Foot Disorders, Pain and Physical Disability in Elders

描述（由申请人提供）：足部问题被认为是常见的， 老年人，但很少有基于人口的资料， 足部疾病的患病率，以及足部疾病对身体健康的影响 限制和功能残疾。我们建议研究脚的作用 疾病和足部疼痛的下肢限制和残疾， 人口基础研究。我们将把全面评估 足部疾病和足部疼痛的功能措施，如性能 措施和步行能力。我们的目标是：（1）建立流行的 在一个广泛的年龄范围内，男性和女性的足部疾病和足部疼痛 基于人口的群体，原始FRADITION队列和FRADITION 后代队列;（2）检查足部疾病和足部疼痛是否 与下肢生理限制有关，并进一步检查 无论个人归因于身体限制足部疾病， 横断面研究;（3）评估足部疾病是否 与身体残疾有关，以及残疾率是否 足部疾病患者与其他下肢疾病患者相似 例如膝关节骨关节炎。大多数检查足部疼痛的研究 只关注临床患者，而不是社区受试者，很少有 研究了社区中因足部疼痛而造成的具体限制。在 除了关于混杂因素的大量数据外，Fracket队列还证实了 可用于评估合并症影响的医学诊断。当脚 疾病和足部疼痛将作为该补助金的一部分进行评估， 限制和残疾是Fracket队列常规评估的一部分 成员这项研究将提供关于流行率估计数的基本信息 足部疾病和足部疼痛的位置，以及这些可能与 功能限制和残疾，也许可以深入了解预防 行动此外，这项研究将及时推进现有知识， 具有成本效益的方式，无需患者招募时间， 进一步收集数据。最后，这项研究可能会提供新的公共卫生 功能性疾病归因的重要性的信息， 人群和足部疾病对下肢残疾的影响。一 更好地了解足部疾病和疼痛可能会导致更好的 了解预防行动不便和残疾。

DESCRIPTION (provided by applicant): Foot problems are thought to be common in older persons, yet very little population-based information exists on the prevalence of foot disorders, and the influence of foot disorders on physical limitations and functional disability. We propose to examine the role of foot disorders and foot pain in lower extremity limitations and disability in the population based Framingham Study. We will link a comprehensive assessment of foot disorders and foot pain to functional measures, such as performance measures and walking ability. Our aims are: (1) to establish the prevalence of foot disorders and foot pain in men and women across a wide age spectrum in a population-based group, the Original Framingham Cohort and the Framingham Offspring Cohort; (2) to examine whether foot disorders and foot pain are related to lower extremity physical limitations, and further, to examine whether individuals ascribe physical limitations to foot disorders in this cross-sectional study; and (3) to evaluate whether foot disorders are associated with physical disability, and whether the rate of disability in those with foot disorders is similar to those with other lower extremity disorders, such as knee osteoarthritis. Most studies examining foot pain have focused solely on clinical patients instead of community subjects, and few have examined specific limitations attributed to foot pain in the community. In addition to extensive data on confounders, the Framingham cohort has verified medical diagnoses available to evaluate the impact of comorbidities. While foot disorders and foot pain will be evaluated as part of this grant, functional limitations and disability are part of routine evaluations of Framingham cohort members. This study will provide essential information on prevalence estimates of foot disorders and location of foot pain, and how these may relate to functional limitations and disability, perhaps allowing insight into preventive actions. Further, this study will advance current knowledge in a timely and cost-effective manner, requiring no time for patient recruitment and limited further data collection. Finally, this study may provide new public health information of the importance of attribution of functional morbidity in populations and the impact of foot disorders upon lower extremity disability. A greater understanding of foot disorders and pain may lead to better understanding of the prevention of mobility limitations and disability.