Articles

An anatomically-based masking protocol for the assessment of in-shoe plantar pressure measurement of the forefoot

The area beneath the metatarsal heads is a common location of foot pain, which is often associated with high plantar pressures. Current plantar pressure assessment protocols focus mainly on the gross area of t...

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

Sociology of the professions: what it means for podiatry

The health professions have progressed and evolved considerably over the last few decades in response to demographic, technological, societal and political changes. They continue to do so as the volume and com...

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

Management of peripheral arterial disease in diabetes: a national survey of podiatry practice in the United Kingdom

We aimed to investigate podiatry practice in diagnosing peripheral arterial disease (PAD) in diabetes, decision making once PAD is suspected and limitations of referral pathways.

Authors: Pasha Normahani, Chira Mustafa, Nigel J. Standfield, Claire Duguid, Martin Fox and Usman Jaffer

Reliability and correlates of cross-sectional area of abductor hallucis and the medial belly of the flexor hallucis brevis measured by ultrasound

Weakness of the intrinsic foot muscles is thought to produce deformity, disability and pain. Assessing intrinsic foot muscles in isolation is a challenge; however ultrasound might provide a solution. The aims ...

Authors: Penelope J. Latey, Joshua Burns, Elizabeth J. Nightingale, Jillian L. Clarke and Claire E. Hiller

UK podiatrists’ experiences of podiatry services for people living with arthritis: a qualitative investigation

Provision of podiatry services, like other therapies in the UK, is an area that lacks guidance by the National Institute for Health and Care Excellence. Many individuals living with arthritis in the UK are not...

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

The PodPAD project: a podiatry-led integrated pathway for people with peripheral arterial disease in the UK – a pilot study

Peripheral arterial disease affects the lower limb and is associated with diabetes, high cholesterol, smoking and obesity. It increases the risk of cardiovascular morbidity and mortality. It can be symptomatic...

Authors: Lisa Farndon, John Stephenson, Oliver Binns-Hall, Kayleigh Knight and Sally Fowler-Davis

The identification and appraisal of assessment tools used to evaluate metatarsus adductus: a systematic review of their measurement properties

Metatarsus adductus is the most common congenital foot deformity in newborns. It involves adduction of the metatarsals at the Lisfranc joint. A systematic literature review was conducted to investigate the fol...

Authors: Nicole Marshall, Emily Ward and Cylie M. Williams

A protocol for a randomised controlled trial of prefabricated versus customised foot orthoses for people with rheumatoid arthritis: the FOCOS RA trial [Foot Orthoses – Customised v Off-the-Shelf in Rheumatoid Arthritis]

Foot pain is common in rheumatoid arthritis and appears to persist despite modern day medical management. Several clinical practice guidelines currently recommend the use of foot orthoses for the treatment of ...

Authors: Kellie S. Gallagher, Jon Godwin, Gordon J. Hendry, Martijn Steultjens and Jim Woodburn

Footwear choices for painful feet – an observational study exploring footwear and foot problems in women

A high percentage of the population report footwear related foot pain, yet there is limited research on the effect footwear has on the development of this pain. The aim of this study was to establish whether f...

Authors: Moira McRitchie, Helen Branthwaite and Nachiappan Chockalingam

Reliability of a novel thermal imaging system for temperature assessment of healthy feet

Thermal imaging is a useful modality for identifying preulcerative lesions (“hot spots”) in diabetic foot patients. Despite its recognised potential, at present, there is no readily available instrument for ro...

Authors: N. L. Petrova, A. Whittam, A. MacDonald, S. Ainarkar, A. N. Donaldson, J. Bevans, J. Allen, P. Plassmann, B. Kluwe, F. Ring, L. Rogers, R. Simpson, G. Machin and M. E. Edmonds

Paediatric flexible flat foot: how are we measuring it and are we getting it right? A systematic review

Flexible flat foot is a normal observation in typically developing children, however, some children with flat feet present with pain and impaired lower limb function. The challenge for health professionals is ...

Authors: Helen A. Banwell, Maisie E. Paris, Shylie Mackintosh and Cylie M. Williams

Metatarsophalangeal joint extension changes ultrasound measurements for plantar fascia thickness

Ultrasound is an inexpensive method for quantifying plantar fascia thickness, especially in those with plantar fasciitis. Ultrasound has also been used to assess the effectiveness of various treatments for pla...

Authors: Michael J. Granado, Everett B. Lohman III, Keith E. Gordon and Noha S. Daher

Independent factors associated with wearing different types of outdoor footwear in a representative inpatient population: a cross-sectional study

Footwear can have both a positive and negative impact on lower limb health and mobility across the lifespan, influencing the risk of foot pain, ulceration, and falls in those at risk. Choice of footwear can be...

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

Survey of ultrasound practice amongst podiatrists in the UK

Ultrasound in podiatry practice encompasses musculoskeletal ultrasound imaging, vascular hand-held Doppler ultrasound and therapeutic ultrasound. Sonography practice is not regulated by the Health and Care Pro...

Authors: Heidi J. Siddle, Aimie Patience, James Coughtrey, Jean Mooney, Martin Fox and Lindsey Cherry

Inverted Rearfoot posture in subjects with coexisting patellofemoral osteoarthritis in medial knee osteoarthritis: an exploratory study

While abnormal rearfoot posture and its relationship to patellofemoral (PF) pain has been thoroughly discussed in the literature, its relationship to patellofemoral osteoarthritis (PFOA) has not been determine...

Authors: Hirotaka Iijima, Hiroshi Ohi, Naoto Fukutani, Tomoki Aoyama, Eishi Kaneda, Kaoru Abe, Masaki Takahashi and Shuichi Matsuda

Wide-pulse, high-frequency, low-intensity neuromuscular electrical stimulation has potential for targeted strengthening of an intrinsic foot muscle: a feasibility study

Strengthening the intrinsic foot muscles is a poorly understood and largely overlooked area. In this study, we explore the feasibility of strengthening m. abductor hallucis (AH) with a specific paradigm of neurom...

Authors: Darren C. James, Matthew C. Solan and Katya N. Mileva

A minimal markerset for three-dimensional foot function assessment: measuring navicular drop and drift under dynamic conditions

The validity of predicting foot pronation occurring mainly at the midfoot by surrogate measures from the rearfoot, like eversion excursion, is limited. The dynamic navicular mobility in terms of vertical navic...

Authors: Patric Eichelberger, Angela Blasimann, Nicole Lutz, Fabian Krause and Heiner Baur

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

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…

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

Authors:

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

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

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

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