Pol, F, Forghany, S, Hosseini, SM, Taheri, A and Menz, HB 2021, 'Structural and functional foot and ankle characteristics associated with falls in older people' , Gait & Posture, 88 , pp. 78-83.
Full text not available from this repository. (Request a copy)Abstract
Falls affect approximately one in three older people, and foot problems are amongst the modifiable potential risk factors. what are the associations between foot and ankle functional and structural characteristics with falls in community-dwelling older adults? 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. 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. 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. [Abstract copyright: Copyright © 2021 Elsevier B.V. All rights reserved.]
| Item Type: | Article |
|---|---|
| Additional Information: | ** From PubMed via Jisc Publications Router **Journal IDs: eissn 1879-2219 **Article IDs: pubmed: 34004591; pii: S0966-6362(21)00192-2 **History: accepted 10-05-2021; revised 03-05-2021; submitted 21-01-2021 |
| Schools: | Schools > School of Health and Society |
| Journal or Publication Title: | Gait & Posture |
| Publisher: | Elsevier |
| ISSN: | 0966-6362 |
| Related URLs: | |
| Funders: | Musculoskeletal Research Center, Isfahan University of Medical Sciences |
| SWORD Depositor: | Publications Router |
| Depositing User: | Publications Router |
| Date Deposited: | 13 Aug 2021 08:20 |
| Last Modified: | 27 Aug 2021 21:53 |
| URI: | http://usir.salford.ac.uk/id/eprint/60829 |
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