre-intervention fall risk assessed by lower limb muscle strength. In this study, we examined the impact of foot care intervention on medical costs by conducting an analysis on the medical costs of the subjects who had been compensated by the National Health Insurance or by the medical care system for those aged over 75 years. Measurements: Lower limb muscle strength was evaluated by measuring toe-gap force and knee-gap force. Balance capability was evaluated by the trajectory of the length and area of center of pressure (COP) and pressure ratio of toe contact with the ground. Medical costs were compared before and after intervention. Results: Signi cant increases in toe-gap force and knee-gap force were observed after foot care intervention. Post-intervention toe-gap force and knee-gap force were signi cantly lower in the foot pain group than in the foot pain-free group. The toe-gap force and knee-gap force in both groups improved signi cantly after foot care intervention. The subjects who had pain in their feet were signi cantly more likely to belong to the higher fall risk group. There was a reduction in medical costs for the group of the over-75 group. Conclusion: In community-dwelling elderly, foot care improves lower limb muscle strength and balance, which are associated with falls, and reduces medical costs.

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Enhancement of pinch force in the lower leg by anodal transcranial direct current stimulation

et al. 2009

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Transcranial direct current stimulation (tDCS) is a procedure to polarize human brain. It has been reported that tDCS over the hand motor cortex transiently improves the performance of hand motor tasks. Here, we investigated whether tDCS could also improve leg motor functions. Ten healthy subjects performed pinch force (PF) and reaction time (RT) tasks using the left leg before, during and after anodal, cathodal or sham tDCS over the leg motor cortex.The anodal tDCS transiently enhanced the maximal leg PF but not RT during its application. Neither cathodal nor sham stimulation changed the performance. None of the interventions aVected hand PF or RT, showing the spatial speciWcity of the eVect of tDCS. These results indicate that motor performance of not only the hands but also the legs can be enhanced by anodal tDCS. tDCS may be applicable to the neuro-rehabilitation of patients with leg motor disability.

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The Role of Toe-gap Force for the Evaluation of Falling Risk on the Elderly

Cited by 11 publications

References 4 publications

Ingrown nails and pachyonychia of the great toes impair lower limb functions: improvement of limb dysfunction by medical foot care

Ingrown nails and pachyonychia of the great toes impair lower limb functions: improvement of limb dysfunction by medical foot care

Reduction in Fall Risk and Medical Cost with Foot Care in the Elderly

Enhancement of pinch force in the lower leg by anodal transcranial direct current stimulation

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