Clinical Biomechanics
Volume 24, Issue 10 , Pages 787-791 , December 2009

ISB Clinical Biomechanics Award 2009: Toe weakness and deformity increase the risk of falls in older people

  • Karen J. Mickle

      Affiliations

    • Biomechanics Research Laboratory, University of Wollongong, Australia
    • Corresponding Author InformationCorresponding author. Address: Biomechanics Research Laboratory, School of Health Sciences, Northfields Avenue, Wollongong, NSW 2522, Australia.
  • ,
  • Bridget J. Munro

      Affiliations

    • Biomechanics Research Laboratory, University of Wollongong, Australia
  • ,
  • Stephen R. Lord

      Affiliations

    • Prince of Wales Medical Research Institute, Sydney, Australia
  • ,
  • Hylton B. Menz

      Affiliations

    • Musculoskeletal Research Centre, Faculty of Health Sciences, La Trobe University, Australia
  • ,
  • Julie R. Steele

      Affiliations

    • Biomechanics Research Laboratory, University of Wollongong, Australia

Received 22 July 2009 ,Accepted 19 August 2009.

References 

  1. Caselli MA, George DH. Foot deformities: biomechanical and pathomechanical changes associated with aging, part I. Clin. Podiatr. Med. Surg. 2003;20:487–509
  2. Claisse PJ, Binning J, Potter J. Effect of orthotic therapy on claw toe loading: results of significance testing at pressure sensor units. J. Am. Podiatr. Med. Assoc. 2004;94:246–254
  3. Coughlin MJ. Hallux valgus. Instr. Course Lect. 1997;46:357–391
  4. Coughlin MJ. Lesser toe abnormalities. Instr. Course Lect. 2003;52:421–444
  5. De Win M, Theuvenet W, Roche P, De Bie R, Van Mameren H. The paper grip test for screening on intrinsic muscle paralysis in the foot of leprosy patients. Int. J. Leprosy Other Mycobact. Dis. 2002;70:16–24
  6. Dunn JE, Link CL, Felson DT, Crincoli MG, Keysor JJ, Mckinlay JB. Prevalence of foot and ankle conditions in a multiethnic community sample of older adults. Am. J. Epidemiol. 2004;159:491–498
  7. Endo M, Ashton-Miller J, Alexander N. Effects of age and gender on toe flexor muscle strength. J. Gerontol. A Biol. Sci. Med. Sci. 2002;57A:M392–M397
  8. Garrow A, Papageorgiou A, Silman A, Thomas E, Jayson M, Macfarlane G. The grading of hallux valgus. The Manchester scale. J. Am. Podiatr. Med. Assoc. 2001;91:74–78
  9. Garth WP, Miller ST. Evaluation of claw toe deformity, weakness of the foot intrinsics, and posteromedial shin pain. Am. J. Sports Med. 1989;17:821–827
  10. Kelikian H. The hallux. In:  Jahss MH editors. Disorders of the Foot. Philadelphia: WB Saunders Company; 1982;p. 539–621
  11. Koski K, Luukinen H, Laippala P, Kivela SL. Physiological factors and medications as predictors of injurious falls by elderly people: a prospective population-based study. Age Ageing. 1996;25:29–38
  12. Lord SR, Menz HB, Tiedemann A. A physiological profile approach to falls risk assessment and prevention. Phys. Ther. 2003;83:237–252
  13. Mann RA, Hagy JL. The function of the toes in walking, jogging and running. Clin. Orthop. 1979;142:24–29
  14. Menz HB, Lord SR. The contribution of foot problems to mobility impairment and falls in community-dwelling older people. J. Am. Geriatr. Soc. 2001;49:1651–1656
  15. Menz HB, Lord SR. Gait instability in older people with hallux valgus. Foot Ankle Int. 2005;26:483–489
  16. Menz HB, Morris ME. Clinical determinants of plantar forces and pressures during walking in older people. Gait Posture. 2006;24:229–236
  17. Menz HB, Munteanu SE. Radiographic validation of the Manchester scale for the classification of hallux valgus deformity. Rheumatology (Oxford). 2005;44:1061–1066
  18. Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J. Gerontol. A Biol. Sci. Med. Sci. 2005;60:1546–1552
  19. Menz HB, Morris ME, Lord SR. Foot and ankle risk factors for falls in older people: a prospective study. J. Gerontol. A Biol. Sci. Med. Sci. 2006;61A:866–870
  20. Mickle, K.J., Chambers, S., Steele, J.R., Munro, B.J., 2006. A novel and reliable method to measure toe flexor strength. In: Proceedings of the 10th Emed Scientific Meeting, Spitzingsee, Germany, T32.
  21. Mueller MJ, Salsich GB, Strube MJ. Functional limitations in patients with diabetes and transmetatarsal amputations. Phys. Ther. 1997;77:937–943
  22. Munro B, Steele J. Foot-care awareness. A survey of persons aged 65 years and older. J. Am. Podiatr. Med. Assoc. 1998;88:242–248
  23. Myerson MS, Shereff MJ. The pathological anatomy of claw and hammer toes. J. Bone Joint Surg. Am. 1989;71-A:45–49
  24. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J. Am. Geriatr. Soc. 1975;23:433–441
  25. Roddy E, Zhang W, Doherty M. Prevalence and associations of hallux valgus in a primary care population. Arthritis Rheum. 2008;59:857–862
  26. Scott G, Menz HB, Newcombe L. Age-related differences in foot structure and function. Gait Posture. 2007;26:68–75
  27. Senda M, Takahara Y, Yagata Y, Yamamoto K, Nagashima H, Tukiyama H, et al. Measurement of the muscle power of the toes in female marathon runners using a toe dynamometer. Acta Med. Okayama. 1999;53:189–191
  28. Spink MJ, Menz HB, Lord SR. Efficacy of a multifaceted podiatry intervention to improve balance and prevent falls in older people: study protocol for a randomised trial. BMC Geriatr. 2008;8:30
  29. Tanaka T, Noriyasu S, Ino S, Ifukube T, Nakata M. Objective method to determine the contribution of the great toe to standing balance and preliminary observations of age-related effects. IEEE Trans. Rehab. Eng. 1996;4:84–90
  30. Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly persons living in the community. N. Engl. J. Med. 1988;319:1701–1707
  31. Van Schie C, Vermigli C, Carrington A, Boulton A. Muscle weakness and foot deformities in diabetes: relationship to neuropathy and foot ulceration in Caucasian diabetic men. Diabetes Care. 2004;27:1668–1673

PII: S0268-0033(09)00201-0

doi: 10.1016/j.clinbiomech.2009.08.011

Clinical Biomechanics
Volume 24, Issue 10 , Pages 787-791 , December 2009