ORIGINAL RESEARCH
Are foot deformity and plantar sensitivity impairment
associated with physical function of community-
dwelling older adults?
Aur
elio Dias Santos
a
, Janina Manzieri Prado-Rico
a
, Nayara Tasse de Oliveira Cirino
a
,
Monica Rodrigues Perracini
a,b,
*
a
Master’ s and Doctoral Programs in Physical Therapy, Universidade Cidade de S~ ao Paulo, S~ ao Paulo, SP, Brazil
b
Master’ s and Doctoral Programs in Gerontology, Faculty of Medicine, Universidade Estadual de Campinas, S~ ao Paulo, SP, Brazil
Received 31 July 2020; received in revised form 15 July 2021; accepted 30 July 2021
Available online 3 September 2021
Abstract
Background: Foot deformities are highly prevalent in older adults and negatively impact their
mobility and quality of life. However, the association between foot problems and physical func-
tion is still unclear.
Objective: To investigate whether structural foot deformities and plantar tactile sensitivity are
associated with lower extremity physical function impairment in community-dwelling older
adults.
Methods: We included 200 men and women aged 60 years and older from a community-based
program. The foot assessment included toe deformities and calluses inspection and evaluation
of plantar tactile sensitivity using monofilaments. The Short Physical Performance Battery
(SPPB) was used to assess lower extremity physical function. We conducted a multivariate logis-
tic regression analysis to investigate the association between foot problems and lower extremity
physical function.
Results: Hallux valgus was the most prevalent deformity among older adults. Those participants
with reduced plantar tactile sensitivity (OR= 2.77; 95% CI: 1.38, 5.55) and a hallux valgus (OR=
2.23; 95% CI: 1.10, 4.52) were more likely to present poor lower extremity physical function.
Conclusion: Hallux valgus and impaired plantar sensitivity were associated with reduced lower
extremity physical function in older adults. Further studies are necessary to identify this causal-
ity and to what extent management of these foot problems can improve general mobility and
quality of life of older adults.
© 2021 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Published by Elsevier
España, S.L.U. All rights reserved.
KEYWORDS
Aging;
Foot disorders;
Hallux valgus;
Physical therapy;
Tactile sensitivity
* Corresponding author at: Master’ s and Doctoral Programs in Phys-
ical Therapy, Universidade Cidade de S~ ao Paulo, Rua Ces ario Galeno,
448, 03071-000 S~ ao Paulo, Brazil.
E-mail: monica.perracini@unicid.edu.br (M.R. Perracini).
https://doi.org/10.1016/j.bjpt.2021.07.002
1413-3555/© 2021 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Published by Elsevier España, S.L.U. All rights reserved.
Brazilian Journal of Physical Therapy 25 (2021) 846À853
Brazilian Journal of
Physical Therapy
https://www.journals.elsevier.com/brazilian-journal-of-physical-therapy