Correlation between Foot and Ankle Characteristics with Functional Abilities and Balance among South Indian Geriatrics
Subscribe/Renew Journal
Methodology: Sixty elderly people residing in an old age home were taken for test of Foot & Ankle characteristics, Balance and functional ability. Foot & Ankle characteristics were tested across five domains: Foot posture was tested by foot posture index, ankle flexibility was measured by modified version of Lunge test, foot deformity was tested by the grading exercised by the photographs, foot strength was measured by Paper grip test and foot sensation was tested by Semmens- weinsten aesthesiometer.. Balance and Functional ability were tested by standing balance test, sit to stand , 8foot and go test and walking speed.
Results: The correlation value between Foot posture with standing balance test, sit to stand test, 8-foot up and go test, gait speed are -0.027, -0.097, 0.048, 0.05 respectively.The correlation value between Ankle flexibility with Standing balance test, Sit to stand test, 8-foot up and go test, Gait speed are -0.023, -0.134, -0.169, -0.261 respectively. The correlation value between Hallux valgus deformity (HVD)with Standing balance test, Sit to stand test, 8-foot up and go test, Gait speed are -0.153, 0.011, -0.075, -0.099 respectively.The correlation value between Paper grip test1 (PGT1)with Standing balance test, Sit to stand test, 8-foot up and go test, Gait speed are 0.735, -0.367, 1.374, 1.133 respectively.The correlation value between Foot sensation(FS) with Standing balance test, Sit to stand test, 8-foot up and go test, Gait speed are -0.007, 0.052, -0.272, -0.206 respectively.
Conclusion: This study proves that Foot and Ankle characteristics strongly correlate with the Balance and Functional ability in geriatric population.
Keywords
- Lord SR, Menz HB, Tiedemann A. A physiological profile approach to falls risk assessment and prevention. Phys Ther. 2003;83:237-252.
- Lord SR, Ward JA. Age-associated differences in sensori-motor function and balance in community-dwelling women. Age Ageing. 1994;23:452-460.
- Lord SR, Clark RD, Webster IW. Postural stability and associated physiological factors in a population of aged persons. J Gerontol Med Sci. 1991;46:M69-M76.
- Benvenuti F, Ferrucci L, Guralnik JM, Gangemi S, Baroni A. Foot pain and disability in older persons: an epidemiologic survey. J Am Geriatr Soc. 1995;43:479-484.
- Leveille SG, Guralnik JM, Ferrucci L, Hirsch R, Simonsick E, Hochberg MC. Foot pain and disability in older women. Am J Epidemiol. 1998;148:657-665.
- Adam Graf MS, James O Judge MS., “The effect of Walking Speed on lower extremity joint powers among Elderly adults who exhibit low physical performance “ 2005 vol-86 2177-2183.
- Hylton B. Meg E. Morr is, Stephen R. Lord Foot and Ankle Characteristics Associated with Impaired Balance and Functional Ability in Older People. The Journals of Gerontology 2005:60:1546-1552.
- Mecagni C, Smith JP, Roberts KE, O’Sullivan SB. Balance and ankle range of motion in communitydwelling women aged 64 to 87 years:a correlational study. Phys Ther. 2000;80:1001–1011.
- Redmond AC, Burns J, Crosbie J, Ouvrier R. An initial appraisal of the validity of a criterion based, observational clinical rating system for foot posture (abstract). J Orthop Sports Phys Ther. 2001;31:160.
- Menz HB, Tiedemann A, Kwan MMS, Latt MD, Lord SR. Reliability of clinical tests of foot and ankle characteristics in older people. J Am Podiatr Med Assoc. 2003;93:380–387.
- de Win M, Theuvenet W, Roche P, de Bie R, van Mameren H. The paper grip test for screening on intrinsic muscle paralysis in the foot of leprosy patients. Int J Lepr Other Mycobact Dis. 2002;70:16–24.
- Hylton B. Menz, Meg E. Morris and Stephen R. Lord. Foot and ankle characteristics associated with impaired balance and functional ability in older people journal of gerontology: MEDICAL SCIENCES 2005:12;1546–1552.
- .Howard J and Dananberg H J., “A new protocol for understanding hallux limitus” American podiatric medical association, Aug 2006.
- Karen P Cote, Micheal E Brunett., “Effect of Pronated and Supinated foot posture on Static and Dynamic Postural Stability” 2005 41-46
- Ducic I, Short K W.,”Relation between loss of pedal sensibility, Balance and Fall in patient with Peripheral Neuropathy” 2004 June 535-540.
- Mickle J, Munro B T., “ISB Clinical Biomechanics Award; Toe weakness and deformity increase the risk of Fall in Older People” 2009 787-791
Abstract Views: 448
PDF Views: 0