Dear Barry,
Try the following:
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Title
Foot pain and disability in older persons: an epidemiologic survey.
Author
Benvenuti F; Ferrucci L; Guralnik JM; Gangemi S; Baroni A
Source
J Am Geriatr Soc, 43(5):479-84 1995 May
Abstract
OBJECTIVE: To investigate the prevalence of foot pain in older people
and its association
with pathological conditions of the feet and with disability in basic
and instrumental activities of
daily living. DESIGN: Cross-sectional survey of a community-dwelling
older population.
PARTICIPANTS: A total of 459 subjects, 73% of the population aged 65
years and older
living in Dicomano, Florence, Italy. MEASUREMENTS: A standardized
medical examination
was performed by a geriatrician to collect information on the presence
of pain, specific
problems of the feet, gait, and several indicators of physical health
status. Disability in basic
and instrumental activities of daily living was evaluated by
self-report. RESULTS: The
prevalence of foot pain was very high, especially in subjects affected
by calluses or corns,
hallux deformities, hammer toes, pes planus, and edema and among those
who complained of
difficulty in looking after the basic needs of the feet. Patients with
foot pain needed a greater
number of steps and longer time to walk the same distance. Foot pain
was associated with a
higher prevalence of disability in instrumental activities of daily
living, particularly those related
to standing and ambulation capacities, but it was not related to
higher prevalence of disability
in basic activities of daily living. CONCLUSIONS: Foot pain is
associated with specific
conditions of the feet and disability in instrumental activities of
daily living. Adequate
assessment and treatment of foot problems may prevent foot pain and
potentially reduce risk
of disability. This hypothesis needs to be tested in longitudinal
studies and specific intervention
trials.
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In addition, it would be worthwhile chatting to Hylton - he knows a fair
bit about this stuff.
Karl Landorf
Lecturer
Division of Podiatry
Faculty of Health
University of Western Sydney, Macarthur
P.O. Box 555
Campbelltown NSW 2560
AUSTRALIA
(e-mail only checked on Mondays and Thursdays)
Phone: (02) 4620 3758
Fax: (02) 4620 3792
Website: http://FOHWEB.macarthur.uws.edu.au/podiatry/welcome.htm
-----Original Message-----
From: Barry [SMTP:[log in to unmask]]
Sent: Thursday, April 01, 1999 9:27 AM
To: Mail Base
Subject: Articles for Heart Week
Dear Mailbase
The 2-8 May is Heart week. The podiatry association in Queensland is
trying to produce a media release along the following lines for heart week.
The National heart foundation recommends walking as one way to improve or
maintain a healthy heart. A lot of people are unable to walk due to foot
pain. Do you know of any articles which have looked at the percentage of
people unable to walk due to foot pain and or what was the cause of the
pain eg shoes , biomechanics, poor footcare etc.
Any information would be helpful.
Thanks
Barry Matthews
McDowall Village Medical Centre
103 Beckett Rd
McDowall QLD 4053
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