A5069370705- Diabetic Foot Ulcer Assessment and Management
- Wound Healing and Treatments
- Pressure Ulcer Prevention and Management
- Balance, Gait, and Falls Prevention
- Botulinum Toxin and Related Neurological Disorders
- Lower Extremity Biomechanics and Pathologies
- Cerebral Palsy and Movement Disorders
- Stroke Rehabilitation and Recovery
- Foot and Ankle Surgery
- Diagnosis and Treatment of Venous Diseases
- Diabetes Management and Education
- Pain Mechanisms and Treatments
- Peripheral Artery Disease Management
- Municipal Solid Waste Management
- Genetic Neurodegenerative Diseases
- Cystic Fibrosis Research Advances
- Motor Control and Adaptation
- Spinal Cord Injury Research
- Mechanical Engineering and Vibrations Research
- DNA Repair Mechanisms
- Effects of Vibration on Health
- Fatigue and fracture mechanics
- Muscle activation and electromyography studies
- Assistive Technology in Communication and Mobility
- Parkinson's Disease Mechanisms and Treatments
University of Plymouth
2015-2024
Cardiff Metropolitan University
2019
Plymouth Marjon University
2006-2016
University of Staffordshire
2016
Neuropathic diabetic foot ulceration may be prevented if the mechanical stress transmitted to plantar tissues is reduced. Insole therapy one practical method commonly used reduce loads and risk. The type of insole best suited achieve this unknown. This trial compared custom-made functional insoles with prefabricated risk factors for neuropathic feet.A participant-blinded randomised controlled recruited 119 participants diabetes who were randomly allocated or insoles. Data collected at issue...
Purpose: To investigate the prevalence and distribution of lower limb somatosensory impairments in community dwelling chronic stroke survivors examine association between walking, balance, falls.Methods: Using a cross sectional observational design, measures somatosensation (Erasmus MC modifications to (revised) Nottingham Sensory Assessment), walking ability (10 m walk test, Walking Impact Scale, Timed "Get up go"), balance (Functional Reach Test Centre Force velocity), falls (reported...
Abstract Background Previous work has found that people with diabetes do not wear their therapeutic footwear as directed, but the thinking behind this behaviour is unclear. Adherence to advice must improve in order reduce foot ulceration and amputation risk neuropathy. Therefore study aimed explore psychological influences personal experiences daily selection of individuals Methods An interpretative phenomenological analysis (IPA) approach was used understanding experience use living at...
Abstract Background 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 Diabetic Peripheral Neuropathy (DPN). People DPN, at increased of falls, are routinely required to wear offloading insoles, yet the impact these insoles on postural stability and control is unknown. The aim this study was evaluate effect standard insole its constituent parts balance DPN. Methods A random sample 50 patients...
Neuropathic diabetic foot ulceration may be prevented if the mechanical stress transmitted to plantar tissues can modified. Orthotic therapy is one practical method commonly used maintain tissue integrity. design must consider materials chosen for use in fabrication and profile of device because both aspects influence performance durability device. Published research evaluating physical properties manufacture orthoses patients with diabetes limited. This study investigated fabricate designed...
Purpose: To explore the nature and impact of foot ankle impairments on mobility balance in community-dwelling, chronic stroke survivors. Methods: A qualitative research design using face to semi-structured, audio recorded interviews. Thirteen community-dwelling survivors, all whom had self-reported impairments, were interviewed (female n = 6, mean age 67 years, SD 12 time since 4 6 right 7, left 6). framework analysis approach was used analyse interpret transcribed Results: Three themes...
Despite falls being a major concern for people living with somatosensory deficit, little is known about the perceived impact of footwear and features on balance. Clinical relevance increased given that therapeutic often provided to diabetes reduce foot ulcer risk. This qualitative study aims explore experiences views neuropathy who have recently fallen understand whether type affect balance or contribute falling.Sixteen individuals (13 men three women aged 44-83 years) were purposively...
Abstract Background The benefits of exercise and staying active are widely reported in the literature, however adherence engagement with amongst people long‐term illness diabetes is poor. Physiotherapy aims to promote independence physical activity using a range strategies, including manual therapy education/advice on exercises. However, low impacts negatively treatment outcomes. In this study, practicality physiotherapy interventions patients who participate proof‐of‐concept (PoC)...
This study was conducted to determine whether navicular drop, as a representative measure of foot pronation, associated with first metatarsal joint motion in 24 healthy subjects aged 21 40 years. The magnitude metatarsophalangeal identified using custom-built weightbearing goniometer designed maximal hallux dorsiflexion stance. drop recorded an adapted digital caliper. Statistical analysis demonstrated significant negative correlation (P < .05) between the two variables. Furthermore,...
BackgroundAssessing diabetic foot ulcers (DFUs) for infection is difficult because clinical symptoms and signs may be masked by neuropathy vasculopathy there are no objective tests available at point of care to guide clinicians.Empirical prescription antibiotics compromises antibiotic stewardship, while missing early lead severe amputation.In 2011-12, the cost managing DFUs associated amputations borne NHS England was £650 million, nearly 1% its budget.Our INDUCE study had two aims: (1)...
Background: We investigated whether a forefoot off-loading postoperative shoe (FOPS) alters standing posture, ankle muscle activity, and static postural sway any effects are altered by wearing raise on the contralateral side. Methods: Posture, were compared in 14 healthy participants either FOPS or control with without raise. Participants tested under different sensory support surface conditions. Additionally, reductions peak pressure while walking assessed to determine continued achieve its...
Background Insoles are commonly used to assist in the prevention of diabetic neuropathic foot ulceration. Insole replacement is often triggered only when lesions deteriorate, an indicator that functional performance comprised and patients exposed unnecessary ulcer risk. We investigated durability insoles for feet over 12 months. Methods Sixty individuals with diabetes were provided footwear. months was evaluated using in-shoe pressure measurement device through repeated material depth at...
Introduction Peripheral neuropathy is a major risk factor for falls in adults with diabetes. Innovative footwear devices which artificially manipulate the sensory environment at feet, such as textured shoe insoles, are emerging an attractive option to mitigate balance and walking problems neuropathic populations. This study aims explore whether wearing insoles 4 weeks alters performance diabetic peripheral neuropathy. Methods analysis A prospective, single-blinded randomised controlled trial...
Abstract Purpose Stroke‐related changes in foot structure and function affect balance mobility quantifying following stroke could offer clinically useful information to inform rehabilitation. The aim of this work was explore the feasibility undertaking plantar pressure assessment during barefoot walking people with stroke, evaluate repeatability protocol regional footprint analysis as a measure dynamic characteristics. Materials & methods Plantar undertaken using platform (Tekscan HR...
The aim of this study was to present the effect visual acuity impairment on dynamic balance using an in-shoe pressure measurement system.
Abstract Background Therapeutic footwear and insoles are preventative strategies to reduce elevated plantar pressures associated with diabetic foot ulcer risk. An insole intervention appropriate for chairside delivery optimising pressure reduction in people diabetes has been developed. Aim To explore the feasibility acceptability of testing an optimised compared active control peripheral neuropathy. Methods A double-blinded multi-centre RCT embedded qualitative study. Participants were...