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Journal of Foot and Ankle Research

Elizabeth Wojciechowski, Angela Y Chang, Daniel Balassone, Jacqueline Ford, Tegan L Cheng, David Little, Manoj P Menezes, Sean Hogan, Joshua Burns
Background: Ankle-foot orthoses (AFO) are prescribed to manage difficulty walking due to foot drop, bony foot deformities and poor balance. Traditional AFOs are handmade using thermoplastic vacuum forming which provides limited design options, is labour-intensive and associated with long wait times. 3D printing has the potential to transform AFO production and health service delivery. The aim of this systematic review was to determine the feasibility of designing, manufacturing and delivering customised 3D printed AFOs by evaluating the biomechanical outcomes, mechanical properties and fit of 3D printed compared to traditionally manufactured AFOs...
2019: Journal of Foot and Ankle Research
Sarah L Carter, Alan R Bryant, Luke S Hopper
Introduction: Recent three-dimensional (3D) kinematic research has revealed foot abduction is the strongest predictor of standing functional and forced turnout postures. However, it is still unknown how the internal foot joints enable a large degree of foot abduction in turnout. The primary purpose of this study was to use a dance specific multi-segment foot model to determine the lower leg and foot contributions to turnout that female university-level ballets use to accentuate their turnout...
2019: Journal of Foot and Ankle Research
Łukasz Olewnik, Michał Podgórski, Michał Polguj, Mirosław Topol
Background: The tibialis anterior tendon (TAT) presents little morphological variation. The tibialis anterior muscle originates at the lateral condyle of the tibia, the proximal one-third to two-thirds of the lateral surface of the tibia shaft, and the anterior surface of the interosseous membrane and inserts to the medial cuneiform bone and first metatarsal. The aim of our work is to classify types of TAT insertion by two complimentary methods - anatomical dissection and ultrasound examination...
2019: Journal of Foot and Ankle Research
Helen R Petty, Trishna Rathod-Mistry, Hylton B Menz, Edward Roddy
Background: Gout frequently affects the foot yet relatively little is known about the effects of gout on foot structure, pain and functional ability. This study aimed to describe the impact of gout in a UK primary care population. Methods: A cross-sectional study was nested within an observational cohort study of adults aged ≥50 years with foot pain. Participants with gout were identified through their primary care medical records and each matched on age (±2 years) and gender to four participants without gout...
2019: Journal of Foot and Ankle Research
Lara S Chapman, Anthony C Redmond, Karl B Landorf, Keith Rome, Anne-Maree Keenan, Robin Waxman, Begonya Alcacer-Pitarch, Heidi J Siddle, Michael R Backhouse
Background: Guidelines recommend foot orthoses for people with both early (< 2 years) and established rheumatoid arthritis (RA). While prefabricated foot orthoses are cheaper and can exhibit comparable effects to customised devices, the available evidence for their effectiveness is inconsistent. Little is known about what types of foot orthoses clinicians prescribe. This study describes the foot orthoses prescription habits of podiatrists for people with rheumatoid arthritis. Methods: One hundred and eighty-three podiatrists from the United Kingdom (UK) ( n  = 88), Australia ( n  = 68) and New Zealand ( n  = 27) completed a self-administered, online survey regarding the types of foot orthoses prescribed in clinical practice for people with RA...
2019: Journal of Foot and Ankle Research
Brina Xing Ying Erh, Hong-Gu He, Kate Frances Carter, Peter P Cheung, Daphne S Tan, Wenru Wang, Keith Rome
Background: The Manchester Foot Pain and Disability Index (MFPDI) is a patient-reported outcome tool used to measure foot pain and foot-related disability. The English version of the MFPDI has been successfully translated into other European languages, but there was no Chinese version to use in Chinese-speaking communities. The cross-sectional correlational study aimed to translate the MFPDI from English into simplified Chinese (C-MFPDI) and to test its psychometric properties among people with inflammatory arthritis in Singapore...
2019: Journal of Foot and Ankle Research
Maija Miikkola, Tella Lantta, Riitta Suhonen, Minna Stolt
Background: Foot health is an important aspect of general health, and it can be maintained and promoted through foot self-care. However, little is known about older people's experiences of caring for their feet. The aim of this study was to gather knowledge about experiences of foot self-care from the perspective of healthy older people in order to improve their welfare and their management of foot health. Methods: A qualitative descriptive design with focus groups was used...
2019: Journal of Foot and Ankle Research
Thomas Austen, Simon Otter
Background: In 2015 the Health and Care Professions Council (HCPC) reported that annotation of the register for podiatric surgery would improve the way in which risks are currently managed. The academic institutions provide the teaching environment for the 'learnt' Diploma in principles of podiatric surgery however the podiatric surgery departments facilitate the production of the next generation of podiatric surgeons. This research aimed to identify the major elements that contribute to the educational environment, and find and utilise a valid assessment tool which could identify discrete areas to be targeted for improvement as well as being used for monitoring of the environment...
2019: Journal of Foot and Ankle Research
Angela Brenton-Rule, Nicola Dalbeth, N Lawrence Edwards, Keith Rome
Background: Gout frequently affects the foot, particularly the first metatarsophalangeal joint. People with gout commonly wear ill-fitting footwear that lacks cushioning and support, which may further contribute to foot pain and disability. Footwear with good cushioning and motion control may be an effective non-pharmacological intervention. Currently, there is limited understanding about the footwear experience in people with gout. The aim was to understand footwear characteristics, experience of finding footwear, and factors contributing to footwear choice, in people with gout...
2019: Journal of Foot and Ankle Research
D J Parker, G H Nuttall, N Bray, T Hugill, A Martinez-Santos, R T Edwards, C Nester
Background: Diabetic foot ulceration is a considerable cost to the NHS and foot orthotic provision is a core strategy for the management of the people with diabetes and a moderate to high risk of foot ulceration. The traditional process to produce a custom-made foot orthotic device is to use manual casting of foot shape and physical moulding of orthoses materials. Parts of this process can be undertaken using digital tools rather than manual processes with potential advantages. The aim of this trial was to provide the first comparison of a traditional orthoses supply chain to a digital supply chain over a 6 month period...
2019: Journal of Foot and Ankle Research
Timothy A Sayer, Rana S Hinman, Kade L Paterson, Kim L Bennell, Karine Fortin, J Kasza, Adam L Bryant
Background: Higher peak external knee flexion moments (KFM) during running has been observed in healthy people wearing athletic footwear compared to barefoot, which may increase risk of knee pathologies such as patellofemoral pain. Currently, no studies have examined whether stability and neutral style athletic shoes influence the peak KFM differently, or explored the underlying biomechanical mechanisms by which footwear alters peak KFM in young females. Methods: Lower limb biomechanics of sixty girls aged between 10 and 25 years old were collected while running in footwear (both stability and neutral) and barefoot...
2019: Journal of Foot and Ankle Research
Narelle Wyndow, Natalie J Collins, Bill Vicenzino, Kylie Tucker, Kay M Crossley
Study design: Controlled laboratory study; cross-sectional design. Background: Foot and ankle characteristics and dynamic knee valgus differ in people with and without patellofemoral (PF) pain. However, it is unknown if these characteristics are evident in people with PF osteoarthritis (OA), compared to pain-free older adults. Objectives: To compare foot and ankle mobility, foot posture and dynamic knee valgus, measured as the frontal plane projection angle (FPPA) during single-leg squatting, between individuals with and without PFOA...
2018: Journal of Foot and Ankle Research
Lara S Chapman, Anthony C Redmond, Karl B Landorf, Keith Rome, Anne-Maree Keenan, Robin Waxman, Begonya Alcacer-Pitarch, Heidi J Siddle, Michael R Backhouse
Background: Foot orthoses are frequently used but little is known about which types are used in contemporary practice. This study aimed to explore the types of foot orthoses currently used by podiatrists and the prescription variations in a range of conditions. Methods: A web-based, cross-sectional survey was distributed through professional bodies in the United Kingdom (UK), Australia, and New Zealand. Questions focussed on foot orthosis prescription habits in relation to 26 conditions affecting the back and lower limb...
2018: Journal of Foot and Ankle Research
Peta Ellen Tehan, Sean George Sadler, Sean Michael Lanting, Vivienne Helaine Chuter
Background: Whilst post exercise ankle-brachial indices (ABI) are commonly used to help identify peripheral arterial disease (PAD), the role of post exercise toe pressures (TP) or toe-brachial indices (TBI) is unclear . The aim of this study was to determine, in a population without clinical signs of PAD, the effect that 30 s of weight-bearing heel raises has on TP and TBI values. Additionally, the ability of resting TP and TBI values to predict change in post-exercise values using the heel raise method was investigated...
2018: Journal of Foot and Ankle Research
A Searle MOsteo, M J Spink, V H Chuter
Background: Accurate measurement of ankle joint dorsiflexion is clinically important as a restriction has been linked to many foot and ankle pathologies, as well as increased ulcer risk and delayed ulcer healing in people with diabetes. Use of the reliable weight bearing (WB) Lunge test is limited as normal and restricted ranges for WB ankle joint dorsiflexion are not identified. Additionally the extent of WB dorsiflexion restriction that results in clinically adverse outcomes is unclear...
2018: Journal of Foot and Ankle Research
Mr Ravi Krishān Modha, Chris Morriss-Roberts, Madeleine Smither, Jonathan Larholt, Ian Reilly
Background: With the advent of bacterial resistance, it is important now more than ever to evaluate use of antibiotic chemoprophylaxis in foot and ankle surgery. Within this area of the body there may be less dissection, surgery time with smaller incisions and importantly smaller sizes of implanted fixation as compared to other bone and joint procedures. Our objective was to systematically evaluate the quality of evidence behind existing guidelines. Methodology: A systematic literature search was performed: MEDLINE, CINHAL, EMBASE and the Cochrane library from 1990 up to March 2018...
2018: Journal of Foot and Ankle Research
Megan E R Balsdon, Colin E Dombroski
Background: Detailed kinematics of the foot has been frequently reported on in the literature, specifically using various multi-segment foot models. It is important to identify the reliability of a multi-segment foot model in a population of mixed genders and activity levels, while walking in commonly used footwear. The main objective of this study was to investigate the between-day reliability and within-session variability of the Oxford Foot Model (OFM) while walking in a neutral cushioning shoe...
2018: Journal of Foot and Ankle Research
Benjamin Peterson, Andrea Coda, Verity Pacey, Fiona Hawke
Background: Hypermobility Spectrum Disorder and Hypermobile Ehlers Danlos Syndrome are two common heritable genetic disorders of connective tissue. Both conditions are characterised by excessive joint range of motion and the presence of musculoskeletal symptoms, and are associated with joint instability, motion incoordination, decreased joint position sense, and musculoskeletal pain. Hypermobility Spectrum Disorder is the new classification for what was previously known as Joint Hypermobility Syndrome...
2018: Journal of Foot and Ankle Research
Keith Rome, Catherine Bowen
No abstract text is available yet for this article.
2018: Journal of Foot and Ankle Research
Ichiro Tonogai, Fumio Hayashi, Yoshihiro Tsuruo, Koichi Sairyo
Background: The deep plantar arch is formed by anastomosis of the lateral and deep plantar arteries. Osteotomy of the lesser metatarsals is often used to treat metatarsalgia and forefoot deformity. Although it is known that some blood vessels supplying the lesser metatarsals are prone to damage during osteotomy, there is little information on the distances between the deep plantar arch and the three lesser metatarsals. The aims of this study were to identify the distances between the deep plantar arch and the lesser metatarsals and to determine how osteotomy could damage the arch...
2018: Journal of Foot and Ankle Research
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