The Experts below are selected from a list of 5070 Experts worldwide ranked by ideXlab platform
Hylton B. Menz - One of the best experts on this subject based on the ideXlab platform.
-
Prevalence of Foot Pain Across an International Consortium of Population‐Based Cohorts
Arthritis Care and Research, 2019Co-Authors: Lucy Gates, Edward Roddy, Tiffany K. Gill, Catherine L. Hill, Alyssa B Dufour, Marian T Hannan, Nigel K. Arden, Trishna Rathod-mistry, Martin J. Thomas, Hylton B. MenzAbstract:Despite the potential burden of Foot Pain, some of the most fundamental epidemiologic questions surrounding the Foot remain poorly explored. The prevalence of Foot Pain has proven to be difficult to compare across existing studies due to variations in case definitions. The objective of this study was to investigate the prevalence of Foot Pain in several international population-based cohorts using original data and to explore differences in the case definitions used. Foot Pain variables were examined in 5 cohorts: the Chingford 1000 Women Study, the Johnston County Osteoarthritis Project, the Framingham Foot Study, the Clinical Assessment Study of the Foot, and the North West Adelaide Health Study. One question about Foot Pain was chosen from each cohort based on its similarity to the American College of Rheumatology Pain question. The precise definition of Foot Pain varied between the cohorts. The prevalence of Foot Pain ranged from 13% to 36% and was lowest in the cohort in which the case definition specific to Pain was used, compared to the 4 remaining cohorts in which a definition included components of Pain, aching, or stiffness. Foot Pain was generally more prevalent in women and obese individuals and generally increased with age, with the prevalence being much lower in younger participants (ages 20-44 years). Foot Pain is common and is associated with female sex, older age, and obesity. Estimates of the prevalence of Foot Pain are likely to be affected by the case definition used. Therefore, in future population studies, the use of consistent measures of data collection must be considered. © 2019 The Authors. Arthritis Care & Research published by Wiley Periodicals, Inc. on behalf of American College of Rheumatology.
-
Factors associated with prevalent and incident Foot Pain: data from the Tasmanian Older Adult Cohort Study.
Maturitas, 2018Co-Authors: Laura L. Laslett, Hylton B. Menz, Flavia M. Cicuttini, Petr Otahal, Graeme JonesAbstract:Abstract Objectives To describe factors associated with prevalent and incident Foot Pain in a population-based cohort of older adults (n = 1092). Study design Longitudinal observational study. Main outcome measures Prevalent Foot Pain, incident Foot Pain after 5 years. Methods Potential correlates included demographic factors, anthropometry, leg strength, metabolic factors, steps per day (using pedometer), Pain at 6 other sites, and psychological wellbeing. Data were analysed using log binomial models. Results Participants were aged 50–80 years (mean 63 years), 49% male, mean body mass index (BMI) 27.8 ± 4.7 at baseline. The prevalence of Foot Pain at baseline was 38% and the incidence of new Pain over 5 years was 20%. BMI, Pain at other sites (neck, hands, knees, Pain at three or more sites), and poorer psychological wellbeing were independently associated with baseline Foot Pain. Baseline BMI and Pain in the neck, hands, and knees were independently associated with incident Foot Pain; but change in weight or BMI, total number of Painful joints and psychological wellbeing were not. Self-reported diabetes and cigarette smoking were not associated with prevalent or incident Foot Pain. Conclusions This study demonstrates that greater body weight and joint Pain at multiple sites were consistently associated with prevalent Foot Pain and predict incident Foot Pain. Addressing excess body mass and taking a global approach to the treatment of Pain may reduce the prevalence and incidence of Foot Pain in older adults.
-
Identification of Clusters of Foot Pain Location in a Community Sample
Arthritis Care and Research, 2017Co-Authors: Tiffany K. Gill, Hylton B. Menz, Karl B. Landorf, Anne W. Taylor, John B. Arnold, Catherine L. HillAbstract:Objective To identify Foot Pain clusters according to Pain location in a community-based sample of the general population. Methods This study analyzed data from the North West Adelaide Health Study. Data were obtained between 2004 and 2006, using computer-assisted telephone interviewing, clinical assessment, and self-completed questionnaire. The location of Foot Pain was assessed using a diagram during the clinical assessment. Hierarchical cluster analysis was undertaken to identify Foot Pain location clusters, which were then compared in relation to demographics, comorbidities, and podiatry services utilization. Results There were 558 participants with Foot Pain (mean age 54.4 years, 57.5% female). Five clusters were identified: 1 with predominantly arch and ball Pain (26.8%), 1 with rearFoot Pain (20.9%), 1 with heel Pain (13.3%), and 2 with predominantly foreFoot, toe, and nail Pain (28.3% and 10.7%). Each cluster was distinct in age, sex, and comorbidity profile. Of the two clusters with predominantly foreFoot, toe, and nail Pain, one of them had a higher proportion of men and those classified as obese, had diabetes mellitus, and used podiatry services (30%), while the other was comprised of a higher proportion of women who were overweight and reported less use of podiatry services (17.5%). Conclusion Five clusters of Foot Pain according to Pain location were identified, all with distinct age, sex, and comorbidity profiles. These findings may assist in the identification of individuals at risk for developing Foot Pain and in the development of targeted preventive strategies and treatments.
-
obesity Foot Pain and Foot disorders in older men and women
Obesity Research & Clinical Practice, 2017Co-Authors: Alyssa B Dufour, Hylton B. Menz, Elena Losina, Michael P Lavalley, Marian T HannanAbstract:Summary Objective We investigated obesity, Foot Pain and selected Foot disorders, and determined if associations differed by Foot posture or dynamic Foot function. Methods We included 2445 men and women (4888 feet) from the Framingham Foot Study (2002–2008). A Foot examination assessed presence of disorders and Pain on each Foot. Body mass index (BMI, kg/m2) was categorized as normal ( Results Average age was 68 ± 11 years, 56% female, average BMI 28 ± 5 kg/m2. 18% of feet had Pain, 25% hallux valgus, 2% claw toes, 18% hammer toes, 7% overlapping toes. In men, severe-obesity was associated with Foot Pain (OR = 2.4, p = 0.002) and claw toes (OR = 3.4, p = 0.04). In women, overweight, moderate-obesity and severe-obesity were associated with Foot Pain. Women with severe-obesity were less likely to have hallux valgus. Similar patterns were evident after stratification by Foot posture and dynamic Foot function. Conclusion Both men and women were at increased odds of Foot Pain as BMI increased. Data suggested Foot posture and dynamic Foot function had no effect, thus are unlikely mechanisms.
-
Predictors of Foot Pain in the community: the North West Adelaide health study.
Journal of Foot and Ankle Research, 2016Co-Authors: Tiffany K. Gill, Hylton B. Menz, Karl B. Landorf, Anne W. Taylor, John B. Arnold, Catherine L. HillAbstract:Background Foot Pain has been shown to be prevalent across all age groups. The presence of Foot Pain may reduce mobility and impact on the ability to undertake activities of daily living. The aim of this study was to determine factors that are predictive of Foot Pain in a community based sample of the general population.
Marian T Hannan - One of the best experts on this subject based on the ideXlab platform.
-
Prevalence of Foot Pain Across an International Consortium of Population‐Based Cohorts
Arthritis Care and Research, 2019Co-Authors: Lucy Gates, Edward Roddy, Tiffany K. Gill, Catherine L. Hill, Alyssa B Dufour, Marian T Hannan, Nigel K. Arden, Trishna Rathod-mistry, Martin J. Thomas, Hylton B. MenzAbstract:Despite the potential burden of Foot Pain, some of the most fundamental epidemiologic questions surrounding the Foot remain poorly explored. The prevalence of Foot Pain has proven to be difficult to compare across existing studies due to variations in case definitions. The objective of this study was to investigate the prevalence of Foot Pain in several international population-based cohorts using original data and to explore differences in the case definitions used. Foot Pain variables were examined in 5 cohorts: the Chingford 1000 Women Study, the Johnston County Osteoarthritis Project, the Framingham Foot Study, the Clinical Assessment Study of the Foot, and the North West Adelaide Health Study. One question about Foot Pain was chosen from each cohort based on its similarity to the American College of Rheumatology Pain question. The precise definition of Foot Pain varied between the cohorts. The prevalence of Foot Pain ranged from 13% to 36% and was lowest in the cohort in which the case definition specific to Pain was used, compared to the 4 remaining cohorts in which a definition included components of Pain, aching, or stiffness. Foot Pain was generally more prevalent in women and obese individuals and generally increased with age, with the prevalence being much lower in younger participants (ages 20-44 years). Foot Pain is common and is associated with female sex, older age, and obesity. Estimates of the prevalence of Foot Pain are likely to be affected by the case definition used. Therefore, in future population studies, the use of consistent measures of data collection must be considered. © 2019 The Authors. Arthritis Care & Research published by Wiley Periodicals, Inc. on behalf of American College of Rheumatology.
-
obesity Foot Pain and Foot disorders in older men and women
Obesity Research & Clinical Practice, 2017Co-Authors: Alyssa B Dufour, Hylton B. Menz, Elena Losina, Michael P Lavalley, Marian T HannanAbstract:Summary Objective We investigated obesity, Foot Pain and selected Foot disorders, and determined if associations differed by Foot posture or dynamic Foot function. Methods We included 2445 men and women (4888 feet) from the Framingham Foot Study (2002–2008). A Foot examination assessed presence of disorders and Pain on each Foot. Body mass index (BMI, kg/m2) was categorized as normal ( Results Average age was 68 ± 11 years, 56% female, average BMI 28 ± 5 kg/m2. 18% of feet had Pain, 25% hallux valgus, 2% claw toes, 18% hammer toes, 7% overlapping toes. In men, severe-obesity was associated with Foot Pain (OR = 2.4, p = 0.002) and claw toes (OR = 3.4, p = 0.04). In women, overweight, moderate-obesity and severe-obesity were associated with Foot Pain. Women with severe-obesity were less likely to have hallux valgus. Similar patterns were evident after stratification by Foot posture and dynamic Foot function. Conclusion Both men and women were at increased odds of Foot Pain as BMI increased. Data suggested Foot posture and dynamic Foot function had no effect, thus are unlikely mechanisms.
-
Foot Pain in Relation to Ipsilateral and Contralateral Lower-Extremity Pain in a Population-Based Study
Journal of the American Podiatric Medical Association, 2017Co-Authors: Alyssa B Dufour, Howard J Hillstrom, Brian Halpern, G. Positano, Marian T HannanAbstract:Background: Clinical observations note that Foot Pain can be linked to contralateral Pain at the knee or hip, yet we are unaware of any community-based studies that have investigated the sidedness of Pain. Because clinic-based patient samples are often different from the general population, the purpose of this study was to determine whether knee or hip Pain is more prevalent with contralateral Foot Pain than with ipsilateral Foot Pain in a population-based cohort. Methods: Framingham Foot Study participants (2002–2008) with information on Foot, knee, and hip Pain were included in this cross-sectional analysis. Foot Pain was queried as Pain, aching, or stiffness on most days. Using a manikin diagram, participants indicated whether they had experienced Pain, aching, or stiffness at the hip or knee and specified the side of any reported Pain. Sex-specific multinomial logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals for the association of Foot Pain with knee and hip pai...
-
link between Foot Pain severity and prevalence of depressive symptoms
Arthritis Care and Research, 2016Co-Authors: Arunima Awale, Hylton B. Menz, Alyssa B Dufour, Patricia P Katz, Marian T HannanAbstract:Objective Associations between Pain and depression are well known, yet Foot Pain, common in populations, has been understudied. This cross-sectional study examined Foot Pain and severity of Foot Pain with depressive symptoms in adults. Methods Framingham Foot Study (2002–2008) participants completed questionnaires that included questions about Foot Pain (yes/no; none, mild, moderate, or severe Pain) and the Center for Epidemiologic Studies Depression Scale (scores ≥16 indicated depressive symptoms). Age and body mass index (BMI) were also assessed. Sex-specific logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs) for associations of Foot Pain with depressive symptoms, adjusting for age and BMI. In a subset, further models adjusted for leg Pain, back Pain, or other joint Pain. Results Of 1,464 men and 1,857 women, the mean ± SD age was 66 ± 10 years. Depressive symptoms were reported in 21% of men and 27% of women. Compared to those with no Foot Pain and independent of age and BMI, both men and women with moderate Foot Pain had approximately a 2-fold increased odds of depressive symptoms (men with severe Foot Pain OR of 4 [95% CI 2.26–8.48], women with severe Foot Pain OR of 3 [95% CI 2.02–4.68]). Considering other Pain regions attenuated ORs, but the pattern of results remained unchanged. Conclusion Even after we adjusted for age, BMI, and other regions of Pain, those reporting worse Foot Pain were more likely to report depressive symptoms. These findings suggest that Foot Pain may be a part of a broader Pain spectrum, with an impact beyond localized Pain and discomfort.
-
associations of region specific Foot Pain and Foot biomechanics the framingham Foot study
Journals of Gerontology Series A-biological Sciences and Medical Sciences, 2015Co-Authors: Jody L Riskowski, Alyssa B Dufour, Thomas J Hagedorn, Marian T HannanAbstract:Background. Specific regions of the Foot are responsible for the gait tasks of weight acceptance, single-limb support, and forward propulsion. With region Foot Pain, gait abnormalities may arise and affect the plantar pressure and force pattern utilized. Therefore, this study’s purpose was to evaluate plantar pressure and force pattern differences between adults with and without regionspecific Foot Pain. Methods. Plantar pressure and force data were collected on Framingham Foot Study members while walking bareFoot at a self-selected pace. Foot Pain was evaluated by self-report and grouped by Foot region (toe, foreFoot, midFoot, or rearFoot) or regions (two or three or more regions) of Pain. Unadjusted and adjusted linear regression with generalized estimating equations was used to determine associations between feet with and without Foot Pain. Results. Individuals with distal Foot (foreFoot or toes) Pain had similar maximum vertical forces under the Pain region, while those with proximal Foot (rearFoot or midFoot) Pain had different maximum vertical forces compared to those without regional Foot Pain (referent). During walking, there were significant differences in plantar loading and propulsion ranging from 2% to 4% between those with and without regional Foot Pain. Significant differences in normalized maximum vertical force and plantar pressure ranged from 5.3% to 12.4% and 3.4% to 24.1%, respectively, between those with and without regional Foot Pain. Conclusions. Associations of regional Foot Pain with plantar pressure and force were different by regions of Pain. Region-specific Foot Pain was not uniformly associated with an increase or decrease in loading and pressure patterns regions of Pain.
Stephen R Lord - One of the best experts on this subject based on the ideXlab platform.
-
cross sectional analysis of Foot function functional ability and health related quality of life in older people with disabling Foot Pain
Arthritis Care and Research, 2011Co-Authors: Hylton B. Menz, Stephen R Lord, Karen J Mickle, Bridget J Munro, Julie R SteeleAbstract:Objective To determine whether disabling Foot Pain is associated with Foot function characteristics, functional ability, and health-related quality of life (HRQOL) in older adults. Methods The Manchester Foot Pain and Disability Index was used to establish the presence of Foot Pain in 312 community-dwelling men and women age >60 years. Ankle dorsiflexion strength and flexibility, Foot reaction time, hallux and lesser toe flexor strength, and spatiotemporal gait parameters were measured to characterize Foot function. Participants completed postural sway tasks and the Short Form 36 Health Survey (SF-36) as a measure of HRQOL. Participants with disabling Foot Pain, classified using both the original and conservative (at least 1 item scored as “most/every day”) definitions, were then compared to those without Pain, adjusting for sex and body mass index. Results Participants with Foot Pain scored significantly lower on the total SF-36 and all subcomponents. Ankle dorsiflexion strength, hallux strength, stride length, step length, and walking speed were significantly reduced in those with Foot Pain. After applying a more conservative cutoff for disabling Foot Pain, reduced toe flexor strength, increased Foot reaction time, increased postural sway, increased time in double support, and reduced time in single support emerged as additional characteristics of those with disabling Foot Pain. Conclusion Older people with disabling Foot Pain exhibit reduced HRQOL, functional impairment, and alterations to Foot function that may contribute to an increased risk of falling. Providing interventions to older people to reduce Foot Pain and improve Foot function may play a role in improving mobility and quality of life.
-
Cross‐sectional analysis of Foot function, functional ability, and health‐related quality of life in older people with disabling Foot Pain
Arthritis Care and Research, 2011Co-Authors: Karen J Mickle, Hylton B. Menz, Stephen R Lord, Bridget J Munro, Julie R SteeleAbstract:Objective To determine whether disabling Foot Pain is associated with Foot function characteristics, functional ability, and health-related quality of life (HRQOL) in older adults. Methods The Manchester Foot Pain and Disability Index was used to establish the presence of Foot Pain in 312 community-dwelling men and women age >60 years. Ankle dorsiflexion strength and flexibility, Foot reaction time, hallux and lesser toe flexor strength, and spatiotemporal gait parameters were measured to characterize Foot function. Participants completed postural sway tasks and the Short Form 36 Health Survey (SF-36) as a measure of HRQOL. Participants with disabling Foot Pain, classified using both the original and conservative (at least 1 item scored as “most/every day”) definitions, were then compared to those without Pain, adjusting for sex and body mass index. Results Participants with Foot Pain scored significantly lower on the total SF-36 and all subcomponents. Ankle dorsiflexion strength, hallux strength, stride length, step length, and walking speed were significantly reduced in those with Foot Pain. After applying a more conservative cutoff for disabling Foot Pain, reduced toe flexor strength, increased Foot reaction time, increased postural sway, increased time in double support, and reduced time in single support emerged as additional characteristics of those with disabling Foot Pain. Conclusion Older people with disabling Foot Pain exhibit reduced HRQOL, functional impairment, and alterations to Foot function that may contribute to an increased risk of falling. Providing interventions to older people to reduce Foot Pain and improve Foot function may play a role in improving mobility and quality of life.
-
Foot Pain plantar pressures and falls in older people a prospective study
Journal of the American Geriatrics Society, 2010Co-Authors: Karen J Mickle, Hylton B. Menz, Stephen R Lord, Bridget J Munro, Julie R SteeleAbstract:OBJECTIVES: To determine whether Foot Pain and plantar pressure are associated with falls in community-dwelling older adults. DESIGN: Community-based cohort study with 12-month prospective falls follow-up. SETTING: Sydney and Illawarra statistical regions of New South Wales, Australia. PARTICIPANTS: Randomly recruited, community-dwelling adults (158 men and 154 women) aged 60 and older. MEASUREMENTS: 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. RESULTS: 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. CONCLUSION: 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. Language: en
-
High plantar pressures and Foot Pain: Are they contributing to falls in older adults?
2008Co-Authors: Karen J Mickle, Hylton B. Menz, Stephen R Lord, Bridget J Munro, Julie R SteeleAbstract:Falls, the leading cause of injuries in older adults, typically occur during ambulation. As such, gait and balance abnormalities are frequently cited as falls risk factors. During normal gait, the Foot is the only source of direct contact with the ground and, therefore, it plays a substantial role in maintaining stability and balance. Foot Pain has been found to impair balance and gait in women (Leveille, 1998), and has been shown to be falls risk factor in institutionalised elders (Menz, 2006), however it unknown whether Foot Pain is a risk factor for falling in community-dwelling older adults. As Foot Pain is a common complaint in older adults, it is important to determine whether Foot Pain is a falls risk factor. Despite providing detailed information about the function of the Foot during gait, dynamic plantar pressures have not been investigated as a falls risk factor. Therefore, the purpose of this study was to determine whether Foot Pain and/or plantar pressures are associated with falls in the elderly.
-
Foot Pain in community dwelling older people an evaluation of the manchester Foot Pain and disability index
Rheumatology, 2006Co-Authors: Hylton B. Menz, Anne Tiedemann, Marcella Kwan, K Plumb, Stephen R LordAbstract:Objectives. The objectives of this study were (i) to examine the psychometric properties of the Manchester Foot Pain and Disability Index (MFPDI) in community-dwelling older people, and (ii) to determine the correlates of disabling Foot Pain in this age-group. Methods. A questionnaire consisting of medical history, the MFPDI, the Goldberg Anxiety and Depression Scale (GADS) and the Medical Outcomes Study Short Form 36 (SF-36) was administered to a sample of 301 community-dwelling people (117 men, 184 women) aged between 70 and 95 yr (mean 77.2, S.D. 4.9), who also underwent a clinical assessment of Foot problems. Results. Using the MFPDI case definition, 108 people (36%) were found to have disabling Foot Pain. Within this subgroup, the MFPDI had high internal consistency (Cronbach's α=0.89). Principal components analysis revealed a four-factor structure representing the constructs of functional limitation, Pain intensity, concern about appearance, and activity restriction, which explained 62% of the variance in the original items. Participants with disabling Foot Pain were more likely to report Pain in the back, hips, knees and hands or wrists, and exhibited flatter feet and less range of motion in the ankle joint. The MFPDI and its subscales were significantly associated with scores on the GADS depression subscale and the general health and mental health components of the SF-36. Conclusions. These findings confirm the high prevalence of disabling Foot Pain in older people, and suggest that the MFPDI is a suitable tool for assessing Foot Pain in this population.
Alyssa B Dufour - One of the best experts on this subject based on the ideXlab platform.
-
Prevalence of Foot Pain Across an International Consortium of Population‐Based Cohorts
Arthritis Care and Research, 2019Co-Authors: Lucy Gates, Edward Roddy, Tiffany K. Gill, Catherine L. Hill, Alyssa B Dufour, Marian T Hannan, Nigel K. Arden, Trishna Rathod-mistry, Martin J. Thomas, Hylton B. MenzAbstract:Despite the potential burden of Foot Pain, some of the most fundamental epidemiologic questions surrounding the Foot remain poorly explored. The prevalence of Foot Pain has proven to be difficult to compare across existing studies due to variations in case definitions. The objective of this study was to investigate the prevalence of Foot Pain in several international population-based cohorts using original data and to explore differences in the case definitions used. Foot Pain variables were examined in 5 cohorts: the Chingford 1000 Women Study, the Johnston County Osteoarthritis Project, the Framingham Foot Study, the Clinical Assessment Study of the Foot, and the North West Adelaide Health Study. One question about Foot Pain was chosen from each cohort based on its similarity to the American College of Rheumatology Pain question. The precise definition of Foot Pain varied between the cohorts. The prevalence of Foot Pain ranged from 13% to 36% and was lowest in the cohort in which the case definition specific to Pain was used, compared to the 4 remaining cohorts in which a definition included components of Pain, aching, or stiffness. Foot Pain was generally more prevalent in women and obese individuals and generally increased with age, with the prevalence being much lower in younger participants (ages 20-44 years). Foot Pain is common and is associated with female sex, older age, and obesity. Estimates of the prevalence of Foot Pain are likely to be affected by the case definition used. Therefore, in future population studies, the use of consistent measures of data collection must be considered. © 2019 The Authors. Arthritis Care & Research published by Wiley Periodicals, Inc. on behalf of American College of Rheumatology.
-
obesity Foot Pain and Foot disorders in older men and women
Obesity Research & Clinical Practice, 2017Co-Authors: Alyssa B Dufour, Hylton B. Menz, Elena Losina, Michael P Lavalley, Marian T HannanAbstract:Summary Objective We investigated obesity, Foot Pain and selected Foot disorders, and determined if associations differed by Foot posture or dynamic Foot function. Methods We included 2445 men and women (4888 feet) from the Framingham Foot Study (2002–2008). A Foot examination assessed presence of disorders and Pain on each Foot. Body mass index (BMI, kg/m2) was categorized as normal ( Results Average age was 68 ± 11 years, 56% female, average BMI 28 ± 5 kg/m2. 18% of feet had Pain, 25% hallux valgus, 2% claw toes, 18% hammer toes, 7% overlapping toes. In men, severe-obesity was associated with Foot Pain (OR = 2.4, p = 0.002) and claw toes (OR = 3.4, p = 0.04). In women, overweight, moderate-obesity and severe-obesity were associated with Foot Pain. Women with severe-obesity were less likely to have hallux valgus. Similar patterns were evident after stratification by Foot posture and dynamic Foot function. Conclusion Both men and women were at increased odds of Foot Pain as BMI increased. Data suggested Foot posture and dynamic Foot function had no effect, thus are unlikely mechanisms.
-
Foot Pain in Relation to Ipsilateral and Contralateral Lower-Extremity Pain in a Population-Based Study
Journal of the American Podiatric Medical Association, 2017Co-Authors: Alyssa B Dufour, Howard J Hillstrom, Brian Halpern, G. Positano, Marian T HannanAbstract:Background: Clinical observations note that Foot Pain can be linked to contralateral Pain at the knee or hip, yet we are unaware of any community-based studies that have investigated the sidedness of Pain. Because clinic-based patient samples are often different from the general population, the purpose of this study was to determine whether knee or hip Pain is more prevalent with contralateral Foot Pain than with ipsilateral Foot Pain in a population-based cohort. Methods: Framingham Foot Study participants (2002–2008) with information on Foot, knee, and hip Pain were included in this cross-sectional analysis. Foot Pain was queried as Pain, aching, or stiffness on most days. Using a manikin diagram, participants indicated whether they had experienced Pain, aching, or stiffness at the hip or knee and specified the side of any reported Pain. Sex-specific multinomial logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals for the association of Foot Pain with knee and hip pai...
-
link between Foot Pain severity and prevalence of depressive symptoms
Arthritis Care and Research, 2016Co-Authors: Arunima Awale, Hylton B. Menz, Alyssa B Dufour, Patricia P Katz, Marian T HannanAbstract:Objective Associations between Pain and depression are well known, yet Foot Pain, common in populations, has been understudied. This cross-sectional study examined Foot Pain and severity of Foot Pain with depressive symptoms in adults. Methods Framingham Foot Study (2002–2008) participants completed questionnaires that included questions about Foot Pain (yes/no; none, mild, moderate, or severe Pain) and the Center for Epidemiologic Studies Depression Scale (scores ≥16 indicated depressive symptoms). Age and body mass index (BMI) were also assessed. Sex-specific logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (95% CIs) for associations of Foot Pain with depressive symptoms, adjusting for age and BMI. In a subset, further models adjusted for leg Pain, back Pain, or other joint Pain. Results Of 1,464 men and 1,857 women, the mean ± SD age was 66 ± 10 years. Depressive symptoms were reported in 21% of men and 27% of women. Compared to those with no Foot Pain and independent of age and BMI, both men and women with moderate Foot Pain had approximately a 2-fold increased odds of depressive symptoms (men with severe Foot Pain OR of 4 [95% CI 2.26–8.48], women with severe Foot Pain OR of 3 [95% CI 2.02–4.68]). Considering other Pain regions attenuated ORs, but the pattern of results remained unchanged. Conclusion Even after we adjusted for age, BMI, and other regions of Pain, those reporting worse Foot Pain were more likely to report depressive symptoms. These findings suggest that Foot Pain may be a part of a broader Pain spectrum, with an impact beyond localized Pain and discomfort.
-
associations of region specific Foot Pain and Foot biomechanics the framingham Foot study
Journals of Gerontology Series A-biological Sciences and Medical Sciences, 2015Co-Authors: Jody L Riskowski, Alyssa B Dufour, Thomas J Hagedorn, Marian T HannanAbstract:Background. Specific regions of the Foot are responsible for the gait tasks of weight acceptance, single-limb support, and forward propulsion. With region Foot Pain, gait abnormalities may arise and affect the plantar pressure and force pattern utilized. Therefore, this study’s purpose was to evaluate plantar pressure and force pattern differences between adults with and without regionspecific Foot Pain. Methods. Plantar pressure and force data were collected on Framingham Foot Study members while walking bareFoot at a self-selected pace. Foot Pain was evaluated by self-report and grouped by Foot region (toe, foreFoot, midFoot, or rearFoot) or regions (two or three or more regions) of Pain. Unadjusted and adjusted linear regression with generalized estimating equations was used to determine associations between feet with and without Foot Pain. Results. Individuals with distal Foot (foreFoot or toes) Pain had similar maximum vertical forces under the Pain region, while those with proximal Foot (rearFoot or midFoot) Pain had different maximum vertical forces compared to those without regional Foot Pain (referent). During walking, there were significant differences in plantar loading and propulsion ranging from 2% to 4% between those with and without regional Foot Pain. Significant differences in normalized maximum vertical force and plantar pressure ranged from 5.3% to 12.4% and 3.4% to 24.1%, respectively, between those with and without regional Foot Pain. Conclusions. Associations of regional Foot Pain with plantar pressure and force were different by regions of Pain. Region-specific Foot Pain was not uniformly associated with an increase or decrease in loading and pressure patterns regions of Pain.
Julie R Steele - One of the best experts on this subject based on the ideXlab platform.
-
cross sectional analysis of Foot function functional ability and health related quality of life in older people with disabling Foot Pain
Arthritis Care and Research, 2011Co-Authors: Hylton B. Menz, Stephen R Lord, Karen J Mickle, Bridget J Munro, Julie R SteeleAbstract:Objective To determine whether disabling Foot Pain is associated with Foot function characteristics, functional ability, and health-related quality of life (HRQOL) in older adults. Methods The Manchester Foot Pain and Disability Index was used to establish the presence of Foot Pain in 312 community-dwelling men and women age >60 years. Ankle dorsiflexion strength and flexibility, Foot reaction time, hallux and lesser toe flexor strength, and spatiotemporal gait parameters were measured to characterize Foot function. Participants completed postural sway tasks and the Short Form 36 Health Survey (SF-36) as a measure of HRQOL. Participants with disabling Foot Pain, classified using both the original and conservative (at least 1 item scored as “most/every day”) definitions, were then compared to those without Pain, adjusting for sex and body mass index. Results Participants with Foot Pain scored significantly lower on the total SF-36 and all subcomponents. Ankle dorsiflexion strength, hallux strength, stride length, step length, and walking speed were significantly reduced in those with Foot Pain. After applying a more conservative cutoff for disabling Foot Pain, reduced toe flexor strength, increased Foot reaction time, increased postural sway, increased time in double support, and reduced time in single support emerged as additional characteristics of those with disabling Foot Pain. Conclusion Older people with disabling Foot Pain exhibit reduced HRQOL, functional impairment, and alterations to Foot function that may contribute to an increased risk of falling. Providing interventions to older people to reduce Foot Pain and improve Foot function may play a role in improving mobility and quality of life.
-
Cross‐sectional analysis of Foot function, functional ability, and health‐related quality of life in older people with disabling Foot Pain
Arthritis Care and Research, 2011Co-Authors: Karen J Mickle, Hylton B. Menz, Stephen R Lord, Bridget J Munro, Julie R SteeleAbstract:Objective To determine whether disabling Foot Pain is associated with Foot function characteristics, functional ability, and health-related quality of life (HRQOL) in older adults. Methods The Manchester Foot Pain and Disability Index was used to establish the presence of Foot Pain in 312 community-dwelling men and women age >60 years. Ankle dorsiflexion strength and flexibility, Foot reaction time, hallux and lesser toe flexor strength, and spatiotemporal gait parameters were measured to characterize Foot function. Participants completed postural sway tasks and the Short Form 36 Health Survey (SF-36) as a measure of HRQOL. Participants with disabling Foot Pain, classified using both the original and conservative (at least 1 item scored as “most/every day”) definitions, were then compared to those without Pain, adjusting for sex and body mass index. Results Participants with Foot Pain scored significantly lower on the total SF-36 and all subcomponents. Ankle dorsiflexion strength, hallux strength, stride length, step length, and walking speed were significantly reduced in those with Foot Pain. After applying a more conservative cutoff for disabling Foot Pain, reduced toe flexor strength, increased Foot reaction time, increased postural sway, increased time in double support, and reduced time in single support emerged as additional characteristics of those with disabling Foot Pain. Conclusion Older people with disabling Foot Pain exhibit reduced HRQOL, functional impairment, and alterations to Foot function that may contribute to an increased risk of falling. Providing interventions to older people to reduce Foot Pain and improve Foot function may play a role in improving mobility and quality of life.
-
Foot Pain plantar pressures and falls in older people a prospective study
Journal of the American Geriatrics Society, 2010Co-Authors: Karen J Mickle, Hylton B. Menz, Stephen R Lord, Bridget J Munro, Julie R SteeleAbstract:OBJECTIVES: To determine whether Foot Pain and plantar pressure are associated with falls in community-dwelling older adults. DESIGN: Community-based cohort study with 12-month prospective falls follow-up. SETTING: Sydney and Illawarra statistical regions of New South Wales, Australia. PARTICIPANTS: Randomly recruited, community-dwelling adults (158 men and 154 women) aged 60 and older. MEASUREMENTS: 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. RESULTS: 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. CONCLUSION: 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. Language: en
-
High plantar pressures and Foot Pain: Are they contributing to falls in older adults?
2008Co-Authors: Karen J Mickle, Hylton B. Menz, Stephen R Lord, Bridget J Munro, Julie R SteeleAbstract:Falls, the leading cause of injuries in older adults, typically occur during ambulation. As such, gait and balance abnormalities are frequently cited as falls risk factors. During normal gait, the Foot is the only source of direct contact with the ground and, therefore, it plays a substantial role in maintaining stability and balance. Foot Pain has been found to impair balance and gait in women (Leveille, 1998), and has been shown to be falls risk factor in institutionalised elders (Menz, 2006), however it unknown whether Foot Pain is a risk factor for falling in community-dwelling older adults. As Foot Pain is a common complaint in older adults, it is important to determine whether Foot Pain is a falls risk factor. Despite providing detailed information about the function of the Foot during gait, dynamic plantar pressures have not been investigated as a falls risk factor. Therefore, the purpose of this study was to determine whether Foot Pain and/or plantar pressures are associated with falls in the elderly.
