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Gait instability and hallux valgus

Discussion in 'Gerontology' started by Hylton Menz, Jul 6, 2005.

  1. Hylton Menz

    Hylton Menz Guest


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    Menz HB, Lord SR. Gait instability in older people with hallux valgus. Foot Ankle Int. 2005 Jun;26(6):483-9.

    BACKGROUND: Hallux valgus is a common condition that may lead to considerable
    pain and disability. There is also evidence that hallux valgus may impair
    balance and increase the risk of falling in older people. Although a number of
    plantar pressure studies have been undertaken in people with and without hallux
    valgus, little is known about how hallux valgus affects basic gait patterns or
    the movement of the upper body when walking. METHODS: Measurements of
    temporospatial parameters of gait and acceleration patterns of the head and
    pelvis were obtained in 71 people (24 men, 47 women) between 75 and 93 (mean 80
    +/- 4) years of age when walking on both a level surface and a specially
    designed irregular walkway. Foot problems, vision, peripheral sensation,
    strength, and reaction time also were evaluated. RESULTS: After adjusting for
    potential confounders, subjects with moderate to severe hallux valgus were found
    to exhibit significantly reduced velocity and step length on both walking
    surfaces and less rhythmic acceleration patterns in the vertical plane when
    walking on the irregular surface compared to subjects with no or mild hallux
    valgus. CONCLUSION: These findings indicate that hallux valgus has a significant
    detrimental impact on gait patterns that may contribute to instability and risk
    of falling in older people, particularly when walking on irregular terrain
    .

    If anyone would like a copy, please email me.

    Cheers,

    Hylton
     
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