Journal of the American Podiatric Medical Association最新文献

Good Clinical Outcomes Following Minor Foot Amputations in People with Diabetes: A Retrospective Clinical Audit of Associated Factors. 糖尿病患者小脚截肢后良好的临床结果：相关因素的回顾性临床审计。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.7547/21-117

Clare Linton, Angela Searle, Vivienne Chuter

{"title":"Good Clinical Outcomes Following Minor Foot Amputations in People with Diabetes: A Retrospective Clinical Audit of Associated Factors.","authors":"Clare Linton, Angela Searle, Vivienne Chuter","doi":"10.7547/21-117","DOIUrl":"10.7547/21-117","url":null,"abstract":"Background: The purpose of this retrospective audit was to compare patient based clinical outcomes to amputation healing outcomes twelve months after a minor foot amputation in people with diabetes. Methods: Hospital admission and community outpatient data were extracted for all minor foot amputations in people with diabetes in 2017 in the Central Coast Local Health District. Results: A total 85 minor foot amputations involving 74 people were identified. At the twelve-month follow-up 74% (n=56) of the minor foot amputations healed, 63% (n=41) of the participants achieved a good clinical outcome (healed, no more proximal amputations, or death within the 12 month follow up period), and the mortality rate was 18%. Poor clinical outcomes were associated with those aged greater than 60 (RR 5.75, 95% CI: 0.85 to 38.7, p=0.013), those undergoing a further surgical debridement procedure during their hospital stay (RR 2.42, 95% CI: 1.3 to 4.4, p=0.005) and those who did not attend CCLHD Podiatry clinics post-amputation (RR 2.3, 95% CI: 1.2 to 4.1, p=0.010). Conclusions: To improve patient based clinical outcomes post-minor foot amputation, targeted follow-up in a high-risk foot clinic, and tailored discharge treatment plans for people aged over 60 or those undergoing a debridement procedure may be considered.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"143 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80284252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Novel Diabetic Limb Preservation Initiative Using Symptom-Focused Education and Coordinated Podiatric Care. 一种新的糖尿病肢体保护倡议，使用以症状为中心的教育和协调的足部护理。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.7547/25-108

Paul Han

{"title":"A Novel Diabetic Limb Preservation Initiative Using Symptom-Focused Education and Coordinated Podiatric Care.","authors":"Paul Han","doi":"10.7547/25-108","DOIUrl":"https://doi.org/10.7547/25-108","url":null,"abstract":"Background: Diabetic foot ulcers (DFUs) and lower extremity amputations are major contributors to morbidity and mortality in individuals with diabetes. Among patients undergoing active cancer treatment, the risks are compounded by immunosuppression, peripheral neuropathy, and vascular complications. Even minor foot infections or wounds in these patients can necessitate the suspension of cancer therapy, with potentially lifethreatening consequences. This study evaluated the impaqt of integrating symptom-focused patient education with coordinated podiatric care to reduce DFUs and amputations in this highrisk population with concurrent cancer and diabetes. Methods: A five-year retrospective review was conducted at a National Cancer Institute (NCl)designated comprehensive cancer center as part of the Novel Limb Preservation Initiative. The cohort included patients with Type II diabetes undergoing treatment for prostate, breast, colorectal, lymphoma, leukemia, thyroid, or lung cancers. Patients were assigned targeted educational modules based on self-reported diabetic foot symptoms. Podiatric care was individualized according to each patient's signs and symptoms, including routine diabetic foot examinations and close, timely monitoring when indicated. Results: The intervention yielded a DFU incidence of 2. 8% and an amputation rate of 0. 43%, both lower than national benchmarks. Enhanced patient engagement through diabetic foot symptom-focused education and earlier detection of foot complications-including diabetic foot ssues that may appear minor to laypersons-contributed to these improved outcomes. Conclusion: Integrating diabetic foot symptom-focused education with proactive podiatric monitoring significantly reduced DFUs and amputations in this high-risk population. This model, developed under the Novel Limb Preservation Initiative, offers a scalable strategy for broader implementation, particularly in high-risk communities, including Hispanic, African American, low socioeconomic, and rural populations across the United States.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Morphological Characteristics of the Intrinsic Foot Muscles in Individuals with Flat Foot: A Systematic Review and Meta-Analysis. 平足个体内在足部肌肉的形态特征：系统回顾和荟萃分析。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.7547/24-094

Serkan Taş, Ece Ekici, Ümit Yüzbaşıoğlu, Asena Ayça Özdemir

引用次数: 0

Tibiotalocalcaneal Arthrodesis as a Tool for Podoplastic Limb and Gait Salvage in the Chopart Amputation: A Functional Assessment. 胫距跟骨关节融合术作为足部整形肢体和步态修复的工具：功能评估。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.3390/japma116020020

Craig J Verdin, Holly D Shan, Umayr R Shaikh, Elena Galvano, Karen K Evans, Christopher E Attinger, John S Steinberg, Jayson N Atves

引用次数: 0

Investigating the Impact of Patient Lateness on the Podiatry Profession: An International Survey. 调查患者迟到对足病专业的影响：一项国际调查。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.7547/24-198

Thasvhinni Nasendran, Alexis Y F Lai, Luke M Davies, Malia Ho

{"title":"Investigating the Impact of Patient Lateness on the Podiatry Profession: An International Survey.","authors":"Thasvhinni Nasendran, Alexis Y F Lai, Luke M Davies, Malia Ho","doi":"10.7547/24-198","DOIUrl":"https://doi.org/10.7547/24-198","url":null,"abstract":"Background: Podiatrists are crucial for managing lower limb pathologies, and effective appointment scheduling is vital for allocating adequate consultation time based on patient conditions. While occasional late patient arrivals may not significantly impact services, frequent lateness can disrupt patient flow and quality of care. This study explored the impact of patient lateness on podiatry practices worldwide, where no countries of origin were excluded. This study assessed current strategies to manage patient lateness, evaluated their effectiveness and reported recommendations for improvement. Methods: An international cross-sectional online survey was conducted between January and March 2024. Results: The survey, which garnered 201 responses from podiatrists, revealed that over 90% of podiatrists experienced disruptions in their clinic workflow due to late patients. Common reasons for lateness included traffic issues and difficulties with parking. SMS reminders emerged as the most effective tool for reducing tardiness. Over half (59.3%) of podiatrists implemented a 10-minute grace period before rescheduling late appointments, which effectively reduced lateness by 50%. However, some podiatrists refrained from rescheduling to avoid worsening patients' conditions or dealing with complaints. Additionally, many podiatrists reported a lack of managerial support in handling late patients. Conclusion: The frequency of late arrivals in podiatry is similar to other health professions and negatively impacts clinic workflow and staff morale. Enhanced managerial support is needed to better manage late patients, allowing podiatrists to concentrate on their clinical responsibilities.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foot and Ankle Ability Measure (FAAM) Questionnaire: A Systematic Review. 足踝能力测量问卷：系统回顾。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.7547/24-070

Ana Belen Ortega-Avila, Sandra Sanchez-Morilla, Maria Hermas Galan-Hurtado, Pablo Cervera-Garvi, Jorge Garcia-Medina, Ana Marchena-Rodriguez

{"title":"Foot and Ankle Ability Measure (FAAM) Questionnaire: A Systematic Review.","authors":"Ana Belen Ortega-Avila, Sandra Sanchez-Morilla, Maria Hermas Galan-Hurtado, Pablo Cervera-Garvi, Jorge Garcia-Medina, Ana Marchena-Rodriguez","doi":"10.7547/24-070","DOIUrl":"https://doi.org/10.7547/24-070","url":null,"abstract":"Background: The Foot and Ankle Ability Measure is frequently used by clinicians and researchers to assess the effectiveness of therapeutic interventions for patients with foot and ankle pathologies. To review different versions of the FAAM and to evaluate the methodological quality of studies published in this respect. Methods: Systematic review. Setting. A search was conducted in the PubMed, SCOPUS, PEDro, PROSPERO and SPORTDiscus databases, applying the following inclusion criteria: validation studies of the Foot and Ankle Ability Measure, in different languages, with no time limit, in a population aged ≥18 years. Two of the present authors independently assessed the quality of the studies located and extracted the relevant data. The COSMIN checklist was employed to assess methodological quality. Results: Thirteen instruments met the inclusion criteria for this review. In many cases, significant methodological flaws were detected, mostly regarding criterion validity and measurement error. Conclusion: Only the Spanish-language cultural adaptation of the FAAM presents adequate methodological quality. Further studies, with greater methodological rigour, are required of the cultural adaptations of this measurement instrument.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Balance, Gait and Foot Pressure Distribution in Neuropathic Pain Associated with Lumbar Disc Degeneration. 腰椎间盘退变相关神经性疼痛的平衡、步态和足压力分布。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.7547/24-138

Suleyman Korkusuz, Büşra Seckinogullari Korkusuz, Zeliha Ozlem Yuruk, Sibel Kibar, Ferdi Yavuz

{"title":"Balance, Gait and Foot Pressure Distribution in Neuropathic Pain Associated with Lumbar Disc Degeneration.","authors":"Suleyman Korkusuz, Büşra Seckinogullari Korkusuz, Zeliha Ozlem Yuruk, Sibel Kibar, Ferdi Yavuz","doi":"10.7547/24-138","DOIUrl":"https://doi.org/10.7547/24-138","url":null,"abstract":"Background: This study aimed to evaluate the effects of NP associated with LDD on balance, gait and foot pressure distribution. Methods: This prospective controlled study was conducted on 42 individuals aged between 40-70 years. There were 3 groups in the study: individuals diagnosed with NP associated with LDD (n=14), individuals with LDD without NP(n=14), and the control group (n=14). The Force Plate system and Core Balance System measured static and dynamic postural balance and stability limits. Gait and dynamic plantar pressure distribution analyses were performed with a computerized gait evaluation system. Results: The Leeds Assessment of Neuropathic Signs and Symptoms (LANSS), VAS during gait, and Oswestry Disability Index (ODI)scores were higher in LDD with NP group than in LDD without NP group (p<0. 05). It was found that LDD with NP group had backward dynamic balance control (p<0. 05). There was no significant difference in balance control, dynamic plantar pressure distribution, and spatiotemporal gait parameters between the groups (p>0. 05). Conclusion: Although participants with NP had higher levels of pain severity in gait and disability, there was no difference in postural balance, dynamic plantar pressure distribution, and spatiotemporal gait parameters compared to participants with LDD without NP and healthy individuals. All participants with LDD were unilaterally affected. Therefore, postural balance and gait tasks would be able to compensate for the unaffected limb.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147774965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of the Hardness of Insoles on the Abductor Hallucis Muscle in Baxter's Entrapment: A Cross-Over Randomized Study. 鞋垫硬度对巴克斯特夹持症幻觉外展肌影响的一项交叉随机研究。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.7547/23-241

Vanesa Pinto-Franco, Marta Elena Losa Iglesias, Israel Casado-Hernández, Emmanuel María Navarro-Flores, Daniel López-López, Eva María Martínez-Jiménez, Eduardo Pérez-Boal, José Luis Muñoz-Sánchez, Ricardo Becerro-de-Bengoa-Vallejo

{"title":"Influence of the Hardness of Insoles on the Abductor Hallucis Muscle in Baxter's Entrapment: A Cross-Over Randomized Study.","authors":"Vanesa Pinto-Franco, Marta Elena Losa Iglesias, Israel Casado-Hernández, Emmanuel María Navarro-Flores, Daniel López-López, Eva María Martínez-Jiménez, Eduardo Pérez-Boal, José Luis Muñoz-Sánchez, Ricardo Becerro-de-Bengoa-Vallejo","doi":"10.7547/23-241","DOIUrl":"https://doi.org/10.7547/23-241","url":null,"abstract":"Background: The etiology and diagnosis of heel pain are complex and multifactorial, and it has been reported that Baxter's entrapment is responsible for up to 20% of foot disorders. The most conservative treatment of Baxter's entrapment has been the use of custom insoles. Electromyography was considered an effective test to assess muscle activity. The aim of this study was to test the use of insoles of different hardness on muscle activity of the abductor hallucis muscle in subjects with entrapment of the lateral branch of the external plantar nerve. Methods: 18 subjects (7 women and 11 men) diagnosed with nerve entrapment of the first branch of the lateral plantar nerve were recruited. Muscle activity of the adductor hallucis muscle was analyzed with insoles of different hardness in static and dynamic situations using electromyographic evaluation. Results: The statistical analysis did not show statistically significant differences in the muscle activity of the abductor hallucis muscle in the static position, with and without plantar orthoses (p>0.05), in contrast, in dynamic situations statistically significant differences were found between groups (p<0.01). Conclusions: The use of a hard insole decreases the maximum peak muscular activity of the abductor hallucis muscle in subjects with Baxter's nerve entrapment in walking conditions.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Feasibility for Utilization of Assessment for Lack of Protective Sensation as Part of Foot Screening for Persons with Intellectual Disabilities. 利用保护感觉缺失评估作为智障人士足部筛查的可行性。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.7547/24-112

Montana Von Musser, Hannah McCulley, David Jenkins

{"title":"Feasibility for Utilization of Assessment for Lack of Protective Sensation as Part of Foot Screening for Persons with Intellectual Disabilities.","authors":"Montana Von Musser, Hannah McCulley, David Jenkins","doi":"10.7547/24-112","DOIUrl":"https://doi.org/10.7547/24-112","url":null,"abstract":"Background: Persons with intellectual disability have a significantly higher prevalence of diabetes than the general population. Special Olympics Fit Feet, a major screening process for evaluating foot health in persons with intellectual disability, has not included an assessment for the risk of diabetic foot ulcers thus far. A probable reason for this may be that clinicians in the past have felt that persons with intellectual disability were not capable of understanding how to complete the Semmes-Weinstein test for lack of protective sensation. A study was designed to assess whether the Special Olympics athletes could complete the Semmes-Weinstein test for lack of protective sensation. Methods: 31 Special Olympics athletes with intellectual disability participating in a Fit Feet foot screening underwent a Semmes-Weinstein test for lack of protective sensation (LOPS). An assessment was completed using predetermined criteria to establish whether the subject understood what was required and could satisfactorily complete the test. Likewise, it was also determined if the Special Olympics athletes believed they understood the test. Results: Study findings determined that approximately 67% of the athletes in the study were able to successfully complete the test and 90% of the Special Olympics athletes reported they completely understood the test. These results do not apply to the intellectual disability population at large. Conclusion: A significant percentage of the test population appeared able to successfully undergo the Semmes-Weinstein test for lack of protective sensation (LOPS). Therefore, it is recommended that any foot screening process for Special Olympics athletes should include an assessment for loss of protective sensation including use of monofilament testing.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Podiatry Residents on an Inpatient Addiction Consult Service. 住院成瘾咨询服务的足部住院医师。

IF 0.6 4区医学

Journal of the American Podiatric Medical Association Pub Date : 2026-04-21 DOI: 10.3390/japma116020021

Dale Terasaki, Kristine Marie Hoffman

{"title":"Podiatry Residents on an Inpatient Addiction Consult Service.","authors":"Dale Terasaki, Kristine Marie Hoffman","doi":"10.3390/japma116020021","DOIUrl":"https://doi.org/10.3390/japma116020021","url":null,"abstract":"Podiatry residents may benefit from addiction medicine rotations due to substantial overlap between podiatric needs and substance use disorders (SUDs), particularly in the hospital setting. In a semi-structured format, we describe the cases of two podiatry residents, perhaps the first ever documented, who rotated with an inpatient addiction medicine consult team at an urban, academic hospital. These two residents joined the addiction consult team in 2023 and 2024 and rated their confidence in twelve learning objectives via a five-point Likert scale before and after the rotation (2 weeks long). They also rated their attitude toward the value of addiction services. Post-rotation feedback from the module and ad hoc e-mail correspondence are included. Residents 1 and 2 joined the team and engaged well in orientating with the team, eventually providing near-independent addiction medicine consultations for primary inpatient teams. Pre/post data showed large increases in confidence in learning objectives (mean scores 2.1 to 4.9 for Resident 1, and mean scores 1.5 to 4.0 for Resident 2). They both reported positive experiences, and months later reflected on both pragmatic (e.g., available resources) and attitude-related (e.g., understanding the importance of substance use context for patients) educational gains. In summary, residents from surgical specialties like podiatry may benefit from inpatient addiction medicine exposure. It is unclear whether their rotation spots could be better utilized by those in other specialties, but SUDs are prevalent in a multitude of settings, arguing for broad dissemination of SUD treatment education.","PeriodicalId":17241,"journal":{"name":"Journal of the American Podiatric Medical Association","volume":"116 2","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147775113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0