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Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
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Toe functions have little effect on dynamic balance ability in elderly people
Yoshinobu Yoshimoto1, Yukitsuna Oyama2, Mamoru Tanaka3
1Department of Physical Therapy, School of Rehabilitation Sciences, Seirei Christopher University, Japan.
Journal of Physical Therapy Science
|February 18, 2017
Summary
Elderly toe function has minimal impact on dynamic balance. Effective fall prevention requires addressing trunk and leg joint functions alongside toe health.
Area of Science:
- Gerontology
- Biomechanics
- Physical Therapy
Background:
- Dynamic balance is crucial for fall prevention in the elderly.
- Toe function is a potential, yet understudied, factor influencing balance.
- Understanding these relationships can inform targeted interventions.
Purpose of the Study:
- To investigate the association between specific toe functions and dynamic balance in older adults.
- To identify key predictors of dynamic balance performance in this population.
- To guide the development of effective fall-prevention strategies.
Main Methods:
- Cross-sectional study of 78 community-dwelling elderly participants.
- Dynamic balance assessed using the Timed Up and Go Test and Four Square Step Test.
- Toe functions evaluated included toe flexion strength, hallux range of motion, hallux pain, and hallux valgus angle.
Main Results:
- Toe flexion strength and age were significant predictors for both dynamic balance tests.
- Hallux pain also correlated with Timed Up and Go Test performance.
- Mild toe dysfunction showed limited impact on overall dynamic balance.
Conclusions:
- Toe function alone may not be the primary determinant of dynamic balance in elderly individuals with mild dysfunction.
- Fall prevention strategies should consider a multifactorial approach, including trunk stability and other lower extremity joints.
- Further research into integrated functional training is warranted.

