We performed a study in three professional groups of foot care specialists from which the results also showed a large intra- and interclinician variation regarding foot examination as found in the Manchester study: well done!! The concerned articles are currently submitted and will soon be published: ‘
Testing the proficiency of foot therapists to identify locations with relatively elevated plantar pressures’ and ‘
comparison of foot orthoses made by podiatrists, pedorthists and orthotists regarding plantar pressure reduction’.
A better understanding of and consensus about the mechanisms underpinning foot examination and foot orthoses therapy is needed in order to improve the clinical process of foot care. This must lead to unambiguous guidelines that enable improved education and consequently less variation between therapists.
Cheers
Nick Guldemond, researcher
Dept. Orthopaedic Surgery
University Hospital Maastricht
P.O. Box 5800
6202 AZ Maastricht
The Netherlands
Phone: +31 (0)43 3875031
Fax: +31 (0)43 3874893
ngu@orthop.unimaas.nl
Interclinician variation in diabetes foot assessment- a national lottery?
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