Journal of the American Podiatric Medical Association

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Competency-Based Residency Training

by Robert D. 'Doug' Sowell

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 273; https://doi.org/10.7547/87507315-91-5-273 - 1 May 2001

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What are the models for postgraduate training that best serve the public and the profession [...] Full article

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Functional Reconstruction of the Foot and Ankle

by Stephen J. Miller

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 269; https://doi.org/10.7547/87507315-91-5-269 - 1 May 2001

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Dr. Sigvard T. Hansen is a world authority on highenergy multi-trauma and internal fixation [...] Full article

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Reliability of Navicular Displacement Measurement as a Clinical Indicator of Foot Posture

by Ann Vinicombe, Anita Raspovic and Hylton B. Menz

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 262-268; https://doi.org/10.7547/87507315-91-5-262 - 1 May 2001

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Abstract

This study evaluated two methods for quantifying foot posture: navicular drop and navicular drift. Five clinicians measured 20 nonpathological participants on two occasions. Intraclass correlation coefficients ranged from 0.33 to 0.76 for navicular drop and from 0.31 to 0.62 for navicular drift. The [...] Read more.

This study evaluated two methods for quantifying foot posture: navicular drop and navicular drift. Five clinicians measured 20 nonpathological participants on two occasions. Intraclass correlation coefficients ranged from 0.33 to 0.76 for navicular drop and from 0.31 to 0.62 for navicular drift. The standard error of measurement, as a 95% confidence interval, ranged from ±1.5 mm to ±3.5 mm for navicular drop and ±3 mm to ±5 mm for navicular drift. Intratester reliability was slightly better than intertester reliability for both measurements. These results indicate that both techniques are only moderately reliable, and physicians using these measurements in clinical practice should interpret the values in light of the magnitude of error associated with them. (J Am Podiatr Med Assoc 91(5): 262-268, 2001) Full article

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The Effect of High-Dye and Low- Dye Taping on Rearfoot Motion

by Anne-Maree Keenan and Craig M. Tanner

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 255-261; https://doi.org/10.7547/87507315-91-5-255 - 1 May 2001

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Abstract

High-Dye and low-Dye taping are commonly used by clinicians to treat a variety of foot and ankle pathologies, particularly those associated with excessive rearfoot pronation. While the effects of taping on end range of motion have been extensively studied, relatively little is understood [...] Read more.

High-Dye and low-Dye taping are commonly used by clinicians to treat a variety of foot and ankle pathologies, particularly those associated with excessive rearfoot pronation. While the effects of taping on end range of motion have been extensively studied, relatively little is understood about the effect of the two styles of taping on rearfoot motion. Eighteen participants were analyzed in three conditions: 1) barefoot, 2) with high- Dye taping, and 3) with low-Dye taping. Two-dimensional motion of the rearfoot was assessed for each condition. The results indicated maximum inversion was increased with both high-Dye and low-Dye taping as compared with no taping. Only high-Dye taping, however, significantly reduced the maximum eversion of the rearfoot. The results suggest that high-Dye taping is an appropriate taping choice when control of eversion of the rearfoot is desired. (J Am Podiatr Med Assoc 91(5): 255-261, 2001) Full article

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Lateral Intermetatarsal Angle: A Useful Measurement of Metatarsus Primus Elevatus?

by Alan Bryant, Belinda Mahoney and Paul Tinley

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 251-254; https://doi.org/10.7547/87507315-91-5-251 - 1 May 2001

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Abstract

The lateral intermetatarsal angle, a measurement of the sagittal plane angular divergence between the dorsal cortices of the first and second metatarsals of lateral weightbearing foot radiographs, was compared in 30 normal and 30 hallux limitus feet. The results suggest that the angle [...] Read more.

The lateral intermetatarsal angle, a measurement of the sagittal plane angular divergence between the dorsal cortices of the first and second metatarsals of lateral weightbearing foot radiographs, was compared in 30 normal and 30 hallux limitus feet. The results suggest that the angle may be measured reliably and that although the measured angles are relatively small, a significant difference exists between the normal and hallux limitus subjects studied. Accordingly, the lateral intermetatarsal angle may prove to be a useful radiographic measurement to assist the podiatric physician in the clinical assessment of hallux limitus. (J Am Podiatr Med Assoc 91(5): 251-254, 2001) Full article

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Function of the Windlass Mechanism in Excessively Pronated Feet

by Anna Aquino and Craig Payne

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 245-250; https://doi.org/10.7547/87507315-91-5-245 - 1 May 2001

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Abstract

The foot postures of 39 subjects were evaluated for excessive pronation by means of six static weightbearing and five nonweightbearing measurements, and two types of footprint indexes. Visual evidence of windlass function was recorded by video. Chi-square analysis revealed that excessive pronation does [...] Read more.

The foot postures of 39 subjects were evaluated for excessive pronation by means of six static weightbearing and five nonweightbearing measurements, and two types of footprint indexes. Visual evidence of windlass function was recorded by video. Chi-square analysis revealed that excessive pronation does not affect the establishment of the windlass mechanism. The position of the forefoot relative to the rearfoot, subtalar joint axis position, and navicular drift/foot length ratio were significantly associated with dynamic windlass function. These results suggest that selected static measurements may have value in predicting some aspects of dynamic foot function during the propulsive phase of the gait cycle. (J Am Podiatr Med Assoc 91(5): 245-250, 2001) Full article

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The Efficacy of Functional Foot Orthoses in the Control of Pain in Ankle Joint Disintegration in Hemophilia

by Matthew Slattery and Paul Tinley

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 240-244; https://doi.org/10.7547/87507315-91-5-240 - 1 May 2001

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Abstract

Sixteen subjects with hemophilia A of levels 1–5 stage of joint damage were tested over a 6-week period to evaluate the efficacy of functional foot orthoses. The level of ankle bleeds (hemarthrosis) before and after the intervention with functional foot orthoses was determined [...] Read more.

Sixteen subjects with hemophilia A of levels 1–5 stage of joint damage were tested over a 6-week period to evaluate the efficacy of functional foot orthoses. The level of ankle bleeds (hemarthrosis) before and after the intervention with functional foot orthoses was determined by evaluating pain, disability, and activity levels. All subjects reported a significant reduction of ankle bleeds coinciding with the intervention of functional foot orthoses. The use of a foot-pain disability measure clearly showed significant reduction in the level of pain experienced by the subjects and in their overall index score. However, the disability and activity index scores showed no significant improvement after the intervention with orthoses. This finding would support the use of functional foot orthoses to treat patients with hemophilia A, as significant reduction in pain levels appears to greatly improve the lives of the patients. (J Am Podiatr Med Assoc 91(5): 240-244, 2001) Full article

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A Comparison of Radiographic Foot Measurements Taken in Two Different Positions

by Jennifer A. Bryant

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 234-239; https://doi.org/10.7547/87507315-91-5-234 - 1 May 2001

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Abstract

The purpose of this study was to ascertain if positioning of the feet for radiographic assessment produces significant variations in measured angles, and if measurements taken from radiographs taken on two separate occasions are reproducible. Weightbearing x-rays were taken of both feet of [...] Read more.

The purpose of this study was to ascertain if positioning of the feet for radiographic assessment produces significant variations in measured angles, and if measurements taken from radiographs taken on two separate occasions are reproducible. Weightbearing x-rays were taken of both feet of ten male healthy subjects in two standardized positions: 1) the angle and base of gait and 2) the feet together and straight-ahead positions. The radiographs were repeated 2 weeks later. The results failed to demonstrate significant differences of radiographic measurements between the two specific foot-positioning methods. No significant differences were found between radiographic measurements of normal feet taken on different occasions. A strong correlation of the repeated measures suggests that weightbearing foot radiographs can be reliably reproduced. (J Am Podiatr Med Assoc 91(5): 234-239, 2001) Full article

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Open AccessArticle

Wound Healing and Infection in Nail Matrix Phenolization Wounds

by Russell Dovison and Anne-Maree Keenan

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 230-233; https://doi.org/10.7547/87507315-91-5-230 - 1 May 2001

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Abstract

After nail matrix ablation using phenolization, a medicated wound dressing (10% povidone iodine), an amorphous hydrogel dressing (Intrasite Gel), and a control dressing (paraffin gauze) were evaluated. Forty-two participants, randomly divided into three dressing groups, were evaluated. Healing time did not differ between [...] Read more.

After nail matrix ablation using phenolization, a medicated wound dressing (10% povidone iodine), an amorphous hydrogel dressing (Intrasite Gel), and a control dressing (paraffin gauze) were evaluated. Forty-two participants, randomly divided into three dressing groups, were evaluated. Healing time did not differ between the 10% povidone iodine (33 days), amorphous hydrogel (33 days), and the control dressing (34 days). For all groups, the clinical infection rate was lower than in previous studies, and there was no clinical difference between groups (one infection in the povidone iodine and control groups; none in the amorphous hydrogel group). However, in the amorphous hydrogel group, other complications, such as hypergranulation, were more likely. This investigation indicated that medicated or hydrogel dressings did not enhance the rate of healing or decrease infection rates. (J Am Podiatr Med Assoc 91(5): 230-233, 2001) Full article

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Open AccessArticle

Foot Pain Impairs Balance and Functional Ability in Community- Dwelling Older People

by Hylton B. Menz and Stephen R. Lord

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 222-229; https://doi.org/10.7547/87507315-91-5-222 - 1 May 2001

Cited by 175 | Viewed by 58

Abstract

Foot problem assessments were performed on 135 community-dwelling older people in conjunction with clinical tests of balance and functional ability. Eighty-seven percent of the sample had at least one foot problem, and women had a higher prevalence than men of foot pain, hallux [...] Read more.

Foot problem assessments were performed on 135 community-dwelling older people in conjunction with clinical tests of balance and functional ability. Eighty-seven percent of the sample had at least one foot problem, and women had a higher prevalence than men of foot pain, hallux valgus, plantar hyperkeratosis, lesser digital deformity, and digital lesions. Postural sway did not differ between older people with and without each of these foot conditions. However, the presence of specific foot conditions impaired performance in a more challenging balance test and in some functional tests. In particular, older people with foot pain performed worse in a leaning balance test, stair ascent and descent, an alternate step-up test, and a timed six-meter walk. Furthermore, multiple regression analyses revealed that foot pain was a significant independent predictor of performance in each of these tests. These results show that the presence of foot problems, particularly foot pain, impairs balance and functional ability. As foot pain is amenable to treatment, podiatric intervention has the potential to improve mobility and independence in older people. (J Am Podiatr Med Assoc 91(5): 222-229, 2001) Full article

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Open AccessArticle

Introduction

by Hylton B. Menz

J. Am. Podiatr. Med. Assoc. 2001, 91(5), 221; https://doi.org/10.7547/87507315-91-5-221 - 1 May 2001

Cited by 1 | Viewed by 50

Abstract

It gives me great pleasure to present two special issues of the Journal devoted to podiatric medical research from Australia [...] Full article

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J. Am. Podiatr. Med. Assoc., Volume 91, Issue 5 (05 2001) – 11 articles , Pages 221-273

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