Evidence map›Paper›PMID 30871498›Full record

Trial reportBMC geriatrics2019

Improvements in lower-limb muscle strength and foot pressure distribution with foot care in frail elderly adults: a randomized controlled trial from Japan.

Tomoko Yamashita, Kazuhiko Yamashita, Chugo Rinoie, Yoshimasa Takase, Mitsuru Sato, Kenji Yamada, Yoshiki Sawa

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Tomoko YamashitaGraduate School of Medicine, Osaka University, 1-3 Yamadaoka, Suita, Osaka, 565-0871, Japan. yamashitatomoko515@gmail.com.ORCID 0000-0003-4914-0306
Kazuhiko YamashitaGraduate School of Medicine, Osaka University, 1-3 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Chugo RinoieDepartment of Podiatric Surgery, Methodist Hospital of Southern California, 300 W Huntington Drive, Arcadia, California, 91007, USA.
Yoshimasa TakaseTakase Clinic, 1-16-6 Shimomaruko, Ota-ku, Tokyo, 146-0092, Japan.
Mitsuru SatoSchool of Nursing and Rehabilitation Sciences, Showa University, 1865 Tookaichibacho, Midori, Yokohama, Kanagawa, 226-8555, Japan.
Kenji YamadaGraduate School of Medicine, Osaka University, 1-3 Yamadaoka, Suita, Osaka, 565-0871, Japan.
Yoshiki SawaGraduate School of Medicine, Osaka University, 1-3 Yamadaoka, Suita, Osaka, 565-0871, Japan.
The University of Osaka · JPHouston Methodist · USShowa University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbnormalities in the feet and toenails are common among the elderly and may increase the risk of falls. This study aimed to investigate the changes in toe-gap force, knee-gap force, foot pressure distribution, the ability to perform activities of daily living, subjects' feelings and behaviors, and physical function resulting from daily lifestyle modification and foot care.

methodsThe study participants included 74 elderly adults (mean age 80.3 ± 7.5 years) with foot problems who had been divided into three groups based on Japan's nursing care insurance system levels: certified ineligible for support, eligible for support, or eligible for long-term care. Additionally, a control group of 106 elderly adults in good health was recruited. The differences between the intervention and control groups was examined using the Student's t-test, and differences between the three intervention subgroups and the control group were examined using one-way analysis of variance.

resultsAfter intervention, abnormalities in the participants' feet and toenails improved. Significant increases in lower-limb muscle strength were observed, and foot pressure distribution had improved. The foot-care intervention significantly improved lower-limb muscle strength and decreased the risk of falling, even in elderly adults whose physical function had deteriorated.

conclusionIn frail elderly adults, care of the feet and toenails can improve lower-limb muscle strength and foot pressure distribution. In addition, the individuals' social participation increased, and their behavior improved.

trial registrationUniversity hospital Medical Information Network- Clinical Trials (UMIN-CTR) with the number: UMIN000034742 . Registration date: 11/01/2018.

Indexed as

Frail ElderlyPressureAccidental FallsActivities of Daily LivingAgedAged, 80 and overFemaleFootHumansJapanLower ExtremityMaleMuscle StrengthNails, MalformedFoot careFoot pressure distributionFrail elderly adultLower limbsMuscle strength

Identifiers

PMID30871498
PMCPMC6419511
OpenAlexW2936259641

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.