Toe grip force of the dominant foot is associated with fall risk in community‐dwelling older adults: a cross‐sectional study

Abstract Background It is unclear whether the toe grip force (TGF) of the dominant foot (DF) and the lower limb function asymmetry (LLFA) in older adults are associated with fall risk. Therefore, this study aimed to investigate the effect of lower limb properties (such as TGF, muscle strength, and p...

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Main Authors: Satoshi Matsuno, Atsushi Yoshimura, Takuya Yoshiike, Sachiyo Morita, Yusuke Fujii, Motoyasu Honma, Yuji Ozeki, Kenichi Kuriyama
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Foot and Ankle Research
Subjects:
Online Access:https://doi.org/10.1186/s13047-022-00548-1
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author Satoshi Matsuno
Atsushi Yoshimura
Takuya Yoshiike
Sachiyo Morita
Yusuke Fujii
Motoyasu Honma
Yuji Ozeki
Kenichi Kuriyama
author_facet Satoshi Matsuno
Atsushi Yoshimura
Takuya Yoshiike
Sachiyo Morita
Yusuke Fujii
Motoyasu Honma
Yuji Ozeki
Kenichi Kuriyama
author_sort Satoshi Matsuno
collection DOAJ
description Abstract Background It is unclear whether the toe grip force (TGF) of the dominant foot (DF) and the lower limb function asymmetry (LLFA) in older adults are associated with fall risk. Therefore, this study aimed to investigate the effect of lower limb properties (such as TGF, muscle strength, and plantar sensation) on the risk of falls in older adults, while considering the foot dominance and asymmetry of lower limb function. Methods This study was a cross‐sectional study. We determined whether the lower limb function of the DF and non‐dominant foot (non‐DF) and LLFA had any effect on the fall risk in 54 older adults (mean ± standard deviation: 72.2 ± 6.0, range: 60–87 years). We examined the participants' fall history, Mini‐Mental State Examination (MMSE) score, lower limb function, and LLFA. To determine fall risk factors, we performed logistic regression analysis, with presence or absence of falls as the dependent variable. Results The independent variables were age, sex, MMSE score, two‐point discrimination of the heel (non‐DF) as plantar sensation index, and the TGF of both feet. Only the TGF of the DF was identified as a risk factor for falls (p < 0.05). Conclusions In older adults, clinicians should focus on the TGF of the DF as a risk factor for falls. Trial registration This study was retrospectively registered. https://center6.umin.ac.jp/cgi‐bin/ctr/ctr_up_rec_f1.cgi.
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spelling doaj.art-e9ad5c23efcc4753b6c657567de74a642024-02-07T15:15:30ZengWileyJournal of Foot and Ankle Research1757-11462022-01-01151n/an/a10.1186/s13047-022-00548-1Toe grip force of the dominant foot is associated with fall risk in community‐dwelling older adults: a cross‐sectional studySatoshi Matsuno0Atsushi Yoshimura1Takuya Yoshiike2Sachiyo Morita3Yusuke Fujii4Motoyasu Honma5Yuji Ozeki6Kenichi Kuriyama7Department of PsychiatryShiga University of Medical ScienceTsukinowa‐cho, seta520‐2192OtsuShigaJapanDepartment of PsychiatryShiga University of Medical ScienceTsukinowa‐cho, seta520‐2192OtsuShigaJapanDepartment of Sleep‐Wake DisordersNational Institute of Mental HealthNational Center of Neurology and PsychiatryTokyoJapanDepartment of PsychiatryShiga University of Medical ScienceTsukinowa‐cho, seta520‐2192OtsuShigaJapanDepartment of PsychiatryUeno HospitalIgaMieJapanDepartment of PhysiologyShowa University School of MedicineTokyoJapanDepartment of PsychiatryShiga University of Medical ScienceTsukinowa‐cho, seta520‐2192OtsuShigaJapanDepartment of PsychiatryShiga University of Medical ScienceTsukinowa‐cho, seta520‐2192OtsuShigaJapanAbstract Background It is unclear whether the toe grip force (TGF) of the dominant foot (DF) and the lower limb function asymmetry (LLFA) in older adults are associated with fall risk. Therefore, this study aimed to investigate the effect of lower limb properties (such as TGF, muscle strength, and plantar sensation) on the risk of falls in older adults, while considering the foot dominance and asymmetry of lower limb function. Methods This study was a cross‐sectional study. We determined whether the lower limb function of the DF and non‐dominant foot (non‐DF) and LLFA had any effect on the fall risk in 54 older adults (mean ± standard deviation: 72.2 ± 6.0, range: 60–87 years). We examined the participants' fall history, Mini‐Mental State Examination (MMSE) score, lower limb function, and LLFA. To determine fall risk factors, we performed logistic regression analysis, with presence or absence of falls as the dependent variable. Results The independent variables were age, sex, MMSE score, two‐point discrimination of the heel (non‐DF) as plantar sensation index, and the TGF of both feet. Only the TGF of the DF was identified as a risk factor for falls (p < 0.05). Conclusions In older adults, clinicians should focus on the TGF of the DF as a risk factor for falls. Trial registration This study was retrospectively registered. https://center6.umin.ac.jp/cgi‐bin/ctr/ctr_up_rec_f1.cgi.https://doi.org/10.1186/s13047-022-00548-1Limb dominance; asymmetry; lower limbToe grip forceDominant footLower limb function asymmetry
spellingShingle Satoshi Matsuno
Atsushi Yoshimura
Takuya Yoshiike
Sachiyo Morita
Yusuke Fujii
Motoyasu Honma
Yuji Ozeki
Kenichi Kuriyama
Toe grip force of the dominant foot is associated with fall risk in community‐dwelling older adults: a cross‐sectional study
Journal of Foot and Ankle Research
Limb dominance; asymmetry; lower limb
Toe grip force
Dominant foot
Lower limb function asymmetry
title Toe grip force of the dominant foot is associated with fall risk in community‐dwelling older adults: a cross‐sectional study
title_full Toe grip force of the dominant foot is associated with fall risk in community‐dwelling older adults: a cross‐sectional study
title_fullStr Toe grip force of the dominant foot is associated with fall risk in community‐dwelling older adults: a cross‐sectional study
title_full_unstemmed Toe grip force of the dominant foot is associated with fall risk in community‐dwelling older adults: a cross‐sectional study
title_short Toe grip force of the dominant foot is associated with fall risk in community‐dwelling older adults: a cross‐sectional study
title_sort toe grip force of the dominant foot is associated with fall risk in community dwelling older adults a cross sectional study
topic Limb dominance; asymmetry; lower limb
Toe grip force
Dominant foot
Lower limb function asymmetry
url https://doi.org/10.1186/s13047-022-00548-1
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