Plantar maneuver increases the podal contact area, balance and reduces the risk of fall in elderly
DOI:
https://doi.org/10.15448/1983-652X.2019.1.31383Keywords:
postural balance, posture, foot, aged.Abstract
Objective: To analyze the acute effect of the foot manipulation on the plantar support, balance, gait and risk of falls in elderly. Materials and Methods: Pre and post quasi-experimental study. Fourteen healthy elderly (12 women) with a mean age of 66±5 years were evaluated before and after plantar maneuvers. The evaluation protocol consisted of the plantar area contact (cm²), performed by plantigraphy; the index of the plantar arch, by the Staheli index (mm); balance, gait and risk of falls, performed using the Tinetti scale. The elderly patients were submitted to manipulations of the fascia and intrinsic musculature of the foot. The data were analyzed statistically.
Results: The index of the plantar arch showed no significant differences. There was an increase in the contact area on the right foot (before 113.24±13.07 cm², after 115.07±14.02 cm²; p=0.025, paired t-test) and left (before 112.98±15.58 cm², after
116.48±15.25 cm²; p=0.006, paired t test). The Tinetti scale showed a significant increase in balance (before 14.21±0.22, after
15.21±0.57, p=0.016, Wilcoxon test) and low risk of falls (before 25.7±0.29, after 27.1±0.1, p=0.008, Wilcoxon test) after the maneuvers. The gait showed no significant differences. In addition, during the analysis of the Pearson’s correlation coefficient (r), there was a moderate relationship between the plantar contact area with the balance (r=0.405; p=0.033) and the risk of fall (r=0.379; p=0.008).
Conclusion: The plantar maneuver increases the plantar contact area, improves balance and reduces the risk of falling.
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