Improving Outcomes For Older People With Musculoskeletal Foot Disorders
Funder
National Health and Medical Research Council
Funding Amount
$782,370.00
Summary
Foot pain affects one in four older Australians and leads to difficulty walking, loss of independence and reduced quality of life. The research outlined in this application will address this common but largely ignored health problem by improving our knowledge of the causes of foot pain, developing novel treatments for foot disorders incorporating specialised exercises, footwear and insoles, and testing the effectiveness of these interventions in clinical trials.
Arthritis of the big toe joint is a common and disabling problem in many Australians, but few effective treatments are available. This project will determine whether a combination of exercises and wearing a special shoe with a curved sole (a rocker-sole shoe) is more effective in treating this condition than exercises alone.
Unloading Shoes For Knee Osteoarthritis: A Double-blind Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$772,743.00
Summary
This is a clinical trial that will evaluate the effectiveness of unloading shoes for managing the symptoms of knee osteoarthritis. This trial will evaluate whether unloading shoes can reduce pain and physical dysfunction, compared to control (non-unloading) shoes, after 6 months. Patient characteristics that may influence the effectiveness of the unloading shoes will also be evaluated. If effective, unloading shoes could be made commercially available as a self-management strategy to patients wi ....This is a clinical trial that will evaluate the effectiveness of unloading shoes for managing the symptoms of knee osteoarthritis. This trial will evaluate whether unloading shoes can reduce pain and physical dysfunction, compared to control (non-unloading) shoes, after 6 months. Patient characteristics that may influence the effectiveness of the unloading shoes will also be evaluated. If effective, unloading shoes could be made commercially available as a self-management strategy to patients with knee osteoarthritis .Read moreRead less
What Is The Function Of The Tibialis Posterior Muscle And Tendon During Walking And How Does It Affect Disorders Of The Foot
Funder
National Health and Medical Research Council
Funding Amount
$110,235.00
Summary
The tibialis posterior (TP) muscle is important for foot function and is often implicated in foot and ankle problems. We will investigate the function of TP during gait with specific reference to foot posture. In particular we will examine the mechanical function of the muscle and tendon in different foot postures and commonly used treatment modalities such as (footwear and foot orthoses).
Randomised Controlled Trial Of A Tailored Podiatry Intervention To Enhance Mobility And Prevent Falls In Older People
Funder
National Health and Medical Research Council
Funding Amount
$730,975.00
Summary
Foot problems affect 1 in 3 people over the age of 65 years and are associated with reduced walking speed, difficulty performing activities of daily living, impaired balance and increased risk of falls. Although a range of health professionals provide treatment for foot disorders, the most common chronic foot problems in older people (such as corns and calluses, nail disorders and toe deformities) are frequently managed by podiatrists using treatments such as scalpel debridement of lesions, foot ....Foot problems affect 1 in 3 people over the age of 65 years and are associated with reduced walking speed, difficulty performing activities of daily living, impaired balance and increased risk of falls. Although a range of health professionals provide treatment for foot disorders, the most common chronic foot problems in older people (such as corns and calluses, nail disorders and toe deformities) are frequently managed by podiatrists using treatments such as scalpel debridement of lesions, foot orthoses, exercise prescription and footwear modifications. The 1995 National Health Survey reported that persons aged 80 years or over were most likely to have reported visiting a podiatrist in the previous two weeks, followed by those aged 65-79 years. Similarly, the Australian Department of Veterans Affairs, which provides podiatry services to veterans and their dependants, documented 606,706 episodes of podiatry care to 103,540 veterans in 1998-1999, at a cost of $23M. Podiatry therefore plays a substantial role in the maintenance of foot health and mobility in older Australians. Despite the detrimental effects of foot problems and the widespread utilisation of podiatry services by older people, very few studies have been undertaken to ascertain the efficacy of podiatry treatments. Therefore, the aim of this study is to evaluate the efficacy of an individualised podiatry intervention designed to reduce pain, enhance functional mobility and prevent falls in older people. Given the high prevalence of foot-related disability and falls in older people and their associated health care costs, the study findings will be of considerable public health importance. If found to be clinically effective, the intervention could be easily implemented into a range of healthcare settings and adopted in both state and federal falls prevention policies.Read moreRead less
As part of this fellowship, A/Prof Hylton Menz will undertake a comprehensive program of research to improve the health-related quality of life of older people with foot disorders. The research will help further our understanding of the causes and impact of foot disorders, assist in the development of new treatments, and evaluate the effectiveness of these treatments through the conduct of clinical trials.
Can Shoe Inserts Reduce The Burden Of Kneecap Osteoarthritis?
Funder
National Health and Medical Research Council
Funding Amount
$644,550.00
Summary
Kneecap arthritis is a leading cause of pain, disability and health expenditure in the Australian community. ‘Off-the-shelf’ shoe inserts are simple, low-cost devices that can reduce kneecap pain in young adults, and are accessible to all Australians. This project investigates whether ‘off-the-shelf’ shoe inserts improve pain in older adults with kneecap arthritis over 12 months, and evaluates the relationship between cost and patient benefits.
Modelling and Performance Evaluation of Stab and Ballistic Resistant Fabrics. The aims of the project are to model and design stab resistant fabrics, and evaluate their stab and ballistic performance under simulated end-use conditions. Bi-component ballistic and stab resistant wearable and concealable garments will be produced and comprehensively characterised. This program is a significant first step towards developing Australian owned intellectual property for specialised protective garments f ....Modelling and Performance Evaluation of Stab and Ballistic Resistant Fabrics. The aims of the project are to model and design stab resistant fabrics, and evaluate their stab and ballistic performance under simulated end-use conditions. Bi-component ballistic and stab resistant wearable and concealable garments will be produced and comprehensively characterised. This program is a significant first step towards developing Australian owned intellectual property for specialised protective garments for local and export markets. Results from this study will produce fundamental knowledge on stab and ballistic resistant fabrics and armours, and provide practical information on the preparation of commercially acceptable protective products.Read moreRead less
An Innovative Treatment For First Metatarsophalangeal Joint Osteoarthritis
Funder
National Health and Medical Research Council
Funding Amount
$289,398.00
Summary
Arthritis of the big toe joint is a common, disabling and costly problem in many Australians, but few effective treatments are available. This project will determine whether a combination of exercises and wearing a special inexpensive insert that stiffens the shoe (shoe stiffening insert) is more effective in treating this condition than exercises alone.
Improving Postural Stability In People With Parkinson's Disease Using Textured Insoles.
Funder
National Health and Medical Research Council
Funding Amount
$968,538.00
Summary
Falls are a major health and injury problem for people with Parkinson's disease (PD). In this study we propose to undertake a randomised control trial to determine the efficacy of textured insoles to improve postural stability and reduce falls risk in people with Parkinson’s disease. The success of such an inexpensive device would result in improved health outcomes for individuals and large savings in health care through a reduction in fall-related injuries.