Dr Darrel Darby

:-(

Podiatrist, innovator dies at 75; Dr. Darby known for prayer, love of family and medical practice
Dr. Darrel Darby laid to rest

Back to home

Dr Darrel Darby

:-(

Podiatrist, innovator dies at 75; Dr. Darby known for prayer, love of family and medical practice
Dr. Darrel Darby laid to rest

Back to home

New stuff published in JAMPA:

The latest issue of JAPMA came out yesterday ... three things caught my eye ...
The first one had to catch my eye cause I wrote it :-)
Static Stance Response to Different Types of Foot Orthoses

This one furthered our knowledge on the effects of variations in the position of the subtalar joint axis (...and Karl, if you ever read this .... at least they think there is an axis there :-)
Relationship Between the Subtalar Joint Inclination Angle and the Location of Lower-Extremity Injuries

The final one was this:
In Vivo Forces in the Plantar Fascia During the Stance Phase of Gait: Sequential Release of the Plantar Fascia This one got me excited .... one of the main findings was the subtalar joint was unable to resupinate as the amount of fascia release increased, indicating a direct relationship between the medial band of the plantar fascia and resupination of the subtalar joint during late midstance and propulsion which is so consistent with the work we are soon to publish that shows the force to get the windlass established is much higher in those with plantar fasciitis. Maybe plantar fasciitis has nothing to do with a pronated foot, but has to do with a lack of resupination due to the high forces going through the windlass .... watch this space.

Back to home

New stuff published in JAMPA:

The latest issue of JAPMA came out yesterday ... three things caught my eye ...
The first one had to catch my eye cause I wrote it :-)
Static Stance Response to Different Types of Foot Orthoses

This one furthered our knowledge on the effects of variations in the position of the subtalar joint axis (...and Karl, if you ever read this .... at least they think there is an axis there :-)
Relationship Between the Subtalar Joint Inclination Angle and the Location of Lower-Extremity Injuries

The final one was this:
In Vivo Forces in the Plantar Fascia During the Stance Phase of Gait: Sequential Release of the Plantar Fascia This one got me excited .... one of the main findings was the subtalar joint was unable to resupinate as the amount of fascia release increased, indicating a direct relationship between the medial band of the plantar fascia and resupination of the subtalar joint during late midstance and propulsion which is so consistent with the work we are soon to publish that shows the force to get the windlass established is much higher in those with plantar fasciitis. Maybe plantar fasciitis has nothing to do with a pronated foot, but has to do with a lack of resupination due to the high forces going through the windlass .... watch this space.

Back to home

Foot Self Management Program

Interesting study just published - one of the best for the year:

FOOTSTEP: a randomized controlled trial investigating the clinical and cost effectiveness of a patient self-management program for basic foot care in the elderly
Robin Waxman, Helen Woodburn, Melanie Powell, Jim Woodburn, Susan Blackburn and Philip Helliwell,

Journal of Clinical Epidemiology
Volume 56, Issue 11 , November 2003, Pages 1092-1099

Background and Objectives
Podiatry (chiropody) services are one of the most frequently requested services in primary care. The elderly are given priority access to podiatry services in the UK blocking access for other priority groups. To evaluate the clinical and cost-effectiveness of a self-management program as a means of managing nonurgent demands for podiatry services by the elderly without compromising foot-related disability.

Method
Randomized clinical trial with blinded 6-month follow-up and economic evaluation. People aged 60+ seeking self-initiated or primary referred podiatric consultation were screened. Five hundred ninety-nine were excluded on the basis of health status, and 259 refused to participate or did not attend initially. Seventy-eight were randomized to receive a self-management program, and 75 usual care. The main outcome measure was foot disability, as measured by the Manchester Foot Disability Questionnaire.

Results
At 6 months, self-management program participants had lower foot disability scores than the usual care group (difference between scores -1, 95% C.I. -2, 0), and returned for fewer treatments within the 6-month study period (39 vs. 92 treatments). The cost per patient for the self-management program (£10.92) was found to be the same as for usual care (£10.71), but this included the cost of nail care packs.

Conclusion
In this group a self-care program for routine foot care did not compromise therapeutic outcomes, and may be more cost effective in the long term. Further work is required to extend self-management programs to other target groups, such as people with diabetes at low risk for foot problems.

Back to home

Foot Self Management Program

Interesting study just published - one of the best for the year:

FOOTSTEP: a randomized controlled trial investigating the clinical and cost effectiveness of a patient self-management program for basic foot care in the elderly
Robin Waxman, Helen Woodburn, Melanie Powell, Jim Woodburn, Susan Blackburn and Philip Helliwell,

Journal of Clinical Epidemiology
Volume 56, Issue 11 , November 2003, Pages 1092-1099

Background and Objectives
Podiatry (chiropody) services are one of the most frequently requested services in primary care. The elderly are given priority access to podiatry services in the UK blocking access for other priority groups. To evaluate the clinical and cost-effectiveness of a self-management program as a means of managing nonurgent demands for podiatry services by the elderly without compromising foot-related disability.

Method
Randomized clinical trial with blinded 6-month follow-up and economic evaluation. People aged 60+ seeking self-initiated or primary referred podiatric consultation were screened. Five hundred ninety-nine were excluded on the basis of health status, and 259 refused to participate or did not attend initially. Seventy-eight were randomized to receive a self-management program, and 75 usual care. The main outcome measure was foot disability, as measured by the Manchester Foot Disability Questionnaire.

Results
At 6 months, self-management program participants had lower foot disability scores than the usual care group (difference between scores -1, 95% C.I. -2, 0), and returned for fewer treatments within the 6-month study period (39 vs. 92 treatments). The cost per patient for the self-management program (£10.92) was found to be the same as for usual care (£10.71), but this included the cost of nail care packs.

Conclusion
In this group a self-care program for routine foot care did not compromise therapeutic outcomes, and may be more cost effective in the long term. Further work is required to extend self-management programs to other target groups, such as people with diabetes at low risk for foot problems.

Back to home

Podiatry Resources

OK .... CK .... I got the hint :-)

Here are two good resources featuring work from Podiatry students:
The Curtin University Podiatry Encylopedia is maintained by Cameron Kippen.
A Podiatry Encylopedia is also being developed at Charles Sturt University by Paul Tinley.

Back to home

Podiatry Resources

OK .... CK .... I got the hint :-)

Here are two good resources featuring work from Podiatry students:
The Curtin University Podiatry Encylopedia is maintained by Cameron Kippen.
A Podiatry Encylopedia is also being developed at Charles Sturt University by Paul Tinley.

Back to home

Student blogs about podiatry

A student coming to the end of her course and about to get her first job:

Follow the trial and tribulations of her at:
World of Feet

I always find it a lot of fun when looking through lists of email addresses that Podiatry students choose for themselves. World of Feet as an email address of gangrene@...

Back to home

Student blogs about podiatry

A student coming to the end of her course and about to get her first job:

Follow the trial and tribulations of her at:
World of Feet

I always find it a lot of fun when looking through lists of email addresses that Podiatry students choose for themselves. World of Feet as an email address of gangrene@...

Back to home