45 research outputs found
Effects of extrinsic rearfoot posting in custom foot orthoses on frontal plane kinematics and kinetics
Effect of Lateral Wedged Insoles on Medial Knee Compressive Force in Medial Knee Osteoarthritis
Knowledge about foot-specific foot falls risk factors and exercise among physiotherapists in the UK and Portugal: a cross-sectional survey
BACKGROUND AND PURPOSE: Footârelated falls risk factors and specific foot and ankle exercise interventions are within the scope of Physiotherapy, yet little is known about United Kingdom (UK) and Portugalâbased (PT) physiotherapists' selfâperceived knowledge, confidence and practice of such interventions, or perceptions of patients' falls prevention knowledge. The purpose of this study was to assess levels of selfâreported knowledge, confidence, and practices surrounding footâspecific falls risk and exercise for fall prevention in physiotherapists working in the UK and in Portugal. It also aimed to explore physiotherapists' views about their participants' falls prevention knowledge. METHODS: A selfâreport online survey was developed, and pilot tested in both nations. Registered Physiotherapists were invited to participate through their professional associations, social media and snowballing. MannâWhitney tests were used to compare mean ranks of ordinal variables between nations and Chiâsquare test to assess the independency between pairs of variables. Spearman's correlation coefficient (rs) was used to measure the association between pairs of variables (p < 0.05). RESULTS: 682 physiotherapists participated in the survey [UK n = 229 (mean (SD) age = 43(10) years, 86.9% female]; PT n = 453 (mean (SD) age = 33(9) years, 78.3% female]. Among physiotherapists with a caseload of â„70% older adults, more PTâbased physiotherapists held postgraduate qualifications (p = 0.01). Most physiotherapists correctly identified generic and footâspecific risk factors (â„70% of participants for each item). More UKâbased physiotherapists reported always prescribing ankle and foot exercises (42.6% vs. 33%, p =< 0.001) and displayed higher levels of selfâreported confidence surrounding exerciseâbased interventions. DISCUSSION: Our sample of UK and Portugalâbased physiotherapists are aware of the contribution of footâspecific risk factors and exercise to falls prevention, with the former group being more confident in exerciseâbased interventions. Both groups of physiotherapists perceived that their older patients had little knowledge about these topics, with UK older adults having slightly better knowledge on generic falls risk factors at first contact. Future studies and strategies for knowledge translation and education in foot health and foot function screening and management for physiotherapists, within a falls prevention scope, may be informed by this study
ÂŽFeet are second class citizens`: exploring the perceptions of Scottish and Portuguese older adults about feet, falls and exercise - a qualitative study
Knee medial contact force response to Customised and Non-Customised foot orthotics:: a musculoskeletal study in a Medial Knee Osteoarthritis population
Application of a novel multi-segment foot model to assess foot function in children and adolescents with juvenile idiopathic arthritis
Systematic review of techniques to monitor remission of acute Charcot-neuroarthropathy in people with diabetes
Aim: The management of acute Charcot neuroarthropathy relies on off-loading which is costly and time-consuming. Published studies have used monitoring techniques with unknown diagnostic precision to detect remission. We performed a systematic review of techniques for monitoring response to offloading in acute Charcot neuroarthropathy. Materials and Methods: We included studies of off-loading which evaluated or described monitoring techniques in acute Charcot neuroarthropathy. PubMed, EMBASE, CINAHL and Cochrane databases were searched (January1993-July 2018). We extracted data from papers including study design, setting, population, monitoring techniques and treatment outcomes. We also extracted information on the cost, clinical applicability, sensitivity and specificity, safety and participant acceptability of the monitoring techniques. Results: We screened 1205 titles, 140 abstracts and 45 full-texts, and included 29 studies. All studies were of low quality and at high risk of bias. In seven studies, the primary aim was to evaluate monitoring techniques: three evaluated magnetic resonance imaging, two thermography monitoring, one three-phase bone scanning and one Doppler spectrum analysis. The remaining 22 observational studies reported treatment outcomes and described the monitoring techniques used to assess the Charcot neuroarthropathy. Heterogeneity prevented the pooling of data. Very few studies included data on cost, clinical applicability, sensitivity and specificity, safety and patient acceptability of the monitoring techniques used. Conclusion: Multiple techniques have been used to evaluate remission in acute Charcot neuroathropathy but uncertainty remains about their effectiveness. We recommend further research into the influences of different monitoring techniques on treatment outcomes