5 research outputs found

    Plantar Hyperkeratotic Patterns in Older Patients

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    Background: Plantar hyperkeratotic lesions are very common among the older population. Very little has been documented on the frequency or distribution of such lesions. The aim of this study is to analyse the location of plantar hyperkeratoses in a group of the older population, defining the patterns of the most significant manifestations thereof and analysing the correlation between them and different contributing factors. Methods: It is a descriptive correlational study conducted on 850 participants who attended the Bellvitge Podiatry Hospital in Barcelona province, Spain, in 2015. Hallux valgus, lesser toe deformities and hyperkeratoses were documented on a topographical map of the foot. The existence of plantar hyperkeratoses was correlated with different variables from the medical record of each participant. Results: Of the 850 participants, 529 (62%) presented with hyperkeratotic lesions. In all, 87 hyperkeratotic patterns were documented, the most common of which were the medial side of the first metatarsophalangeal joint (MTPJ) (8.7%), the medial side of the first MTPJ plus the medial side of the first interphalangeal joint (IPJ) (8.5%) and the medial side of the first IPJ (7.7%). In addition, the hyperkeratoses were associated with hallux valgus (p < 0.01) and with lesser deformities of the second (p < 0.04), third (p < 0.04) and fourth (p < 0.05) toes. Conclusions: The most common hyperkeratotic patterns were found on the first radius, corresponding to 36% of total lesions. In addition, hyperkeratotic lesions appear to be associated with the presence of hallux valgus and with lesser deformities of the second, third and fourth toes

    Repercusiones estructurales y funcionales de las hiperqueratosis plantares en adultos mayores

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    Les lesions hiperqueratósicas plantars són un dels problemes del peu més habituals entre els adults major, afectant a un 30-65% de la gent gran de 65 anys. Malgrat ser un dels problemes del peu més prevalents en l’adult major, pocs són els estudis que parlin de les repercussions que les hiperqueratosis presenten, existint diverses àrees sense cap tipus d'investigació. L'objectiu d'aquest treball es analitzar les repercussions de les hiperqueratosis plantars en l'estructura i funcionalitat de subjectes adults majors. Per a això, al llarg dels diversos estudis que componen aquest treball, es va analitzar la correlació existent entre diferents factors afavoridors i la presència de hiperqueratosi plantars; l'efectivitat de la seva laminació i la influència d'aquestes en l'autopercepció dolorosa, a la cinemàtica i en la cinètica de la marxa, en l'equilibri i en la modificació de la sensibilitat plantar.Las lesiones hiperqueratósicas plantares son uno de los problemas del pie más habituales entre los adultos mayores, afectando a un 30-65% de la gente mayor de 65 años. Pese a ser uno de los problemas del pie más prevalentes en el adulto mayor, pocos son los estudios que hablen de las repercusiones que las hiperqueratosis presentan, existiendo diversas áreas sin ningún tipo de investigación. El objetivo de este trabajo es analizar las repercusiones de las hiperqueratosis plantares en la estructura y funcionalidad de sujetos adultos mayores. Para ello, a lo largo de los diversos estudios que componen este trabajo, se analizó la correlación existente entre diferentes factores favorecedores y la presencia de hiperqueratosis plantares; la efectividad de su laminación y la influencia de estas en la autopercepción dolorosa, en la cinemática y en la cinética de la marcha, en el equilibrio y en la modificación de la sensibilidad plantar.Hyperkeratotic plantar lesions are one of the most common foot problems among older adults, affecting 30-65% of people over 65 years of age. Despite being one of the most prevalent foot problems in the elderly, there are few studies that speak of the repercussions that hyperkeratosis presents, and there are several areas without any type of research. The objective of this work is to analyze the repercussions of plantar hyperkeratosis on the structure and functionality of older adults. To do this, throughout the various studies that make up this work, we analyzed the correlation between different factors favoring and the presence of plantar hyperkeratosis; the effectiveness of its lamination and the influence of these on painful self-perception, on kinematics and on the kinetics of gait, on balance and on the modification of plantar sensitivity

    The Effect of Plantar Hyperkeratosis Debridement on Self-Perception of Pain Levels in older People

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    Plantar Hyperkeratotic Patterns in Older Patients

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