Looking at the REFORM trial and the trial on which the FootHold exercise protocol is based , Spink et al (see below #1 ) what can be deduced ?
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In my opinion as follows -
1
Toe curl exercises and marble pick ups do not strengthen the intrinsic toe flexor muscles but , in individuals with foot pain , probably provide enough exercise to reduce inflammation and pain in arthritic foot joints . This pain reduction likely improves early reaction to balance issues leading to reduced falls .
2
The FootHold program is likely to be of most value in patients with foot pain caused by osteo or rheumatoid arthritis and may have very little effect on individuals without foot pain .
#1
49.
Effectiveness of a multifaceted podiatry intervention to prevent falls in community dwelling older people with disabling foot pain: randomised controlled trial.
Spink MJ, Menz HB, Fotoohabadi MR, Wee E, Landorf KB, Hill KD, Lord SR.
BMJ. 2011 Jun 16;342:d3411. doi: 10.1136/bmj.d3411.
PMID:
21680622
Free PMC Article
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Foot self-care in older people
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Low additional thickness under the toes could change upright balance of healthy subjects.
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Foot self-care in older people
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Low additional thickness under the toes could change upright balance of healthy subjects.
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