@article{ref1,
title="Foot Pain, Plantar Pressures, and Falls in Older People: A Prospective Study",
journal="Journal of the American Geriatrics Society",
year="2010",
author="Mickle, Karen J. and Munro, Bridget J. and Lord, Stephen R. and Menz, Hylton B. and Steele, Julie R.",
volume="58",
number="10",
pages="1936-1940",
abstract="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.<p /> <p>Language: en</p>",
language="en",
issn="0002-8614",
doi="10.1111/j.1532-5415.2010.03061.x",
url="http://dx.doi.org/10.1111/j.1532-5415.2010.03061.x"
}