“INFLUENCE OF FOOT TYPE ON BALANCE AND POSTURAL SWAY AMONG THE COMMUNITY DWELLING OLDER ADULTS”


Rajeshwari Gopal

Abstract


Aim: To compare the relationship between Foot Type, Postural sway and Balance among the community dwelling older adult.

Objective:  1. To find the correlation between foot type on static and dynamic balance among community dwelling older adults

2.To find the correlation between postural sway and foot type among community dwelling older adults.

Methodology: 20 community dwelling older adults were included for the study based on inclusion and exclusion criteria. The subjects foot type was assessed using the navicular drop test. The subjects were classified into 3 different foot types: as pronated, neutral and supinated. After classifying the subject according to the foot type, they were measured for static and dynamic balance using Berg Balance Scale(BBS). For the same subjects, postural sway was assessed with Lord’s Sway meter under 4 situations: 1. Standing on stable surface(floor) open eyes and 2. Standing on stable surface(floor) closed eyes, 3. Standing on unstable surface(foam) with eyes open and 4. Standing on unstable surface(foam) with eyes closed. The sway of older adult was recorded and analysed

Result: There was strong correlation between pronated and anteroposterior sway in EO on unstable surface and between neutral and anteroposterior sway in EC standing on stable surface. There was moderate correlation between berg balance scale score and neutral foot type. Pronated and anteroposterior sway in EO standing on stable surface also showed moderate correlation.

Conclusion: The results showed strong to moderate correlation between foot type, postural sway and balance, from this study it is clear that foot position affects the balance among older adults.   


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References


Cote KP, Brunet ME, II Gansneder BM, Shultz SJ. Effects of pronated and supinated foot postures on static and dynamic postural stability. J Athl Train 40(1):41–46

Donatelli RA. The biomechanics of the foot and ankle. Philadelphia, PA: Davis

Tsai LC, Yu B, Mercer VS, Gross MT. Comparison of different structural foot types for measures of standing postural control. J Orthop Sports Phys Ther 36:9

Root ML, Orien WP, Weed JH. Normal and abnormal function of the foot. Los Angeles, CA: Clinical Biomechanics

Hertel J, Gay MR, Denegar CR. Differences in postural control during single-leg stance among healthy individuals with different foot types. J Athl Train. 2002;37:129-132.

Kirby RL, Price NA, MacLeod DA. The influence of foot position on standing balance. J Biomech. 1987;20:423-427.

Anzai E, Nakajima K, Iwakami Y, Sato M, Ino S, Ifukube T, Yamashita K, Ohta Y. 2014. Effects of foot arch structure on postural stability. Clin Res Foot Ankle 2:1–5

Lord SR, Clark RD, Webster IW. Physiological factors associated with falls in elderly population. J Am Geriatr Soc. 1991;39:1994-1200

Lord SR, Ward JA, Williams P, Anstery KJ. Physiology factors associated with falls in older community dwelling women. J Am Geriatr Soc 1994; 42:1110-1117

Maki BE, Macilroy WE. Postural control in the older adult. Clin Geriatr Med. 1996; 12:635-658

D A Winter Human. Balance and posture control during standing and walking. Gait & Posture: 1995; vol-3: 193-214 Dec

Kirby RL, Price NA, MacLeod DA. The influence of foot position on standing balance. J Biomech. 1987; 20:423-427.

Cynthia C. Norkin, Pamela K. Levangle. Joint Structure and Function 5e

Linda D, Bogle Thorbahn, Roberta A Newton. Use of the berg balance test to predict falls in elderly persons. Phys Ther. 1996 Jan; 76(6):576-83.’

Park SH, Lee YS. The diagnostic accuracy of the berg balance scale in predicting falls. West J Nurs Res 2016 Oct 26. Pii:0193945916670894.

Susan W Muir, Katherine Berg, Bert Chesworth, Mark R Speechely. Use of the berg balance scale for predicting multiple falls in community-dwelling elderly people: A Prospective Study. Phys Ther. 88(4):449-59. May 2008

Angin S, Ilcin N, Yesilyaprak SS, Simsek IE. Prediction of postural sway velocity by foot posture index, foot size and plantar pressure values in unilateral stance. Eklem Hastalik Cerrahisi. 2013;24(3):144-8. DOI: 10.5606/ehc.2013.32.

Sturnieks DL, Arnold R, Lord SR. Validity and reliability of the Swaymeter device for measuring postural sway. BMC Geriatr.2011 Oct 11:63. DOI: 10.1186/1471-2318-11-63

Baudry S, Lecoeuvre G, Duchateau J. Age related changes in the behavior of the muscle – tendon unit of the gastrocenemius medialis during upright stance. Journal of applied physiology, volume 112, issues 2. Jan 2012, pages 296-304.

Joseph O. Nnodim, Raymond L. Yung. Balance and its Clinical Assessment in Older Adults – A Review. J Geriatric Med Gerontology. 2015; 1(1)

I.Melzer, N. Benjuya, J. Kaplanski. Postural stability in elderly: a comparison between fallers and non-fallers. Age Ageing 2004 nov:33(6):602-7

MJ Mueller, JV Host, and BJ Norton. Navicular drop as a composite measure of excessive pronation. Journal of the American Podiatric Medical. Association: April 1993, Vol. 83, No. 4, pp. 198-202. DOI: http://dx.doi.org/10.7547/87507315-83-4-19




About this article

Title

“INFLUENCE OF FOOT TYPE ON BALANCE AND POSTURAL SWAY AMONG THE COMMUNITY DWELLING OLDER ADULTS”

Date

01-07-2018

Additional Links

Manuscript Submission

Journal

Innovare Journal of Health Sciences
Vol 6 Issue 1, 2018 (Jan-June) Page: 41-50

Online ISSN

2347-5536

Authors & Affiliations

Rajeshwari Gopal


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