Articles

Managing diabetic foot infections: a survey of Australasian infectious diseases clinicians

Diabetic foot infections (DFI) present a major morbidity, mortality and economic challenge for the tertiary health sector. However, lack of high quality evidence for specific treatment regimens for patients wi...

Authors: Robert J. Commons, Edward Raby, Eugene Athan, Hasan Bhally, Sharon Chen, Stephen Guy, Paul R. Ingram, Katy Lai, Chris Lemoh, Lyn-Li Lim, Laurens Manning, Spiros Miyakis, Mary O’Reilly, Adam Roberts, Marjoree Sehu, Adrienne Torda…

Student perceptions of the education environment in a Spanish medical podiatry school

The aim of this study was to explore students’ perceptions of the educational environment (EE) in a Spanish school of podiatry. Various aspects of EE were compared by academic year in the program.

Authors: Patricia Palomo-López, Ricardo Becerro-de-Bengoa-Vallejo, César Calvo-Lobo, Natalia Tovaruela-Carrión, David Rodríguez-Sanz, Marta Elena Losa-Iglesias and Daniel López-López

People with diabetes foot complications do not recall their foot education: a cohort study

The purpose of this study is to document what and how diabetes specific foot health information was provided during a podiatry consultation, and what information was retained at 1 month post consultation.

Authors: Julia Yuncken, Cylie M. Williams, Rene Stolwyk and Terry P. Haines

What are patients’ knowledge, expectation and experience of radial extracorporeal shockwave therapy for the treatment of their tendinopathies? A qualitative study

Extracorporeal shockwave therapy (ESWT) is used to manage different tendinopathies and appears to be effective in some tendinopathies but not others. The reasons for this are unclear. There is evidence that pa...

Authors: Raymond Leung, Nikolaos Malliaropoulos, Vasileios Korakakis and Nat Padhiar

National profile of foot orthotic provision in the United Kingdom, part 2: podiatrist, orthotist and physiotherapy practices

A national survey recently provided the first description of foot orthotic provision in the United Kingdom. This article aims to profile and compare the foot orthoses practice of podiatrists, orthotists and ph...

Authors: C. J. Nester, A. Graham, A. Martinez-Santos, A. E. Williams, J. McAdam, V. Newton, D. Sweeney and D. Walker

‘A good fit?’ Bringing the sociology of footwear to the clinical encounter in podiatry services: a narrative review

This narrative review explores the ways in which drawing on theories and methods used in sociological work on footwear and identity can contribute to healthcare research with podiatrists and their patients, hi...

Authors: Emily Nicholls, Victoria Robinson, Lisa Farndon and Wesley Vernon

Three-dimensional quantitative analysis of healthy foot shape: a proof of concept study

Foot morphology has received increasing attention from both biomechanics researches and footwear manufacturers. Usually, the morphology of the foot is quantified by 2D footprints. However, footprint quantifica...

Authors: Kristina Stanković, Brian G. Booth, Femke Danckaers, Fien Burg, Philippe Vermaelen, Saartje Duerinck, Jan Sijbers and Toon Huysmans

Higher frequency of hamstring injuries in elite track and field athletes who had a previous injury to the ankle - a 17 years observational cohort study

Inversion injury to the ankle and hamstring injuries are common problems in most sports. It is not known whether these injuries constitute a predisposing factor or a precursor of injury or re-injury of these a...

Authors: Nikolaos Malliaropoulos, Georgios Bikos, Maria Meke, Korakakis Vasileios, Xavier Valle, Heinz Lohrer, Nicola Maffulli and Nat Padhiar

Abstracts from The College of Podiatry Annual Conference 2017

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Surgical offloading procedures for diabetic foot ulcers compared to best non-surgical treatment: a study protocol for a randomized controlled trial

Diabetic foot ulcers are frequently related to elevated pressure under a bony prominence. Conservative treatment includes offloading with orthopaedic shoes and custom made orthotics or plaster casts. While cas...

Authors: Aharon S. Finestone, Eran Tamir, Guy Ron, Itay Wiser and Gabriel Agar

Age-related differences in foot mobility in individuals with patellofemoral pain

Age-related changes in midfoot mobility have the potential to influence success with foot orthoses intervention in people with patellofemoral pain (PFP). The aim of this study was to determine whether older pe...

Authors: Jade M. Tan, Kay M. Crossley, Bill Vicenzino, Hylton B. Menz, Shannon E. Munteanu and Natalie J. Collins

Centre of pressure characteristics in normal, planus and cavus feet

The aim of this study was to compare centre of pressure (COP) characteristics between healthy adults with normal, planus or cavus feet who were allocated to groups based on reliable foot posture measurement te...

Authors: Andrew K. Buldt, Saeed Forghany, Karl B. Landorf, George S. Murley, Pazit Levinger and Hylton B. Menz

Diabetic Foot Australia guideline on footwear for people with diabetes

The aim of this paper was to create an updated Australian guideline on footwear for people with diabetes.

Authors: Jaap J. van Netten, Peter A. Lazzarini, David G. Armstrong, Sicco A. Bus, Robert Fitridge, Keith Harding, Ewan Kinnear, Matthew Malone, Hylton B. Menz, Byron M. Perrin, Klaas Postema, Jenny Prentice, Karl-Heinz Schott and Paul R. Wraight

Survival and associated risk factors in patients with diabetes and amputations caused by infectious foot gangrene

Infectious gangrene of the foot is a serious complication of diabetes that usually leads to a certain level of lower-extremity amputation (LEA). Nevertheless, the long-term survival and factors associated with...

Authors: Yu-Yao Huang, Cheng-Wei Lin, Hui-Mei Yang, Shih-Yuan Hung and I-Wen Chen

The effects on calcaneofibular ligament function of differences in the angle of the calcaneofibular ligament with respect to the long axis of the fibula: a simulation study

In the present study, CFLs harvested from cadavers were categorized according to the differences in the angle of the CFL with respect to the long axis of the fibula and their shape, and then three-dimensional ...

Authors: Mutsuaki Edama, Ikuo Kageyama, Takanori Kikumoto, Masatoshi Nakamura, Wataru Ito, Emi Nakamura, Ryo Hirabayashi, Tomoya Takabayashi, Takuma Inai and Hideaki Onishi

The clinical diagnosis of symptomatic forefoot neuroma in the general population: a Delphi consensus study

There is limited evidence for defining what specific method or methods should be used to clinically influence clinical decision making for forefoot neuroma. The aim of this study was to develop a clinical asse...

Authors: Charlotte Dando, Lindsey Cherry, Lyndon Jones and Catherine Bowen

Diagnostic accuracy of resting systolic toe pressure for diagnosis of peripheral arterial disease in people with and without diabetes: a cross-sectional retrospective case-control study

The resting systolic toe pressure (TP) is a measure of small arterial function in the periphery. TP is used in addition to the ankle-brachial index when screening for peripheral arterial disease (PAD) of the l...

Authors: Peta Ellen Tehan, Alex Louise Barwick, Mathew Sebastian and Vivienne Helaine Chuter

Identifying the primary outcome for a randomised controlled trial in rheumatoid arthritis: the role of a discrete choice experiment

This study sought to establish the preferences of people with Rheumatoid Arthritis (RA) about the best outcome measure for a health and fitness intervention randomised controlled trial (RCT). The results of th...

Authors: Eugena Stamuli, David Torgerson, Matthew Northgraves, Sarah Ronaldson and Lindsey Cherry

The effect of a running task on muscle shear elastic modulus of posterior lower leg

Medial tibial stress syndrome (MTSS) is one of the most common causes of exercise-related leg pain in runners. Because stopping training due to pain from MTSS could decrease the athlete’s competitiveness, it i...

Authors: Shuhei Ohya, Masatoshi Nakamura, Takafumi Aoki, Daichi Suzuki, Takanori Kikumoto, Emi Nakamura, Wataru Ito, Ryo Hirabayashi, Tomoya Takabayashi and Mutsuaki Edama

The effect of variation in interpretation of the La Trobe radiographic foot atlas on the prevalence of foot osteoarthritis in older women: the Chingford general population cohort

The prevalence of foot osteoarthritis (OA) is much less understood than hip, knee and hand OA. The foot is anatomically complex and different researchers have investigated different joints with lack of methodo...

Authors: Peter McQueen, Lucy Gates, Michelle Marshall, Michael Doherty, Nigel Arden and Catherine Bowen

Reliability of doming and toe flexion testing to quantify foot muscle strength

Quantifying the strength of the intrinsic foot muscles has been a challenge for clinicians and researchers. The reliable measurement of this strength is important in order to assess weakness, which may contrib...

Authors: Sarah Trager Ridge, J. William Myrer, Mark T. Olsen, Kevin Jurgensmeier and A. Wayne Johnson

Do athletes alter their running mechanics after an Achilles tendon rupture?

Over the past thirty years, there has been dramatic increase in incidence of Achilles tendon rupture in the athletic population. The purpose of this study was to compare the lower extremity mechanics of Achill...

Authors: Daniel Jandacka, Julia Freedman Silvernail, Jaroslav Uchytil, David Zahradnik, Roman Farana and Joseph Hamill

Reliability of analysis of the bone mineral density of the second and fifth metatarsals using dual-energy x-ray absorptiometry (DXA)

Metatarsal fractures, especially of the fifth metatarsal, are common injuries of the foot in a young athletic population, but the risk factors for this injury are not well understood. Dual-energy x-ray absorpt...

Authors: N. Stewart Pritchard, James M. Smoliga, Anh-Dung Nguyen, Micah C. Branscomb, David R. Sinacore, Jeffrey B. Taylor and Kevin R. Ford

Evidence for current recommendations concerning the management of foot health for people with chronic long-term conditions: a systematic review

Research focusing on management of foot health has become more evident over the past decade, especially related to chronic conditions such as diabetes. The level of methodological rigour across this body of wo...

Authors: Katherine Edwards, Alan Borthwick, Louise McCulloch, Anthony Redmond, Rafael Pinedo-Villanueva, Daniel Prieto-Alhambra, Andrew Judge, Nigel Arden and Catherine Bowen

Time to revise our dialogue: how flat is the paediatric flatfoot?

A recent systematic review of measures of foot development used the medial longitudinal arch profile as its primary indicator of development. A comparative analysis of existing studies was undertaken. This wor...

Authors: Stewart C. Morrison, Juliet McClymont, Carina Price and Chris Nester

‘Fast cast’ and ‘needle Tenotomy’ protocols with the Ponseti method to improve clubfoot management in Bangladesh

The management of congenital talipes equino varus (clubfoot deformity) has been transformed in the last 20 years as surgical correction has been replaced by the non-surgical Ponseti method. The Ponseti method, co...

Authors: Angela Evans, Mamun Chowdhury, Sohel Rana, Shariar Rahman and Abu Hena Mahboob

Defining the gap: a systematic review of the difference in rates of diabetes-related foot complications in Aboriginal and Torres Strait Islander Australians and non-Indigenous Australians

The Aboriginal and Torres Strait Islander community has an increased risk of developing chronic illnesses including diabetes. Among people with diabetes, foot complications are common and make a significant co...

Authors: Matthew West, Vivienne Chuter, Shannon Munteanu and Fiona Hawke

Movement coordination patterns between the foot joints during walking

In 3D gait analysis, kinematics of the foot joints are usually reported via isolated time histories of joint rotations and no information is provided on the relationship between rotations at different joints. ...

Authors: John B. Arnold, Paolo Caravaggi, François Fraysse, Dominic Thewlis and Alberto Leardini

Prevalence, impact and care of foot problems in people with rheumatoid arthritis: results from a United Kingdom based cross-sectional survey

Foot symptoms in rheumatoid arthritis (RA) derive from a combination of inflammation, altered foot mechanics, deformity and secondary skin lesions. Guidelines recommend regular review of patients’ feet, but th...

Authors: Oonagh Wilson, Sarah Hewlett, James Woodburn, Jon Pollock and John Kirwan

Clinical photographic observation of plantar corns and callus associated with a nominal scale classification and inter- observer reliability study in a student population

The management of plantar corns and callus has a low cost-benefit with reduced prioritisation in healthcare. The distinction between types of keratin lesions that forms corns and callus has attracted limited i...

Authors: David R. Tollafield

The integration of a Podiatrist into an orthopaedic department: a cost-consequences analysis

The aim of this study was to evaluate the cost-consequences of a podiatry-led triage clinic provided in an orthopaedic department relative to usual care for non-urgent foot and ankle complaints in an Australia...

Authors: Tom P. Walsh, Linda R. Ferris, Nancy C. Cullen, Christopher H. Brown, Cathy J. Loughry and Nikki M. McCaffrey

Etiological factors in hallux valgus, a three-dimensional analysis of the first metatarsal

It has been reported that hallux valgus (HV) is associated with axial rotation of the first metatarsal (1MT). However, the association between HV and torsion of the 1MT head with respect to the base has not be...

Authors: Tomohiko Ota, Takeo Nagura, Tetsuro Kokubo, Masateru Kitashiro, Naomichi Ogihara, Kenichiro Takeshima, Hiroyuki Seki, Yasunori Suda, Morio Matsumoto and Masaya Nakamura

Coordination among the rearfoot, midfoot, and forefoot during walking

Examining coordination between segments is essential for prevention and treatment of injuries. However, traditional methods such as ratio, cross-correlation technique, and angle-time plot may not provide a com...

Authors: Tomoya Takabayashi, Mutsuaki Edama, Emi Nakamura, Erika Yokoyama, Chiaki Kanaya and Masayoshi Kubo

An explorative qualitative study to determine the footwear needs of workers in standing environments

Many work places require standing for prolonged periods of time and are potentially damaging to health, with links to musculoskeletal disorders and acute trauma from workplace accidents. Footwear provides the ...

Authors: Jennifer Anderson, Anita E. Williams and Christopher Nester

Correlating pre-operative MRI measurements of metatarsal Osteomyelitis with surgical clean margins reveals the need for a one centimeter resection margin

Due to the high incidence of forefoot ulcerations with associated osteomyelitis, there has been an increased demand for partial ray amputations. In order to ensure complete removal of infected metatarsal bone,...

Authors: Brent Bernstein, Melody Stouder, Eric Bronfenbrenner, Steven Chen and David Anderson

Cross-cultural adaptation and validation of Spanish version of The Foot and Ankle Ability Measures (FAAM-Sp)

The Foot and Ankle Ability Measure (FAAM) is a Patient Reported Outcome (PRO) commonly used to determine the effectiveness of therapeutic interventions for patients with foot and ankle pathologies and associat...

Authors: Pablo Cervera-Garvi, Ana Belen Ortega-Avila, Jose Miguel Morales-Asencio, Jose Antonio Cervera-Marin, Rob Roy Martin and Gabriel Gijon-Nogueron

A novel magnet based 3D printed marker wand as basis for repeated in-shoe multi segment foot analysis: a proof of concept

Application of in-shoe multi-segment foot kinematic analyses currently faces a number of challenges, including: (i) the difficulty to apply regular markers onto the skin, (ii) the necessity for an adequate sho...

Authors: Maarten Eerdekens, Filip Staes, Thomas Pilkington and Kevin Deschamps

The typically developing paediatric foot: how flat should it be? A systematic review

All typically developing children are born with flexible flat feet, progressively developing a medial longitudinal arch during the first decade of their lives. Whilst the child’s foot is expected to be flat, t...

Authors: Hayley Uden, Rolf Scharfbillig and Ryan Causby

Dealing with the death of a long term patient; what is the impact and how do podiatrists cope?

It is common for podiatrists and patients to develop long term professional relationships. Patient’s decline in health or death may impact a practitioner’s mental wellbeing. This research aimed to understand t...

Authors: Kristy Robson and Cylie M Williams

Australasian Podiatry Conference 2017

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National profile of foot orthotic provision in the United Kingdom, part 1: practitioners and scope of practice

Foot orthoses have been advocated in the management of a wide range of clinical foot and lower limb problems and are within the scope of podiatry, orthotic and physiotherapy practice. Previous reports into the...

Authors: CJ Nester, A Graham, A Martinez-Santos, AE Williams, J McAdam and V Newton

Categorisation of foot complaints in systemic lupus erythematosus (SLE) from a New Zealand cohort

Foot complaints have been shown to be common in systemic lupus erythematosus (SLE) and heterogeneous in nature. We aimed to categorize self-reported foot complaints in people with SLE and foot symptoms.

Authors: Simon J. Otter, Maheswaran Rohan, Kevin A. Davies, Sunil Kumar, Peter Gow, Nicola Dalbeth, Michael Corkill, Sam Panthakalam and Keith Rome

Cross-sectional associations between variations in ankle shape by statistical shape modeling, injury history, and race: the Johnston County Osteoarthritis Project

Injury is an important risk factor for osteoarthritis (OA), a highly prevalent and disabling joint disease. Joint shape is linked to OA, but the interplay of injury and joint shape and their combined role in O...

Authors: Amanda E. Nelson, Yvonne M. Golightly, Shahmeer Lateef, Jordan B. Renner, Joanne M. Jordan, Richard M. Aspden, Howard Hillstrom and Jennifer S. Gregory

Increase in body weight over a two-year period is associated with an increase in midfoot pressure and foot pain

There is a well-recognised relationship between body weight, plantar pressures and foot pain, but the temporal association between these factors is unknown. The aim of this study was to investigate the relatio...

Authors: Tom P. Walsh, Paul A. Butterworth, Donna M. Urquhart, Flavia M. Cicuttini, Karl B. Landorf, Anita E. Wluka, E. Michael Shanahan and Hylton B. Menz

Normal foot loading parameters and repeatability of the Footscan® platform system

The Footscan® platform system is one of the most commonly used clinical tools for the measurement of the foot pressure. The present study was designed to assess the repeatability of the system and identify the...

Authors: Chao Xu, Xin-Xin Wen, Lu-Yu Huang, Lei Shang, Xi-Xia Cheng, Ya-Bo Yan and Wei Lei

Inter-segmental motions of the foot: differences between younger and older healthy adult females

Although accumulative evidence exists that support the applicability of multi-segmental foot models (MFMs) in evaluating foot motion in various pathologic conditions, little is known of the effect of aging on ...

Authors: Dong Yeon Lee, Sang Gyo Seo, Eo Jin Kim, Doo Jae Lee, Kee Jeong Bae, Kyoung Min Lee and In Ho Choi

Diabetes educator role boundaries in Australia: a documentary analysis

Diabetes educators provide self-management education for people living with diabetes to promote optimal health and wellbeing. Their national association is the Australian Diabetes Educators Association (ADEA),...

Authors: Olivia King, Susan Nancarrow, Sandra Grace and Alan Borthwick

Optimisation of rocker sole footwear for prevention of first plantar ulcer: comparison of group-optimised and individually-selected footwear designs

Appropriate footwear for individuals with diabetes but no ulceration history could reduce the risk of first ulceration. However, individuals who deem themselves at low risk are unlikely to seek out bespoke foo...

Authors: Stephen J. Preece, Jonathan D. Chapman, Bjoern Braunstein, Gert-Peter Brüggemann and Christopher J. Nester

The comparative efficacy of angiosome-directed and indirect revascularisation strategies to aid healing of chronic foot wounds in patients with co-morbid diabetes mellitus and critical limb ischaemia: a literature review

Ischaemic ulcerations have been reported to persist and/or deteriorate despite technically successful revascularisations; a higher incidence of which affects patients with diabetes and critical limb ischaemia....

Authors: Benedictine Y. C. Khor and Pamela Price

The influence of gender and body mass index on the FPI-6 evaluated foot posture of 10- to 14-year-old school children in São Paulo, Brazil: a cross-sectional study

Adolescence is marked by changes to the body, including the feet. The Foot Posture Index (FPI-6) stands out from other foot type classification methods as valid, reliable, and multidimensional. However, the cu...

Authors: Barbarah Kelly Gonçalves de Carvalho, Patrícia Jundi Penha, Nárima Lívia Jundi Penha, Rodrigo Mantelatto Andrade, Ana Paula Ribeiro and Sílvia Maria Amado João