Articles

Organizational changes in diabetic foot care practices for patients at low and moderate risk after implementing a comprehensive foot care program in Alberta, Canada

Neuropathy and vasculopathy can lead to costly and debilitating complications in people with diabetes. The purpose of this study was to evaluate, at an organizational level, uptake of practices included in a d...

Authors: Catherine B. Chan, Kathy Dmytruk, Michele Labbie and Petra O’Connell

The tibialis posterior tendon footprint: an anatomical dissection study

The tibialis posterior tendon (TPT) is the main dynamic stabilizer of the medial longitudinal arch of the foot. Especially in adult acquired flatfoot deformity (AAFD) the TPT plays a detrimental role. The path...

Authors: Madeleine Willegger, Nargiz Seyidova, Reinhard Schuh, Reinhard Windhager and Lena Hirtler

Phenotypes and outcomes in middle-aged patients with diabetic foot ulcers: a retrospective cohort study

Although ageing could increase the risk of delayed healing in diabetic foot ulcers (DFUs) patients, data from middle-aged patients remains greatly limited. The purpose of this study was to explore the clinical...

Authors: Tao Tong, Cailian Yang, Wenqing Tian, Zhiping Liu, Bo Liu, Jun Cheng, Qingfeng Cheng and Bo Zhou

Effectiveness of therapeutic footwear for children: A systematic review

It is estimated that 2% of the global childhood population is living with some form of mobility impairment. Although footwear interventions are proposed to aid ambulation, there appears to be a paucity in the ...

Authors: Matthew Hill, Aoife Healy and Nachiappan Chockalingam

Does the application of Opsite^⋄ Flexigrid^⋄ occlude the oxygen saturation readings in healthy individuals using the moorVMS-OXY machine?

A proportion of people who have been diagnosed with peripheral arterial disease and diabetes mellitus will be susceptible to chronic wounds. Oxygen is vital for wound healing, so oxygen measurements should to ...

Authors: A. Beaumont, L. McSorley, M. Matthews, K. Mooneesawmy, L. Little and J. R. Forss

The ankle brachial index in people with and without diabetes: intra-tester reliability

The ankle-brachial index (ABI) is widely used for determining the presence and severity of peripheral arterial disease (PAD), and current guidelines suggest it should be used to monitor possible progression in...

Authors: Sarah Louise Casey, Sean Michael Lanting and Vivienne Helaine Chuter

Foot exercise plus education versus wait and see for the treatment of plantar heel pain (FEET trial): a protocol for a feasibility study

Plantar heel pain (PHP) is present in a wide range of individuals and creates significant burden to quality of life and participation in physical activity. The high recurrence rates and persistence of PHP sugg...

Authors: Melinda M. Franettovich Smith, Natalie J. Collins, Rebecca Mellor, Alison Grimaldi, James Elliott, Mark Hoggarth, Kenneth A. Weber II and Bill Vicenzino

Point-of-care bedside ultrasound examination for the exclusion of clinically significant ankle and fifth metatarsal bone fractures; a single blinded prospective diagnostic cohort study

The aim of this study was to assess the diagnostic value of point-of-care bedside ultrasound (PoCUS) as in usual clinical practice in suspected ankle and fifth metatarsal bone fractures, compared to the standa...

Authors: Aniek Crombach, Nasim Azizi, Heleen Lameijer, Mostafa El Moumni and Jan C. ter Maaten

Effects of metatarsal domes on plantar pressures in older people with a history of forefoot pain

Forefoot pads such as metatarsal domes are commonly used in clinical practice for the treatment of pressure-related forefoot pain, however evidence for their effects is inconsistent. This study aimed to evalua...

Authors: Karl B. Landorf, Claire A. Ackland, Daniel R. Bonanno, Hylton B. Menz and Saeed Forghany

Validity and reliability of the Australian Therapy Outcome Measures – Physiotherapy, for podiatry (AusTOMs-PT for use in podiatry)

Valid and reliable outcome measure enable measurement of health care service impact. There are limited valid and reliable outcome measures for use in podiatry practice to measure the impact of treatment. This ...

Authors: Cylie M. Williams, Nina Davies, Jessica Kolic, Antoni Caserta, Alicia M. James and Carolyn Unsworth

Five year mortality and direct costs of care for people with diabetic foot complications are comparable to cancer

In 2007, we reported a summary of data comparing diabetic foot complications to cancer. The purpose of this brief report was to refresh this with the best available data as they currently exist. Since that tim...

Authors: David G. Armstrong, Mark A. Swerdlow, Alexandria A. Armstrong, Michael S. Conte, William V. Padula and Sicco A. Bus

Effect of contact with podiatry in a team approach context on diabetic foot ulcer and lower extremity amputation: systematic review and meta-analysis

Multidisciplinary team (MDT) approach has been shown to reduce diabetic foot ulcerations (DFUs) and lower extremity amputations (LEAs), but there is heterogeneity between team members and interventions. Podiat...

Authors: Virginie Blanchette, Magali Brousseau-Foley and Lyne Cloutier

Management of first metatarsophalangeal joint osteoarthritis by physical therapists and podiatrists in Australia and the United Kingdom: a cross-sectional survey of current clinical practice

First metatarsophalangeal (MTP) joint osteoarthritis (OA) is a common and painful problem that causes significant disability. There is limited research on assessment and treatment options, and the efficacy of ...

Authors: Kade L. Paterson, Rana S. Hinman, Hylton B. Menz and Kim L. Bennell

Intrinsic foot joints adapt a stabilized-resistive configuration during the stance phase

This study evaluated the 3D angle between the joint moment and the joint angular velocity vectors at the intrinsic foot joints, and investigated if these joints are predominantly driven or stabilized during gait.

Authors: Paul-André Deleu, Laurence Chèze, Raphaël Dumas, Jean-Luc Besse, Thibaut Leemrijse, Bernhard Devos Bevernage, Ivan Birch and Alexandre Naaim

Lived experience and attitudes of people with plantar heel pain: a qualitative exploration

Plantar heel pain is a common source of pain and disability. Evidence-based treatment decisions for people with plantar heel pain should be guided by the best available evidence, expert clinical reasoning, and...

Authors: Matthew Cotchett, Michael Skovdal Rathleff, Matthew Dilnot, Karl B. Landorf, Dylan Morrissey and Christian Barton

Genome-wide meta-analysis identified novel variant associated with hallux valgus in Caucasians

Hallux valgus, one of the most common structural foot deformities, is highly heritable. However, previous efforts to elucidate the genetic underpinnings of hallux valgus through a genome-wide association study...

Authors: Liubov Arbeeva, Michelle Yau, Braxton D. Mitchell, Rebecca D. Jackson, Kathleen Ryan, Yvonne M. Golightly, Marian T. Hannan, Amanda Nelson, Joanne M. Jordan and Marc C. Hochberg

Walking and weakness in children: a narrative review of gait and functional ambulation in paediatric neuromuscular disease

Weakness is the primary impairment in paediatric neuromuscular diseases, impacting gait and gait-related functional activities in ambulant children affected by these rare and often degenerative diseases. Gait ...

Authors: Rachel A. Kennedy, Kate Carroll, Jennifer L. McGinley and Kade L. Paterson

Can body mass index influence the fracture zone in the fifth metatarsal base? A retrospective review

Fifth metatarsal base fracture are a common occurrence in the orthopaedic practice. Literature on the epidemiology of such fractures is scarce. The aim of this analysis was to study the relationship between Bo...

Authors: M. Pugliese, D. De Meo, E. Sinno, V. Pambianco, A. U. Cavallo, P. Persiani and C. Villani

PoDFEd: Podiatrists and Diabetes Footcare Education Survey - How do Australian podiatrists provide diabetes education?

Podiatrists provide care and education to people with diabetes. This often includes the use of education relating to complications of the disease and how to prevent them. It is currently unknown how Australian...

Authors: Julia Yuncken, Terrance Haines, Renerus J. Stolwyk and Cylie M. Williams

A radiological severity scale to measure the impact of Charcot’s Neuroarthropathy: an observational study

Charcot’s Neuroarthropathy (Charcot foot) is a debilitating and destructive disorder resulting from neurological changes in the foot. Whilst the majority of cases are painless, as a result of disruption to sen...

Authors: Shan Bergin, Parm Naidoo and Cylie M. Williams

Three-dimensional foot shape analysis in children: a pilot analysis using three-dimensional shape descriptors

Existing clinical measures to describe foot morphology are limited in that they are commonly two-dimensional, low in resolution and accuracy, and do not accurately represent the multi-planar and complex change...

Authors: Matyas Varga, Carina Price and Stewart C. Morrison

Symptomatic pes planus in children: a synthesis of allied health professional practices

This study sought to explore professional perspectives on the assessment and management of symptomatic pes planus in children.

Authors: Stewart C. Morrison, Madeleine Tait, Elaine Bong, Kyra J. Kane and Chris Nester

Correction to: The impact of shoe flexibility on gait, pressure and muscle activity of young children. A systematic review

After publication of our article [1] we were notified that Figure 1 was incorrectly published as a duplicate of Table 1.

Authors: Simone Cranage, Luke Perraton, Kelly-Ann Bowles and Cylie Williams

Non-invasive assessment of vibration perception and protective sensation in people with diabetes mellitus: inter- and intra-rater reliability

Testing of protective sensation and vibration perception are two of the most commonly used non-invasive methods of screening for diabetes-related peripheral neuropathy (DPN). However, there is limited research...

Authors: Sean Michael Lanting, Martin Jeremy Spink, Peta Ellen Tehan, Stephanie Vickers, Sarah Louise Casey and Vivienne Helaine Chuter

Professional appraisal of online information about children’s footwear measurement and fit: readability, usability and quality

Parents increasingly use the internet to seek health information, share information and for purchasing textiles and footwear. This shift in footwear purchasing habits raises concern about how (and if) parents ...

Authors: Carina Price, Michael Haley, Anita Williams, Chris Nester and Stewart C. Morrison

Ulcer metastasis? Anatomical locations of recurrence for patients in diabetic foot remission

The “cancer analogy” is powerful for communicating risk to and organizing care for patients with diabetic foot syndrome. One potentially underappreciated similarity between cancer and foot ulcers is that both ...

Authors: Brian J. Petersen, Gary M. Rothenberg, Priti J. Lakhani, Min Zhou, David R. Linders, Jonathan D. Bloom, Katherine A. Wood and David G. Armstrong

Associations of foot ulceration with quality of life and psychosocial determinants among patients with diabetes; a case-control study

Patients with diabetic foot ulcers may have a lower quality of life. The objective was to compare the quality of life and its psychosocial determinants among patients with and without diabetic foot ulcers.

Authors: Fahad D. Alosaimi, Reem Labani, Nouf Almasoud, Nora Alhelali, Lamya Althawadi and Dhaherah Mani AlJahani

Abstracts from the College of Podiatry Annual Conference 2018

Authors:

The foot-health of people with diabetes in regional and rural Australia: baseline results from an observational cohort study

There is limited Australian epidemiological research that reports on the foot-health characteristics of people with diabetes, especially within rural and regional settings. The objective of this study was to e...

Authors: Byron M. Perrin, Penny Allen, Marcus J. Gardner, Andrew Chappell, Bronwyn Phillips, Claire Massey, Isabelle Skinner and Timothy C. Skinner

The impact of shoe flexibility on gait, pressure and muscle activity of young children. A systematic review

There is limited evidence of shoe impact in younger children, particularly in the context of immature gait patterns. It is unclear if the impact from shoes in younger children is similar to what has been seen ...

Authors: Simone Cranage, Luke Perraton, Kelly-Ann Bowles and Cylie Williams

The prevalence and impact of self-reported foot and ankle pain in the over 55 age group: a secondary data analysis from a large community sample

While the prevalence and impact of musculoskeletal problems are high, most attention has been directed towards the back, knee and hip disorders. Foot pain is known to be common in older adults and accounts for...

Authors: Anne-Maree Keenan, Chris Drake, Philip G. Conaghan and Alan Tennant

Spray on skin for diabetic foot ulcers: an open label randomised controlled trial

One Australian loses a limb every 3 h as a result of infected diabetic foot ulcers (DFU). This common condition accounts for substantial morbidity and mortality for affected individuals and heavy economic cost...

Authors: Laurens Manning, Emma J. Hamilton, Edward Raby, Paul E. Norman, Wendy Davis, Fiona Wood, Keryln Carville, Mendel Baba, Jonathan Hiew, Erica Ryan, Ivana Ferreira, Paul Gittings and Jens C. Ritter

“I need somebody who knows about feet” a qualitative study investigating the lived experiences of conservative treatment for patients with posterior tibial tendon dysfunction

Posterior tibial tendon dysfunction is a disabling, chronic, progressive tendon condition that detrimentally affects foot, ankle and lower limb function. Research suggests that posterior tibial tendon dysfunct...

Authors: Rona Frances Campbell, Christopher Morriss-Roberts, Beverley Durrant and Simon Cahill

Passive hallux adduction decreases lateral plantar artery blood flow: a preliminary study of the potential influence of narrow toe box shoes

Blood flow is essential in maintaining tissue health. Thus, compromised blood flow can prevent tissue healing. An adducted hallux, as seen inside a narrow shoe, may put passive tension on the abductor hallucis...

Authors: Julia L. Jacobs, Sarah T. Ridge, Dustin A. Bruening, K. Annie Brewerton, Jayson R. Gifford, Daniel M. Hoopes and A. Wayne Johnson

Australian Podiatry Conference 2019

Authors:

Reliability of a two-probe ultrasound imaging procedure to measure strain in the Achilles tendon

Alteration in the strain properties of the Achilles tendon may lead to adaptations such as pathological stiffening. Stiff tendons have reduced adaptive ability, which may increase the risk for developing tendi...

Authors: Prue Molyneux, Richard F. Ellis and Matthew Carroll

Comparative outcomes of foot cast and short leg cast in pseudo-Jones avulsion fracture: a single blinded randomized controlled trial

Fractures of the metatarsal bones account for 35% of all foot fractures. Conservative management of fractures proximal to the metaphyseal-diaphyseal junction of the fifth metatarsal bone (pseudo-Jones) is by p...

Authors: Peerapong Piyapittayanun, Kanakij Mutthakalin, Alisara Arirachakaran and Jatupon Kongtharvonskul

Validation of a novel Kinect-based device for 3D scanning of the foot plantar surface in weight-bearing

Advancements in additive manufacturing, along with new 3D scanning tools, are increasingly fulfilling the technological need for custom devices in personalized medicine. In podiatry and in the footwear industr...

Authors: Giulia Rogati, Alberto Leardini, Maurizio Ortolani and Paolo Caravaggi

Factors associated with type of footwear worn inside the house: a cross-sectional study

In specific populations, including those at risk of falls or foot ulcers, indoor footwear is an important aspect of preventative care. This study aims to describe the indoor footwear worn most over the previou...

Authors: Alex L. Barwick, Jaap J. van Netten, Sheree E. Hurn, Lloyd F. Reed and Peter A. Lazzarini

Commitment devices in the treatment of diabetic foot ulcers

Non-removable offloading devices are recommended for the treatment of uncomplicated plantar diabetic foot ulcers because adherence to using removable devices is low. However, patients may not always understand...

Authors: Gustav Jarl

Is consumer behaviour towards footwear predisposing for lower extremity injuries in runners and walkers? A prospective study

Runners and walkers often suffer from lower extremity injuries. Little is known about the relationship between their consumer behaviour towards footwear and the development of those injuries. Therefore, the ai...

Authors: Tine Marieke Willems, Roel De Ridder and Philip Roosen

Determining the clinical knowledge and practice of Australian podiatrists on children with developmental coordination disorder: a cross-sectional survey

Developmental coordination disorder (DCD) is a common condition in children affecting motor coordination. This impacts on academic performance, and activities of daily living. Literature surrounding interventi...

Authors: Mitchell Smith, Helen A. Banwell, Emily Ward and Cylie M. Williams

Stiffness modification of two ankle-foot orthosis types to optimize gait in individuals with non-spastic calf muscle weakness – a proof-of-concept study

To reduce gait problems in individuals with non-spastic calf muscle weakness, spring-like ankle-foot orthoses (AFOs) are often applied, but they are not individually optimized to treatment outcome. The aim of ...

Authors: Hilde E. Ploeger, Niels F. J. Waterval, Frans Nollet, Sicco A. Bus and Merel-Anne Brehm

The progression rate of peripheral arterial disease in patients with intermittent claudication: a systematic review

Intermittent claudication (IC) is the most common symptom of peripheral arterial disease and is generally treated conservatively due to limited prognostic evidence to support early revascularisation in the ind...

Authors: A. Mizzi, K. Cassar, C. Bowen and C. Formosa

The reliability of the ankle brachial index: a systematic review

The ankle brachial index (ABI) is widely used in clinical practice as a non-invasive method to detect the presence and severity of peripheral arterial disease (PAD). Current guidelines suggest that it should b...

Authors: Sarah Casey, Sean Lanting, Christopher Oldmeadow and Vivienne Chuter

The footwear experiences of people with gout: a qualitative study

Footwear is an important concern for people with gout, who often describe difficulty finding suitable footwear. Previous studies have identified footwear as a major concern for people with gout. The aim of thi...

Authors: Mike Frecklington, Anita Williams, Nicola Dalbeth, Peter McNair, Peter Gow and Keith Rome

The iPhone Measure app level function as a measuring device for the weight bearing lunge test in adults: a reliability study

Ankle joint range of motion is a frequently assessed measure used by health care clinicians who manage lower limb pathologies to identify ankle equinus and/or other joint motion concerns that may negatively im...

Authors: Helen A. Banwell, Hayley Uden, Nicole Marshall, Carlie Altmann and Cylie M. Williams

The impact of multimorbidity on foot health outcomes in podiatry patients with musculoskeletal foot pain: a prospective observational study

Multimorbidity is prevalent and adversely affects health outcomes. Foot pain is common and one of the primary reasons for utilisation of podiatry services. At present, little is known about the impact of multi...

Authors: Gordon J. Hendry, Linda Fenocchi, Helen Mason and Martijn Steultjens

Evaluation of orthotic insoles for people with diabetes who are at-risk of first ulceration

This study focussed on pressure relieving orthotic insoles designed for retail footwear and people with diabetes and at risk of first forefoot ulceration. The aim was to investigate whether the pressure reliev...

Authors: Ana Martinez-Santos, Stephen Preece and Christopher J. Nester

Predictors of lower extremity amputation in patients with diabetic foot ulcer: findings from MEDFUN, a multi-center observational study

Lower extremity amputation (LEA) is a potential sequelae of diabetic foot ulceration (DFU) and is associated with huge morbidly and mortality. Low and middle income countries are currently at the greatest risk...

Authors: Ejiofor Ugwu, Olufunmilayo Adeleye, Ibrahim Gezawa, Innocent Okpe, Marcelina Enamino and Ignatius Ezeani