Angela Evans
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View article: The Relationship Between Foot Posture, Validated Foot and Ankle Tests, and Hypermobility in Paediatric Population: A Cross‐Sectional Study
The Relationship Between Foot Posture, Validated Foot and Ankle Tests, and Hypermobility in Paediatric Population: A Cross‐Sectional Study Open
Background Previous studies have investigated flattened foot arches associated with joint hypermobility using the Beighton scale. The absence of lower limb items below the knee in the Beighton scale questions the relevance of this relation…
View article: Teaching innovation: enhancing undergraduate student pharmacist consultation skills by introducing ‘Fishbowl’ prescribing workshops
Teaching innovation: enhancing undergraduate student pharmacist consultation skills by introducing ‘Fishbowl’ prescribing workshops Open
Introduction The new ‘Standards for the initial education and training of pharmacists’1 outline the skills, knowledge, and attributes required to enable pharmacists to independently prescribe at the point of registration. Third-year MPharm…
View article: Development, validation, and psychometric analysis of Foot and Ankle Flexibility Index (FAFI)
Development, validation, and psychometric analysis of Foot and Ankle Flexibility Index (FAFI) Open
Cronbach's alpha returned 0.82. The correlations between items returned a mean of 0.59 (range: 0.43-0.74). The discrimination score on the ROC curve (4 points) showed that the model can be used to identify children with joint hypermobility…
View article: Stepping up for Climate Change and Health: The Three Pillars of Green Podiatry
Stepping up for Climate Change and Health: The Three Pillars of Green Podiatry Open
Introduction
The climate crisis is essentially a public health crisis. Response is imperative to prevent economic and social crises associated with the growing burden of climate impacts on human health and the health care sector.
Gre…
View article: Exploring the distribution of risk factors for drop-out from Ponseti treatment for clubfoot across Bangladesh using geospatial cluster analysis
Exploring the distribution of risk factors for drop-out from Ponseti treatment for clubfoot across Bangladesh using geospatial cluster analysis Open
Clubfoot is a congenital anomaly affecting 1/1,000 live births. Ponseti casting is an effective and affordable treatment. About 75% of affected children have access to Ponseti treatment in Bangladesh, but 20% are at risk of drop-out. We ai…
View article: Development, validation, and psychometric analysis of Foot and Ankle Flexibility Index (FAFI)
Development, validation, and psychometric analysis of Foot and Ankle Flexibility Index (FAFI) Open
Objective To develop a new diagnostic tool for joint hypermobility of the paediatric foot and ankle, based on a dichotomous scoring system, the validated Lower Limb Assessment Score (LLAS). With separation of the foot and ankle items, we o…
View article: Evaluation of the Relationship between Lower Limb Hypermobility and Ankle Muscle Strength in a Paediatric Population: Protocol for a Cross Sectional Study
Evaluation of the Relationship between Lower Limb Hypermobility and Ankle Muscle Strength in a Paediatric Population: Protocol for a Cross Sectional Study Open
The methodological heterogeneity in paediatric foot studies does not entail a stable foundation on which to focus the diagnosis and treatment of the various childhood foot problems. For this reason, the use of highly reliable tests is esse…
View article: Foot orthoses for treating paediatric flat feet
Foot orthoses for treating paediatric flat feet Open
Low to very low-certainty evidence shows that the effect of CFOs (high cost) or PFOs (low cost) versus shoes, and CFOs versus PFOs on pain, function and HRQoL is uncertain. This is pertinent for clinical practice, given the economic dispar…
View article: Incorporating ‘Green Podiatry’ into your clinic, and into your life
Incorporating ‘Green Podiatry’ into your clinic, and into your life Open
Background This commentary outlines practical ways of positively incorporating green podiatry, foot health, physical activity benefits, and relevance to climate change into the clinical setting as Conference of Parties (COP27) approaches. …
View article: A Community Audit of 300 “Drop-Out” Instances in Children Undergoing Ponseti Clubfoot Care in Bangladesh—What Do the Parents Say?
A Community Audit of 300 “Drop-Out” Instances in Children Undergoing Ponseti Clubfoot Care in Bangladesh—What Do the Parents Say? Open
Introduction: Drop-out before treatment completion is a vexing problem for all clubfoot clinics. We and others have previously identified better engagement with parents as a crucial method of ameliorating incomplete clubfoot treatment, whi…
View article: ‘Green podiatry’ ‐ reducing our carbon footprints. Lessons from a sustainability panel
‘Green podiatry’ ‐ reducing our carbon footprints. Lessons from a sustainability panel Open
Background The eyes of the world will be on COP26 as it meets in Glasgow in November, 2021. Our planet is displaying weather extremes due to climate change which cannot be ignored, and which are deleterious for people's health. Ironically,…
View article: Sustainable healthcare – Time for ‘Green Podiatry’
Sustainable healthcare – Time for ‘Green Podiatry’ Open
Background Healthcare aims to promote good health and yet demonstrably contributes to climate change, which is purported to be ‘ the biggest global health threat of the 21st century’ . This is happening now, with healthcare as an industry …
View article: Resiliency in the Age of COVID-19: A Policy Toolkit
Resiliency in the Age of COVID-19: A Policy Toolkit Open
Twenty-nine LBJ School authors have come together to craft interdisciplinary and resilience-based policy solutions in one toolkit called Resiliency in the Age of COVID-19. In 18 articles that span public management, climate change, economi…
View article: Efficacy of heel lifts versus calf muscle eccentric exercise for mid-portion Achilles tendinopathy (HEALTHY): a randomised trial
Efficacy of heel lifts versus calf muscle eccentric exercise for mid-portion Achilles tendinopathy (HEALTHY): a randomised trial Open
Objective(s) To compare the efficacy of in-shoe heel lifts to calf muscle eccentric exercise in reducing pain and improving function in mid-portion Achilles tendinopathy. Methods This was a parallel-group randomised superiority trial at a …
View article: Successful Treatment of Neglected Clubfeet in 10 Cases Using Ponseti Method, with Outcomes after 8 Years
Successful Treatment of Neglected Clubfeet in 10 Cases Using Ponseti Method, with Outcomes after 8 Years Open
Children with untreated clubfeet (CTEV) aged one year or older are usually walking on grossly deformed feet. Typically, they have been regarded as being ‘too old’ for treatment with the ‘gold standard’ Ponseti method. These children will r…
View article: Factors Affecting Parents to ‘Drop-Out’ from Ponseti Method and Children’s Clubfoot Relapse
Factors Affecting Parents to ‘Drop-Out’ from Ponseti Method and Children’s Clubfoot Relapse Open
Completed treatment of congenital clubfoot deformity using the non-surgical Ponseti method yields very good results. However, many children do not complete the treatment course, potentiating relapse of the deformity, forever compromising i…
View article: Efficacy of custom-fitted footwear to increase physical activity in children and adolescents with Down syndrome (ShoeFIT): randomised pilot study
Efficacy of custom-fitted footwear to increase physical activity in children and adolescents with Down syndrome (ShoeFIT): randomised pilot study Open
To determine the feasibility of conducting a definitive randomised trial to evaluate the efficacy of custom-fitted footwear for increasing physical activity in children and adolescents with Down syndrome. Assessor-blinded, parallel-group r…
View article: International normative data for paediatric foot posture assessment: a cross-sectional investigation
International normative data for paediatric foot posture assessment: a cross-sectional investigation Open
Objectives The foot posture index (FPI) is an observational tool designed to measure the position of the foot. The objective of this study was to establish international reference data for foot posture across childhood, and influence of bo…
View article: Efficacy of heel lifts versus calf muscle eccentric exercise for mid‐portion Achilles tendinopathy (the HEALTHY trial): study protocol for a randomised trial
Efficacy of heel lifts versus calf muscle eccentric exercise for mid‐portion Achilles tendinopathy (the HEALTHY trial): study protocol for a randomised trial Open
Background Mid‐portion Achilles tendinopathy is a common musculoskeletal condition characterised by degeneration of the Achilles tendon, which causes pain and disability. Multiple non‐surgical treatments have been advocated for this condit…
View article: 0200 The Effectiveness Of Caffeine Gum In Reducing Sleep Inertia Following A 30min Nighttime Nap Opportunity: Preliminary Results
0200 The Effectiveness Of Caffeine Gum In Reducing Sleep Inertia Following A 30min Nighttime Nap Opportunity: Preliminary Results Open
Many shiftworkers take short naps on nightshift to reduce the detrimental effects of sleep loss. However, sleep inertia resulting from napping can have deleterious effects on performance. Caffeine may be a useful countermeasure for sleep i…
View article: Changes in foot pain, structure and function following bariatric surgery
Changes in foot pain, structure and function following bariatric surgery Open
Background Bariatric surgery candidates have a high prevalence of foot pain, depression and elevated plantar pressures. There is, however, limited research into how these factors interact pre‐ and post‐surgery. The aims of this study were …
View article: Mitigating clinician and community concerns about children's flatfeet, intoeing gait, knock knees or bow legs
Mitigating clinician and community concerns about children's flatfeet, intoeing gait, knock knees or bow legs Open
Children's foot and lower limb postures are a common parental concern, and they present to a range of clinicians.1 Over 40% of children referred for flatfeet (pes planus), intoed gait, knock knees or bow legs are within physiologically nor…
View article: ‘Fast cast’ and ‘needle Tenotomy’ protocols with the Ponseti method to improve clubfoot management in Bangladesh
‘Fast cast’ and ‘needle Tenotomy’ protocols with the Ponseti method to improve clubfoot management in Bangladesh Open
Background The management of congenital talipes equino varus ( clubfoot deformity ) has been transformed in the last 20 years as surgical correction has been replaced by the non‐surgical Ponseti method. The Ponseti method, consists of corr…