Effect of debridement of plantar hyperkeratoses on gait in older people – An exploratory trial

•Data suggests that debridement of plantar hyperkeratosis may lead to a reduction in pain.•Plantar hyperkeratosis debridement appear to reduce peak maximum force and peak plantar pressure.•Parameters of gait don’t change in elderly participants following debridement of plantar callosities. Hyperkera...

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Bibliographic Details
Published in:Archives of gerontology and geriatrics 2018-09, Vol.78, p.7-13
Main Authors: Araguas Garcia, Caleb, Corbi Soler, Francisco
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Biomechanical Phenomena
Callosities
Debridement
Elderly
Female
Foot
Gait
Gait - physiology
Humans
Keratoderma, Palmoplantar - physiopathology
Keratoderma, Palmoplantar - surgery
Male
Pain
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Summary:•Data suggests that debridement of plantar hyperkeratosis may lead to a reduction in pain.•Plantar hyperkeratosis debridement appear to reduce peak maximum force and peak plantar pressure.•Parameters of gait don’t change in elderly participants following debridement of plantar callosities. Hyperkeratoses are a common cause of foot pain due to the release of inflammatory mediators, which can have an impact on the mobility and independence of people suffering from them. However, the repercussions that hyperkeratoses have on gait parameters remain uncertain. The aim of this study is to analyze the repercussions that plantar hyperkeratosis debridement has on several kinematic and kinetic variables of gait in a group of older participants. 98 older participants (75.1 ± 6.7 years) were randomly assigned to two groups: Group A, Scalpel debridement of plantar hyperkeratoses; and Group B, Control group (Simulated debridement). Plantar hyperkeratotic pain was measured before and after treatment on a visual analog scale. Several kinematic and kinetic variables of gait were measured before and after treatment using a Win-Track pressure sensitive walkway. A significant difference was found in the level of pain between the treated group and the control group (p 
ISSN:0167-4943
1872-6976
DOI:10.1016/j.archger.2018.05.017