Natalia Tovaruela-Carrión

Foot disorders in the elderly: A mini-review

Ageing process is associated with changes to the aspect, biomechanics, structure and function of the foot, it may be related with a marked presence of foot conditions, pain, disability and other overall health problems that constitute a major public health concern. Also, the prevalence of epidemiologic research found an incidence of foot problems which is even higher as a consequence of increasing life expectation. Several studies have also suggested that such foot disorders currently affect between 71 and 87% of older patients and are a frequent cause of medical and foot care. Thus, these kind problems are extremely common conditions in the general population, especially in the elderly who are associated with poor quality of life, balance impairment, increase the risk of falls, dificulty on putting shoes, fractures, restrict mobility and performance of activities of daily living that turn can produce serious physical, mental and social consequences in the older people. The role of the physician in the assessment, evaluation, and examination of foot problems is very important, yet it is often an overlooked and undervalued component of geriatric health care. The purpose of this article is to review and to provide an overview of the most common foot deformities precipitating factors, clinical presentation, evidence-based diagnostic evaluation, and treatment recommendations with a view to preventing medical conditions or deformities affecting the feet that may alter foot condition and general health amongst the elderly.

Attitude and knowledge about foot health: a spanish view

Objetivo: explorar as atitudes em relacao aos dados auto-relatados dos pacientes sobre crencas relacionadas a saude do pe, desde uma perspectiva comportamental e atitudinal. Metodos: uma amostra de 282 participantes com idade media de 39,46 ± 16,026 chegaram a um centro de saude onde foram registradas caracteristicas demograficas, clinicas e crencas auto-relatadas referentes a dados de saude do pe, os quais completaram todas as fases do processo de pesquisa. Resultados: os resultados da analise revelaram uma estrutura fatorial de 8 fatores baseada em (1) comportamentos podiatricos, (2) a intencao de realizar comportamentos protetores, (3) crencas atitudinais, (4) crencas normativas, (6) apatia, (7) autocuidado, e (8) a percepcao geral da saude do pe. Todos eles explicaram 62,78% da variância e foram considerados como variaveis ​​independentes em uma analise de regressao para determinar quais forneceram as melhores explicacoes para a importância atribuida a saude do pe. Conclusoes: os participantes do estudo revelaram uma atitude positiva em relacao a saude do pe e comportamento responsavel.

Impacto poblacional de un programa de salud escolar podológica

espanolEste trabajo presenta un resumen de lo realizado en los ultimos 12 anos de colaboracion entre la comunidad escolar de varios centros de ensenanza primaria y secundaria y los/las responsables de las practicas de la asignatura Podologia Preventiva y Comunitaria del Grado en Podologia, que se imparte en la Universidad de Sevilla. Se muestran diferentes estrategias llevadas a cabo desde las lineas de investigacion Salud Podologica para Todos y Podologia Preventiva y Comunitaria, integradas en el Grupo de Investigacion Hermes (CTS-601), dirigidas a promocionar la salud podologica en general. Se ha explorado un total de 4630 escolares y se han confirmado alteraciones podologicas en 677. Tambien se han beneficiado 7145 miembros de la comunidad escolar a quienes se ha llegado a traves de actividades educativas sobre el cuidado de los pies. Su desarrollo trata de impedir que se generen lesiones, en la edad adulta, que perjudiquen la calidad de vida EnglishThis article presents an overview of the work done over the past 12 years in a collaboration between the school communities at various primary and secondary schools and the practical experience managers working in the Preventive and Community Podiatry area of the Podiatry degree at the University of Seville (Spain). The article presents several strategies, which were carried out in the fields of Foot Health for All and Preventive and Community Podiatry as part of the Hermes Research Group (CTS-601) aimed at promoting general foot health. Foot examinations were conducted in a total of 4,630 school pupils, with foot problems being confirmed in 677 of them. Some 7,145 members of the school community were also helped, with these people being reached through educational activities around foot care. The aim of the initiative was to prevent foot damage among children, which could have a harmful impact on their quality of life as adults.This article presents an overview of the work done over the past 12 years in a collaboration between the school communities at various primary and secondary schools and the practical experience managers working in the Preventive and Community Podiatry area of the Podiatry degree at the University of Seville (Spain). The article presents several strategies, which were carried out in the fields of Foot Health for All and Preventive and Community Podiatry as part of the Hermes Research Group (CTS-601) aimed at promoting general foot health. Foot examinations were conducted in a total of 4,630 school pupils, with foot problems being confirmed in 677 of them. Some 7,145 members of the school community were also helped, with these people being reached through educational activities around foot care. The aim of the initiative was to prevent foot damage among children, which could have a harmful impact on their quality of life as adults.

Student perceptions of the education environment in a Spanish medical podiatry school

BackgroundThe aim of this study was to explore students’ perceptions of the educational environment (EE) in a Spanish school of podiatry. Various aspects of EE were compared by academic year in the program.MethodsThis was a cross-sectional study using a questionnaire to collect perceptions using data from a 2015 survey. Podiatric medical students from Extremadura University participated in this study. EE was assessed with the Dundee Ready Education Environment Measure (DREEM) tool.The DREEM questionnaire covers five domains of student perceptions, including learning, teachers, academic self-perceptions, atmosphere, and social self-perceptions.ResultsTwo hundred thirty-five students participated, resulting in a 90.73% response rate. Participants included similar numbers of students from different years in the program, and most were women. The global EE score was 2.58 out of 4, indicating that students’ perceptions were more positive than negative. Although some weaknesses were detected in this school, students viewed the EE positively in all five DREEM domains. Academic year in the program were generally not related to perceptions of EE.ConclusionsPodiatric medical students declared, in general, that the EE was more positive than negative in our school, according to the DREEM questionnaire. However, although the results are on the whole good, some areas need to be revised to make improvements.

Atitude e conhecimento sobre a saúde do pé: uma visão espanhola

Objetivo: explorar as atitudes em relacao aos dados auto-relatados dos pacientes sobre crencas relacionadas a saude do pe, desde uma perspectiva comportamental e atitudinal. Metodos: uma amostra de 282 participantes com idade media de 39,46 ± 16,026 chegaram a um centro de saude onde foram registradas caracteristicas demograficas, clinicas e crencas auto-relatadas referentes a dados de saude do pe, os quais completaram todas as fases do processo de pesquisa. Resultados: os resultados da analise revelaram uma estrutura fatorial de 8 fatores baseada em (1) comportamentos podiatricos, (2) a intencao de realizar comportamentos protetores, (3) crencas atitudinais, (4) crencas normativas, (6) apatia, (7) autocuidado, e (8) a percepcao geral da saude do pe. Todos eles explicaram 62,78% da variância e foram considerados como variaveis ​​independentes em uma analise de regressao para determinar quais forneceram as melhores explicacoes para a importância atribuida a saude do pe. Conclusoes: os participantes do estudo revelaram uma atitude positiva em relacao a saude do pe e comportamento responsavel.

Actitud y conocimiento sobre la salud del pie: una visión Española

Objetivo: explorar as atitudes em relacao aos dados auto-relatados dos pacientes sobre crencas relacionadas a saude do pe, desde uma perspectiva comportamental e atitudinal. Metodos: uma amostra de 282 participantes com idade media de 39,46 ± 16,026 chegaram a um centro de saude onde foram registradas caracteristicas demograficas, clinicas e crencas auto-relatadas referentes a dados de saude do pe, os quais completaram todas as fases do processo de pesquisa. Resultados: os resultados da analise revelaram uma estrutura fatorial de 8 fatores baseada em (1) comportamentos podiatricos, (2) a intencao de realizar comportamentos protetores, (3) crencas atitudinais, (4) crencas normativas, (6) apatia, (7) autocuidado, e (8) a percepcao geral da saude do pe. Todos eles explicaram 62,78% da variância e foram considerados como variaveis ​​independentes em uma analise de regressao para determinar quais forneceram as melhores explicacoes para a importância atribuida a saude do pe. Conclusoes: os participantes do estudo revelaram uma atitude positiva em relacao a saude do pe e comportamento responsavel.

Accurately Determining Proper Shoe Size in Patients With Rheumatoid Arthritis

Purpose The aim of this descriptive study was to determine whether people with rheumatoid arthritis (RA) wear adequately fitting footwear. Design This observational study was carried out in a health center between January and December 2014 in the state of A Coruña, Spain. Method A total of 166 patients (47 men, 119 women) completed all stages of the research process. A validated Brannock Device was used to record foot and shoe length and width. Findings Only 64 (38.55%) participants wore shoes that met the needs and requirements of their feet, and 98 (59.03%) participants wore the incorrect shoe size, at least in one foot. Conclusions Many patients with RA often wear shoes that are too narrow for their foot. Assessing the proper footwear fit is an important part of the clinical foot examination. Clinical Relevance Early detection of inappropriate shoe size in patients with RA allows rehabilitation nurses to optimize foot health.

Three-dimensional variations in the lower limb caused by the windlass mechanism

Background The windlass mechanism was described as the effect caused by the extension of the first metatarsalphalangeal joint (1st MTPJ). Quantify the degrees of movement produced in the leg by means of the Bioval® sensor system, after performing two measurements in the 1st MTPJ, 45° extension and maximum extension. Methods Tests-post-test study with just one intervention group, performed in the Clinical Podiatry Area of the Faculty of Nursing, Physiotherapy and Podiatry of the University of Seville. Subjects were included as of age 20, with a value from 0° to 3° valgus, Helbing line, a value from 0° to +5° for the foot postural index, and a localisation axis for the normalised subtalar joint. Subjects with surgical operations of the first ray, fractures and surgical operations in the leg, pathologies in the first ray and rheumatic diseases were excluded. Measurement was performed with the Bioval® system by means of inserting four sensors in the bone structures involved in the windlass mechanism. Results With the 45° wedge we observed a direct correlation among the variables extension–plantar flexion 1st MTPJ and rotation of the femur. With maximal extension of the 1st MTPJ we obtained a direct relationship between the variable extension of the 1st MTPJ and the variables plantar flexion and prono-supination of the 1st metatarsal as well as with the variables tibia rotation and femur rotation. Conclusion Kinematic analysis suggested that the higher the degree of extension the more movement will be generated. This reduces the level of impact the more distal the structure with respect to the 1st MTPJ, which has an impact on the entire leg. Because of the kinematic system used wasn’t suitable, its impact wasn’t exactly quantified.

Population impact of a podiatric school health programme

espanolEste trabajo presenta un resumen de lo realizado en los ultimos 12 anos de colaboracion entre la comunidad escolar de varios centros de ensenanza primaria y secundaria y los/las responsables de las practicas de la asignatura Podologia Preventiva y Comunitaria del Grado en Podologia, que se imparte en la Universidad de Sevilla. Se muestran diferentes estrategias llevadas a cabo desde las lineas de investigacion Salud Podologica para Todos y Podologia Preventiva y Comunitaria, integradas en el Grupo de Investigacion Hermes (CTS-601), dirigidas a promocionar la salud podologica en general. Se ha explorado un total de 4630 escolares y se han confirmado alteraciones podologicas en 677. Tambien se han beneficiado 7145 miembros de la comunidad escolar a quienes se ha llegado a traves de actividades educativas sobre el cuidado de los pies. Su desarrollo trata de impedir que se generen lesiones, en la edad adulta, que perjudiquen la calidad de vida EnglishThis article presents an overview of the work done over the past 12 years in a collaboration between the school communities at various primary and secondary schools and the practical experience managers working in the Preventive and Community Podiatry area of the Podiatry degree at the University of Seville (Spain). The article presents several strategies, which were carried out in the fields of Foot Health for All and Preventive and Community Podiatry as part of the Hermes Research Group (CTS-601) aimed at promoting general foot health. Foot examinations were conducted in a total of 4,630 school pupils, with foot problems being confirmed in 677 of them. Some 7,145 members of the school community were also helped, with these people being reached through educational activities around foot care. The aim of the initiative was to prevent foot damage among children, which could have a harmful impact on their quality of life as adults.This article presents an overview of the work done over the past 12 years in a collaboration between the school communities at various primary and secondary schools and the practical experience managers working in the Preventive and Community Podiatry area of the Podiatry degree at the University of Seville (Spain). The article presents several strategies, which were carried out in the fields of Foot Health for All and Preventive and Community Podiatry as part of the Hermes Research Group (CTS-601) aimed at promoting general foot health. Foot examinations were conducted in a total of 4,630 school pupils, with foot problems being confirmed in 677 of them. Some 7,145 members of the school community were also helped, with these people being reached through educational activities around foot care. The aim of the initiative was to prevent foot damage among children, which could have a harmful impact on their quality of life as adults.

Nota de campoImpacto poblacional de un programa de salud escolar podológicaPopulation impact of a podiatric school health programme

espanolEste trabajo presenta un resumen de lo realizado en los ultimos 12 anos de colaboracion entre la comunidad escolar de varios centros de ensenanza primaria y secundaria y los/las responsables de las practicas de la asignatura Podologia Preventiva y Comunitaria del Grado en Podologia, que se imparte en la Universidad de Sevilla. Se muestran diferentes estrategias llevadas a cabo desde las lineas de investigacion Salud Podologica para Todos y Podologia Preventiva y Comunitaria, integradas en el Grupo de Investigacion Hermes (CTS-601), dirigidas a promocionar la salud podologica en general. Se ha explorado un total de 4630 escolares y se han confirmado alteraciones podologicas en 677. Tambien se han beneficiado 7145 miembros de la comunidad escolar a quienes se ha llegado a traves de actividades educativas sobre el cuidado de los pies. Su desarrollo trata de impedir que se generen lesiones, en la edad adulta, que perjudiquen la calidad de vida EnglishThis article presents an overview of the work done over the past 12 years in a collaboration between the school communities at various primary and secondary schools and the practical experience managers working in the Preventive and Community Podiatry area of the Podiatry degree at the University of Seville (Spain). The article presents several strategies, which were carried out in the fields of Foot Health for All and Preventive and Community Podiatry as part of the Hermes Research Group (CTS-601) aimed at promoting general foot health. Foot examinations were conducted in a total of 4,630 school pupils, with foot problems being confirmed in 677 of them. Some 7,145 members of the school community were also helped, with these people being reached through educational activities around foot care. The aim of the initiative was to prevent foot damage among children, which could have a harmful impact on their quality of life as adults.This article presents an overview of the work done over the past 12 years in a collaboration between the school communities at various primary and secondary schools and the practical experience managers working in the Preventive and Community Podiatry area of the Podiatry degree at the University of Seville (Spain). The article presents several strategies, which were carried out in the fields of Foot Health for All and Preventive and Community Podiatry as part of the Hermes Research Group (CTS-601) aimed at promoting general foot health. Foot examinations were conducted in a total of 4,630 school pupils, with foot problems being confirmed in 677 of them. Some 7,145 members of the school community were also helped, with these people being reached through educational activities around foot care. The aim of the initiative was to prevent foot damage among children, which could have a harmful impact on their quality of life as adults.