Prevalencia de patología del pie en una población geriátrica y su impacto en la función, la marcha y el síndrome de caídas / Prevalence of foot conditions in a geriatric population and their impact on mobility, gait and tendency to falls

Introducción. La patología del pie es común en la población geriátrica. Se conoce poco sobre su prevalencia y el impacto que tiene sobre la función, la marcha y las caídas. Material y métodos. Se realizó una valoración geriátrica a 171 mujeres institucionalizadas. Se tomaron fotografías del pie que fueron valoradas por un ortopedista y una dermatóloga. Se realizó análisis multivariado para estimar el efecto de las variables independientes sobre función, marcha y síndrome de caídas. Resultados. Las alteraciones del pie más encontradas fueron la presencia de dedos en garra (122), callos (79) e insuficiencia vascular periférica (74). El hallux rígido (OR 24,897, IC del 95%, 1.231-503.542) y la insuficiencia vascular periférica (OR 2.481, IC del 95%, 1.095-5.623) se relacionaron con alteración en la marcha; ambas se asociaron a dependencia a las actividades instrumentales de la vida diaria (OR 44.166, IC del 95%, 2.402-812.233, y OR 2.659, IC del 95%, 1.069-6.615). El hallux rígido se asoció a caídas (OR 19.27, IC del 95%, 1.102-337.26). La tiña se relacionó con dependencia en las actividades de la vida diaria (OR 11.52, IC del 95%, 1.325-100.125). Conclusiones. La patología del pie es muy común en la población geriátrica. Únicamente el hallux rígido y la insuficiencia vascular periférica impactaron en la función y la marcha(AU)

Introduction. Foot disease is common among the elderly. Little is known about its prevalence and impact over mobility, gait and tendency to fall. Material and methods. A geriatric history was taken from 171 women living in a long-term care facility. Photographs were taken of the feet and evaluated by an orthopaedic surgeon and a dermatologist. A multivariate analysis was made to assess de effect of the independent variables over mobility, gait and tendency to fall. Results. The foot diseases most commonly found were hammer toes (122), callus (79) and peripheral vascular disease (74). Hallux rigidus (OR 24.897, 95% CI, 1.231-503.542) and peripheral vascular disease (OR 2.481, 95% CI, 1.095-5.623) seemed to be associated with changes in gait; both where associated with dependency on instrumental activities of daily living (OR 44.166, 95% CI, 2.402-812.233, and OR 2.659, 95% CI, 1.069-6.615). Hallux rigidus was related to falls (OR 19.27, 95% CI, 1.102-337.26). Tinea pedis was associated with dependency in activities of daily living (OR 11.52, 95% CI, 1.325-100.125). Conclusions. Foot disorders are common in the elderly. Only hallux rigidus and peripheral vascular disease had an impact on function and gait(AU)

[Prevalence of foot conditions in a geriatric population and their impact on mobility, gait and tendency to falls]. / Prevalencia de patología del pie en una población geriátrica y su impacto en la función, la marcha y el síndrome de caídas.

INTRODUCTION: Foot disease is common among the elderly. Little is known about its prevalence and impact over mobility, gait and tendency to fall. MATERIAL AND METHODS: A geriatric history was taken from 171 women living in a long-term care facility. Photographs were taken of the feet and evaluated by an orthopaedic surgeon and a dermatologist. A multivariate analysis was made to assess de effect of the independent variables over mobility, gait and tendency to fall. RESULTS: The foot diseases most commonly found were hammer toes (122), callus (79) and peripheral vascular disease (74). Hallux rigidus (OR 24.897, 95% CI, 1.231-503.542) and peripheral vascular disease (OR 2.481, 95% CI, 1.095-5.623) seemed to be associated with changes in gait; both where associated with dependency on instrumental activities of daily living (OR 44.166, 95% CI, 2.402-812.233, and OR 2.659, 95% CI, 1.069-6.615). Hallux rigidus was related to falls (OR 19.27, 95% CI, 1.102-337.26). Tinea pedis was associated with dependency in activities of daily living (OR 11.52, 95% CI, 1.325-100.125). CONCLUSIONS: Foot disorders are common in the elderly. Only hallux rigidus and peripheral vascular disease had an impact on function and gait.