The Effect of Foot Orthoses on the Balance of Elderly Women With Osteoporosis
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Osteoporosis
- Sponsor
- University of Campinas, Brazil
- Enrollment
- 94
- Locations
- 1
- Primary Endpoint
- Berg Balance Scale (BBS)
- Status
- Completed
- Last Updated
- 14 years ago
Overview
Brief Summary
The objective of this study was to determine if foot orthoses are effective in improving balance, pain and disability in elderly women with osteoporosis.
Detailed Description
Aging has been associated with balance impairment. The use of foot orthoses has been shown to be a feasible strategy for improving postural control.The objective of this study was to determine if foot orthoses (with metatarsal pad and medial arch support) are effective as an adjuvant treatment to improve balance, foot pain and disability in elderly women with osteoporosis. Another purpose was to verify if social demographic and clinical factors such as age, race, education, marital status, age of menopause, use of drugs related to balance dysfunction, visual or hearing complaints, body mass index, previous fractures and number of falls may influence the results.
Investigators
Ibsen Coimbra
Director of Medical Department of The Faculty of Medical Sciences, State University of Campinas (Unicamp), Brazil
University of Campinas, Brazil
Eligibility Criteria
Inclusion Criteria
- •Clinical diagnosis of osteoporosis
Exclusion Criteria
- •reduced tactile and thermal foot sensibility
- •compromised skin integrity of the lower limbs
- •autoimmune rheumatic diseases
- •vestibular symptoms
- •central nervous system pathologies
- •peripheral neuropathy
- •use of insoles in the last month
- •lower limb prostheses
- •previous history of foot surgery
- •amputation of the lower limbs
Outcomes
Primary Outcomes
Berg Balance Scale (BBS)
Time Frame: 4 weeks
The BBS is a balance assessment test that rates the ability of a subject to maintain balance while performing each of 14 movements required in everyday activities (transferring, standing unsupported, rising from a sitting to a standing position, tandem standing, turning 360° and single-leg standing). Scoring is based on an ordinal 5-point scale from 0 to 4. Total scores ranges from 0 to 56. The smaller value, the worse balance: from 0-20: a whell chair is needed: 20-41: needing walk assistence; 41-56 - independent walking.
Timed up and Go Test (TUG)
Time Frame: 4 weeks
The TUG test is used to assess the dynamic balance of an individual. It measures the amount of time (recorded in seconds) it takes for the individual to rise from a standard arm chair, walk a distance of 3 meters and return to the initial position resting against the back of the chair.
Secondary Outcomes
- Numeric Pain Scale(4 weeks)
- Manchester Foot and Pain Disability Index(MFPDI)(4 weeks)