Articles

Clinically-evident tophi are associated with reduced muscle force in the foot and ankle in people with gout: a cross-sectional study

The foot and ankle represent a common site for tophi in people with gout, yet it is unclear whether the presence of tophi is related to impaired muscle function. This study aimed to determine the association b...

Authors: Sarah Stewart, Nicola Dalbeth, Simon Otter, Peter Gow, Sunil Kumar and Keith Rome

Pedobarography as a clinical tool in the management of diabetic feet in New Zealand: a feasibility study

The peripheral complications of diabetes mellitus remain a significant risk to lower-limb morbidity. In New Zealand, risk of diabetes, comorbidity and lower-limb amputation are highly-differential between demo...

Authors: Jason K. Gurney, Uwe G. Kersting, Dieter Rosenbaum, Ajith Dissanayake, Steve York, Roger Grech, Anthony Ng, Bobbie Milne, James Stanley and Diana Sarfati

Custom-made foot orthoses: an analysis of prescription characteristics from an Australian commercial orthotic laboratory

Foot orthoses are widely used in the prevention and treatment of foot disorders. The aim of this study was to describe characteristics of custom-made foot orthosis prescriptions from a Australian podiatric ort...

Authors: Hylton B. Menz, Jamie J. Allan, Daniel R. Bonanno, Karl B. Landorf and George S. Murley

Are ultrasound features at the first metatarsophalangeal joint associated with clinically-assessed pain and function? A study of people with gout, asymptomatic hyperuricaemia and normouricaemia

The first metatatarsophalangeal joint (1st MTP joint) is a common location for sonographic evidence of urate deposition in people with gout and asymptomatic hyperuricaemia. However, it is unclear whether these...

Authors: Sarah Stewart, Nicola Dalbeth, Alain C. Vandal, Bruce Allen, Rhian Miranda and Keith Rome

Lateral wedges with and without custom arch support for people with medial knee osteoarthritis and pronated feet: an exploratory randomized crossover study

Pronated foot posture is associated with many clinical and biomechanical outcomes unique to medial compartment knee osteoarthritis (OA). Though shoe-worn insole treatment, including lateral wedges, is commonly...

Authors: Michael A. Hunt, Judit Takacs, Natasha M. Krowchuk, Gillian L. Hatfield, Rana S. Hinman and Ryan Chang

A qualitative evaluation of scalpel skill teaching of podiatry students

Degrees in health disciplines need a balance of theoretical knowledge and sufficient clinical practice to meet registration requirements, in particular those requiring specialist skills such as the use of scal...

Authors: Ryan S Causby, Michelle N McDonnell, Lloyd Reed, Caroline E Fryer and Susan L Hillier

A single-blinded, randomized, parallel group superiority trial investigating the effects of footwear and custom foot orthoses versus footwear alone in individuals with patellofemoral joint osteoarthritis: a phase II pilot trial protocol

Patellofemoral joint osteoarthritis is a common condition, yet information regarding conservative management is lacking. Foot orthoses are an effective intervention for improving pain and function in younger i...

Authors: Narelle Wyndow, Kay M. Crossley, Bill Vicenzino, Kylie Tucker and Natalie J. Collins

The reliability of shear elastic modulus measurement of the ankle plantar flexion muscles is higher at dorsiflexed position of the ankle

Excessive stiffness of lower limb muscles is associated with sports injuries. Therefore, the identification of a reliable measurement of the shear elastic modulus of various ankle plantar flexion muscles is re...

Authors: Junya Saeki, Tome Ikezoe, Masatoshi Nakamura, Satoru Nishishita and Noriaki Ichihashi

Repeatability and agreement of ultrasonography with computed tomography for evaluating forefoot structure in the coronal plane

Forefoot structure is important to understand some foot problems such as hallux valgus and metatarsalgia. Ultrasonography (US) is a highly portable, noninvasive, low cost, and fast imaging method, especially w...

Authors: Keisuke Matsubara, Tomofumi Matsushita, Yuto Tashiro, Seishiro Tasaka, Takuya Sonoda, Yasuaki Nakayama, Yuki Yokota, Yusuke Suzuki, Mirei Kawagoe and Tomoki Aoyama

Ankle and toe muscle strength characteristics in runners with a history of medial tibial stress syndrome

A high proportion of flexor digitorum longus attachment is found at the posteromedial border of the tibia, which is the most common location of medial tibial stress syndrome (MTSS). Therefore, plantar flexion ...

Authors: Junya Saeki, Masatoshi Nakamura, Sayaka Nakao, Kosuke Fujita, Ko Yanase, Katsuyuki Morishita and Noriaki Ichihashi

Age-related reduction and independent predictors of toe flexor strength in middle-aged men

Toe flexor muscles play an important role in posture and locomotion, and poor toe flexor strength is a risk factor for falls. In this cross-sectional study, we estimated the age-related change in toe flexor st...

Authors: Masataka Suwa, Takayuki Imoto, Akira Kida, Mitsunori Iwase and Takashi Yokochi

Experiences of mobility for people living with rheumatoid arthritis who are receiving biologic drug therapy: implications for podiatry services

Despite significant advancements in new treatment modalities for rheumatoid arthritis with biological therapies, foot complications remain a disabling and common feature of the disease. In this study the aim was ...

Authors: Lucy Sanders, Margaret Donovan-Hall, Alan Borthwick and Catherine J. Bowen

3-D computer modelling of malunited posterior malleolar fractures: effect of fragment size and offset on ankle stability, contact pressure and pattern

The positioning of the fracture fragment of a posterior malleolus fracture is critical to healing and a successful outcome as malunion of a posterior malleolar fracture, a condition seen in clinical practice, ...

Authors: Teresa Alonso-Rasgado, David Jimenez-Cruz and Michael Karski

Abstracts from The College of Podiatry Annual Conference 2016

Authors: John Ingram, Scott Cawley, Angela Jones, Elinor Coulman, Clive Gregory, Tim Pickles, Him Shun Hinson Kei, Paul Fletcher, Mike Curran, Trevor Prior, Cynthia Formosa, Simon Otter, Keith Rome, Peter Gow, Nicola Dalbeth, Maheswaran Rohan…

A survey of people with foot problems related to rheumatoid arthritis and their educational needs

Up to 50% of people with rheumatoid arthritis (RA) have foot symptoms at diagnosis, hence early foot health intervention is recommended and this should include patient education. This study identifies, for the...

Authors: Andrea S. Graham, John Stephenson and Anita E. Williams

Computed tomography derived bone density measurement in the diabetic foot

The accurate and reliable measurement of foot bone density is challenging and there is currently no gold standard technique. Such measurement is particularly valuable in populations at risk of foot bone pathol...

Authors: Alex Barwick, John Tessier, James Mirow, Xanne Janse de Jonge and Vivienne Chuter

Moisturisers for the treatment of foot xerosis: a systematic review

Xerosis, literally dryness of the skin, of the foot is a common condition encountered clinically, which can lead to discomfort and predisposition to infection. Currently, there are no evidence-based recommenda...

Authors: Justin Parker, Rolf Scharfbillig and Sara Jones

Plug-in-Gait calculation of the knee adduction moment in people with knee osteoarthritis during shod walking: comparison of two different foot marker models

Understanding how kinematic multi-segment foot modelling influences the utility of Plug-in-Gait calculations of the knee adduction moment (KAM) during shod walking is relevant to knee osteoarthritis (OA). Mult...

Authors: Kade L. Paterson, Rana S. Hinman, Ben R. Metcalf, Kim L. Bennell and Tim V. Wrigley

Challenging the foundations of the clinical model of foot function: further evidence that the root model assessments fail to appropriately classify foot function

The Root model of normal and abnormal foot function remains the basis for clinical foot orthotic practice globally. Our aim was to investigate the relationship between foot deformities and kinematic compensati...

Authors: Hannah L. Jarvis, Christopher J. Nester, Peter D. Bowden and Richard K. Jones

Statistical shape models of cuboid, navicular and talus bones

The aim was to develop statistical shape models of the main human tarsal bones that would result in novel representations of cuboid, navicular and talus.

Authors: Aleksandra U. Melinska, Patryk Romaszkiewicz, Justyna Wagel, Bartlomiej Antosik, Marek Sasiadek and D. Robert Iskander

The Foot Orthoses versus Hip eXercises (FOHX) trial for patellofemoral pain: a protocol for a randomized clinical trial to determine if foot mobility is associated with better outcomes from foot orthoses

Patellofemoral pain (PFP) is a prevalent, often recalcitrant and multifactorial knee pain condition. One method to optimize treatment outcome is to tailor treatments to the patient’s presenting characteristics...

Authors: Mark Matthews, Michael Skovdal Rathleff, Andrew Claus, Tom McPoil, Robert Nee, Kay Crossley, Jessica Kasza, Sanjoy Paul, Rebecca Mellor and Bill Vicenzino

The experience of foot problems and decisions to access foot care in patients with rheumatoid arthritis: a qualitative study

Although foot problems are common in rheumatoid arthritis (RA), the consequences of foot problems from the patient perspective have not been fully explored. The aims of this study were to explore the experienc...

Authors: Oonagh Wilson, John Kirwan, Emma Dures, Enid Quest and Sarah Hewlett

Exploring musculoskeletal injuries in the podiatry profession: an international cross sectional study

Workplace injury is an international costly burden. Health care workers are an essential component to managing musculoskeletal disorders, however in doing this, they may increase their own susceptibility. Whil...

Authors: Cylie M. Williams, Stefania Penkala, Peter Smith, Terry Haines and Kelly-Ann Bowles

Medical-grade footwear: the impact of fit and comfort

Pressure-related skin lesions on the digits are a significant cause of discomfort. Most foot pain related to ill-fitting shoes occurs in the forefoot and digital areas. Pain has been associated with poor shoe ...

Authors: Bessie Hurst, Helen Branthwaite, Andrew Greenhalgh and Nachiappan Chockalingam

Relationship between patient-reported outcome measures (PROM) and three measures of foot–ankle alignment in patients with metatarsal head pain: a cross-sectional study

The aim of the present study is to establish the relationship between foot–ankle patient-reported outcome measures (PROM) and three measures of foot–ankle alignment (MoFAA) in patients with metatarsal head pain.

Authors: Manuel González-Sánchez, Esther Velasco-Ramos, Maria Ruiz Muñoz and Antonio I Cuesta-Vargas

A targeted screening method for non-invasive vascular assessment of the lower limb

Podiatrists routinely perform non-invasive lower limb vascular assessment, however frequently cite time as a major barrier in performing regular assessment. The aim of this study was to develop an evidence-bas...

Authors: Peta Ellen Tehan and Vivienne Helaine Chuter

Clinical measures of static foot posture do not agree

The aim of this study was to determine the level of agreement between common clinical foot classification measures.

Authors: Ben Langley, Mary Cramp and Stewart C. Morrison

The relationship between foot posture index, ankle equinus, body mass index and intermetatarsal neuroma

The main purpose of this study was to investigate the presence of an association between intermetatarsal neuroma and foot type, as measured by the Foot Posture Index. The study also examined whether there was ...

Authors: Reza Naraghi, Alexandra Bremner, Linda Slack-Smith and Alan Bryant

Facilitating the interpretation of pedobarography: the relative midfoot index as marker for pathologic gait in ankle osteoarthritic and contralateral feet

Pedobarography offers dynamic information about the foot, but the interpretation of its large data is challenging. In a prior study it was shown that attention can be restricted to pedobarographic midfoot load...

Authors: Frigg Arno, Frigg Roman, Wiewiorski Martin, Goldoni Jennifer and Horisberger Monika

The effect of foot orthoses with forefoot cushioning or metatarsal pad on forefoot peak plantar pressure in running

Foot orthoses are frequently used in sports for the treatment of overuse complaints with sufficient evidence available for certain foot-related overuse pathologies like plantar fasciitis, rheumatoid arthritis ...

Authors: Michaela Hähni, Anja Hirschmüller and Heiner Baur

3D strength surfaces for ankle plantar- and dorsi-flexion in healthy adults: an isometric and isokinetic dynamometry study

The ankle is an important component of the human kinetic chain, and deficits in ankle strength can negatively impact functional tasks such as balance and gait. While peak torque is influenced by joint angle an...

Authors: Sara J. Hussain and Laura Frey-Law

Walk for life - the National Clubfoot Project of Bangladesh: the four-year outcomes of 150 congenital clubfoot cases following Ponseti method

Congenital clubfoot deformity can cause significant disability, and if left untreated, may further impoverish those in developing countries, like Bangladesh. The Ponseti method has been strategically introduce...

Authors: Angela Margaret Evans, Mohommad Mamun Hossen Chowdhury, Mohommad Humayun Kabir and Md Fashiur Rahman

A novel method of measuring passive quasi-stiffness in the first metatarsophalangeal joint

First metatarsophalangeal joint (MTPJ) mobility is commonly assessed by its angular displacement (joint angle) or subjectively rated as ‘hypermobile’, ‘normal’ or ‘stiff’ by a clinician. Neither of these metho...

Authors: Marabelle L. Heng, Yaohui K. Chua, Hong K. Pek, Priathashini Krishnasamy and Pui W. Kong

Getting the right balance: insole design alters the static balance of people with diabetes and neuropathy

Over 1 in 3 older people with diabetes sustain a fall each year. Postural instability has been identified as independent risk factor for falls within people with Diabetic Peripheral Neuropathy (DPN). People wi...

Authors: Joanne Paton, Sam Glasser, Richard Collings and Jon Marsden

A survey exploring self-reported indoor and outdoor footwear habits, foot problems and fall status in people with stroke and Parkinson’s

Ill-fitting shoes have been implicated as a risk factor for falls but research to date has focused on people with arthritis, diabetes and the general older population; little is known about people with neurolo...

Authors: Catherine Bowen, Ann Ashburn, Mark Cole, Margaret Donovan-Hall, Malcolm Burnett, Judy Robison, Louis Mamode, Ruth Pickering, Dan Bader and Dorit Kunkel

Ultrasonographic examination of plantar fasciitis: a comparison of patient positions during examination

Musculoskeletal ultrasound is a non-invasive and low-cost modality for real-time visualisation of the plantar fascia. Ultrasound examination for plantar fasciitis is generally performed with the patient in a p...

Authors: Jae Hoon Ahn, Choong Woo Lee, ChanJoo Park and Yoon-Chung Kim

The effects of being habitually barefoot on foot mechanics and motor performance in children and adolescents aged 6–18 years: study protocol for a multicenter cross-sectional study (Barefoot LIFE project)

Barefoot locomotion has evoked an increasing scientific interest with a controversial debate about benefits and limitations of barefoot and simulated barefoot walking and running. While most current knowledge ...

Authors: Karsten Hollander, Babette C. van der Zwaard, Johanna Elsabe de Villiers, Klaus-Michael Braumann, Ranel Venter and Astrid Zech

Prevalence of foot problems in people with inflammatory arthritis in Singapore

Foot problems are highly prevalent in people with inflammatory arthritis reported from studies in the UK, Europe and New Zealand, but there is limited evidence from Southeast Asia. The study aim was to evaluat...

Authors: K. Carter, M. Lahiri, P. P. Cheung, A. Santosa and K. Rome

Can positional MRI predict dynamic changes in the medial plantar arch? An exploratory pilot study

Positional MRI (pMRI) allows for three-dimensional visual assessment of navicular position. In this exploratory pilot study pMRI was validated against a stretch sensor device, which measures movement of the me...

Authors: Finn Johannsen, Philip Hansen, Sandra Stallknecht, Michael Skovdal Rathleff, Stine Hangaard, Janus Damm Nybing and Mikael Boesen

The influence of insoles with a peroneal pressure point on the electromyographic activity of tibialis anterior and peroneus longus during gait

Peroneus longus acts as a foot evertor and pronator, thus ensuring stability of the talocrural joint by curbing inversion movement of the rearfoot. Increased activation of the peroneus longus muscle in the sta...

Authors: Oliver Ludwig, Jens Kelm and Michael Fröhlich

The evaluation of off-loading using a new removable oRTHOsis in DIABetic foot (ORTHODIAB) randomized controlled trial: study design and rationale

Off-loading is essential for diabetic foot management, but remains understudied. The evaluation of Off-loading using a new removable oRTHOsis in DIABetic foot (ORTHODIAB) trial aims to evaluate the efficacy of...

Authors: Kamel Mohammedi, Louis Potier, Maud François, Dured Dardari, Marilyne Feron, Estelle Nobecourt-Dupuy, Manuel Dolz, Roxane Ducloux, Abdelkader Chibani, Dominique-François Eveno, Teresa Crea Avila, Ariane Sultan, Laurence Baillet-Blanco, Vincent Rigalleau, Gilberto Velho, Florence Tubach…

Clinical practice guidelines for the foot and ankle in rheumatoid arthritis: a critical appraisal

Clinical practice guidelines are recommendations systematically developed to assist clinical decision-making and inform healthcare. In current rheumatoid arthritis (RA) guidelines, management of the foot and a...

Authors: Kym Hennessy, James Woodburn and Martijn Steultjens

Metatarsophalangeal joint stability: a systematic review on the plantar plate of the lesser toes

Instability of the metatarsophalangeal (MTP) joints of the lesser toes (digiti 2–5) is increasingly being treated by repair of the plantar plate (PP). This systematic review examines the anatomy of the plantar...

Authors: Nico M. G. Maas, Margot van der Grinten, Wichor M. Bramer and Gert-Jan Kleinrensink

Quantitative ultrasound imaging of Achilles tendon integrity in symptomatic and asymptomatic individuals: reliability and minimal detectable change

Quantifying the integrity of the Achilles tendon (AT) is a rehabilitation challenge. Adopting quantitative ultrasound measurements (QUS measurements) of the AT could fill this gap by 1) evaluating the test-ret...

Authors: Marie-Josée Nadeau, Amélie Desrochers, Martin Lamontagne, Christian Larivière and Dany H. Gagnon

Footwear characteristics in people with inflammatory arthritis in Singapore

Foot problems are common in people with inflammatory arthritis. Despite suitable footwear having the potential to alleviate pain, improve mobility and maintain independence, previous studies have found many pe...

Authors: K. Carter, M. Lahiri, P. P. Cheung, A. Santosa and K. Rome

Erratum to: Cost-effectiveness of clostridial collagenase ointment on wound closure in patients with diabetic foot ulcers: economic analysis of results from a multicenter, randomized, open-label trial

Authors: Travis A. Motley, Adrienne M. Gilligan, Darrell L. Lange, Curtis R. Waycaster and Jaime E. Dickerson Jr

A pilot investigation of the prevalence of US-detectable forefoot joint pathology and reported foot-related disability in participants with systemic lupus erythematosus

The main aim of this study was to determine the prevalence of US-detectable forefoot bursae, metatarsophalangeal (MTP) joint and metacarpophalangeal (MCP) joint synovial hypertrophy (SH), Power Doppler (PD) si...

Authors: Sandeep Mukherjee, Lindsey Cherry, Jalaa Zarroug, David Culliford, Catherine Bowen, Nigel Arden and Christopher Edwards

Improving rural and remote practitioners’ knowledge of the diabetic foot: findings from an educational intervention

This study aimed to determine knowledge of national guidelines for diabetic foot assessment and risk stratification by rural and remote healthcare professionals in Western Australia and their implementation in...

Authors: Deborah E. Schoen, Kaniz Gausia, David G. Glance and Sandra C. Thompson

Effectiveness of percutaneous flexor tenotomies for the management and prevention of recurrence of diabetic toe ulcers: a systematic review

Diabetic toe ulcers are a potentially devastating complication of diabetes. In recent years, the percutaneous flexor tenotomy procedure for the correction of flexible claw and hammer-toe contraction deformitie...

Authors: Jennifer E. Scott, Gordon J. Hendry and John Locke

Establishing normative foot posture index values for the paediatric population: a cross-sectional study

The Foot Posture Index (FPI) is an observational tool designed to measure the position of the foot. Its reliability is well established, and it provides normative reference values for the general population. H...

Authors: Gabriel Gijon-Nogueron, Jesus Montes-Alguacil, Pilar Alfageme-Garcia, Jose Antonio Cervera-Marin, Jose Miguel Morales-Asencio and Alfonso Martinez-Nova