advertising
-
1.
Tinetti ME , Speechley M & Ginter SF: Risk factors for falls among elderly persons living in the community. N Engl J Med 319: 1701, 1988.
-
2.
Hartholt KA , Van Beeck EF & Polinder S et al.: Societal consequences of falls in the older population: injuries, healthcare costs, and long-term reduced quality of life. J Trauma 71: 748, 2011.
-
3.
Olij BF , Panneman MJM & van Beeck EF et al.: Fall-related healthcare use and mortality among older adults in the Netherlands, 1997–2016. Exp Gerontol 120: 95, 2019.
-
4.
Rapp K , Becker C & Cameron I et al.: Epidemiology of falls in residential aged care: analysis of more than 70,000 falls from residents of bavarian nursing homes. J Am Med Dir Assoc 13: 187, 2012.
-
5.
Heslop KR & Wynaden DG: Impact of falls on mental health outcomes for older adult mental health patients: an Australian study. Int J Ment Health Nurs 25: 3, 2016.
-
6.
Kaminska MS , Brodowski J & Karakiewicz B: Fall risk factors in community-dwelling elderly depending on their physical function, cognitive status and symptoms of depression. Int J Environ Res Public Health 12: 3406, 2015.
-
7.
Williams LJ , Pasco JA & Stuart AL et al.: Psychiatric disorders, psychotropic medication use and falls among women: an observational study. BMC Psychiatry 15: 75, 2015.
-
8.
Allain H , Bentué-Ferrer D & Polard E etal: Postural instability and consequent falls and hip fractures associated with use of hypnotics in the elderly: a comparative review. Drugs Aging 22: 749, 2005.
-
9.
Sajatovic M , DiBiasi F & Legacy SN: Attitudes toward antipsychotic treatment among patients with bipolar disorders and their clinicians: a systematic review. Neuropsychiatr Dis Treat 13: 2285, 2017.
-
10.
Gómez González M , Pérez Pico A & Martínez Nova A et al.: Characteristics of hip fractures due to minimal trauma in older people of a health area in Southwest Spain. MOJ Gerontol Geriatr 1: 1, 2017.
-
11.
Boelens C , Hekman EEG & Verkerke GJ: Risk factors for falls of older citizens. Technol Heal Care 21: 521, 2013.
-
12.
Quitschal RM , Fukunaga JY & Ganança MM et al.: Evaluation of postural control in unilateral vestibular hypofunction. Braz J Otorhinolaryngol 80: 339, 2014.
-
13.
Maki BE: Gait changes in older adults: predictors of falls or indicators of fear. J Am Geriatr Soc 45: 313, 1997.
-
14.
Busch T de A , Duarte YA & Pires Nunes D et al.: Factors associated with lower gait speed among the elderly living in a developing country: a cross-sectional population-based study. BMC Geriatr 15: 35, 2015.
-
15.
Quach L , Galica AM & Jones RN et al.: The non-linear relationship between gait speed and falls: the Mobilize Boston Study. J Am Geriatr Soc 59: 1069, 2012.
-
16.
Lambrinudi C: Use and abuse of toes. Postgrad Med J 8: 459, 1932.
-
17.
Cavanagh P , Rodgers M & Iiboshi A: Pressure distribution under symptom-free feet during barefoot standing. Foot Ankle 7: 262, 1987.
-
18.
Martínez-Nova A , Cuevas-García JC & Sánchez-Rodríguez R et al.: Estudio del patrón de presiones plantares en pies con hallux valgus mediante un sistema de plantillas instrumentadas. Rev Esp Cir Ortop Traumatol 52: 94, 2008.
-
19.
Matsuura Y , Fujino H & Hashimoto R et al.: Standing postural instability in patients with schizophrenia: relationships with psychiatric symptoms, anxiety, and the use of neuroleptic medications. Gait Posture 41: 847, 2015.
-
20.
Meyers-Rice B , Sugars L & McPoil T et al.: Comparison of three methods for obtaining plantar pressures in nonpathologic subjects. JAPMA 84: 499, 1994.
-
21.
Wylie G , Young Z & Littleford R et al.: Finding your feet: the development of a podiatry intervention to reduce falls in care home residents. J Foot Ankle Res 8 (suppl 1): A7, 2015.
-
22.
Wylie G , Menz HB & McFarlane S et al. Podiatry intervention versus usual care to prevent falls in care homes: pilot randomised controlled trial (the PIRFECT study). BMC Geriatr 17: 1, 2017.
-
23.
Wylie G , Torrens C & Campbell P et al.: Podiatry interventions to prevent falls in older people: a systematic review and meta-Analysis. Age Ageing 48: 327, 2019.
-
24.
Blaszczyk JW , Prince F & Raiche M et al.: Effect of ageing and vision on limb load asymmetry during quiet stance. J Biomech 33: 1243, 2000.
-
25.
Greene E , Cunningham CJ & Eustace A et al.: Recurrent falls are associated with increased length of stay in elderly psychiatric inpatients. Int J Geriatr Psychiatry 16: 965, 2001.
-
26.
Menz H , Zammit G & Munteanu S et al.: Plantarflexion strength of the toes: age and gender differences and evaluation of a clinical screening test. Foot Ankle Int 27: 1103, 2006.
-
27.
Mickle KJ , Munro BJ & Lord SR et al.: ISB Clinical Biomechanics Award 2009: toe weakness and deformity increase the risk of falls in older people. Clin Biomech 24: 787, 2009.
-
28.
Tanaka T , Noriyasu S & Ino S et al.: Objective method to determine the contribution of the great toe to standing balance and preliminary observations of age-related effects. IEEE Trans Rehabil Eng 4: 84, 1996.
-
29.
Koreki A , Tsunoda K & Suzuki T et al.: Clinical and demographic characteristics associated with postural instability in patients with schizophrenia. J Clin Psychopharmacol 31: 16, 2011.
-
30.
Huang TY , Liang CK & Shen HC et al.: Gait speed rather than dynapenia is a simple indicator for complex care needs: a cross-sectional study using minimum data set. Sci Rep 7: 1, 2017.
-
31.
Rosso AL , Sanders JL & Arnold AM et al.: Multisystem physiologic impairments and changes in gait speed of older adults. J Gerontol A Biol Sci Med Sci 70: 319, 2015.
-
32.
Matsubasa T , Kimura A & Shinohara M et al.: Time study of staff members in an institution for severe motor and intellectual disabilities. Pediatr Int 57: 1154, 2015.
-
33.
Chan CH , Gau SSF & Chan HY et al.: Risk factors for falling in psychiatric inpatients: a prospective, matched case-control study. J Psychiatr Res 47: 1088, 2013.
Toe Support Pattern as a New Predictive Factor Associated with Falls in Older People with Psychiatric Disorders
Search for other papers by Ana María Pérez Pico in
Current site
Google Scholar
PubMed
Search for other papers by María José Iglesias Sánchez in
Current site
Google Scholar
PubMed
Search for other papers by Félix Marcos Tejedor in
Current site
Google Scholar
PubMed
Search for other papers by Raquel Mayordomo Acevedo in
Current site
Google Scholar
PubMed
Background
Maintaining autonomy is one of the principal objectives for seniors and people with psychiatric disorders. Podiatric medical care can help them maintain autonomy. This work aimed to characterize and quantify the support of the toes in a psychiatric population by analyzing the influence of psychotropic medications and toe and foot support parameters on the prevalence of falls.
Methods
We conducted a cross-sectional descriptive study in 67 participants (31 people with psychiatric disorders and 36 without diagnosed disorders [control population]). Toe support pattern was analyzed with a pressure platform. Variables were measured in static and dynamic loading and related to falls and psychotropic medication use.
Results
The psychiatric population fell more than the control population and presented less toe-ground contact in static measurements, although it has more foot-ground contact time. Maximum toe pressure during toe-off is also less intensive in the psychiatric population and is related to people who take psychotropic medications.
Conclusions
Toe support pattern could be used as a predictive factor for falls and to improve stability in these populations.
Department of Nursing, Centro Universitario de Plasencia, Universidad de Extremadura, Caceres, Spain. Dr. Marcos-Tejedor is now with Department of Health Sciences Universidad de Castilla la Mancha, Talavera de la Reina.
Department of Pharmacology, Centro Universitario de Plasencia, Universidad de Extremadura, Caceres, Spain.
Department of Anatomy and Human Embryology, Centro Universitario de Plasencia, Universidad de Extremadura, Caceres, Spain.
Conflict of Interest: None reported.
advertising
