Joanne Paton

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CONTEXT Ulceration can be a debilitating and costly complication of the neuropathic diabetic foot. Insoles inserted into footwear are routinely used in clinical practice to help to prevent ulceration. AIM AND SCOPE OF THE REVIEW: This review evaluated the effectiveness of insoles used for the prevention of ulcer in the neuropathic diabetic foot. METHODS(More)
UNLABELLED BACKGROUND Neuropathic diabetic foot ulceration may be prevented if the mechanical stress transmitted to the plantar tissues is reduced. Insole therapy is one practical method commonly used to reduce plantar loads and ulceration risk. The type of insole best suited to achieve this is unknown. This trial compared custom-made functional insoles(More)
PURPOSE To explore the nature and impact of foot and ankle impairments on mobility and balance in community-dwelling, chronic stroke survivors. METHODS A qualitative research design using face to face semi-structured, audio recorded interviews. Thirteen community-dwelling stroke survivors, all of whom had self-reported foot and ankle impairments, were(More)
BACKGROUND Insoles are commonly used to assist in the prevention of diabetic neuropathic foot ulceration. Insole replacement is often triggered only when foot lesions deteriorate, an indicator that functional performance is comprised and patients are exposed to unnecessary ulcer risk. We investigated the durability of insoles used for ulcer prevention in(More)
This paper describes a case of a benign osseous lesion which arose in the right front leg of an 8-year-old spayed female cat. The growth was situated in the dermal tissue above the olecranon, but not attached to it, and shelled out easily at surgery. While certain non-neoplastic lesions, such as hamartomas or cases of heterotopic ossification, may appear(More)
BACKGROUND Neuropathic diabetic foot ulceration may be prevented if the mechanical stress transmitted to the plantar tissues can be modified. Orthotic therapy is one practical method commonly used to maintain tissue integrity. Orthotic design must consider the materials chosen for use in fabrication and profile of the device because both aspects influence(More)
BACKGROUND Despite falls being a major concern for people living with somatosensory deficit, little is known about the perceived impact of footwear and footwear features on balance. Clinical relevance is increased given that therapeutic footwear is often provided to people with diabetes to reduce foot ulcer risk. This qualitative study aims to explore the(More)
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 therapeutic footwear advice must improve in order to reduce foot ulceration and amputation risk in people with diabetes and neuropathy. Therefore this study aimed to explore the(More)
The technical details of a real time 2-dimensional ultrasonic scanning system are described, with particular regard to the improved clinical performance over other 2-dimensional scanners. Our instrument is capable of being used with existing ultrasonic equipment extending certain standard ultrasonic machines for use as real time 2-dimensional scanners(More)