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Blair A Becker, Marc A Childress
Most foot disorders do not require podiatry referral or complex interventions. After the clinical diagnosis is made, these conditions can typically be managed with over-the-counter (OTC) and home remedies, with guidance from the primary care physician. Stretching and strengthening exercises, along with the use of heel cups, resolve most plantar fasciitis cases and are at least as effective as nonsteroidal anti-inflammatory drugs or steroid injections. Hallux rigidus is best managed with a hard-soled shoe or rigid insert that relieves pain by restricting motion across the metatarsophalangeal joint...
September 1, 2018: American Family Physician
Laura Pérez-Palma, María Cristina Manzanares-Céspedes, Enrique Giralt de Veciana
BACKGROUND: The coexistence of deformity of the nail bed and subungual exostosis (SE) is a frequent finding in podiatric practice in the fourth and fifth decades of life. However, it has been described by other specialists as being an uncommon osteocartilaginous tumor most prevalent during the second and third decades of life. This study attempts to determine the causes of this discrepancy. METHODS: Two authors independently conducted a systematic bibliographic review in multiple databases, podiatry sources and others, and key words were chosen to achieve a broad search strategy...
July 2018: Journal of the American Podiatric Medical Association
David W Shofler, Kathryn Bosia, Lawrence Harkless
BACKGROUND: The fourth year of podiatric medical school is an important period in the education of the podiatric medical student, a period that consists largely of month-long clerkships. Nonetheless, there has been limited formal study of the quality of learning experiences during this period. Furthermore, there is limited knowledge of how podiatric medical students evaluate residency programs during clerkships. METHODS: An online survey was developed and distributed electronically to fourth-year podiatric medical school students...
July 2018: Journal of the American Podiatric Medical Association
Gabriel Moisan, Martin Descarreaux, Vincent Cantin
The aim of this study was to quantify the effects of foot orthoses (FOs) with and without a lateral bar on muscle activity of participants with cavus feet. Fifteen participants were recruited from the Université du Québec à Trois-Rivières students and podiatry clinic. The muscle activity of the tibialis anterior, fibularis longus, gastrocnemius lateralis and medialis, vastus medialis and lateralis, biceps femoris and gluteus medius were recorded during fast walking under two experimental conditions (FOs with and without a lateral bar) and a control condition (shoes)...
August 18, 2018: Journal of Electromyography and Kinesiology
Julia Yuncken, Cylie M Williams, Renerus J Stolwyk, Terry P Haines
PURPOSE: Diabetes education for those patients at risk of diabetes complications remains a mainstay of diabetes treatment. This study aimed primarily to determine the retention of foot health information 6 months post delivery of education. The secondary aim was to determine the type and delivery method of diabetes-specific foot health information during a podiatry consultation. METHODS: This study was a prospective cohort study with two groups: patients with diabetes and their treating podiatrist...
October 2018: Endocrine
Hylton B Menz, Alan M Borthwick, Catherine J Bowen
Journal of Foot and Ankle Research (JFAR) was launched in July 2008 as the official research publication of the Society of Chiropodists and Podiatrists (UK) and the Australasian Podiatry Council, replacing both the British Journal of Podiatry and the Australasian Journal of Podiatric Medicine. This editorial celebrates the 10 year anniversary of the journal.
2018: Journal of Foot and Ankle Research
Jeannine Liddle, Meryl Lovarini, Lindy Clemson, Lynette Mackenzie, Amy Tan, Sabrina W Pit, Roslyn Poulos, Anne Tiedemann, Catherine Sherrington, Chris Roberts, Karen Willis
BACKGROUND: While there is strong evidence that fall prevention interventions can prevent falls in people aged 65 and over, translating evidence into routine practice is challenging. Research regarding how allied health professionals (AHPs) respond to this challenge is limited. As part of the Integrated Solutions for Sustainable Fall Prevention (iSOLVE) project, this study aimed to explore how AHPs were making fall prevention practice routine in primary care and the factors that influenced their fall prevention practice...
August 3, 2018: BMC Health Services Research
Ryan Causby, Michelle McDonnell, Lloyd Reed, Susan Hillier
BACKGROUND: There is no 'gold-standard' for the evaluation of dexterity for the health professional or podiatrist populations. This has resulted in a broad array of generalised tests to evaluate dexterity. Thus, the aim was to determine which objective generalised dexterity tests are best suited to evaluating dexterity in a podiatry student population. METHODS: A cohort of Novice podiatry students and Experienced podiatrists were recruited and evaluated on a battery of dexterity tests selected to evaluate a variety of different elements...
August 2, 2018: BMC Medical Education
Pasha Normahani, Rishi Agrawal, Vasilliki Bravis, Agnieszka Falinska, Linda Bloomfield, Zaheer Mehar, Dawn Gaulton, Alex Sangster, Tracey Arkle, Corinna Gomm, Mohamed Aslam, Nigel J Standfield, Usman Jaffer
Background: The primary aim of this study was to evaluate the effectiveness of a training programme to teach a focused bedside ultrasound scan (PAD-scan; Podiatry Ankle Duplex Scan) for the detection of arterial disease in people with diabetes. Methods: Five podiatrists and one diabetologist across two hospitals were enrolled in a structured training programme consisting of a training course (1-day), supervised scanning (5-weeks), independent scanning (3-weeks) and a final evaluation of performance (1-day)...
2018: Journal of Foot and Ankle Research
Anna G Couch, Jonathan Foo, Alicia M James, Stephen Maloney, Cylie M Williams
Background: In the management of diabetes and high-risk patients, timely treatment with scheduled medicines is critical to prevent severe infections and reduce the risk of lower extremity amputation. However, in Australia, few podiatrists have attained endorsement to prescribe. The aims of this study were to identify the costs associated with developing and implementing a podiatry prescribing mentoring program; and to compare the cost of this program against potential healthcare savings produced...
2018: Journal of Foot and Ankle Research
Raul J Bras, Ric Redden
Foot-related lameness is one of the most frequently encountered problems in the equine industry. Therapeutic shoeing is a frequently used preventative discipline for the treatment of many causes of lameness. The primary goal for therapeutic applications is to offset the mechanical limitations and enhance the healing environment. Equine podiatry is a blend of the 2 highly respected professions each contributing to the task at hand, but neither formally educated and trained as collaborative team members with a common thread of podiatry principles...
August 2018: Veterinary Clinics of North America. Equine Practice
Lisa Farndon, John Stephenson, Oliver Binns-Hall, Kayleigh Knight, Sally Fowler-Davis
Background: 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 causing intermittent claudication, but often there are few clinical signs. Podiatrists are able to detect the presence of peripheral arterial disease as part of their lower limb assessment and are well placed to give advice on lifestyle changes to help reduce disease progression...
2018: Journal of Foot and Ankle Research
Simiso Ntuli, Noleen Nomthi September, Nozipho Sithole
Background: As part of their clinical training podiatry students spend time in clinical settings treating patients under the supervision of qualified podiatrists. The role and purpose of feedback during such clinical training is to improve students' knowledge, skills and behaviour. Feedback is an integral part of the learning process that should enhance students' clinical learning experiences. However, there is no data on podiatry students' satisfaction or lack thereof about feedback provided during clinical training...
2018: Journal of Foot and Ankle Research
Andrea Roca-Dols, Marta Elena Losa-Iglesias, Rubén Sánchez-Gómez, Ricardo Becerro-de-Bengoa-Vallejo, Daniel López-López, Patricia Palomo-López, David Rodríguez-Sanz, César Calvo-Lobo
Triceps surae (TS) and tibialis anterior (TA) activation patterns have not yet been studied under different types of sport shoes. We hypothesized that sports shoes may reduce the activity patterns of these muscles in relation to barefoot condition. Thus, our main aim was to evaluate the activity patterns of TS and TA muscles in healthy people during all gait phases using five types of sport shoes with respect to barefoot condition. A total sample of thirty healthy participants, mean age 36.20 ± 8.50, was recruited in a podiatry laboratory following an observational research design...
October 2018: Journal of the Mechanical Behavior of Biomedical Materials
Belen Corbacho, Sarah Cockayne, Caroline Fairhurst, Catherine E Hewitt, Kate Hicks, Anne-Maree Kenan, Sarah E Lamb, Caroline MacIntosh, Hylton B Menz, Anthony C Redmond, Sara Rodgers, Arabella Scantlebury, Judith Watson, David J Torgerson
BACKGROUND: Falls are a major cause of morbidity among older people. Multifaceted interventions may be effective in preventing falls and related fractures. OBJECTIVE: To evaluate the cost-effectiveness alongside the REducing Falls with Orthoses and a Multifaceted podiatry intervention (REFORM) trial. METHODS: REFORM was a pragmatic multicentre cohort randomised controlled trial in England and Ireland; 1,010 participants (> 65 years) were randomised to receive either a podiatry intervention (n = 493), including foot and ankle strengthening exercises, foot orthoses, new footwear if required, and a falls prevention leaflet, or usual podiatry treatment plus a falls prevention leaflet (n = 517)...
2018: Gerontology
Olivia King, Alan Borthwick, Susan Nancarrow, Sandra Grace
Background: 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 complexity of population health needs steadily increase. Role boundary expansion is among the key changes to the health professions, including podiatry to meet demand. Nonetheless podiatry's role boundary expansion has not been achieved swiftly or without resistance from neighbouring and dominant professions...
2018: Journal of Foot and Ankle Research
Pasha Normahani, Chira Mustafa, Nigel J Standfield, Claire Duguid, Martin Fox, Usman Jaffer
Background: 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. Methods: A survey, comprising 26 questions was distributed to podiatrists across the UK via mailing lists of collaborating organizations including the College of Podiatry (UK). Response rates were estimated based on NHS workforce data. Analysis of responses from the open-ended questions was performed using inductive content analysis...
2018: Journal of Foot and Ankle Research
Mitchell N Sarkies, Jennifer White, Kate Henderson, Romi Haas, John Bowles
QUESTION: Are additional weekend allied health services effective and cost-effective for acute general medical and surgical wards, and subacute rehabilitation hospital wards? DESIGN: Systematic review and meta-analysis of studies published between January 2000 and May 2017. Two reviewers independently screened studies for inclusion, extracted data, and assessed methodological quality. Meta-analyses were conducted for relative measures of effect estimates. PARTICIPANTS: Patients admitted to acute general medical and surgical wards, and subacute rehabilitation wards...
July 2018: Journal of Physiotherapy
Louise McCulloch, Alan Borthwick, Anthony Redmond, Katherine Edwards, Rafael Pinedo-Villanueva, Daniel Prieto-Alhambra, Andrew Judge, Nigel K Arden, Catherine J Bowen
Background: 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 eligible to access NHS podiatry services. The primary aim of this investigation was to understand the views of podiatry clinicians on their experiences of referral, access, provision and treatment for foot problems for patients who have arthritis. Methods: Focus groups were undertaken to explore, in-depth, individual views of podiatrists working in the UK to gain feedback on experiences of barriers and facilitators to referral, access, provision and treatment for foot problems for individuals living with arthritis...
2018: Journal of Foot and Ankle Research
Moira McRitchie, Helen Branthwaite, Nachiappan Chockalingam
Background: 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 footwear purchased by patients have an association with foot pain and what choices determined a purchase decision. Methods: Shape and size measurements of the dominant foot and footwear (length and width) were taken from 67 female participants who routinely received podiatric treatment...
2018: Journal of Foot and Ankle Research
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