Prevalence of foot conditions in a geriatric population and their impact on mobility, gait and tendency to falls |
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Authors: | Martínez-Gallardo Prieto Lorenza Hermida Galindo Luis Felipe D'hyver de Las Deses Carlos |
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Institution: | Centro Médico ABC, Ciudad de México, México. Departamento de Geriatría, Residencia Mater-TEA (Techo, Educación y Ayuda), Ciudad de México, México. lorenzamartinezgallardo@gmail.com |
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Abstract: | IntroductionFoot disease is common among the elderly. Little is known about its prevalence and impact over mobility, gait and tendency to fall.Material and methodsA geriatric history was taken from 171 women living in a long-term care facility. Photographs were taken of the feet and evaluated by an orthopaedic surgeon and a dermatologist. A multivariate analysis was made to assess de effect of the independent variables over mobility, gait and tendency to fall.ResultsThe foot diseases most commonly found were hammer toes (122), callus (79) and peripheral vascular disease (74). Hallux rigidus (OR 24.897, 95% CI, 1.231-503.542) and peripheral vascular disease (OR 2.481, 95% CI, 1.095-5.623) seemed to be associated with changes in gait; both where associated with dependency on instrumental activities of daily living (OR 44.166, 95% CI, 2.402-812.233, and OR 2.659, 95% CI, 1.069-6.615). Hallux rigidus was related to falls (OR 19.27, 95% CI, 1.102-337.26). Tinea pedis was associated with dependency in activities of daily living (OR 11.52, 95% CI, 1.325-100.125).ConclusionsFoot disorders are common in the elderly. Only hallux rigidus and peripheral vascular disease had an impact on function and gait. |
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Keywords: | Adultos mayores Caídas Función Marcha Pies |
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