Effects of Demographic Features and Living in Nursing Home on Plantar Sensitivity in Older Individuals

Yıl 2019, Cilt: 3 Sayı: 1, 37 - 43, 29.04.2019

Banu Ünver , Eda Akbaş , Emin Ulaş Erdem , Nilgün Bek

Öz

Aim: The objective of the study was to investigate the effects of age, gender, obesity, and living in nursing home on plantar light touch-pressure sensitivity.

Material and Methods: The study was conducted with 95 older individuals who were living in the community or nursing home, consisting of 60 women and 35 men, mean age of 74.38±6.59 years. Demographic characteristics of the subjects were recorded, and plantar light touch-pressure sensitivity was evaluated in nine zone of the foot (heel, medial midfoot, lateral midfoot, the first, third and fifth metatarsal head, and the first, third and fifth toe) with monofilament (SemmesWeinstein®, NorthCoast Medical, Inc, USA). Individuals were assigned to groups according to where they live, age ranges, gender, and body mass index, than the groups were compared in terms of plantar sensitivity.

Results: Plantar light touch-pressure sensitivity was reduced in right and left heel of the older living in nursing home than living in the community; in left first, third and fifth metatarsal and in right and left heel of older above age of 75 years than aged between 65 and 75 years; in left heel of men than women (p<0.05). There were no significant difference in plantar light touch-pressure sensitivity among normal, overweight and obese subjects (p>0.05).

Conclusion: This study indicated that older age, male sex and living in nursing home might have a negative effect on plantar light touch-pressure sensitivity. Plantar light touch-pressure sensitivity of the normal, overweight and obese older individuals were found to be similar.

Anahtar Kelimeler

Older, Plantar sensitivity, Obesity, Gender, Nursing home

Yaşlı Bireylerde Demografik Özelliklerin ve Huzurevinde Yaşamanın Plantar Duyuya Etkisi

Öz

Amaç: Çalışmada, yaşlı bireylerde yaş, cinsiyet, obezite ve huzurevinde yaşamanın plantar hafif dokunma-basınç duyusuna etkisi incelenmiştir. 

Gereç ve Yöntemler: Çalışma toplum içinde ya da huzurevinde yaşayan yaş ortalaması 74,38±6,59 yıl olan 60 kadın, 35 erkek olmak üzere 95 yaşlı bireyle gerçekleştirildi. Bireylerin demografik özellikleri kaydedildikten sonra plantar hafif dokunma – basınç duyuları monofilament (SemmesWeinstein®, NorthCoast Medical, Inc, ABD) kullanılarak ayağın dokuz bölgesinde (topuk, orta ayağın mediali, orta ayağın laterali, birinci, üçüncü ve beşinci metatars başı ile birinci, üçüncü ve beşinci parmak) değerlendirildi. Bireyler yaşadıkları yere, yaş aralıklarına, cinsiyetlerine ve vücut kütle indekslerine göre gruplara ayrılarak gruplar plantar duyu açısından karşılaştırıldı.

Bulgular: Toplum içinde yaşayanlara göre huzurevinde yaşayan yaşlıların sağ ve sol topukta; 65-75 yaşları arasında olanlara göre 75 yaş ve üstü olanların sol birinci, üçüncü ve beşinci metatarsta, sağ ve sol topukta; kadınlara göre erkeklerin sol topukta plantar hafif dokunma-basınç duyusunun azalmış olduğu bulundu (p<0,05). Normal, aşırı kilolu ve obez olanların plantar hafif dokunma-basınç duyuları arasında anlamlı bir fark yoktu (p>0,05). 

Sonuç: Bu çalışma, yaşlı bireylerde ileri yaşın, erkek cinsiyetin ve huzurevinde yaşamanın plantar hafif dokunma-basınç duyusunu olumsuz etkileyebileceğini göstermiştir. Normal, aşırı kilolu ve obez yaşlı bireylerin plantar hafif dokunma-basınç duyularının benzer olduğu görülmüştür.

Anahtar Kelimeler

Yaşlı, Obezite, Plantar duyu, Cinsiyet, Huzurevi

Kaynakça

• 1. Peters RM, McKeown MD, Carpenter MG, Inglis JT. Losing touch: Age-related changes in plantar skin sensitivity, lower limb cutaneous reflex strength, and postural stability in older adults. J Neurophysiol. 2016;116(4):1848-1858.
• 2. Decorps J, Saumet JL, Sommer P, Sigaudo-Roussel D, Fromy B. Effect of ageing on tactile transduction processes. Ageing Res Rev. 2014;13:90-99.
• 3. Cruz-Almeida Y, Black ML, Christou EA, Clark DJ. Site- specific differences in the association between plantar tactile perception and mobility function in older adults. Front Aging Neurosci. 2014;6(68):103-7.
• 4. Massion J. Postural control system. Curr Opin Neurobiol. 1994;4:877–887.
• 5. Maitre J, Paillard TP. Influence of the plantar cutaneous information in postural regulation depending on the age and the physical activity status. Front Hum Neurosci. 2016;10:409.
• 6. Perry SD. Evaluation of age-related plantar-surface insensitivity and onset age of advanced insensitivity in older adults using vibratory and touch sensation tests. Neurosci Lett. 2006;392:62–67.
• 7. Kozłowska A. Studying tactile sensitivity-population approach. Anthropol Rev. 1998;61:3–30.
• 8. Deshpande N, Metter EJ, Ling S, Conwit R, Ferrucci L. Physiological correlates of age-related decline in vibrotactile sensitivity. Neurobiol Aging. 2008;29(5):765-773.
• 9. Gregor MF, Hotamisligil GS. Inflammatory mechanisms in obesity. Annu Rev Immunol. 2011;29:415–45.
• 10. Thomas D, Elliott EJ. Low glycaemic index, or low glycaemic load, diets for diabetes mellitus. Cochrane Database Syst Rev. 2009;1:CD006296
• 11. Butterworth PA, Urquhart DM, Landorf KB, Wluka AE, Cicuttini FM, Menz HB. Foot posture, range of motion and plantar pressure characteristics in obese and non-obese individuals. Gait Posture. 2015;41(2):465-469.
• 12. Wu X, Madigan ML. Impaired plantar sensitivity among the obese is associated with increased postural sway. Neurosci Lett. 2014;583:49-54.
• 13. Yümin ET, Şimşek TT, Sertel M, Ankaralı H. The effect of age and body mass index on plantar cutaneous sensation in healthy women. J Phys Ther Sci. 2016;28(9):2587-2595.
• 14. Giuliani CA, Gruber-Baldini AL, Park NS, Schrodt LA, Rokoske F, Sloane PD, et al. Physical performance characteristics of assisted living residents and risk for adverse health outcomes. Gerontologist. 2008;48(2):203-212.
• 15. Topuz S, De Schepper J, Ülger Ö, Roosen P. Do mobility and life setting affect falling and fear of falling in elderly people? Top Geriatr Rehabil. 2014;30(3):223-229.
• 16. Odding E, Valkenburg HA, Grobbee DE, Hofman A, Pols HA. Locomotor disability in the elderly; the ERGO Study (Erasmus Rotterdam Health and the Elderly). ERGO Study Group. Ned Tijdschr Geneeskd. 1995;139(41):2096-100.
• 17. da Rocha ES, Bratz DTK, Gubert LC, de David A, Carpes FP. Obese children experience higher plantar pressure and lower foot sensitivity than non-obese. Clin Biomech. 2014;29(7):822- 827.