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Clinical Aspects of Foot Health in Individuals with Alzheimer’s Disease

Research, Health and Podiatry Unit, Department of Health Sciences, Faculty of Nursing and Podiatry, Universidade da Coruña, 15403 Ferrol, Spain
Faculty of Health Sciences, Universidad Rey Juan, 28922 Carlos, Spain
Nursing and Physical Therapy Department, Institute of Biomedicine (IBIOMED), Universidad de León, 24401 Ponferrada, Spain
Research Group, Faculty of Health, Exercise and Sport, European University of Madrid, 28670 Villaviciosa de Odón, Spain
University Center of Plasencia, Universidad de Extremadura, 06071 Badajoz, Spain
School of Nursing, Physiotherapy and Podiatry, Universidad Complutense de Madrid, 28040 Madrid, Spain
Author to whom correspondence should be addressed.
All authors contributed equally to this work.
Int. J. Environ. Res. Public Health 2018, 15(2), 286;
Received: 10 January 2018 / Revised: 1 February 2018 / Accepted: 4 February 2018 / Published: 7 February 2018
Alzheimer’s disease (AD) shows a marked presence of physiologic changes and the start or aggravation of underlying diseases such as physical frailty in diverse anatomical regions. It is believed to have a particularly harmful effect on the health of the foot. We examined the foot health status in older persons with AD, with a specific focus on the extent to which people with AD may be using inadequate footwear in old age. Seventy-three community-dwelling people with probable, mild to moderate AD aged 65–95 years were recruited from a center of excellence for AD. A single trained physician evaluated health status and foot conditions. Current shoe and foot length and width measurements were taken using a calibrated Brannock device. The results indicate that sixty-five participants (89.04%) suffered from feet problems. Also, only twenty-two subjects (30.14%) used the correct shoes in width and size related with the morphology of their feet. Fifty-one participants (69.86%) were using incorrect shoes in length or width. The present study revealed that peoples with AD had a high presence of foot health problems. Also, the use of inappropriate shoes revealed measurable differences of association between shoe size and the morphology of the foot. View Full-Text
Keywords: Alzheimer’s disease; foot diseases; joint flexibility; musculoskeletal system; shoes Alzheimer’s disease; foot diseases; joint flexibility; musculoskeletal system; shoes
MDPI and ACS Style

López-López, D.; Grela-Fariña, M.; Losa-Iglesias, M.E.; Calvo-Lobo, C.; Rodríguez-Sanz, D.; Palomo-López, P.; Becerro-de-Bengoa-Vallejo, R. Clinical Aspects of Foot Health in Individuals with Alzheimer’s Disease. Int. J. Environ. Res. Public Health 2018, 15, 286.

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