2021 |
Sadler S, Spink M, Chuter V, 'Gluteus medius muscle activity during gait in people with and without chronic nonspecific low back pain: A case control study', Gait and Posture, 83 15-19 (2021) [C1]
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2021 |
West M, Sadler S, Hawke F, Munteanu SE, Chuter V, 'Effect of a culturally safe student placement on students understanding of, and confidence with, providing culturally safe podiatry care', Journal of Foot and Ankle Research, 14 (2021)
© 2021, The Author(s). Background: For university-based podiatry education there are little data available documenting the delivery method and impact of Aboriginal and Torres Stra... [more]
© 2021, The Author(s). Background: For university-based podiatry education there are little data available documenting the delivery method and impact of Aboriginal and Torres Strait Islander health curricula or the use of, and outcomes from, immersive clinical placements generally or specific to podiatry practice. Therefore, the primary aim of this study was to evaluate the effect of undertaking clinical placement in a culturally safe podiatry service for Aboriginal and Torres Strait Islander Peoples on podiatry students¿ understanding of, and confidence with, providing culturally safe podiatry care. Methods: Final year University of Newcastle undergraduate podiatry students attending a culturally safe Aboriginal and Torres Strait Islander student clinic at a local hospital were purposively recruited to participate. Students completed a custom-made and pilot-tested cultural awareness and capability survey before and after placement. Survey domains were determined from a principle component analysis. The Wilcoxon Signed Rank test was used to compare pre-placement scores on each domain of the survey to the post-placements scores. Effect sizes were calculated and interpreted as small (0.1¿0.29), medium (0.3¿0.49), and large (=0.5). Results: This study recruited 58 final year University of Newcastle podiatry students to complete baseline and follow-up surveys. For survey domain 1 (level of understanding of power relationships), domain 2 (level of understanding of the interrelationship between culture and self-perceived health), domain 3 (level of understanding of the importance of culture in clinical practice and access to health care), and domain 4 (level of confidence with providing culturally safe care) a statistically significant (p < 0.05) increase in scores was recorded post-placement. The effect sizes were medium to large. Conclusion: This study demonstrated that an immersive student placement at a culturally safe podiatry clinic significantly improved students¿ understanding of, and confidence with, providing culturally appropriate care to Aboriginal and Torres Strait Islander Peoples. This study provides foundation evidence of the role that such placements have on developing students¿ cultural capability in a tertiary health care setting, and will help inform future curricula development at both educational institutions and health services, as well as form the basis for ongoing research.
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2021 |
Linton C, Searle A, Hawke F, Tehan PE, Chuter V, 'Nature and extent of outpatient podiatry service utilisation in people with diabetes undergoing minor foot amputations: a retrospective clinical audit.', J Foot Ankle Res, 14 6 (2021)
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2021 |
Chuter VH, Searle A, Barwick A, Golledge J, Leigh L, Oldmeadow C, et al., 'Estimating the diagnostic accuracy of the ankle-brachial pressure index for detecting peripheral arterial disease in people with diabetes: A systematic review and meta-analysis.', Diabet Med, 38 e14379 (2021)
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2020 |
Huang R, Ning J, Chuter VH, Taylor JB, Christophe D, Meng Z, et al., 'Exercise alone and exercise combined with education both prevent episodes of low back pain and related absenteeism: Systematic review and network meta-analysis of randomised controlled trials (RCTs) aimed at preventing back pain', British Journal of Sports Medicine, 54 766-770 (2020) [C1]
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. Objectives We aimed to investigate which prevention strategies for low... [more]
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ. Objectives We aimed to investigate which prevention strategies for low back pain (LBP) are most effective. Design We completed a Bayesian network meta-analysis to summarise the comparative effectiveness of LBP prevention strategies. The primary outcomes were an episode of LBP and LBP-associated work absenteeism represented as ORs with associated 95% credibility intervals (CrIs). We ranked all prevention strategies with surface under the cumulative ranking curve (SUCRA) analysis. Data sources PubMed, EMBASE and CENTRAL databases were searched along with manual searches of retrieved articles. We only included randomised controlled trials (RCTs) that reported an episode of LBP and/or LBP-associated work absenteeism evaluating LBP prevention strategies were included. Eligibility criteria for selecting studies Data were independently extracted by two investigators, and RCT quality was assessed using the Cochrane Risk of Bias tool. Results and summary Forty RCTs were included. Exercise combined with education (OR: 0.59, CrI: 0.41 to 0.82) and exercise alone (OR: 0.59, CrI: 0.36 to 0.92) both prevented LBP episodes; exercise combined with education and education alone both had large areas under the curve (SUCRA: 81.3 and 79.4, respectively). Additionally, exercise (OR: 0.04, CrI: 0.00 to 0.34) prevented LBP-associated work absenteeism, with exercise and the combination of exercise and education ranking highest (SUCRA: 99.0 and 60.2, respectively). Conclusions Exercise alone and exercise combined with education can prevent episodes of LBP and LBP-related absenteeism. Trial registration number PROSPERO 42017056884.
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2020 |
Sadler S, Spink M, De Jonge XJ, Chuter V, 'An exploratory study investigating the effect of foot type and foot orthoses on gluteus medius muscle activity', BMC Musculoskeletal Disorders, 21 (2020) [C1]
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2020 |
Sadler S, Spink M, Chuter V, 'Reliability of surface electromyography for the gluteus medius muscle during gait in people with and without chronic nonspecific low back pain', Journal of Electromyography and Kinesiology, 54 (2020) [C1]
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2020 |
Tehan PE, Mills JL, Sebastian M, Oldmeadow C, Chuter VH, 'Toe-brachial index and toe systolic blood pressure for the diagnosis of peripheral arterial disease', Cochrane Database of Systematic Reviews, (2020)
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2020 |
West M, Sadler S, Hawke F, Munteanu SE, Chuter V, 'Foot health of Aboriginal and Torres Strait Islander Peoples in regional and rural NSW, Australia', Journal of Foot and Ankle Research, 13 1-7 (2020) [C1]
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2020 |
Casey SL, Lanting SM, Chuter VH, 'The ankle brachial index in people with and without diabetes: intra-tester reliability', JOURNAL OF FOOT AND ANKLE RESEARCH, 13 (2020) [C1]
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2020 |
Tehan P, Barwick A, Casey S, Lanting S, Chuter V, 'Accurate non-invasive arterial assessment of the wounded lower limb: a clinical challenge for wound practitioners', International Journal of Lower Extremity Wounds, 19 215-226 (2020) [C1]
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2020 |
Way KL, Sabag A, Sultana RN, Baker MK, Keating SE, Lanting S, et al., 'The effect of low-volume high-intensity interval training on cardiovascular health outcomes in type 2 diabetes: A randomised controlled trial', INTERNATIONAL JOURNAL OF CARDIOLOGY, 320 148-154 (2020) [C1]
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2020 |
Sabag A, Way KL, Sultana RN, Keating SE, Gerofi JA, Chuter VH, et al., 'The Effect of a Novel Low-Volume Aerobic Exercise Intervention on Liver Fat in Type 2 Diabetes: A Randomized Controlled Trial.', Diabetes Care, 43 2371-2378 (2020)
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2020 |
Lanting SM, Spink MJ, Tehan PE, Vickers S, Casey SL, Chuter VH, 'Non-invasive assessment of vibration perception and protective sensation in people with diabetes mellitus: inter- and intra-rater reliability', JOURNAL OF FOOT AND ANKLE RESEARCH, 13 (2020) [C1]
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2020 |
Linton C, Searle A, Hawke F, Tehan PE, Sebastian M, Chuter V, 'Do toe blood pressures predict healing after minor lower limb amputation in people with diabetes? A systematic review and meta-analysis', DIABETES & VASCULAR DISEASE RESEARCH, 17 (2020) [C1]
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2020 |
Lanting S, Spink M, Tehan P, Vickers S, Casey S, Chuter V, 'Non-invasive assessment of vibration perception and protective sensation in people with diabetes mellitus: inter and intra-rater reliability', Journal of Foot and Ankle Research, (2020)
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2019 |
Chuter V, West M, Hawke F, Searle A, 'Where do we stand? the availability and efficacy of diabetes related foot health programs for Aboriginal and Torres Strait Islander Australians: A systematic review', Journal of Foot and Ankle Research, 12 1-12 (2019) [C1]
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2019 |
Casey S, Lanting S, Oldmeadow C, Chuter V, 'The reliability of the ankle brachial index: A systematic review', Journal of Foot and Ankle Research, 12 1-10 (2019) [C1]
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2019 |
Searle A, Spink MJ, Oldmeadow C, Chiu S, Chuter VH, 'Calf muscle stretching is ineffective in increasing ankle range of motion or reducing plantar pressures in people with diabetes and ankle equinus: A randomised controlled trial', Clinical Biomechanics, 69 52-57 (2019) [C1]
© 2019 Elsevier Ltd Background: Limited ankle dorsiflexion, or equinus, is associated with elevated plantar pressures, which have been implicated in the development and non-healin... [more]
© 2019 Elsevier Ltd Background: Limited ankle dorsiflexion, or equinus, is associated with elevated plantar pressures, which have been implicated in the development and non-healing of foot ulcer. A stretching intervention may increase ankle dorsiflexion and reduce plantar pressures in people with diabetes. Methods: Two arm parallel randomised controlled trial from September 2016 to October 2017. Adults with diabetes and ankle equinus (=5° dorsiflexion) were randomly allocated to receive an 8 week static calf stretching intervention or continue with their normal activities. Primary outcome measures were change in weight bearing and non-weight bearing ankle dorsiflexion and forefoot peak plantar pressure. Secondary outcome measures were forefoot pressure time integrals and adherence to the stretching intervention. Findings: 68 adults (mean (standard deviation) age and diabetes duration 67.4 (10.9) years and 14.0 (10.8) years, 64.7% male) were randomised to stretch (n = 34) or usual activity (n = 34). At follow up, no significant differences were seen between groups (adjusted mean difference) for non-weight (+1.3°, 95% CI:-0.3 to 2.9, p = 0.101) and weight bearing ankle dorsiflexion (+0.5°, 95% CI:-2.6 to 3.6, p = 0.743) or forefoot in-shoe (+1.5 kPa, 95% CI:-10.0 to 12.9, p = 0.803) or barefoot peak pressures (-19.1 kPa, 95% CI:-96.4 to 58.1, p = 0.628). Seven of the intervention group and two of the control group were lost to follow up. Interpretation: Our data failed to show a statistically significant or clinically meaningful effect of static calf muscle stretching on ankle range of motion, or plantar pressures, in people with diabetes and ankle equinus.
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2019 |
Tehan P, Stewart S, Chuter V, Carroll M, Rutherfurd K, Brenton-Rule A, 'Lower Limb Vascular Characteristics and Their Relationship with Gait in Rheumatoid Arthritis', International Journal of Rheumatic Diseases, 22 2017-2024 (2019) [C1]
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2019 |
Tehan P, Fox M, Matthews S, Stewart S, Chuter V, 'Lower limb vascular assessment techniques of podiatrists in the United Kingdom: a national survey', Journal of Foot and Ankle Research, 12 1-12 (2019) [C1]
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2019 |
Tehan P, Linton C, Norbury K, White D, Chuter V, 'Factors contributing to wound chronicity in diabetic foot ulceration', Wound Practice and Research, 27 111-115 (2019) [C1]
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2019 |
Sadler S, Cassidy S, Peterson B, Spink M, Chuter V, 'Gluteus medius muscle function in people with and without low back pain: a systematic review.', BMC musculoskeletal disorders, 20 (2019) [C1]
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2019 |
Johnson NA, Barwick AL, Searle A, Spink MJ, Twigg SM, Chuter VH, 'Self-reported physical activity in community-dwelling adults with diabetes and its association with diabetes complications', Journal of Diabetes and its Complications, 33 33-38 (2019) [C1]
© 2018 Elsevier Inc. Aims: To describe the physical activity levels of an Australian community-based adult population with diabetes, and investigate the interaction between diabet... [more]
© 2018 Elsevier Inc. Aims: To describe the physical activity levels of an Australian community-based adult population with diabetes, and investigate the interaction between diabetes complications and physical activity. Methods: Anthropometric, demographic, biochemical and self-reported physical activity measures (IPAQ) were performed. Associations and multiple regression analyses were undertaken between physical activity, known risk factors for diabetes complications, and history of cardiovascular disease (CVD), neuropathy and foot ulceration obtained from medical records. Results: 240 participants were recruited (96% type 2 diabetes; age 68.7 ± 10.5 y; 58% men; diabetes duration 14.3 ± 11.4 y). Sixty seven percent of participants reported undertaking moderate or vigorous intensity exercise to recommended levels, and 29% reported no moderate-vigorous exercise. In addition to being associated with known demographic and biochemical risk factors and other complications, diabetes complications were also associated with different physical activity behaviours. Individuals with a history of CVD were more likely to participate in moderate-vigorous exercise and meet exercise guidelines, individuals with neuropathy undertook less walking and moderate intensity exercise, and those with a history of foot ulceration sat more and participated less in vigorous exercise. Conclusions: In Australian adults, the presence of diabetes complications may influence physical activity participation, and associate with characteristic physical activity approaches.
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2018 |
Searle A, Spink MJ, Chuter VH, 'Weight bearing versus non-weight bearing ankle dorsiflexion measurement in people with diabetes: a cross sectional study', BMC MUSCULOSKELETAL DISORDERS, 19 (2018) [C1]
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2018 |
Searle A, Spink MJ, Chuter VH, 'Validation of a weight bearing ankle equinus value in older adults with diabetes', Journal of Foot and Ankle Research, 11 (2018) [C1]
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2018 |
Sadler S, Spink M, Cassidy S, Chuter V, 'Prefabricated foot orthoses compared to a placebo intervention for the treatment of chronic nonspecific low back pain: a study protocol for a randomised controlled trial', JOURNAL OF FOOT AND ANKLE RESEARCH, 11 (2018)
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2018 |
Tehan PE, Barwick AL, Sebastian M, Chuter VH, 'Diagnostic accuracy of the postexercise ankle brachial index for detecting peripheral artery disease in suspected claudicants with and without diabetes', Vascular Medicine (United Kingdom), 23 116-125 (2018) [C1]
© 2018, © The Author(s) 2018. The postexercise ankle¿brachial index (ABI) is recommended in patients with normal resting ABI when peripheral artery disease (PAD) is suspected. The... [more]
© 2018, © The Author(s) 2018. The postexercise ankle¿brachial index (ABI) is recommended in patients with normal resting ABI when peripheral artery disease (PAD) is suspected. The aims of this study were to determine the comparative diagnostic accuracy of the resting and postexercise ABI for detecting PAD, and, the effect of the presence of diabetes on these. Three methods of interpretation currently in use were also investigated: a reduction in postexercise ABI by >20% compared to resting ABI, an ABI value of =0.90 postexercise, or a reduction in systolic ankle pressure of >30 mmHg postexercise. This retrospective study used colour duplex ultrasound (CDU) as the reference standard. In 278 limbs (whole group), the resting ABI had an overall area under the curve (AUC) of 0.71, with the postexercise ABI yielding a similar diagnostic accuracy of AUC 0.72. In the non-diabetes group (n=171), the resting ABI had an overall AUC of 0.74 and the postexercise ABI had a similar AUC of 0.76. In the diabetes group (n=107), overall accuracy was reduced compared to the non-diabetes group, with the resting ABI having an overall AUC of 0.65 and the postexercise ABI yielding a similar accuracy with an AUC of 0.64. The overall diagnostic accuracy of the postexercise ABI for diagnosing PAD was not greatly improved compared to resting ABI. Given the lower overall diagnostic accuracy in the diabetes group, both the resting and the postexercise ABI results in diabetes populations should be interpreted with caution. There is a risk of undiagnosed disease if relying on these results alone to determine lower limb vascular status.
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2018 |
Tehan PE, Sebastian M, Barwick A, Chuter V, 'How sensitive and specific is continuous wave Doppler for detecting peripheral arterial disease in people with and without diabetes? A cross-sectional study', Diabetes and Vascular Disease, 15 396-401 (2018) [C1]
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2018 |
Searle A, Spink MJ, Chuter VH, 'Prevalence of ankle equinus and correlation with foot plantar pressures in people with diabetes', Clinical Biomechanics, 60 39-44 (2018) [C1]
© 2018 Elsevier Ltd Background: An association between equinus and plantar pressure may be important for people with diabetes, as elevated plantar pressure has been linked with fo... [more]
© 2018 Elsevier Ltd Background: An association between equinus and plantar pressure may be important for people with diabetes, as elevated plantar pressure has been linked with foot ulcer development. To determine the prevalence of equinus in community dwelling people with diabetes and to examine any association between presence of equinus and forefoot plantar pressures. Methods: Barefoot (Tekscan HR Mat¿) and in-shoe (Novel Pedar-X®) plantar pressure variables, non-weight bearing ankle range of motion and neuropathy status were assessed in 136 adults with diabetes (52.2% male; 47.8% with neuropathy; mean (standard deviation) age and diabetes duration: 68.4 (11.5) and 14.6 (11.1) years respectively). Findings: Equinus, when measured as =5° dorsiflexion, was present in 66.9% of the cohort. There was a significant correlation between an equinus and barefoot (r = 0.247, p = 0.004) and in-shoe forefoot pressure time integrals (r = 0.214, p = 0.012) and in-shoe forefoot alternate pressure time integrals (r = 0.246, p = 0.004). Significantly more males (p < 0.01) and people with neuropathy (p = 0.02) or higher glycated haemoglobin levels (p < 0.01) presented with an equinus. Interpretation: Community dwelling adults with diabetes have a high rate of ankle equinus which is associated with increased forefoot pressure time integrals and a two-fold increased risk of high in-shoe peak pressures. Clinical assessment of an ankle equinus may be a useful screening tool to identify adults at increased risk of diabetic foot complications.
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2018 |
Tehan PE, Sadler S, Lanting S, Chuter V, 'How does a short period of exercise effect toe pressures and toe-brachial indices? A cross-sectional exploratory study', Journal of Foot and Ankle Research, 11 (2018) [C1]
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2017 |
Lanting SM, Barwick AL, Twigg SM, Johnson NA, Baker MK, Chiu SK, et al., 'Post-occlusive reactive hyperaemia of skin microvasculature and foot complications in type 2 diabetes.', J Diabetes Complications, 31 1305-1310 (2017) [C1]
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2017 |
Sonter J, Tehan PE, Chuter VH, 'Toe brachial index measured by automated device compared to duplex ultrasonography for detecting peripheral arterial disease in older people', Vascular, 25 612-617 (2017) [C1]
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2017 |
Lanting SM, Twigg SM, Johnson NA, Baker MK, Caterson ID, Chuter VH, 'Non-invasive lower limb small arterial measures co-segregate strongly with foot complications in people with diabetes', JOURNAL OF DIABETES AND ITS COMPLICATIONS, 31 589-593 (2017) [C1]
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2017 |
Searle A, Spink MJ, Ho A, Chuter VH, 'Association between ankle equinus and plantar pressures in people with diabetes. A systematic review and meta-analysis', Clinical Biomechanics, 43 8-14 (2017) [C1]
© 2017 Elsevier Ltd Background Diabetes is one of the most common chronic diseases in the world and is associated with a life-time risk of foot ulcer of 12¿25%. Diabetes related r... [more]
© 2017 Elsevier Ltd Background Diabetes is one of the most common chronic diseases in the world and is associated with a life-time risk of foot ulcer of 12¿25%. Diabetes related restriction in ankle joint range of dorsiflexion is proposed to contribute to elevated plantar pressures implicated in the development of foot ulcers. Methods A systematic search of EBSCO Megafile Premier (containing MEDLINE, CINAHL, SPORTSdiscus and Academic Search Complete) and The Cochrane Library was conducted to 23rd November 2016. Two authors independently reviewed and selected relevant studies. Meta-analysis of study data were conducted where possible. Findings Fifteen studies met the inclusion criteria. Three studies were eligible to be included in the meta-analysis which found that equinus has a significant, but small, effect on increased plantar pressures (ES¿=¿0.26, CI 95% 0.11 to 0.41, p¿=¿0.001). Of the remaining studies, eight found evidence of an association between limited ankle dorsiflexion and increased plantar pressures while four studies found no relationship. Interpretation Limited ankle joint dorsiflexion may be an important factor in elevating plantar pressures, independent of neuropathy. Limited ankle dorsiflexion and increased plantar pressures were found in all the studies where the sample population had a history of neuropathic foot ulceration. In contrast, the same association was not found in those studies where the population had neuropathy and no history of foot ulcer. Routine screening for limited ankle dorsiflexion range of motion in the diabetic population would allow for early provision of conservative treatment options to reduce plantar pressures and lessen ulcer risk.
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2017 |
Keating SE, Hackett DA, Parker HM, Way KL, O'Connor HT, Sainsbury A, et al., 'Effect of resistance training on liver fat and visceral adiposity in adults with obesity: A randomized controlled trial', HEPATOLOGY RESEARCH, 47 622-631 (2017) [C1]
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2017 |
Sonter JA, Chuter VH, 'Cross-sectional correlations between the toe brachial index and lower limb complications in older people', International Wound Journal, 14 74-78 (2017) [C1]
© 2015 Medicalhelplines.com Inc and John Wiley & Sons Ltd The aim of the study was to investigate the relationship between the toe brachial index (TBI) and foot ulceration a... [more]
© 2015 Medicalhelplines.com Inc and John Wiley & Sons Ltd The aim of the study was to investigate the relationship between the toe brachial index (TBI) and foot ulceration and amputation in older people. Two hundred and sixty-one participants meeting guidelines for lower limb vascular assessment had their toe and brachial blood pressure measured, medical records audited and signs and symptoms of peripheral arterial disease (PAD) recorded. Pearson's correlation and linear regression analyses were performed to determine the strength of relationships between variables. Significant correlations were found between the TBI and painful symptoms (r = -0·35, P < 0·05) and foot complications (r = -0·31, P < 0·05). After adjusting for traditional risk factors for foot complications, participants with a TBI <0·70 were 19 times more likely to have a history of foot wounds or amputation (odds ratio = 19·20, 95% confidence interval (CI): 2·36¿155·96, P < 0·001) than those with higher TBI values (>0·70). This preliminary study supports a TBI threshold of 0·70 for PAD diagnosis and indicates that lower values are associated with painful symptoms, history of ulceration and amputation. Future longitudinal investigation of the predictive capacity is now warranted.
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2017 |
Sadler SG, Spink M, Ho A, Janse De Jonge X, Chuter V, 'Restriction in lateral bending range of motion, lumbar lordosis, and hamstring flexibility predicts the development of low back pain: a systematic review of prospective cohort studies', BMC Musculoskeletal Disorders, 18 (2017) [C1]
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2017 |
West M, Chuter V, Munteanu S, Hawke F, 'Defining the gap: a systematic review of the difference in rates of diabetes-related foot complications in Aboriginal and Torres Strait Islander Australians and non-Indigenous Australians', JOURNAL OF FOOT AND ANKLE RESEARCH, 10 (2017) [C1]
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2017 |
Barwick A, Tessier J, Mirow J, de Jonge XJ, Chuter V, 'Computed tomography derived bone density measurement in the diabetic foot', JOURNAL OF FOOT AND ANKLE RESEARCH, 10 (2017) [C1]
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2017 |
Lanting SM, Johnson NA, Baker MK, Caterson ID, Chuter VH, 'The effect of exercise training on cutaneous microvascular reactivity: A systematic review and meta-analysis', Journal of Science and Medicine in Sport., 20 170-177 (2017) [C1]
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2017 |
Tehan PE, Sebastian M, Barwick AL, Chuter VH, 'Diagnostic accuracy of resting systolic toe pressure for diagnosis of peripheral arterial disease in people with and without diabetes: a cross-sectional case-control study', Journal of Foot and Ankle Research, 10 (2017) [C1]
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2017 |
Sabag A, Way KL, Keating SE, Sultana RN, O'Connor HT, Baker MK, et al., 'Exercise and ectopic fat in type 2 diabetes: A systematic review and meta-analysis', DIABETES & METABOLISM, 43 195-210 (2017) [C1]
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2017 |
Tehan PE, Chuter VH, Sonter JA, 'Response: Toe brachial index measured by automated device compared to duplex ultrasonography for detecting peripheral arterial disease in older people', Vascular, (2017)
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2016 |
Chuter VH, Searle A, Spink MJ, 'Flip-flop footwear with a moulded foot-bed for the treatment of foot pain: a randomised controlled trial', BMC Musculoskeletal Disorders, 17 1-8 (2016) [C1]
© 2016 The Author(s). Background: Foot pain is a common problem affecting up to 1 in 5 adults and is known to adversely affect activities of daily living and health related qualit... [more]
© 2016 The Author(s). Background: Foot pain is a common problem affecting up to 1 in 5 adults and is known to adversely affect activities of daily living and health related quality of life. Orthopaedic footwear interventions are used as a conservative treatment for foot pain, although adherence is known to be low, in part due to the perception of poor comfort and unattractiveness of the footwear. The objective of this trial was to assess the efficacy of flip-flop style footwear (Foot Bio-Tec©) with a moulded foot-bed in reducing foot pain compared to participant's usual footwear. Methods: Two-arm parallel randomised controlled trial using computer generated random allocation schedule at an Australian university podiatry clinic. 108 volunteers with disabling foot pain were enrolled after responding to an advertisement and eligibility screening. Participants were randomly allocated to receive footwear education and moulded flip-flop footwear to wear as much as they were comfortable with for the next 12 weeks (n = 54) or footwear education and instructions to wear their normal footwear for the next 12 weeks (n = 54). Primary outcome was the pain domain of the Foot Health Status Questionnaire (FHSQ). Secondary outcomes were the foot function and general foot health domains of the FHSQ, a visual analogue scale (VAS) for foot pain and perceived comfort of the intervention footwear. Results: Compared to the control group, the moulded flip-flop group showed a significant improvement in the primary outcome measure of the FHSQ pain domain (adjusted mean difference 8.36 points, 95 % CI 5.58 to 13.27, p < 0.01). Statistical and clinically significant differences were observed for the secondary measure of foot pain assessed by a VAS and the FSHQ domains of foot function and general foot health. None of the participants reported any pain or discomfort from the intervention footwear and six (footwear group = 4) were lost to follow up. Conclusions: Our results demonstrate that flip-flop footwear with a moulded foot-bed can have a significant effect on foot pain, function and foot health and might be a valuable adjunct therapy for people with foot pain.
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2016 |
Tehan PE, Bray A, Chuter VH, 'Non-invasive vascular assessment in the foot with Diabetes: sensitivity and specificity of the ankle brachial index, toe brachial index and continuous wave Doppler in detecting peripheral arterial disease', Journal of Diabetes and Its Complications, 30 155-160 (2016) [C1]
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2016 |
Tehan PE, Chuter VH, 'A targeted screening method for non-invasive vascular assessment of the lower limb', Journal of Foot and Ankle Research, 9 (2016) [C1]
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2016 |
Barwick AL, Tessier JW, de Jonge XJ, Ivers JR, Chuter VH, 'Peripheral sensory neuropathy is associated with altered postocclusive reactive hyperemia in the diabetic foot', BMJ OPEN DIABETES RESEARCH & CARE, 4 (2016) [C1]
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2016 |
Way K, Keating SE, Baker MK, Chuter VH, Johnson NA, 'The effect of exercise on vascular function and stiffness in type 2 diabetes: A systematic review and meta-analysis.', Current Diabetes Reviews, 12 369-383 (2016) [C1]
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2016 |
Sonter J, Chuter V, 'Associations between the toe brachial index and health-related quality of life in older people', HEALTH AND QUALITY OF LIFE OUTCOMES, 14 (2016) [C1]
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2016 |
Barwick AL, Tessier JW, Janse de Jonge X, Chuter VH, 'Foot bone density in diabetes may be unaffected by the presence of neuropathy', Journal of Diabetes and its Complications, 30 1087-1092 (2016) [C1]
© 2016 Aims Neuropathies are common complications of diabetes and are proposed to influence peripheral bone, principally via an altered vascular supply. This study aimed to determ... [more]
© 2016 Aims Neuropathies are common complications of diabetes and are proposed to influence peripheral bone, principally via an altered vascular supply. This study aimed to determine the relationship between subtypes of neuropathy and vascular reactivity on foot bone density in people with diabetes. Methods A case¿control observational design was utilised with two groups: those with diabetic peripheral large fibre neuropathy (n¿=¿23) and a control group with diabetes but without neuropathy (n¿=¿23). Bone density in 12 foot bones was determined with computed tomography scanning. Additionally, post-occlusive reactive hyperemia, presence of small fibre neuropathy and heart rate variability were determined. T-tests and hierarchical regression were used to examine the relationships among the variables. Results No difference in foot bone density was found between those with and those without large fibre neuropathy. Furthermore, no association between heart rate variability or reactive hyperemia and bone density was found. Small fibre neuropathy was associated with increased cuboid trabecular bone density (p¿=¿0.006) with its presence predictive of 14% of the variance. Conclusions This study found no clear association between presence of diabetic neuropathies and foot bone density. Furthermore, vascular reactivity appears to have no impact on bone density.
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2016 |
Tehan PE, Santos D, Chuter VH, 'A systematic review of the sensitivity and specificity of the toe-brachial index for detecting peripheral artery disease', Vascular Medicine (United Kingdom), 21 382-389 (2016) [C1]
© SAGE Publications. The toe-brachial index (TBI) is used as an adjunct to the ankle-brachial index (ABI) for non-invasive lower limb vascular screening. With increasing evidence ... [more]
© SAGE Publications. The toe-brachial index (TBI) is used as an adjunct to the ankle-brachial index (ABI) for non-invasive lower limb vascular screening. With increasing evidence suggesting limitations of the ABI for diagnosis of vascular complications, particularly in specific populations including diabetes cohorts, the TBI is being used more widely. The aim of this review was to determine the sensitivity and specificity of the TBI for detecting peripheral artery disease (PAD) in populations at risk of this disease. A database search was conducted to identify current work relating to the sensitivity and specificity of toe-brachial indices up to July 2015. Only studies using valid diagnostic imaging as a reference standard were included. The QUADAS-2 tool was used to critically appraise included articles. Seven studies met the inclusion criteria. Sensitivity of the TBI for PAD was reported in all seven studies and ranged from 45% to 100%; specificity was reported by five studies only and ranged from 16% to 100%. In conclusion, this review suggests that the TBI has variable diagnostic accuracy for the presence of PAD in specific populations at risk of developing the disease. There was a notable lack of large-scale diagnostic accuracy studies determining the diagnostic accuracy of the TBI in detecting PAD in different at-risk cohorts. However, standardised normal values need to be established for the TBI to conclusively determine the diagnostic accuracy of this test.
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2016 |
West M, Chuter V, Follent D, Hawke FE, 'Utilisation of public podiatry and diabetes services by the Aboriginal and Torres Strait Islander community of the Central Coast of NSW', Australian Indigenous Health Bulletin, Vol 16 (2016) [C1]
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2015 |
Chuter VH, Casey SL, 'Pre-measurement rest time affects magnitude and reliability of toe pressure measurements', Blood Pressure, 24 185-188 (2015) [C1]
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2015 |
Hawke FE, Chuter V, Burns J, 'Impact and correlates of night-time calf cramp', Journal of Sleep Disorders and Therapy, 4 81-81 (2015)
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2015 |
Chuter VH, Janse De Jonge XAK, Thompson BM, Callister R, 'The efficacy of a supervised and a home-based core strengthening programme in adults with poor core stability: A three-arm randomised controlled trial', British Journal of Sports Medicine, 49 395-399 (2015) [C1]
Background Poor core stability is linked to a range of musculoskeletal pathologies and core-strengthening programmes are widely used as treatment. Treatment outcomes, however, are... [more]
Background Poor core stability is linked to a range of musculoskeletal pathologies and core-strengthening programmes are widely used as treatment. Treatment outcomes, however, are highly variable, which may be related to the method of delivery of core strengthening programmes. We investigated the effect of identical 8 week core strengthening programmes delivered as either supervised or home-based on measures of core stability. Methods Participants with poor core stability were randomised into three groups: supervised (n=26), home-based (n=26) or control (n=26). Primary outcomes were the Sahrmann test and the Star Excursion Balance Test (SEBT) for dynamic core stability and three endurance tests (side-bridge, flexor and Sorensen) for static core stability. The exercise programme was devised and supervised by an exercise physiologist. Results Analysis of covariance on the change from baseline over the 8 weeks showed that the supervised group performed significantly better on all core stability measures than both the home-based and control group. The home-based group produced significant improvements compared to the control group in all static core stability tests, but not in most of the dynamic core stability tests (Sahrmann test and two out of three directions of the SEBT). Conclusions Our results support the use of a supervised core-strengthening programme over a home-based programme to maximise improvements in core stability, especially in its dynamic aspects. Based on our findings in healthy individuals with low core stability, further research is recommended on potential therapeutic benefits of supervised core-strengthening programmes for pathologies associated with low core stability.
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2015 |
Sadler SG, Hawke FE, Chuter VH, 'The effect of pretest rest time on automated measures of toe systolic blood pressure and the toe brachial index.', Blood Press Monit, 20 245-248 (2015) [C1]
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2015 |
Sonter JA, Chuter V, Casey S, 'Intratester and Intertester Reliability of Toe Pressure Measurements in People with and Without Diabetes Performed by Podiatric Physicians', JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION, 105 201-208 (2015) [C1]
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2015 |
Tehan P, Bray A, Keech R, Rounsley R, Carruthers A, Chuter VH, 'Sensitivity and Specificity of the Toe-Brachial Index for Detecting Peripheral Arterial Disease: Initial Findings.', J Ultrasound Med, 34 1737-1743 (2015) [C1]
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2015 |
Sonter J, Sadler S, Chuter V, 'Inter-rater reliability of automated devices for measurement of toe systolic blood pressure and the toe brachial index', Blood Pressure Monitoring, 20 47-51 (2015) [C1]
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2015 |
Keating SE, Hackett DA, Parker HM, O'Connor HT, Gerofi JA, Sainsbury A, et al., 'Effect of aerobic exercise training dose on liver fat and visceral adiposity', Journal of Hepatology, 63 174-182 (2015) [C1]
© 2015 European Association for the Study of the Liver. Background & Aims Aerobic exercise reduces liver fat and visceral adipose tissue (VAT). However, there is limited data ... [more]
© 2015 European Association for the Study of the Liver. Background & Aims Aerobic exercise reduces liver fat and visceral adipose tissue (VAT). However, there is limited data from randomized trials to inform exercise programming recommendations. This study examined the efficacy of commonly prescribed exercise doses for reducing liver fat and VAT using a randomized placebo-controlled design. Methods Inactive and overweight/obese adults received 8 weeks of either; i) low to moderate intensity, high volume aerobic exercise (LO:HI, 50% VO<inf>2peak</inf>, 60 min, 4 d/week); ii) high intensity, low volume aerobic exercise (HI:LO, 70% VO<inf>2peak</inf>, 45 min, 3 d/week); iii) low to moderate intensity, low volume aerobic exercise (LO:LO, 50% VO<inf>2peak,</inf> 45 min, 3 d/week); or iv) placebo (PLA). Liver fat (spectroscopy) and VAT (magnetic resonance imaging) were measured before and after intervention. Results Forty-seven of the 48 (n = 12 in each group) participants completed the trial. There were no serious adverse events. There was a significant change in group × time interaction in liver fat, which reduced in HI:LO by 2.38 ± 0.73%, in LO:HI by 2.62 ± 1.00%, and in LO:LO by 0.84 ± 0.47% but not in PLA (increase of 1.10 ± 0.62%) (p = 0.04). There was a significant reduction in VAT in HI:LO (-258.38 ± 87.78 cm<sup>3</sup>), in LO:HI (-386.80 ± 119.5 cm<sup>3</sup>), and in LO:LO (-212.96 ± 105.54 cm<sup>3</sup>), but not in PLA (92.64 ± 83.46 cm<sup>3</sup>) (p = 0.03). There were no significant differences between the dose or intensity of the exercise regimen and reductions in liver fat or VAT (p >0.05). Conclusion The study found no difference in efficacy of liver fat reduction by either aerobic exercise dose or intensity. All of the aerobic exercise regimens employed reduced liver fat and VAT by a small amount without clinically significant weight loss.
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2015 |
Searle A, Spink M, Ho A, Chuter V, 'Exercise interventions for the treatment of chronic low back pain: A systematic review and meta-analysis of randomised controlled trials', Clinical Rehabilitation, 29 1155-1167 (2015) [C1]
© The Author(s) 2015. Objective: To determine, for adults with chronic low back pain, which exercise interventions are the most effective at reducing pain compared to other treatm... [more]
© The Author(s) 2015. Objective: To determine, for adults with chronic low back pain, which exercise interventions are the most effective at reducing pain compared to other treatments. Data sources: A search of MEDLINE, CINAHL, EMBASE, SPORTDiscus, PsycINFO and The Cochrane Library was conducted up to October 2014. Review methods: Databases were searched for published reports of randomised trials that investigated the treatment of chronic low back pain of non-specific origin with an exercise intervention. Two authors independently reviewed and selected relevant trials. Methodological quality was evaluated using the Downs and Black tool. Results: Forty-five trials met the inclusion criteria and thirty-nine were included in the meta-analysis. Combined meta-analysis revealed significantly lower chronic low back pain with intervention groups using exercise compared to a control group or other treatment group (Standard Mean Deviation (SMD) =-0.32, CI 95% -0.44 to -0.19, P<0.01). Separate exploratory subgroup analysis showed a significant effect for strength/resistance and coordination/stabilisation programs. Conclusions: Our results found a beneficial effect for strength/resistance and coordination/stabilisation exercise programs over other interventions in the treatment of chronic low back pain and that cardiorespiratory and combined exercise programs are ineffective.
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2015 |
Barwick A, Lanting S, Chuter VH, 'Intra-tester and inter-tester reliability of post-occlusive reactive hyperaemia measurement at the hallux.', Microvascular Research, 99 67-71 (2015) [C1]
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2015 |
Tehan PE, Chuter VH, 'Vascular assessment techniques of podiatrists in Australia and New Zealand: a web-based survey', Journal of Foot and Ankle Research, 8 (2015) [C1]
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2015 |
Tehan PE, Chuter VH, 'Use of hand-held Doppler examination by podiatrists: a reliability study', Journal of Foot and Ankle Research, 8 (2015) [C1]
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2014 |
Sonter J, Ho A, Chuter VH, 'The predictive capacity of toe blood pressure and the toe brachial index for foot wound healing and amputation: A systematic review and meta-analysis', Wound Practice & Research, 22 208-220 (2014) [C1] |
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2014 |
Sonter J, Sadler S, Chuter V, Kumagai S, Amano T, Takashima H, et al., 'Impact of cigarette smoking on coronary plaque composition', Coronary Artery Disease, (2014)
OBJECTIVES: Cigarette smoking is associated with atherosclerosis and is an important risk factor for cardiovascular disease. We evaluated the impact of cigarette smoking on corona... [more]
OBJECTIVES: Cigarette smoking is associated with atherosclerosis and is an important risk factor for cardiovascular disease. We evaluated the impact of cigarette smoking on coronary plaque composition using integrated backscatter intravascular ultrasound (IB-IVUS). METHODS: A total of 143 consecutive patients undergoing percutaneous coronary intervention were enrolled. A history of illness, as well as smoking habits, was obtained by interview. Participants were asked to report whether they were current smokers, had quit smoking, or had never smoked. According to interview results, patients were divided into the following three groups: current, former, and never smokers. Conventional and IB-IVUS tissue characterization analyses were carried out. Three-dimensional analyses were carried out to determine plaque volume and the volume of each plaque component (lipid, fibrous, and calcified). RESULTS: IB-IVUS analysis indicated that the patients in the current smoker group had significantly increased percent lipid volume and significantly decreased percent fibrous volume (P=0.01 and 0.03). Logistic regression analysis showed that the current smoking state (odds ratio 3.51, 95% confidence interval 1.02-12.10, P=0.04) was independently associated with the presence of lipid-rich plaques, which was defined as the upper 75th percentile of the study population. CONCLUSION: Smoking is independently associated with lipid-rich plaques, contributing to the increasing risk for plaque vulnerability.
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2014 |
Barwick AL, de Jonge XAKJ, Tessier JW, Ho A, Chuter VH, 'The effect of diabetic neuropathy on foot bones: a systematic review and meta-analysis', DIABETIC MEDICINE, 31 136-147 (2014) [C1]
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2014 |
Sadler S, Chuter V, Hawke F, 'A systematic review of the effect of pre-test rest duration on toe and ankle systolic blood pressure measurements.', BMC Research Notes, 7 1-4 (2014) [C1]
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2014 |
Chuter V, Spink M, Searle A, Ho A, 'The effectiveness of shoe insoles for the prevention and treatment of low back pain: A systematic review and meta-analysis of randomised controlled trials', BMC Musculoskeletal Disorders, 15 1-8 (2014) [C1]
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2013 |
Hawke F, Chuter V, Burns J, 'Factors associated with night-time calf muscle cramps: A casecontrol study', MUSCLE & NERVE, 47 339-343 (2013) [C1]
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2013 |
Hawke F, Chuter V, Burns J, 'Impact of nocturnal calf cramping on quality of sleep and health-related quality of life', Quality of Life Research, 22 1281-1286 (2013) [C1]
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2013 |
Johnson N, Chuter V, Rooney K, 'Conception of learning and clinical skill acquisition in undergraduate exercise science students: a pilot study', ADVANCES IN PHYSIOLOGY EDUCATION, 37 108-111 (2013) [C1]
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2013 |
Chuter VH, Casey SL, 'Effect of Premeasurement Rest Time on Systolic Ankle Pressure', JOURNAL OF THE AMERICAN HEART ASSOCIATION, 2 (2013) [C1]
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2012 |
Janse De Jonge XA, Thompson MW, Chuter VH, Silk L, Thom JM, 'Exercise performance over the menstrual cycle in temperate and hot, humid conditions', Medicine and Science in Sports and Exercise, 44 2190-2198 (2012) [C1]
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2012 |
Barwick AL, Smith JM, Chuter VH, 'The relationship between foot motion and lumbopelvic-hip function: A review of the literature', Foot, 22 224-231 (2012) [C1]
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2012 |
Chuter VH, Janse De Jonge XA, 'Proximal and distal contributions to lower extremity injury: A review of the literature', Gait & Posture, 36 7-15 (2012) [C1]
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2012 |
Hawke FE, Chuter VH, Walter KEL, Burns J, 'Non-drug therapies for lower limb muscle cramps', Cochrane Database of Systematic Reviews, 2012 CD008496 (2012) [C1]
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2012 |
Hawke FE, Chuter VH, Burns J, 'Unknotting night-time muscle cramp: A survey of patient experience, help-seeking behaviour and perceived treatment effectiveness', Journal of Foot and Ankle Research, 5 1-8 (2012) [C1]
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2011 |
Hawke F, Walter K, Chuter V, Burns J, 'Treating lower limb muscle cramps: a Cochrane systematic review', Journal of Foot and Ankle Research, 4 (2011)
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2010 |
Chuter VH, 'Relationships between foot type and dynamic rearfoot frontal plane motion', JOURNAL OF FOOT AND ANKLE RESEARCH, 3 (2010) [C1]
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2010 |
Chuter V, 'Gait Analysis: Normal and Pathological Function, 2nd edition', PHYSICAL THERAPY REVIEWS, 15 129-130 (2010) |
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2003 |
Chuter V, Payne C, Miller K, 'Variability of neutral-position casting of the foot.', Journal of the American Podiatric Medical Association, 93 1-5 (2003) [C1] |
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2003 |
Chuter V, Payne C, Miller K, 'Variability of neutral-position casting of the foot', Journal of the American Podiatric Medical Association, 93 1-5 (2003)
Neutral-position casting of the foot is used for the manufacture of functional foot orthoses, and an accurate cast is widely assumed to be a prerequisite for a good orthotic devic... [more]
Neutral-position casting of the foot is used for the manufacture of functional foot orthoses, and an accurate cast is widely assumed to be a prerequisite for a good orthotic device. The primary aim of this study was to determine the variability of casting between inexperienced and experienced clinicians and the variability of one experienced clinician taking multiple casts. Ten inexperienced and ten experienced clinicians took a cast of the right foot of a single subject, and a single experienced clinician took ten casts of the same foot. The frontal plane forefoot-to-rearfoot relationship of each cast was determined, and no difference was found in the mean and variances among the three groups. The range of the forefoot-to-rearfoot relationship across all groups was from 10.0° everted to 6.5° inverted, indicating that there is a wide range in neutral-position casting of the foot. As outcome studies have reported the successful outcomes of functional foot orthoses, this wide variability may not necessarily be a problem.
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2002 |
Payne C, Chuter V, Miller K, 'Sensitivity and specificity of the functional hallux limitus test to predict foot function', American Podiatric Medical Association, 92 269-271 (2002) [C1]
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2001 |
Chuter V, Payne C, 'Limited joint mobility and plantar fascia function in Charcots neuroarthropathy', Diabetic Medicine, 18 558-561 (2001) [C1]
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2001 |
Payne C, Chuter V, 'The clash between theory and science on the kinematic effectiveness of foot orthoses', Clinics in Podiatric Medicine and Surgery, 18 705-713 (2001) [C1]
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2001 |
Payne C, Chuter V, Oates M, Miller K, 'Introductory evaluation of a weight bearing neutral position casting device.', Australasian Journal of Podiatric Medicine, 35 65-76 (2001) [C1] |
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2000 |
Chuter VH, 'What causes Charcot's neuroarthropathy?', Australasian Journal of Podiatric Medicine, 47-53 (2000) |
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