Vázquez-Navarrete I, Olivares-Luna AM, González-Pedraza AA

Language: Spanish
References: 13
Page: 39-42
PDF size: 268.61 Kb.

ABSTRACT

Objective: to relate podiatric disorders, osteoarticular type with functionality, risk of falls and pain in the elderly. Methods: observational, cross-sectional and descriptive study. Non-randomized sampling by convenience in 100 adults over 60 years old; carried out in a Family Medicine Unit in Mexico City. Podiatric diagnosis was conducted and the scales to evaluate the risk of falling (Tinetti), for functionality (Lawton and Brody) and the analog scale of pain (eva) were applied. The U of Mann-Whitney test, 0.05 significance level, and statistical program spss v18 were used. Results: 99% of the patients presented at least one foot pathology. In 18% of the cases there were associations between pathologies. The highest prevalence was Hallux valgus with 54%; 43% of the population presented some degree of dependency in daily living activities. When relating foot pathologies with functionality, pain and risk of falls; it was only obtained a statistical significance between Hallux valgus and degree of pain (p=0.025). Conclusions: the prevalence of foot diseases was high, for this reason, it is important to include the exploration of the feet in the assessment of geriatric patients. The degree of joint deformity does not seem to relate with functionality alteration or the presence of the syndrome of falling.

REFERENCES

1. Parodi-García JF. El pie del adulto mayor. Acta Médica Peruana. 2005;XXII(3):123-8.

2. D’Hyver C, León T, Martínez–Gallardo L. Prevalencia de síndromes geriátricos. Rev Fac Med unam. 2011; 54 (5): 4-11.

3. Organización Panamericana de la Salud. Oficina Regional de la Organización Mundial de la Salud. Cuidado de los pies parte II, guía del diagnóstico y manejo 7. [Internet];191-200. [Citado 2015 Mar 23] Disponible en: www.sld. cu/galerias/pdf/sitios/gericuba/guia07.pdf

4. Martínez-Gallardo L, Hermida Galindo LF, D’Hyver C. Prevalencia de patología del pie en una población geriátrica y su impacto en la función, la marcha y el síndrome de caídas. Rev Esp Geriatr Gerontol. 2012;47(1):19-22.

5. Lázaro Ochaíta P, Guillén Llera F, Novel Martí V, Alonso Megías A, Balañá Vilanova M, Díaz Castella JM. Trastornos dermatológicos y podológicos en los pies de las personas mayores de 60 años: resultados del estudio descriptivo de la campaña “Pensando en los pies”. Piel. 2004;19(4):184-90.

6. Lezaeta CI, Valenzuela LK, Zemelman DV, Valdés AP. Prevalencia de Patologías Cutáneas en el Adulto Mayor de 80 años. Análisis de dos comunas del Sector Norte de Santiago, Chile. Rev Chil Derm. 2010;26(2):116-7.

7. Munro BJ, Steele JR. Foot care Awareness. A Survey of Persons Aged 65 years and Older. J Am Podiatr Med Assoc. 1998;88(5):242-8.

8. 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(5):491-8.

9. Romero Soto M, Santalla Borreiros F, Gil Manso P, Mosquera Fernández A, Suárez Cotelo MC, Maceira Castiñeira MM. Estudio de prevalencia de patologías podológicas y grado de dependencia en personas mayores de 65 años. Peu. 2010;30(3):104-11.

10. Galván Parra Y, Moreno Castillo Y, González Pedraza AA. El síndrome de caídas y la calidad de vida relacionada con la salud en el adulto mayor. Arch Med Fam. 2010;12(1):17-24.

11. Keysor JJ, Dunn JE, Link CL, Badlissi F, Felson DT. Are foot disorders associated with functional limitation and disability among community- dwelling older adults? J Aging Health. 2005;17:734-52.

12. Helfand AE. Foot Problems in Older Patients. A Focused Podogeriatric Assessment Study in Ambulatory Care. J Am Podiatr Med Assoc. 2004;94(3):293-304.

13. Mosquera Fernández A, Gil Manso P, Romero Soto M, Santalla Borreiros F, Maceira Castiñeira MM, Suárez Cotelo MC. Estudio de patologías sistémicas y podológicas en las personas mayores de 65 años atendidas en el programa de podología itinerante 2006. Rev Esp Podol. 2009;20(5):182-6.