37 research outputs found
Repeatability of a 3D multi-segment foot model protocol in presence of foot deformities
No full textRepeatability studies on 3D multi-segment foot models (3DMFMs) have mainly considered healthy participants which contrasts with the widespread application of these models to evaluate foot pathologies. The current study aimed at establishing the repeatability of the 3DMFM described by Leardini et al. [3] in presence of foot deformities. Foot kinematics of eight adult participants were analyzed using a repeated-measures design including two therapists with different levels of experience. The inter-trial variability was higher compared to the kinematics of healthy subjects. Consideration of relative angles resulted in the lowest inter-session variability. The absolute 3D rotations between the Sha-Cal and Cal-Met seem to have the lowest variability in both therapists. A general trend towards higher σ(sess)/σ(trial) ratios was observed when the midfoot was involved. The current study indicates that not only relative 3D rotations and planar angles can be measured consistently in patients, also a number of absolute parameters can be consistently measured serving as basis for the decision making process.sponsorship: The authors are grateful to the Agency for Innovation by Science and Technology Flanders for funding this project (GRANT: 080659). The work of G. Matricali was partially funded by a Clinical Doctoral Scholarship of the Research Foundation Flanders (Belgium). (Agency for Innovation by Science and Technology Flanders|GRANT: 080659, Research Foundation Flanders (Belgium))status: Publishe
Venous malformation as source of a tarsal tunnel syndrome: treat the source or the cause of the complaints? A case report
No full textCREATION OF A ‘PRECISION PROGNOSTIC CLASSIFICATION’ FOR DIABETIC FOOT ULCER HEALING WITH THE USE OF A BOTTOM-UP APPROACH
No full textImpact of 90 minutes running exercise on plantar loading of the forefoot: a prospective study on symptom-free athletes
No full textMany studies have demonstrated that individuals who engage in running exercises appear to develop musculo-skeletal injuries more frequently [1]. Considering the foot, the most common injuries include stress fractures of the metatarsals, plantar fasciitis, tibialis posterior lesions and ankle sprains. Studies have been conducted who analysed the loading characteristics of the foot in repeated measurement designs – before and after exercise – in order to find a pathomechanical pathway for metatarsal stress fractures [2-4]. The published studies evaluated the in-shoe plantar pressure during treadmill running [2,3] or barefoot after a marathon [4]. To date, no investigation have been conducted who evaluated the impact of a regular training session onto the forefoot loading characteristics. The objective of this investigation was therefore to identify changes in loading characteristics of the foot after a 90 minute running exercise
A multidisciplinary Delphi consensus to define evidence-based quality indicators for diabetic foot ulcer care.
No full textBackground: Valid measures to assess quality of care delivered to patients with diabetes suffering from diabetic foot ulcer (DFU) are scarce. This study aimed to achieve consensus on relevant and feasible quality indicators (QIs) among stakeholders involved in DFU care, and was conducted as the second part of a Belgian quality indicator selection study that sought to identify QIs for DFU care.
Methods: A stakeholder panel, including caregivers from primary care and specialized disciplines active in diabetic foot care as well as a patient organization representative, was recruited. By using the RAND/UCLA Appropriateness Method, stakeholders were asked to rate a list of 42 candidate evidence-based indicators for appropriateness through a 9-point Likert scale. QIs were classified based on the median ratings and the disagreement index, calculated by the inter-percentile range adjusted for symmetry.
Results: At the end of a 3-phase process, 17 QIs were judged as appropriate. Among them, five were not previously described, covering the following topics: integration of wound care specialty in the multidisciplinary team, systematic evaluation of the nutritional status of the patient, administration of Low Density Lipoprotein (LDL)-cholesterol lowering medication and protocolized care (implementation of care and prevention management protocols).
Conclusions: The identified evidence-based QIs provide an assessment tool to evaluate and monitor quality of care delivered to DFU patients. Future research should focus on their complementarity with the existing QIs and their implementation in clinical practice.</p
Validation of the Flemish-Dutch diabetic foot ulcer scale short form (DFS-SF) questionnaire for diabetic foot ulcers
No full textBackground/Aims: Diabetic foot ulcers (DFU) negatively affect the quality of life (QoL) of people with diabetes. The DFU Scale Short Form (DFS-SF) is a validated disease-specific patient-reported outcome measure (PROM) for measuring health-related quality of life among DFU patients. It consists of 29 items in 6 subscales: leisure, physical health, dependence/daily life, negative emotions, worried about ulcers and bothered by ulcer care. This study aimed to validate the DFS-SF questionnaire for Flemish Dutch-speaking patients with DFU in Belgium.
Methods: This observational cohort study included 100 patients with DFU from the multidisciplinary diabetic foot clinic of Onze-Lieve-Vrouw Hospital Aalst, Belgium. DFS-SF items were reverse-coded so that high DFS-SF scores indicate better quality of life. Reliability was assessed through the test-retest reliability (intraclass correlation coefficient (ICC)), internal consistency (Cronbach’s alpha) and measurement error (agreement). Spearman’s correlations and known-group comparisons were conducted to examine construct validity. Correlation with EQ-5D-5L was used to test criterion validity. The full study protocol has been published earlier (Rezaie et al. 2019. doi:10.1136/bmjopen-2019-034491).
Results: The majority of the patients were men (71.1%), with a mean age of 67.7±10.3 years and mean diabetes duration of 20.1±12.5 years. 81 patients (83.5%) had type 2 diabetes. Ischemia was present in 31.7% of the patients, neuropathy in 88.5%. Most DFU were deep (93.2%) and showed signs of infection (60,6%). ICC of the different DFS-SF subscales ranged from 0.36 to 0.84. Cronbach’s alpha was between 0.70 and 0.92 for all subscales. Agreement varied between 2.83 and 14.52. A ceiling effect was observed in the subscales leisure, dependence/daily life, negative emotions and bothered by ulcer care. None of the 6 predefined hypotheses to determine the construct validity was confirmed. The different DFS-SF subscales showed a moderate to strong correlation with the EQ-5D-5L index value. The DFS-SF subscales were not sensitive to ulcer changes over time.
Conclusions: The psychometric properties of the Flemish-Dutch version of the DFS-SF questionnaire were not confirmed nor showed a good sensitivity to ulcer changes in our patient population. The disease-specific DFS-SF provided no relevant additional information on quality of life beyond the general EQ-5D-5L.</p
Impact of 90 minutes running exercise on plantar loading of the forefoot: a prospective study on symptom-free athletes
No full textEvidence-based quality indicators in diabetic foot care: the Belgian multidisciplinary expert panel opinion
No full textEtude electrochimique a l'etat solide du couple anthraquinone—9.10—anthraquinol, en tant que matiere active d'electrode de generateur secondaire
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