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PREVENTING FALLS IN THE ELDERLY – THE ROLE OF PODIATRY

A major source of injury in the elderly is falling.  It is estimated that nearly 40,000 falls each day occur in the US alone with over 14 million US adults aged 65 and older experience a fall each year.  Statistics gathered in 2010 show that such falls cost the US healthcare system over 30 billion dollars with 20,000 of falls that year resulting in death.

The reasons for falls include:

Podiatrists, trained in biomechanics of the lower extremity, are essentially doctors of gait. Gait disorders that lead to falls can be readily identified and helped.

One of the most significant modalities employed by podiatrists in the last few years is the Moore Balance Brace, a prescription custom ankle foot orthotic.  The concept we are addressing is known as postural sway and controlling postural sway to prevent falls.  “Postural sway” refers to movement, mainly horizontal movement around the center of gravity.  

The process of maintaining balance requires input from multiple sensory systems including:

Use of braces to control postural sway works at the level of the somatosensory system.  The ability to sense position and motion generally requires feedback from foot pressure but the goal of bracing to expand or enlarge the feedback system so more information is being provided to the brain to control postural sway.  The Moore Balance brace and similar products constitute a custom molded boot that surrounds the foot and ankle and is placed in the shoe.  It functions to:
Provide more contact area to the foot, ankle and leg during gait thereby increasing the body’s ability to control postural sway.
Add stability to weak ankles further stabilizing gait.
Provide a custom molded foot plate designed to offset orthopedic deformities, weakness and instability within the foot.


Ankle foot orthotics such as the Moore Balance Brace are not beneficial to everyone but a thorough podiatric exam can help determine if one is a candidate for such treatment.

For more information on Fall Prevention in the San Antonio, TX area, call Ed Davis, DPM, FACFAS. at (210) 490-3668 today!

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