Angela Evans

Angela Evans
La Trobe University · Department of Podiatry

PhD

About

107
Publications
40,504
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Introduction
Dr Angela Evans AM is an Adjunct SL at La Trobe University, and a Visiting Professor at University of Barcelona. The current projects include paediatric foot types, paediatric clubfoot in LMICs, evidence for clinical practice, healthcare and climate change.
Additional affiliations
February 2013 - present
January 2011 - December 2012
January 2004 - December 2012
University of South Australia

Publications

Publications (107)
Article
Background: Paediatric flat feet are a common presentation in primary care; reported prevalence approximates 15%. A minority of flat feet can hurt and limit gait. There is no optimal strategy, nor consensus, for using foot orthoses (FOs) to treat paediatric flat feet. Objectives: To assess the benefits and harms of foot orthoses for treating pae...
Article
Full-text available
Background: Paediatric flat feet are a common presentation in primary care; reported prevalence approximates 15%. A minority of flat feet can hurt and limit gait. There is no optimal strategy, nor consensus, for using foot orthoses (FOs) to treat paediatric flat feet. Objectives: To assess the benefits and harms of foot orthoses for treating pae...
Article
Full-text available
Background Healthcare aims to promote good health and yet demonstrably contributes to climate change, which is purported to be ‘ the biggest global health threat of the 21st century’ . This is happening now, with healthcare as an industry representing 4.4% of global carbon dioxide emissions. Main body Climate change promotes health deficits from m...
Article
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Background The eyes of the world will be on COP26 as it meets in Glasgow in November, 2021. Our planet is displaying weather extremes due to climate change which cannot be ignored, and which are deleterious for people’s health. Ironically, healthcare contributes to climate change, contributing approximately 5% of carbon emissions globally. Climate...
Article
Full-text available
The paediatric flatfoot has long occupied a place in the medical literature, with concerns about the significance of its appearance. At the end of the first decade of the 21st century, a paper in this journal provoked active debate about the paediatric flatfoot as part of development, and proposed a considered titration of presenting cases in effor...
Article
The paediatric flatfoot has long occupied a place in the medical literature, with concerns about the significance of its appearance. At the end of the first decade of the 21st century, a paper in this journal provoked active debate about the paediatric flatfoot as part of development, and proposed a considered titration of presenting cases in effor...
Article
Full-text available
Introduction: Drop-out before treatment completion is a vexing problem for all clubfoot clinics. We and others have previously identified better engagement with parents as a crucial method of ameliorating incomplete clubfoot treatment, which increases deformity relapse. Materials and methods: The novel use of community facilitators enabled an audit...
Article
Full-text available
The current coronavirus pandemic has necessitated rapid and substantial changes to clinical practice in all areas of healthcare to protect patients, healthcare professionals, and administrative staff. Whilst telehealth per se, is not new, it is new for podiatry. Consulting online is still consulting, and it is important that in the flurry to connec...
Article
Objectives: To compare the efficacy of in-shoe heel lifts to calf muscle eccentric exercise in reducing pain and improving function in mid-portion Achilles tendinopathy. Methods: This was a parallel-group randomised superiority trial at a single centre (La Trobe University Health Sciences Clinic, Discipline of Podiatry, Melbourne, Victoria, Aust...
Conference Paper
Objectives Paediatric flatfoot is a common presentation with prevalence estimates of 15%. Some flatfeet can result in pain and altered gait. No optimal strategy, nor consensus, for non-surgical management of paediatric flat feet has been identified. The efficacy of common practice in interventions for paediatric flatfeet require objective evaluatio...
Article
Full-text available
Background Mid-portion Achilles tendinopathy is a common musculoskeletal condition characterised by degeneration of the Achilles tendon, which causes pain and disability. Multiple non-surgical treatments have been advocated for this condition including calf muscle eccentric exercise and in-shoe heel lifts. Although adherence is challenging, there i...
Article
Purpose: To determine the feasibility of conducting a definitive randomised trial to evaluate the efficacy of custom-fitted footwear for increasing physical activity in children and adolescents with Down syndrome. Methods: Assessor-blinded, parallel-group randomised pilot study. Thirty-three children and adolescents with Down syndrome were randomly...
Article
Full-text available
The purpose of this study was to analyze spatiotemporal parameters of gait in children using varyingly loaded Backpacks(BP). This cross-sectional study examined 231 schoolchildren (118 boys, 113 girls) aged six to 12 years, carrying a traditional BP to manipulate loading (Crossing Backpack Children Arpenaz 7 Litres, Junior Red Quechua). Load was ad...
Article
Aim: Footprints have long been used as proxy measures of foot morphology, yet there is little consensus regarding footprints versus measures of foot posture, which address foot anatomy directly. Foot posture in children can be a confusing clinical presentation, with previous studies both supporting and refuting the relationship between childhood o...
Article
Full-text available
Objectives The foot posture index (FPI) is an observational tool designed to measure the position of the foot. The objective of this study was to establish international reference data for foot posture across childhood, and influence of body mass index (BMI) on paediatric foot posture. Design Cross-sectional study. Setting and participants The da...
Article
Background: Heel lifts, placed inside footwear are recommended for the management of numerous musculoskeletal conditions. Despite the potential therapeutic benefit of heel lifts, the mechanism(s) by which they exert their effects is unclear. The aim of this systematic review was to synthesise reported findings and summarise the effects of heel lif...
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Full-text available
Background Bariatric surgery candidates have a high prevalence of foot pain, depression and elevated plantar pressures. There is, however, limited research into how these factors interact pre- and post-surgery. The aims of this study were therefore to investigate the mechanical and non-mechanical factors associated with foot pain severity before, a...
Article
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Background: Obesity and musculoskeletal pain are strongly related, but there is emerging evidence that body fat, not body weight, may be a better indicator of risk. There is, therefore, a need to determine if body fat is associated with musculoskeletal pain as it may improve management strategies. The aim of this systematic review was to investiga...
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Paediatric leg pains, long described as ‘growing pains’, frequently present to clinicians, are prevalent in early childhood, disrupt sleep, and distress affected children and parents. There are many cited associations, but no defined leg pain sub-types, nor revealed predictive factors. We explored the implicated factors (viz. foot arches, foot stre...
Article
Background: Foot pain is a common manifestation of obesity. Objective: To determine if bariatric surgery is associated with a reduction in foot pain and if body mass index (BMI) or body composition predict a change in foot pain. Setting: University hospital. Methods: Participants with foot pain awaiting bariatric surgery were recruited for t...
Article
Background: The paediatric flatfoot is a common presentation but it is unclear whether the condition will resolve on its own as the child gets older or whether treatment is required. Therefore, the study objective was to evaluate paediatric foot posture, and anthropometry, in children at two time points, three years apart. Material and methods:...
Article
Full-text available
Background: Every year in Bangladesh an estimated 3500-4000 children are born with a clubfoot deformity, which is approximately one of every 1000 children born in Bangladesh. Left untreated, the condition leads to lifelong deformity causing individual disability and potential unproductivity. Affected children grow up as burden to the family and ult...
Article
Full-text available
Background The management of congenital talipes equino varus (clubfoot deformity) has been transformed in the last 20 years as surgical correction has been replaced by the non-surgical Ponseti method. The Ponseti method, consists of corrective serial casting followed by maintenance bracing, and has been repeatedly demonstrated to give best results...
Article
Full-text available
Body composition and poor mental health are risk factors for developing foot pain, but the role of different fat deposits and psychological features related to chronic pain are not well understood. The aim of this study was to investigate the association between body composition, psychological health and foot pain. Eighty-eight women participated i...
Article
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Background The complex relationship between foot posture, flexibility, body mass and age in children is not well understood. The objectives of this post hoc analysis were to explore the relationships between foot posture, flexibility, body mass in children aged seven to 15 years. Methods Thirty healthy, asymptomatic children (20 girls, 10 boys) ag...
Article
Full-text available
Background Congenital clubfoot deformity can cause significant disability, and if left untreated, may further impoverish those in developing countries, like Bangladesh. The Ponseti method has been strategically introduced in Bangladesh by a non-government organisation, Walk For Life (WFL). WFL has provided free treatment for over 17,500 Bangladeshi...
Article
Background Foot problems may limit physical activity in children with Down syndrome. This prospective cohort study investigated the association of foot posture, deformity, and footwear fit with activity. Method Foot posture of 50 children with Down syndrome (22 girls, 28 boys; M age = 10.5 years) was assessed using the arch index and deformities we...
Chapter
Foot care is frequently overlooked in people with intellectual and developmental disability (IDD), who may not be able to look after their own feet. Associated communication difficulties may also render people with IDD unable to communicate foot pain. Cerebral palsy is associated with limited mobility, foot and ankle deformity, muscular spasticity,...
Article
Full-text available
Several studies have found positive correlation between flatfeet and increased body mass in children. One study, utilizing a differing method of foot posture assessment, found the inverse. The purpose of this study was to further explore the relationship between children's foot posture and body mass, utilizing the foot posture index in a large stud...
Article
To determine if fat mass index (FMI) or fat-free mass index (FFMI) and serum adipokines, tumor necrosis factor α (TNF-α) and interleukin-6 (IL-6) are (1) associated with prevalent (Stage 2) foot pain, and (2) are predictive of future (Stage 3) foot pain. A subset of participants aged ≥50 years (n=1462) from The North West Adelaide Health Study were...
Article
See full text here: http://www.jfootankleres.com/series/paediatric_foot
Article
Full-text available
Foot deformity, flat feet, and the use of ill-fitting footwear are common in children and adolescents with Down syndrome (DS). The aim of this study was to determine whether these observations are associated with foot-specific disability in this group. A cross-sectional study design. Foot structure (foot posture determined using the Arch Index, pre...
Article
Background: Congenital clubfoot deformity can cause significant disability, and if left untreated, may further impoverish those in developing countries, like Bangladesh. The Ponseti method has been strategically introduced in Bangladesh by a nongovernment organization, Walk For Life (WFL). WFL has provided free treatment for over 8000 Bangladeshi...
Article
Full-text available
'Walk for Life' (WFL) is the sustainable clubfoot program in Bangladesh, where there are many challenges in implementing the Ponseti technique in a poor and highly populated country. The relapsing tendency of congenital clubfoot deformity means that initial results may well differ from those of the medium and longer term. Over 10000 children with16...
Article
: Bangladesh is one of the most populous countries in the world at 160 million with 1/3 existing below the poverty line. With an annual birth rate of approximately 3.2 million, an estimated incidence of 1:900 live births, the country has approximately 5000 new cases of idiopathic congenital talipes equinovarus per annum. The Bangladesh sustainable...
Article
Full-text available
Background The prevailing opinion is that heavier children have flatter feet, a consistent finding of the studies that have addressed this issue. Recently, we queried this observation and postulated that the method of foot posture assessment may influence this finding, as there was no positive relationship between the BMI and FPI-6 scores of 140 sc...
Article
Full-text available
: The pediatric flat foot frequently presents as a common parental concern in the health care setting. Foot orthoses are often used, yet benefits are uncertain and disputed, having been variably investigated. A recent Cochrane review cites limited evidence for nonsurgical interventions. This critical and structured review evaluates the effect of pe...
Article
Full-text available
Podiatry screening of children is a common practice, which occurs largely without adequate data to support the need for such activity. Such programs may be either formalised, or more ad hoc in nature, depending upon the use of guidelines or existing models. Although often not used, the well-established criteria for assessing the merits of screening...
Article
Diabetes-related foot problems are largely preventable with appropriate medical assessment, patient education and ongoing monitoring. However, many patients with diabetes present with foot ulcers that require emergency attention, as in the case described here.
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Outcome measures are important when evaluating treatments and physiological progress in paediatric populations. Reliable, relevant measures of foot posture are important for such assessments to be accurate over time. The aim of the study was to assess the intra- and inter-rater reliability of common outcome measures for paediatric foot conditions....
Article
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Background: The paediatric flat foot is a common concern and has long been regarded as a problem, and feared to be potentially disabling. Definition of what exactly constitutes a flat foot remains surprisingly debatable, given its common presentation. Estimates of flat foot prevalence in children have been influenced by the varied the methods of a...
Article
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The Special Olympics IX National Games were held in Adelaide, South Australia in April 2010. Podiatrists and podiatry students were invited to participate in the healthy athletes program to assess the feet of athletes with intellectual disability. The World Health Organisation has found that people with an intellectual disability form the largest d...
Article
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Background Restless legs syndrome (RLS) in children is commonly reported, yet frequently undiagnosed. RLS can cause significant sleep disturbance and its associated deficits may have cardiovascular and neurocognitive consequences. Growing pains (GP) is often confused or synonymous with RLS, yet has been better researched and can be identified by pa...
Article
Full-text available
Many studies have found a positive relationship between increased body weight and flat foot posture in children. From a study population of 140 children aged seven to 10 years, a sample of 31 children with flat feet was identified by screening with the FPI-6. Basic anthropometric measures were compared between subjects with and without flat feet as...
Article
Full-text available
The pediatric flat foot is a frequent presentation in clinical practice, a common concern to parents and continues to be debated within professional ranks. As an entity, it is confused by varied classifications, the notion of well-intended prevention and unsubstantiated, if common, treatment. The available prevalence estimates are all limited by va...
Article
Full-text available
To evaluate the short-term results of the non-surgical Ponseti method training programs run in Ho Chinh Minh City, Vietnam. A questionnaire was developed and distributed to the 57 trainees who had completed one of the 3-day training courses. Of the 57 questionnaires distributed, 36 (63%) were completed and returned for evaluation. Most responders w...
Article
Paediatric pes planus ('flat feet') is a common childhood condition with a reported prevalence of 14%. Flat feet can result in pain and altered gait. No optimal strategy for non-surgical management of paediatric flat feet has been identified. To assess the effectiveness of non-surgical interventions for treatment of paediatric pes planus (flat feet...
Book
Pocket Podiatry gives you all the essentials of examination and diagnosis in a convenient, user-friendly format. With the emphasis on practical, step-by-step guidance, this handy volume includes helpful diagrams, full colour photographs, tables, tips and summary boxes to give you quick access to key information with the minimum of fuss. With its c...
Article
Full-text available
Concern about a child's flat foot posture is a common reason for frequent clinical consultations for an array of health care and medical professionals. The recently developed paediatric flatfoot clinical-care pathway (FFP) has provided an evidence based approach to diagnosis and management. The intra and inter-rater/measurer reliability of the FFP...
Article
Full-text available
The Feet for Walking clubfoot project from Australia formally introduced the Ponseti technique in Vietnam in 2004 and is based at the Da Nang Orthopedic and Rehabilitation Centre in central Vietnam. We provide an initial overview of the management of infant clubfoot deformity using the nonsurgical Ponseti method. Early indicators of the outcome of...
Article
This article on risk factors for foot problems in people with diabetes reviews the more intensive foot care and special footwear that is often necessary in patients who have odd-shaped feet because they have worn ill-fitting shoes, have complications of their diabetes, or have flat feet or high arches.
Article
This third article on risk factors for foot problems in people with diabetes discusses the common clinical problems associated with peripheral vascular disease.
Article
This second article on risk factors for foot problems in people with diabetes discusses the various aspects of peripheral neuropathy and provides guidelines for patients on caring for feet with nerve damage.
Article
Background: This article addresses the treatment of pediatric flatfoot with foot orthoses and explores the existing knowledge from an evidence-based perspective. Methods: Studies investigating the use of foot orthoses for pediatric flatfoot were reviewed and ranked on the evidence hierarchy model according to research designs. Clinical guidelines a...
Article
Full-text available
Leg pain in children, described as growing pains, is a frequent clinical presentation seen by an array of health care professionals. Described since 1823, growing pains continues to puzzle practitioners, yet diagnostic criteria and evidence based treatment is available. The medical literature has been searched exhaustively to access all articles (E...
Article
The aim of the present paper was to investigate and compare findings of foot posture and functional health between groups of children aged 4-6 years with and without leg pain (described as "growing pains"). The null hypothesis: that there is no difference in measures of either foot posture or functional health between groups of children with and wi...
Article
This article addresses the treatment of pediatric flatfoot with foot orthoses and explores the existing knowledge from an evidence-based perspective. Studies investigating the use of foot orthoses for pediatric flatfoot were reviewed and ranked on the evidence hierarchy model according to research designs. Clinical guidelines and efficacy rating me...
Article
Background: Growing pains is a common yet misunderstood condition which presents frequently to health professionals and appears to be significantly under reported. Little is known about the profile of affected versus unaffected children. Method: This research used a validated questionnaire (USAGPQ) for parents of children aged four to six years to...
Article
Measurement of ankle dorsiflexion is a routine part of the podiatric examination of children, yet the reliability of this measure is largely unknown in healthy individuals. This study assessed the intrarater and interrater reliability of the first and second resistance levels of sagittal ankle range of motion in 4- to 6-year-old children. The resul...