Biomechanics Research Laboratory, University of Wollongong, Wollongong, New South Wales, Australia.
J Am Geriatr Soc. 2010 Oct;58(10):1936-40. doi: 10.1111/j.1532-5415.2010.03061.x. Epub 2010 Sep 9.
To determine whether foot pain and plantar pressure are associated with falls in community-dwelling older adults.
Community-based cohort study with 12-month prospective falls follow-up.
Sydney and Illawarra statistical regions of New South Wales, Australia.
Randomly recruited, community-dwelling adults (158 men and 154 women) aged 60 and older.
Manchester Foot Pain and Disability Index to establish baseline foot pain and dynamic plantar pressures. Participants were then classified as fallers (n=107) or nonfallers (n=196) based on their falls incidence over the following 12 months.
Fallers had a significantly higher prevalence of foot pain than nonfallers (57.9% vs 42.1%; chi-square=4.0; P=.04). Fallers also generated a significantly higher peak pressure and pressure-time integral under the foot than non-fallers. In addition, individuals with foot pain had a significantly higher peak pressure and pressure-time integral under the foot than those without foot pain.
High plantar pressures generated during gait may contribute to foot pain and risk of falls. Providing interventions to older people with foot pain and high plantar pressures may play a role in reducing their falls risk.
确定足底疼痛和足底压力是否与社区居住的老年人跌倒有关。
具有 12 个月前瞻性跌倒随访的基于社区的队列研究。
澳大利亚新南威尔士州悉尼和伊拉瓦拉统计区。
随机招募的社区居住成年人（158 名男性和 154 名女性），年龄在 60 岁及以上。
使用曼彻斯特足部疼痛和残疾指数确定基线足部疼痛和足底动态压力。然后根据他们在接下来的 12 个月内的跌倒发生率将参与者分为跌倒者（n=107）或非跌倒者（n=196）。
跌倒者的足部疼痛患病率明显高于非跌倒者（57.9%对 42.1%；卡方=4.0；P=.04）。跌倒者在足部产生的峰值压力和压力时间积分也明显高于非跌倒者。此外，有足部疼痛的个体在足部产生的峰值压力和压力时间积分明显高于无足部疼痛的个体。
步态过程中产生的高足底压力可能导致足部疼痛和跌倒风险增加。为有足部疼痛和高足底压力的老年人提供干预措施可能在降低其跌倒风险方面发挥作用。
