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This study aims to investigate the relationship between foot arch structure and spatiotemporal gait parameters and cognitive function in older adults. Foot arch integrity will be assessed using the Navicular Drop Test, and gait performance will be evaluated using the 10-Meter Walk Test. Cognitive-motor interaction will be examined through lower extremity reaction time using a light-based system. The study is designed as an observational cross-sectional analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Older adult | Community-dwelling older adults aged 65 years and above will be assessed for foot arch structure, gait parameters, and cognitive-motor performance. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational Assessment | Other | This is an observational study with no intervention. Participants will undergo assessments of foot arch structure, gait parameters, and cognitive-motor performance. |
| Measure | Description | Time Frame |
|---|---|---|
| Gait Speed (m/s) | Gait speed will be assessed using the 10-Meter Walk Test under comfortable walking conditions. Walking speed will be recorded in meters per second (m/s). | Baseline (single session) |
| Cadence (steps/min) | Cadence will be assessed using the 10-Meter Walk Test under comfortable walking conditions. Cadence will be recorded as steps per minute. | Baseline (single session) |
| Step Length (m) | Step length will be assessed using the 10-Meter Walk Test under comfortable walking conditions. Step length will be recorded in meters. | Baseline (single session) |
| Double Support Time (%) | Double support time will be assessed using the 10-Meter Walk Test under comfortable walking conditions. Double support time will be recorded as a percentage of the gait cycle. | Baseline (single session) |
| Measure | Description | Time Frame |
|---|---|---|
| Lower extremity reaction time | Reaction time will be measured using a visual stimulus-based system (Light Trainer). The time between stimulus onset and foot contact response will be recorded in milliseconds. Multiple trials will be averaged to obtain the final value. | Baseline (single session) |
| Navicular Drop Test (mm) |
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Inclusion Criteria:
Exclusion Criteria:
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This study will include community-dwelling older adults aged 65 years and above living in Balıkesir, Turkey. Participants will be recruited from individuals attending the Tazelenme University Coordination Unit and surrounding community settings. Eligible participants are those who are able to walk independently without assistive devices and have sufficient cognitive and physical capacity to complete the assessment protocol. The study population represents relatively healthy older adults without severe neurological or musculoskeletal conditions affecting gait and balance.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ebru Tekin, Lecturer | Contact | +90 266 614 69 11 | ebrutekin123@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Balikesir University | Recruiting | Balıkesir | Bigadiç | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Menz, H. B., Lord, S. R., & Fitzpatrick, R. C. (2003). Foot and ankle characteristics associated with impaired balance and increased fall risk in community-dwelling older people. The Journals of Gerontology Series A, 58(9), M846-M852. https://doi.org/10.1093/gerona/58.9.m846 | ||
| 25361778 | Background | Verghese J, Ayers E, Barzilai N, Bennett DA, Buchman AS, Holtzer R, Katz MJ, Lipton RB, Wang C. Motoric cognitive risk syndrome: Multicenter incidence study. Neurology. 2014 Dec 9;83(24):2278-84. doi: 10.1212/WNL.0000000000001084. Epub 2014 Oct 31. | |
| 18058946 |
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Medial longitudinal arch mobility will be assessed using the Navicular Drop Test. The vertical displacement of the navicular tuberosity from seated subtalar neutral position to standing position will be measured in millimeters. |
| Baseline (single session) |
| Background |
| Yogev-Seligmann G, Hausdorff JM, Giladi N. The role of executive function and attention in gait. Mov Disord. 2008 Feb 15;23(3):329-42; quiz 472. doi: 10.1002/mds.21720. |
| 16033650 | Background | Hausdorff JM. Gait variability: methods, modeling and meaning. J Neuroeng Rehabil. 2005 Jul 20;2:19. doi: 10.1186/1743-0003-2-19. |
| 39053293 | Background | Chen B, Hu S, Mu J, Wang Y. Evaluation of foot support characteristics in young and elderly adults by plantar measurements based on a three-partition distributed force platform. J Biomech. 2024 Aug;173:112247. doi: 10.1016/j.jbiomech.2024.112247. Epub 2024 Jul 23. |
| 38295486 | Background | Bain KA, Kosik KB, Terada M, Gribble PA, Johnson NF. Contralateral thalamocortical connectivity is related to postural control in the uninvolved limb of older adults with history of ankle sprain. Gait Posture. 2024 Mar;109:115-119. doi: 10.1016/j.gaitpost.2024.01.015. Epub 2024 Jan 19. |
| 24183676 | Background | Arnold JB, Mackintosh S, Jones S, Thewlis D. Differences in foot kinematics between young and older adults during walking. Gait Posture. 2014 Feb;39(2):689-94. doi: 10.1016/j.gaitpost.2013.09.021. Epub 2013 Oct 10. |