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Evaluation of in-shoe plantar pressure and shear during walking for diabetic foot ulcer prevention. (2023)
Journal Article
Tang, J., Bader, D. L., Parker, D. J., Forghany, S., Nester, C. J., Moser, D., & Jiang, L. (2023). Evaluation of in-shoe plantar pressure and shear during walking for diabetic foot ulcer prevention. Journal of Wound Care, 32(9), 587-596. https://doi.org/10.12968/jowc.2023.32.9.587

To investigate reliability and changes of in-shoe plantar pressure and shear during walking at three cadences with two insole designs. This was a precursor to the investigation of plantar loading in people with diabetes for potential foot ulcer preve... Read More about Evaluation of in-shoe plantar pressure and shear during walking for diabetic foot ulcer prevention..

A Wearable Insole System to Measure Plantar Pressure and Shear for People with Diabetes (2023)
Journal Article
Tang, J., Bader, D. L., Moser, D., Parker, D. J., Forghany, S., Nester, C. J., & Jiang, L. (2023). A Wearable Insole System to Measure Plantar Pressure and Shear for People with Diabetes. Sensors, 23(6), 3126. https://doi.org/10.3390/s23063126

Pressure coupled with shear stresses are the critical external factors for diabetic foot ulceration assessment and prevention. To date, a wearable system capable of measuring in-shoe multi-directional stresses for out-of-lab analysis has been elusive... Read More about A Wearable Insole System to Measure Plantar Pressure and Shear for People with Diabetes.

Validity and reliability of the XSENSOR in-shoe pressure measurement system (2023)
Journal Article
Price, C., Parker, D., & Andrews, J. (2023). Validity and reliability of the XSENSOR in-shoe pressure measurement system. PLoS ONE, 1-12. https://doi.org/10.1371/journal.pone.0277971

Background In-shoe pressure measurement systems are used in research and clinical practice to quantify areas and levels of pressure underfoot whilst shod. Their validity and reliability across different pressures, durations of load and contact areas... Read More about Validity and reliability of the XSENSOR in-shoe pressure measurement system.

Using a modified nominal group technique to develop complex interventions for a randomised controlled trial in children with symptomatic pes planus. (2022)
Journal Article
Backhouse, M., Parker, D., Morison, S., Anderson, J., Cockayne, S., & Adamson, J. (2022). Using a modified nominal group technique to develop complex interventions for a randomised controlled trial in children with symptomatic pes planus. Trials, 23(1), 286. https://doi.org/10.1186/s13063-022-06251-7

BackgroundChildren with symptomatic flat feet (pes planus) frequently present for care but there remains uncertainty about how best to manage their condition. There is considerable variation in practice between and within professions. We intend to co... Read More about Using a modified nominal group technique to develop complex interventions for a randomised controlled trial in children with symptomatic pes planus..

Patient and clinician experiences and opinions of the use of a novel home use medical device in the treatment of peripheral vascular disease - a qualitative study (2021)
Journal Article
Sedgwick, C., Growcott, C., Akhtar, S., Parker, D., Pettersen, E., Hashmi, F., & Williams, A. (2021). Patient and clinician experiences and opinions of the use of a novel home use medical device in the treatment of peripheral vascular disease - a qualitative study. Journal of Foot and Ankle Research, 14(1), 61. https://doi.org/10.1186/s13047-021-00496-2

Abstract: Background: Peripheral vascular diseases have a significant impact on functional quality of life. Previous research has demonstrated the complex, limiting and costly economic implications of these conditions such as lower limb ulceration ch... Read More about Patient and clinician experiences and opinions of the use of a novel home use medical device in the treatment of peripheral vascular disease - a qualitative study.

Optical Coherence Tomography to determine and visualize pathological skin structure changes caused by diabetes (2021)
Book Chapter
Maiti, R., Lewis, R., Parker, D., & Carré, M. (2021). Optical Coherence Tomography to determine and visualize pathological skin structure changes caused by diabetes. In A. Gefen (Ed.), The science, etiology and mechanobiology of diabetes and its complications (161-171). Academic Press/Elsevier. https://doi.org/10.1016/B978-0-12-821070-3.00014-3

In this chapter, we discuss the working principle of Optical Coherence Tomography (OCT), its capabilities for imaging skin, and how the technique is applied in clinical settings as well as in lab-based environments. Two case studies are then presente... Read More about Optical Coherence Tomography to determine and visualize pathological skin structure changes caused by diabetes.

Application of tissue mechanics to clinical management of risk in the diabetic foot (2021)
Book Chapter
Parker, D., & Hasmi, F. (2021). Application of tissue mechanics to clinical management of risk in the diabetic foot. In A. Gefen (Ed.), The science, etiology and mechanobiology of diabetes and its complications (255-281). Academic Press/Elsevier. https://doi.org/10.1016/B978-0-12-821070-3.00006-4

The effect of diabetes on the body’s connective and supporting tissues is varied and progressive, often accelerating the effects of the aging process. Tissue function is eventually compromised as a result of structural disruption, leading to increase... Read More about Application of tissue mechanics to clinical management of risk in the diabetic foot.

Economic model to examine the cost-effectiveness of FlowOx home therapy compared to standard care in patients with peripheral artery disease (2021)
Journal Article
Ezeofor, V., Bray, N., Bryning, L., Hashmi, F., Hoel, H., Parker, D., & Tudor Edwards, R. (2021). Economic model to examine the cost-effectiveness of FlowOx home therapy compared to standard care in patients with peripheral artery disease. PLoS ONE, 16(1), e0244851. https://doi.org/10.1371/journal.pone.0244851

Background: Critical limb ischaemia is a severe stage of lower limb peripheral artery disease which can lead to tissue loss, gangrene, amputation and death. FlowOx™ therapy is a novel negative-pressure chamber system intended for home use to increase... Read More about Economic model to examine the cost-effectiveness of FlowOx home therapy compared to standard care in patients with peripheral artery disease.

An exploratory qualitative study of health professional perspectives on clinical outcomes in UK orthotic practice (2020)
Journal Article
Hall, N., Parker, D., & Williams, A. (2020). An exploratory qualitative study of health professional perspectives on clinical outcomes in UK orthotic practice. Journal of Foot and Ankle Research, 13(1), 49. https://doi.org/10.1186/s13047-020-00416-w

Background: Despite potential savings to the National Health Service, the collection of data on outcomes of NHS orthotic services is patchy. Indeed, several reports into orthotic services in the UK have reported a lack of data relating to outcomes of... Read More about An exploratory qualitative study of health professional perspectives on clinical outcomes in UK orthotic practice.

A randomised controlled trial and cost-consequence analysis of traditional and digital foot orthoses supply chains in a National Health Service setting : application to feet at risk of diabetic plantar ulceration (2019)
Journal Article
Parker, D., Nuttall, G., Bray, N., Hugill, T., Martinez Santos, A., Edwards, R., & Nester, C. (2019). A randomised controlled trial and cost-consequence analysis of traditional and digital foot orthoses supply chains in a National Health Service setting : application to feet at risk of diabetic plantar ulceration. Journal of Foot and Ankle Research, 12(2), https://doi.org/10.1186/s13047-018-0311-0

Background: Diabetic foot ulceration is a considerable cost to the NHS and foot orthotic provision is a core strategy for the management of the people with diabetes and a moderate to high risk of foot ulceration. The traditional process to produce... Read More about A randomised controlled trial and cost-consequence analysis of traditional and digital foot orthoses supply chains in a National Health Service setting : application to feet at risk of diabetic plantar ulceration.

Estimating the material properties of heel pad sub-layers using inverse finite element analysis (2016)
Journal Article
Ahanchian, N., Nester, C., Howard, D., Ren, L., & Parker, D. (2016). Estimating the material properties of heel pad sub-layers using inverse finite element analysis. Medical Engineering and Physics, 40, 11-19. https://doi.org/10.1016/j.medengphy.2016.11.003

Detailed information about the biomechanical behaviour of plantar heel pad tissue contributes to our understanding of load transfer when the foot impacts the ground. The objective of this work was to obtain the hyperelastic and viscoelastic material... Read More about Estimating the material properties of heel pad sub-layers using inverse finite element analysis.

Validity and repeatability of three in-shoe pressure measurement systems (2016)
Journal Article
Price, C., Parker, D., & Nester, C. (2016). Validity and repeatability of three in-shoe pressure measurement systems. Gait & Posture, 46, 69-74. https://doi.org/10.1016/j.gaitpost.2016.01.026

In-shoe pressure measurement devices are used in research and clinic to quantify plantar foot pressures. Various devices are available, differing in size, sensor number and type; therefore accuracy and repeatability. Three devices (Medilogic, Tekscan... Read More about Validity and repeatability of three in-shoe pressure measurement systems.

A device for characterising the mechanical properties of the plantar soft tissue of the foot (2015)
Journal Article
Parker, D., Cooper, G., Pearson, S., Crofts, G., Howard, D., Busby, P., & Nester, C. (2015). A device for characterising the mechanical properties of the plantar soft tissue of the foot. Medical Engineering and Physics, 37(11), 1098-1104. https://doi.org/10.1016/j.medengphy.2015.08.008

The plantar soft tissue is a highly functional viscoelastic structure involved in transferring load to the human body during walking. A Soft Tissue Response Imaging Device was developed to apply a vertical compression to the plantar soft tissue whils... Read More about A device for characterising the mechanical properties of the plantar soft tissue of the foot.

Validity and repeatability of three commercially available in-shoe pressure measurement systems (2014)
Journal Article
Price, C., Parker, D., & Nester, C. (2014). Validity and repeatability of three commercially available in-shoe pressure measurement systems. Journal of Foot and Ankle Research, 7(S1), A67-A67. https://doi.org/10.1186/1757-1146-7-S1-A67

In-shoe pressure measurement devices are commonly used in research and clinical settings to quantify pressure on the plantar foot. Various in-shoe pressure measurement devices are currently available and they differ in their size, number of sensors,... Read More about Validity and repeatability of three commercially available in-shoe pressure measurement systems.

In vivo measurement of the biomechanical properties of plantar soft tissues under simulated gait conditions (2012)
Conference Proceeding
Parker, D., Cooper, G., Pearson, S., Howard, D., Crofts, G., & Nester, C. (2012). In vivo measurement of the biomechanical properties of plantar soft tissues under simulated gait conditions. . https://doi.org/10.1186/1757-1146-5-S1-O39

In vivo biomechanical properties of plantar soft tissues have been assessed via manual indentation using simplified loading profiles [1], or in gait, with low image resolution/capture rates [2]. Since plantar soft tissue properties are highly rate de... Read More about In vivo measurement of the biomechanical properties of plantar soft tissues under simulated gait conditions.

New insights into the plantar pressure correlates of walking speed using pedobarographic statistical parametric mapping (pSPM) (2008)
Journal Article
Pataky, T. C., Caravaggi, P., Savage, R., Parker, D., Goulermas, J. Y., Sellers, W. I., & Crompton, R. H. (2008). New insights into the plantar pressure correlates of walking speed using pedobarographic statistical parametric mapping (pSPM). Journal of Biomechanics, 41(9), 1987-1994. https://doi.org/10.1016/j.jbiomech.2008.03.034

This study investigates the relation between walking speed and the distribution of peak plantar pressure and compares a traditional ten-region subsampling (10RS) technique with a new technique: pedobarographic statistical parametric mapping (pSPM). A... Read More about New insights into the plantar pressure correlates of walking speed using pedobarographic statistical parametric mapping (pSPM).

Characterising the biomechanical properties of the plantar soft tissue under the conditions of simulated gait
Thesis
Parker, D. Characterising the biomechanical properties of the plantar soft tissue under the conditions of simulated gait. (Thesis). The University of Salford

The plantar soft tissue at the heel and ball of the foot provide the interface between the body and the ground. This tissue is adapted to attenuate large amounts of energy during impact (heel strike) and to become rigid under continuous loading (stan... Read More about Characterising the biomechanical properties of the plantar soft tissue under the conditions of simulated gait.