Malindu E. Fernando

ORCID: 0000-0001-6108-893X
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About
Contact & Profiles
Research Areas
  • Diabetic Foot Ulcer Assessment and Management
  • Pressure Ulcer Prevention and Management
  • Wound Healing and Treatments
  • Peripheral Artery Disease Management
  • Diagnosis and Treatment of Venous Diseases
  • Botulinum Toxin and Related Neurological Disorders
  • Balance, Gait, and Falls Prevention
  • Diabetes Management and Research
  • Pain Mechanisms and Treatments
  • Global Health Workforce Issues
  • Parkinson's Disease and Spinal Disorders
  • Streptococcal Infections and Treatments
  • Blood Pressure and Hypertension Studies
  • Parkinson's Disease Mechanisms and Treatments
  • Dental Education, Practice, Research
  • Tendon Structure and Treatment
  • Cerebrovascular and Carotid Artery Diseases
  • Global Health and Surgery
  • Orthopedic Infections and Treatments
  • Hyperglycemia and glycemic control in critically ill and hospitalized patients
  • Acute Ischemic Stroke Management
  • Vasculitis and related conditions
  • Pain Management and Treatment
  • Vitamin D Research Studies
  • Prosthetics and Rehabilitation Robotics

University of Newcastle Australia
2022-2024

University of Southern California
2022-2024

James Cook University
2015-2024

John Hunter Hospital
2023-2024

Rancho Los Amigos National Rehabilitation Center
2023-2024

Baylor College of Medicine
2022-2023

Australian Institute of Tropical Health and Medicine
2019-2023

Hunter New England Local Health District
2023

Queensland University of Technology
2017-2021

Townsville Hospital
2015-2021

Current international guidelines advocate achieving at least a 30 % reduction in maximum plantar pressure to reduce the risk of foot ulcers people with diabetes. However, whether pressures differ cases controls without is not clear. The aim this study was assess if were higher patients active diabetic (cases) compared diabetes ulcer history (diabetes controls) and or (healthy controls).Twenty-one ulcers, 69 56 healthy recruited for case-control study. Plantar ten sites on both feet stance...

10.1186/s12902-016-0131-9 article EN cc-by BMC Endocrine Disorders 2016-09-15

Pressure offloading treatment is critical for healing diabetes-related foot ulcers (DFU). Yet the 2011 Australian DFU guidelines regarding are outdated. A national expert panel aimed to develop a new guideline on people with by adapting international that have been assessed as suitable adapt context.

10.1186/s13047-022-00538-3 article EN cc-by Journal of Foot and Ankle Research 2022-01-01

Foot ulceration is the main precursor to lower limb amputation in patients with type 2 diabetes worldwide. Biomechanical factors have been implicated development of foot ulceration; however association these ulcer healing remains less clear. It may be hypothesised that abnormalities temporal spatial parameters (stride stride measurements), kinematics (joint movements), kinetics (forces on limb) and plantar pressures (pressure placed during walking) contribute healing. The primary aim this...

10.1186/s12902-015-0057-7 article EN cc-by BMC Endocrine Disorders 2015-10-23

Objective High plantar pressures are implicated in the development of diabetes-related foot ulcers. Whether remain high patients with chronic ulcers over time is uncertain. The primary aim this study was to compare at baseline and three six months later participants (cases) without (controls). Methods Standardised protocols were used measure mean peak pressure pressure-time integral 10 sites (the hallux, toes, metatarsals 1 5, mid-foot, medial heel lateral heel) during barefoot walking....

10.1371/journal.pone.0181916 article EN cc-by PLoS ONE 2017-08-31

Abstract Background Several prospective studies have suggested that gait and plantar pressure abnormalities secondary to diabetic peripheral neuropathy contributes foot ulceration. There are many different methods by which pressures assessed currently there is no agreed standardised approach. This study aimed describe the reproducibility of three‐dimensional assessments in a small subset participants using pre‐existing protocols. Methods Fourteen were conveniently sampled prior planned...

10.1186/s13047-016-0135-8 article EN cc-by Journal of Foot and Ankle Research 2016-01-01

Reducing high mechanical stress is imperative to heal diabetes-related foot ulcers. We explored the association of cumulative plantar tissue (CPTS) and ulcer healing, feasibility measuring CPTS, in two prospective cohort studies (Australia (AU) The Netherlands (NL)). Both used multiple sensors measure factors determine CPTS: pressures, weight-bearing activities, adherence offloading treatments, with thermal response also measured estimate shear AU-study. primary outcome was healing at 12...

10.3390/s24082411 article EN cc-by Sensors 2024-04-10

Objective: We investigated the association between complexity of diabetic foot ulcers (DFUs) and frailty. Research Design Methods: Individuals (n = 38) with Grade 2 Wagner DFU were classified into 3 groups based on Society for Vascular Surgery risk-stratification major limb amputation as Stage 1 at very low risk 19), 9), to 4 moderate-to-high 10) amputation. Frailty status was objectively assessed using a validated digital frailty meter (FM). The FM works by quantifying weakness, slowness,...

10.1177/19322968221111194 article EN Journal of Diabetes Science and Technology 2022-07-20

Purpose: The purpose of the study was to understand patient perspectives about impact and prevention diabetes-related foot disease (DFD). Methods: An online survey distributed patients with a history DFD during 2020. designed alongside clinical specialists utilized health belief model. It asked on health, perceptions preventive strategies, perceived need for additional support, preferences telehealth in management. Quantitative data were summarized descriptively compared between groups....

10.1177/26350106231170531 article EN The Science of Diabetes Self-Management and Care 2023-04-28

Diabetes-related foot ulcers are a leading cause of global morbidity, mortality, and health-care costs. People with history have diminished quality life attributed to limited walking mobility. One the largest concerns is ulceration recurrence. Approximately 40% patients ulcerations will recurrent ulcer in year after healing, most occur first 3 months wound healing. Hence, this period called "remission" due risk reulceration. Promoting fostering mobility an integral part everyday important...

10.7547/20-166 article EN Journal of the American Podiatric Medical Association 2021-03-30
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