Hylton Menz

Hylton Menz
La Trobe University · Discipline of Podiatry

BPod(Hons), PhD, DSc FAHMS

About

565
Publications
247,383
Reads
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23,847
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Introduction
I am a podiatrist who graduated with first class Honours and the University Medal from La Trobe University in 1993, and completed my PhD focusing on gait patterns, balance and falls at the University of NSW in 2002. I'm currently a National Health and Medical Research Council of Australia Fellow researching human movement, rehabilitation and rheumatology, with a particular focus on musculoskeletal foot problems in older people. Please direct requests to my personal email rather than here.

Publications

Publications (565)
Article
Full-text available
Background Hallux valgus is a common and disabling condition. This randomised pilot and feasibility trial aims to determine the feasibility of conducting a fully-powered parallel group randomised trial to evaluate the effectiveness of a multifaceted non-surgical intervention for reducing pain associated with hallux valgus. Methods Twenty-eight com...
Article
Full-text available
This study aimed to compare health-related quality of life (HRQoL) in people with and without plantar heel pain (PHP). This was a cross-sectional observational study that compared 50 adult participants with PHP to 25 participants without PHP who were matched for age, sex and body mass index (BMI). HRQoL measures included a generic measure, the Shor...
Article
Full-text available
Introduction The aim of this randomised feasibility trial is to determine the feasibility of conducting an adequately powered randomised controlled trial (RCT) investigating the efficacy of prefabricated contoured foot orthoses in people with hip osteoarthritis (OA). The secondary aims of the trial are to compare the effect of prefabricated contour...
Article
Full-text available
Background Ankle osteoarthritis (OA) is a debilitating health condition that is increasing in prevalence. Currently, there are no evidence-based guidelines for managing ankle OA. One of the current challenges to establishing guidelines is the lack of a widely agreed-upon set of outcome measures that are consistently used in ankle OA research. Witho...
Article
Full-text available
Background Foot disorders may limit independence and reduce quality of life for older adults. Obesity is a risk factor for foot conditions; both mechanical load and metabolic effects may contribute to these conditions. This study determined cross-sectional associations between inflammatory markers and foot disorders. Methods Participants were draw...
Article
Full-text available
Objectives To explore children’s foot, ankle and leg consultation patterns and management practices in Australian primary care. Design Cross-sectional, retrospective study. Setting Australia Bettering the Evaluation and Care of Health program dataset. Participants Data were extracted for general practitioners (GPs) and patients < 18 years from A...
Article
Background: Activity and footwear may be associated with plantar heel pain (PHP), however both factors have rarely been investigated. The aim of this study was to investigate activity and footwear characteristics in PHP while controlling for important confounders. Method: This cross-sectional observational study compared 50 participants with PHP...
Article
Full-text available
Background Patellofemoral pain (PFP) affects one-quarter of adolescents, yet there are few evidence-informed recommendations to treat PFP in this population. HAPPi Kneecaps! is a randomised, controlled, participant- and assessor-blind, parallel-group feasibility trial of shoe inserts for adolescents with PFP. The aim of this qualitative study was t...
Preprint
Full-text available
Background Hallux valgus is a common and disabling condition. This randomised pilot and feasibility trial aims to determine the feasibility of conducting a fully-powered parallel group randomised trial to evaluate the effectiveness of a multifaceted non-surgical intervention for reducing pain associated with hallux valgus. Methods Twenty-eight comm...
Preprint
Background Ankle osteoarthritis (OA) is a debilitating health condition that is increasing in prevalence. Currently, there are no evidence-based guidelines for managing ankle OA. One of the current challenges to establishing guidelines is the lack of a widely agreed-upon set of outcome measures that are consistently used in ankle OA research. Witho...
Chapter
This chapter provides an overview of the epidemiology and management of common foot problems in older people and updates recently published reviews on this topic. Foot problems have a significant detrimental impact on mobility and health status in older people and a sizeable subsequent burden on the healthcare system. The management of foot problem...
Article
Objectives To compare contoured foot orthoses to sham flat insoles for first MTP joint OA walking pain. Design This was a participant- and assessor-blinded, sham-controlled, multi-centre randomized clinical trial set in community-based private practices. Eighty-eight adults aged >45 years with symptomatic radiographic first MTP joint OA were rando...
Article
The high prevalence and significant burden of osteoarthritis (OA) is well known. But it is becoming apparent that OA research efforts do not necessarily match disease prevalence or disability. The International Foot and Ankle Osteoarthritis Consortium is a new international organization that seeks to highlight a major and overlooked problem in OA r...
Preprint
Background: Foot ankle, and leg problems are highly prevalent in the general population. The objective of this study was to explore consultation patterns, management practices and costs of foot, ankle, and leg problems in Australian primary care. Methods: We analysed encounter data from the Bettering the Evaluation and Care of Health program, April...
Article
Full-text available
Introduction: Access to healthcare services should be equitable no matter where you live. However, the podiatry needs of rural populations are poorly addressed, partly because of workforce maldistribution. Encouraging emerging podiatrists to work in rural areas is a key solution. The aims were to explore (1) recently graduated podiatrists' percept...
Article
Objective To summarise the available evidence relating to the diagnosis, epidemiology, burden, outcome assessment and treatment of foot and ankle osteoarthritis (OA) and to develop an agenda to guide future research. Method Members of the International Foot and Ankle Osteoarthritis Consortium compiled a narrative summary of the literature which fo...
Article
Objective Patellofemoral joint (PFJ) pathology is prevalent and associated with significant morbidity. Although protocols for PFJ radiograph acquisition exist, standardized methods to acquire radiographs of the PFJ have yet to be universally adopted, resulting in variances in patient positioning, weight-bearing status, knee flexion angle, and beam...
Preprint
Full-text available
Background Patellofemoral pain (PFP) affects one-quarter of adolescents, yet there are few evidence-informed recommendations to treat PFP in this population. HAPPi Kneecaps! is a randomised, controlled, participant- and assessor-blind, parallel-group feasibility trial of shoe inserts for adolescents with PFP. The aim of this qualitative study was t...
Article
Background Hallux valgus (HV) is a common condition causing substantial morbidity. Radiographic assessment is the gold standard for grading severity but is not always feasible in clinical/research settings. HV line-drawings, consisting of five drawings for each foot depicting a sequential increase in HV angle of 15°, have been clinically validated...
Article
Full-text available
Background On the 19th of January, 2020, the Chief Medical Officer of Australia issued a statement about a novel coronavirus, or SARS-CoV-2. Since this date, there have been variable jurisdictional responses, including lockdowns, and restrictions on podiatry practice. This study aimed to describe impacts of the SARS-CoV-2 pandemic on the podiatry p...
Article
Full-text available
Objective To provide a narrative synthesis of the research literature pertaining to footwear comfort, including definitions, measurement scales, footwear design features, and physiological and psychological factors. Methods A systematic search was conducted which yielded 101 manuscripts. The most relevant manuscripts were selected based on the pre...
Article
Full-text available
Background Patellofemoral pain (PFP) affects one-third of adolescents and can persist into adulthood, negatively impacting health and quality of life. Foot orthoses are a recommended treatment for adults with PFP, but have not been evaluated in adolescents. The primary objective was to determine the feasibility of conducting a full-scale randomised...
Article
Objectives To identify distinct foot pain trajectories over seven years and examine their associations with potential prognostic factors. Methods Adults aged ≥50 years registered with four general practices in North Staffordshire, UK were mailed a baseline health survey. Those reporting current or recent foot pain were invited to attend a research...
Chapter
This third edition of a trusted resource brings together the latest literature across multiple fields to facilitate the understanding and prevention of falls in older adults. Thoroughly revised by a multidisciplinary team of authors, it features a new three-part structure covering epidemiology and risk factors for falls, strategies for prevention a...
Chapter
This third edition of a trusted resource brings together the latest literature across multiple fields to facilitate the understanding and prevention of falls in older adults. Thoroughly revised by a multidisciplinary team of authors, it features a new three-part structure covering epidemiology and risk factors for falls, strategies for prevention a...
Chapter
This third edition of a trusted resource brings together the latest literature across multiple fields to facilitate the understanding and prevention of falls in older adults. Thoroughly revised by a multidisciplinary team of authors, it features a new three-part structure covering epidemiology and risk factors for falls, strategies for prevention a...
Chapter
This third edition of a trusted resource brings together the latest literature across multiple fields to facilitate the understanding and prevention of falls in older adults. Thoroughly revised by a multidisciplinary team of authors, it features a new three-part structure covering epidemiology and risk factors for falls, strategies for prevention a...
Article
Objectives The objectives of this study were to examine the treatment preferences and use of diagnostic imaging by Australian allied health professionals in the management of midportion Achilles tendinopathy. Design Cross-sectional survey of Australian allied health professionals. Methods An online survey was distributed to registered Australian...
Article
Full-text available
Introduction Achilles tendinopathy (AT) is a common and disabling musculoskeletal condition. First-line management involving Achilles tendon loading exercise with, or without, other modalities may not resolve the problem in up to 44% of cases. Many people receive injections. Yet there are no injection treatments with demonstrated long-term efficacy...
Preprint
Full-text available
Background: Patellofemoral pain (PFP) affects one-third of adolescents and can persist into adulthood, negatively impacting health and quality of life. Foot orthoses are a recommended treatment for adults with PFP, but have not been evaluated in adolescents. The primary objective was to determine the feasibility of conducting a full-scale randomise...
Article
Introduction: The maldistribution of health care workers between metropolitan, rural or remote areas is globally recognised. Allied health professional's workplace location choice is a complex interplay between professional and non-professional elements. Policy-makers should understand factors that influence workplace location choices when designi...
Article
Introduction/objectivesFirst metatarsophalangeal joint (MTP) joint osteoarthritis (OA) is prevalent, although the pathology of this condition is poorly understood. This study aimed to determine if there were differences in magnetic resonance imaging (MRI) characteristics of the first MTP joint between individuals with and without first MTP joint OA...
Article
Objective: Hallux valgus is a common and disabling condition. The objective of this study was to identify factors associated with hallux valgus incidence and progression. Methods: Participants were from a population-based prospective cohort study, the Clinical Assessment Study of the Foot. All adults aged ≥50 years registered with four general p...
Article
Abstract Background: The foot and ankle complex undergoes significant structural and functional changes with advancing age. Research question: The objective of this systematic review and meta-analysis was to synthesize and critique the research literature pertaining to foot and ankle biomechanics while walking in young and older adults. Methods:...
Article
Background Falls affect approximately one in three older people, and foot problems are amongst the modifiable potential risk factors. Research question what are the associations between foot and ankle functional and structural characteristics with falls in community-dwelling older adults? Method One hundred eighty-seven community-dwelling older a...
Article
Objective To examine the effects of shoe-stiffening inserts on lower limb kinematics in individuals with first metatarsophalangeal (MTP) joint osteoarthritis (OA). Methods Forty-eight individuals with radiographically confirmed first MTP joint OA (24 males and 24 females; mean age 57.8 years, standard deviation 10.5) were randomized to receive eit...
Article
Objective The aim of the study was to describe patterns of referral to podiatrists by general practitioners (GPs) in Australia. Study design This is a continuous cross-sectional study of Australian general practice activity. Methods We analysed data from the Bettering the Evaluation and Care of Health program, collected from April 2000 to March 2...
Article
Full-text available
Background Plantar heel pain (PHP) is common and impacts negatively on physical function and quality of life. Initial treatment usually comprises analgesia and self-management advice (SMA), with referral to a physiotherapist or podiatrist recommended only when symptoms persist. Systematic reviews highlight limitations of existing evidence for the e...
Article
Background: Studies have described general practitioner (GP) management of plantar heel pain from some countries; however, there is limited information from Australian general practice. Objectives: To describe patient and GP characteristics, and management actions for plantar heel pain in Australian general practice. Design: Secondary analysis...
Article
Objective To conduct a systematic review and meta‐analysis investigating the effectiveness of non‐surgical interventions for hallux valgus (HV). Methods The review protocol was registered with PROSPERO (CRD42019111711). Medline, CINAHL, Embase, and the Cochrane Library were searched to April 2020, including parallel‐group and crossover studies inv...
Article
Full-text available
Foot posture and ankle joint dorsiflexion have long been proposed to be risk factors for plantar heel pain, however body mass may be a confounder when investigating these factors. The aim of this study was to determine if clinical measures of foot posture and ankle joint dorsiflexion differ in adults with and without plantar heel pain after account...
Article
Purpose This study compared the differences in foot dimensions between children with and without Down syndrome using three-dimensional (3D) foot scans. Methods 51 children with and 51 children without Down syndrome had a 3D scan taken of their right foot to compare the absolute and normalised (for height or foot length) measurements. Results Norm...
Article
Objective To examine differences in lower limb muscle strength between older people with varying degrees of hallux valgus deformity. Methods Muscle strength was measured at the knee, ankle and foot using hand-held dynamometry and a clinical test of toe strength (the paper grip test) in 157 older people (99 women and 58 men) aged 65 to 91 (mean 74....
Article
The objective of this study was to evaluate the validity of a temperature sensor for the measurement of adherence to wearing foot orthoses. Ten participants were provided with foot orthoses containing an embedded temperature sensor and wore the orthoses for a randomly-determined duration over a five-day period. Sensor-detected wear time was compare...
Article
Objective To evaluate the efficacy of carbon-fibre shoe-stiffening inserts in individuals with first metatarsophalangeal joint osteoarthritis. Design This was a randomised, sham-controlled, participant- and assessor-blinded trial. One hundred participants with first metatarsophalangeal joint osteoarthritis received rehabilitation therapy and were...
Article
Full-text available
Objective To compare the sensitivity of alternative case‐finding approaches for the identification of foot osteoarthritis (OA) based on the La Trobe radiographic atlas. Methods Cross‐sectional study of 533 adults aged ≥50 years with foot pain in the past year. Weightbearing dorso‐plantar (DP) and lateral x‐rays were taken of both feet. The La Trob...
Article
Full-text available
Background First metatarsophalangeal (MTP) joint osteoarthritis (OA) is a painful and debilitating condition affecting nearly one in 10 people aged over 50 years. Non-drug, non-surgical treatments are recommended by OA clinical guidelines, yet there have only ever been two randomised controlled trials (RCTs) evaluating such strategies in people wit...
Article
Full-text available
Background: Forefoot pads such as metatarsal domes are commonly used in clinical practice for the treatment of pressure-related forefoot pain, however evidence for their effects is inconsistent. This study aimed to evaluate the effects on plantar pressures of metatarsal domes in different positions relative to the metatarsal heads. Methods: Part...
Article
Full-text available
Background: Children and adolescents with Down syndrome have a distinctive foot shape (such as wide and flat feet) that often leads to difficulty with footwear fitting. 3-dimensional (3D) scanning can accurately measure the foot dimensions of individuals with Down syndrome, which may assist shoe fit. However, the reproducibility of measuring foot...
Article
Full-text available
Background: Osteoarthritis of the first metatarsophalangeal joint (1st MTP joint OA) is a common and disabling condition that results in pain and limited joint range of motion. There is inconsistent evidence regarding the relationship between clinical measurement of 1st MTP joint maximum dorsiflexion and dynamic function of the joint during level...
Article
Full-text available
Background: Patellofemoral pain (PFP) is a common cause of knee pain in adolescents, but there are limited evidence-based treatment options for this population. Foot orthoses can improve pain and function in adults with PFP, and may be effective for adolescents. The primary aim of this study is to determine the feasibility of conducting a full-sca...
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...
Article
Full-text available
Objectives: To investigate patterns of foot and ankle pain locations and symptoms, socio-demographic and comorbid characteristics to examine whether there are distinct foot and ankle pain phenotypes. Methods: Adults aged ≥50 years registered with four general practices in North Staffordshire were mailed a Health Survey questionnaire. Participant...
Article
Full-text available
Background Foot and ankle characteristics are associated with patellofemoral pain (PFP) and may also relate to patellofemoral osteoarthritis (PFOA). A greater understanding of these characteristics and PFOA, could help to identify effective targeted treatments. Objectives To determine whether foot and ankle characteristics are associated with knee...
Article
Objective To determine how foot structure and lower limb function differ between individuals with and without midfoot osteoarthritis (OA). Design Electronic databases were searched from inception until May 2020. To be eligible, studies needed to (i) include participants with radiographically confirmed midfoot OA, with or without midfoot symptoms,...
Article
Full-text available
Background: Foot orthoses and corticosteroid injection are common interventions used for plantar heel pain, however few studies have investigated the variables that predict response to these interventions. Methods: Baseline variables (age, weight, height, body mass index (BMI), sex, education, foot pain, foot function, fear-avoidance beliefs and...
Article
We read with great interest the editorial on foot osteoarthritis (OA) by Golightly and Gates (1). Foot OA is prevalent but neglected compared with other commonly affected sites such as the knee and hand (2), hence such a high‐profile statement of need for foot OA is long overdue.
Article
Introduction The aim of this study was to determine whether participant characteristics and clinical assessments could identify radiographic osteoarthritis (OA) in individuals with clinically diagnosed, symptomatic patellofemoral osteoarthritis (PFOA). Methods Participant characteristics and clinical assessments were obtained from 179 individuals...
Article
Objective To determine whether foot structure varies according to the presence and radiographic severity of first metatarsophalangeal joint osteoarthritis (first MTPJ OA). Methods Weight‐bearing dorso‐plantar and lateral radiographs were obtained for the symptomatic foot of 185 participants (105 females, aged 22 to 85 years) with clinically diagno...
Article
Background Hallux valgus (HV) is a common disabling condition affecting 36% of adults aged 65 years and over. Identifying whether the severity of the deformity alters weight‐bearing patterns during walking may assist clinicians optimize offloading interventions. Therefore, we examined how plantar pressure distributions during walking are affected b...
Preprint
Full-text available
Background Osteoarthritis of the first metatarsophalangeal joint (1st MTP joint OA) is a common and disabling condition that results in pain and limited joint range of motion. There is inconsistent evidence regarding the relationship between clinical measurement of 1st MTP joint maximum dorsiflexion and dynamic function of the joint during level wa...
Preprint
Full-text available
Background Osteoarthritis of the first metatarsophalangeal joint (1st MTP joint OA) is a common and disabling condition that results in pain and limited joint range of motion. There is inconsistent evidence regarding the relationship between clinical measurement of 1st MTP joint maximum dorsiflexion and dynamic function of the joint during level wa...