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Live Updates from the Australasian Podiatry Conference

Discussion in 'General Issues and Discussion Forum' started by admin, Apr 25, 2011.

  1. admin

    admin Administrator Staff Member


    Members do not see these Ads. Sign Up.
    2011 Australasian Podiatry Conference

    [​IMG]

    The conference starts this afternoon.
     
  2. Craig Payne

    Craig Payne Moderator

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    900 delegates. That a record. It's over 1/4 of the profession!!!!
     
  3. Craig Payne

    Craig Payne Moderator

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    Irene started off first presenting off by presenting arguments that we were not meant to run on heels and should be running forefoot (or barefoot).

    I will look forward to beer with her tonight. Big picture, she did present a compelling argument, but small picture, you could poke a hole in some of the little arguments that were used to paint the big picture (if that makes any sense)
     
  4. Be Grand if you could get Irene to come back on a discuss this and some other leg stiffness (kleg) with us.
     
  5. Cameron

    Cameron Well-Known Member

    netizens

    I am sure you will have fun.

    According to Human Walking by Inman, Ralston and Todd – normal gait would start with heel strike but that pattern changes with middle distance running when heel strike is obviated. Davis and co. may be comparing middle distance runners with joggers in which case that would be two completely different models. Joggers and particularly slow joggers may need the protection cushioned shoes provide, whereas those running closer to middle distance speeds, might well benefit from heel less sports shoes. More research is required.

    What say you?
    toeslayer
     
  6. markleigh

    markleigh Active Member

    I would love to hear updates when able Craig.
     
  7. APC2011

    APC2011 Member

    From ABC news

    Expert recommends running bare
    Tuesday, 26 April 2011 Carl Holm
    ABC

    Barefoot running can be beneficial and heavily cushioned running shoes may be leaving the pavement pounders prone to injury, argues a US sports medicine expert.

    Dr Irene Davis of Harvard University reported her latest findings in a keynote address at the 2011 Australasian Podiatry Conference in Melbourne today.

    http://www.abc.net.au/science/articles/2011/04/26/3200612.htm#artBookmarks
     
  8. Craig Payne

    Craig Payne Moderator

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    Finally had time to chew things over with Irene (see the photo below from the bar....Irene ... blame Simon for the quality of the photo!)

    Here is the abstract from Irene's presentation:
    I do not necessarily disagree with anything. I think there is a shift happening in our understanding of running injuries. Anyone following the barefoot threads we had here will know about that.
    We discussed a number of the issues that came up in the Barefoot Running Debate, especially the stuff on the misuse and misrepresentation of the barefoot running research that I always going on about and she did not disagree with the comments.

    Either way, it was the topic of conversation of the in the trade exhibit area after the presentations.
     

    Attached Files:

  9. admin

    admin Administrator Staff Member

  10. Craig Payne

    Craig Payne Moderator

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    The first afternoon session the 3 keynote speakers (Irene, Trevor Prior and Edward Roddy) - Irene having such a topic as barefoot running did take some of the thunder, and Irene did get all the questions on the panel (except Trevor got 1!).

    Dr Edward Roddy's presentation was excellenbt and well recived. Here is his abstract:
     
  11. Craig Payne

    Craig Payne Moderator

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  12. Craig Payne

    Craig Payne Moderator

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    Irene on Barefoot Running:

     
    Last edited by a moderator: Sep 22, 2016
  13. Griff

    Griff Moderator

    Craig,

    Thanks for these updates - great for an insomniac like me. Keep em coming.

    Also can you do me a big favour please? Can you ask Irene when she is coming to speak in the UK next.

    Ian
     
  14. Craig Payne

    Craig Payne Moderator

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    The first presentation after the workshops:
    Podiatry Arena gout threads

    Lower temperature reduced urate solubility --> may be the reason foot affected more, but does not explain the reason for the first MPJ prevalence over other foot joints.

    Physical trauma --> shedding of crystals and lowering of pH --> crystal formation and deposition

    Relationship between cartilage damage and crystal deposits -- crystals deposition adjacent to cartilage degeneration --> association between OA and gout. Why? Hypotheses:
    -cartilage defect predisposes to development of gout
    -OA predisposes to crystal deposition
    -joint damage arises as a consequence of gout

    Why 1st MPJ:
    - is the something between OA and gout that explains the 1st mpj prevalence?

    Previous discussion: Reason for gout in more peripheral joints. Also: Latest on Gout
     
  15. It is interesting Irene can be so certain that the impact peak of heel strike running is such an injury producer when the prospective study done by Benno Nigg in 1997 found that there were 1) no siginficant diferences in the frequencies of running injuries between subjects with high, medium or low impact force peaks, and 2) the subjects with a higher loading rate had signficantly fewer running-related injuries when compared to subjects with a low loading rate (Nigg BM: Biomechanics of Sports Shoes. University of Calgary, Calgary, 2010. p. 32). In addition, Benno Nigg also talks in this same book about the many benefical health effects of impact forces on the human body such as increased bone mineral density and, in my opinion, in a fashion that is much more realistic and supportable with research than by making a blanket statement of saying that running with cushioned heel shoes is harmful for runners.

    By the way, if fish ran overground on their fins or birds ran overground with their wings with 2-3x body weight over asphalt and cement, we would see many more fin and wing injuries in these animals.:rolleyes:

    I love you Irene, but you are wrong on this one!
     
  16. Craig Payne

    Craig Payne Moderator

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    Shannon Munteanu presented next on a Development of a diagnostic rule for identifying radiographic osteoarthritis in people with first metatarsophalangeal joint pain: "Multivariate logistic regression identified pain duration greater than 25 months, the presence of a dorsal exostosis, hard-end feel, crepitus and less than 64 degrees of first MTPJ dorsiflexion to be significantly associated with radiographic OA."

    Followed by Gerard Zammitt: Intra-articular hyaluronan (Synvisc®, hylan G-F 20) for the treatment of first metatarsophalangeal joint osteoarthritis: a randomised, placebo controlled trial, concluding that: A single intra-articular injection of Synvisc®, hylan G-F 20 is no more effective than a single intra-articular injection of sterile saline (placebo) in reducing symptoms and improving function in people with symptomatic, radiographically confirmed first MTPJ OA.
     
  17. APC2011

    APC2011 Member

    From the ABC:

    Fast bowlers a 'shoe-in' for injuries
    By Carl Holm for ABC Science Online

    Posted 10 hours 10 minutes ago

    Cricket fast bowlers are particularly at risk of injury and the practice of creating their own custom footwear could be making things worse, a new study shows.

    A team from the University of South Australia will present their research on the biomechanical effects of three cricket shoes commonly used by fast bowlers to the Australasian Podiatry Conference today in Melbourne.

    Lead researcher, masters student Chris Bishop from the Sansom Institute for Health Research, says the huge forces that a fast bowler's legs and lower body are subjected to can create injury.

    "During bowling three different forces act at the front and back foot and the magnitude of these differ between the feet," he said.

    "The largest forces are the vertical forces which are attenuated directly up the leg and they can be anything from five to nine times the individual's body weight, so they really are quite large forces.

    "The braking forces can be in the vicinity of two to four times body weight."

    http://www.abc.net.au/news/stories/2011/04/27/3201288.htm?section=justin
     
  18. Craig Payne

    Craig Payne Moderator

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    Due to a parallel session, I missed a number of presentations, but here is a selection:

    Narelle Wyndow: Neuromotor control of the triceps surae during running in people with and without Achilles tendinopathy and the immediate effect of foot orthoses
    Simon Bartold: Acute effects of a shoe with enhanced plantar sensory feedback on midfoot kinematics whilst walking
    Hylton B Menz: Predictors and persistence of foot problems in older women: a six year prospective study
    Karl B Landorf: Effectiveness of scalpel debridement for painful plantar calluses in older people: a randomised trial
     
  19. Craig Payne

    Craig Payne Moderator

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    Martin J. Spink: Efficacy of a multifaceted podiatry intervention to improve balance and prevent falls in older people: a randomised trial
    Peter A Lazzarini: What are the major causes of lower limb amputations in a major Australian teaching hospital? The Queensland Diabetic Foot Innovation Project, 2006 – 2007
     
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Press Release:
    Women warned: weight gain can lead to foot problems
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    Press Release
    Menstrual cycle heightens injury risk
     
  22. Boots n all

    Boots n all Well-Known Member

    That is amazing, l remember hearing about this at one of the earlier bootcamps

    l wonder if this will change the way/timing of women playing sports
     
  23. Craig Payne

    Craig Payne Moderator

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    Snippets from the Thurs AM Wound Management Sessions:

    Nicoletta Frescos: Assessment and management of pain in chronic wounds: a national survey of Australian health care practitioners caring for people with chronic wounds
    Sylvia McAra: Glyceryl trinitrate therapy for ischaemia, painful diabetic neuropathy, healing of foot ulceration and other podiatric conditions: a literature review
     
  24. Craig Payne

    Craig Payne Moderator

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    Some of the usual suspects in the rouges gallery of the exhibition hall:

    Paul from Portal Education:

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    Jayne and Patrick from Tekscan:

    [​IMG]

    Alan from AK Surgical:

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    Brad and Mandy from Algeos:

    [​IMG]
     
  25. Craig Payne

    Craig Payne Moderator

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    Kellie from New Balance (the main conference sponsors)

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    Matt from Clarks:

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    Prue from Nike (someone needs to get all the Nike crew some coffee)

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    The view from my hotel window:

    [​IMG]
     
  26. Craig Payne

    Craig Payne Moderator

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    From the rheumatology session:

    Keith Rome: An evidence-based approach to the development and implementation of a podiatric rheumatology service within the New Zealand health sector
     
  27. Craig Payne

    Craig Payne Moderator

    Articles:
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    From the Hallux Valgus session:

    Edward Roddy Epidemiology and impact of hallux valgus: more than just bunions
    Karl Landorf: Radiographic correlates of hallux valgus severity in older people
    Simon E Smith: Chevron versus scarf osteotomy for 1-2 intermetatarsal reduction in the surgical treatment of hallux valgus: a systematic review and meta-analysis
    Sheree Nix: Is there a relationship between foot pain and severity of deformity in hallux valgus?
     
  28. admin

    admin Administrator Staff Member

    I am reliably informed that this press release has been picked up by:
     
  29. Craig Payne

    Craig Payne Moderator

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    Here is an interview with Trevor Prior from the conference:

     
    Last edited by a moderator: Sep 22, 2016
  30. Craig Payne

    Craig Payne Moderator

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    Congratulations to Alan Crawford for being inducted into the Hall of Fame
     
  31. Craig Payne

    Craig Payne Moderator

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    From the morning diabetes sessions:


    Byron Perrin: The relationship between cognitive and emotional representations of peripheral neuropathy and incident diabetes-related foot ulceration
    Peter A Lazzarini: Standardising practices improves ambulatory diabetic foot management and reduces amputations: the Queensland Diabetic Foot Innovation Project, 2006 – 2009
     
  32. Craig Payne

    Craig Payne Moderator

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    From the Foot surgery session:

    Rob Hermann: Improving the outcomes of foot and ankle surgery through the audit cycle: a case study
    Priten Solanki: Partial nail avulsion: habit or evidence based?
     
  33. Craig Payne

    Craig Payne Moderator

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    From the ankle and knee biomechanics session:

    Kay Crossley presented a good overview of the proximal issues in patellofemoral pain syndrome:
    Pazit Levingers presented Christian Barton's work: Kinematics associated with foot pronation in individuals with patellofemoral pain syndrome: a case-control study
    I did not think much of this one: :butcher: :dizzy: ;)
    Craig Payne: Lateral wedge shoe insoles for medial knee osteoarthritis: a 12-month randomised controlled trial
     
  34. Craig Payne

    Craig Payne Moderator

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    For those of you who did not enjoy the conference, these are the two people to blame:

    [​IMG]

    For the rest of us, thank you to Julia Firth (the conference chair) and Hylton Menz (the scientific chair) for a job well done!
     
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