The Foot and Knee research group is focused on 4 keys areas:
One aspect of our research describes and explains how specific foot and knee structures (e.g. ligaments, bone structures, muscles and tendons) contribute to foot and knee function during walking, running and other important weight bearing tasks (e.g. sport). This includes how the size and form of foot and leg muscles relate to foot type, and how ACL injury relates to landing and jumping tasks. Other work has been concerned with mechanical properties of tendons and plantar fat pads. We are continuing work on how children’s feet develop.
How the foot and knee change their function due to disease, injury and aging is a prerequisite for the development and implementation of effective therapies. We have investigated changes in foot structure and function in people with diabetes, in stroke and in older people plus foot shape in those who are obese. We have also completed multiple studies evaluating the forces acting on the foot and knee in knee arthritis and patello femoral pain and how screening for certain biomechanical and clinical attributes could reduce injury and re-injury. A new focus is on the effect of lateral ankle sprains on ankle structures and function.
Developing and implementing quality interventions requires that we understand the mechanism of action of any intervention, so that its design and implementation is optimised. We have used biomechanical analysis to support improvements in footwear and foot orthotic design for people with diabetes, intermittent claudication, and general musculoskeletal disorders of the foot and knee (including in the workplace). In cases of knee arthritis work has focussed on evaluation of exercise, knee braces and foot orthoses, in terms of how these affect the joints, but also how patients’ lives are improved by the interventions (e.g. activity monitoring).
Throughout all this research a growing theme is the voice of patients and application of qualitative methods to investigate health beliefs, behaviours and how interventions might better reflect patient perspectives. This includes work with patients on their understanding of foot health issues in specific diseases, their approach to use of footwear and orthoses, and how parents develop knowledge related to children’s foot health. We have worked directly with clinicians and the NHS to allow first hand insight to inform our research activities and the development of devices (such as orthoses). We are increasing looking at how digital technologies offer new opportunities for clinicians and services.
The research is supported by a wide range of NHS, clinical and industry partners. This includes East Lancashire NHS, Wrightington, Wigan and Leigh NHS, Salfordinsole Ltd, Toffeln Footwear Ltd, and FDM Digital Solutions Ltd.
Recently, the research has expanded out of the University to run projects within the National Institute for Health Research Clinical research Facility in Manchester and the new Manchester Institute of Health and Performance (www.mihp.co.uk). The MIHP is a strategic development alongside Manchester City Council, Sport England and Manchester City Football Group, and is being led by Professor Richard Jones.The research is supported by active international collaborations including multiple partners across the EU, USA, Brazil and Australia.
We have a large group of PhD students and are selective in who we would like to join or group. We are interested in those from a health professional, human movement and sports science background, who have an interest in the current project listed above. All PhD projects are jointly agreed with supervisors so that they can add value to and benefit from existing projects and collaborative working with other PhD students and our external partners.
Potential applicants should in the first instance contact one of the two programme leads who will assess the suitability of the application. A SKYPE (or similar) interview will be held to explore your background knowledge and research interests and the extent to which these match those in our team. If discussion progress well you may be asked to submit a Research Application for PhD. A conditional or un-conditional offer will be sent to you upon consideration from the programme team.
Visiting staff and Internships
There are also opportunities for visiting staff and short internships for a period of 1 month to 1 year in order to get some experience of working within the research programme. A bench fee may apply but this is an excellent opportunity to collaborate with us.
Recent visitors include:
Luis Fernando Selistre – Universidade Federal de São Carlos, Sao Paulo, Brazil
Dongyun Gu – Biomedical Engineer, Jiao Tong University, Shanghai
Wang Fang – Orthopaedic surgeon 1st People’s Hospital, Shanghai
Dr Karen Mickle, University of Wollongong, Australia
Salih Angin, Dokuz Eylül University, Turkey
Bahar Özgül, MARMARA UNIVERSITY, Turkey
Dr Annamaria Guiotto, University of Padova, Italy
|MARTINEZ SANTOS||Ana||Steve Preece|
1.Arnold JB, Wong DX, Jones RK, Hill CL, Thewlis D. (2015) Lateral wedge insoles for reducing biomechanical risk factors for medial knee osteoarthritis progression: A systematic review and meta-analysis. Arthritis Care Res (Hoboken). 2015 Nov 25. doi: 10.1002/acr.22797.
2.Jones PA, Herrington LC, Munro AG, Graham-Smith P. (2014) Is there a relationship between landing, cutting, and pivoting tasks in terms of the characteristics of dynamic valgus?Am J Sports Med. 2014 Sep;42(9):2095-102. doi: 10.1177/0363546514539446.3.Jones RK, Chapman GJ, Parkes MJ, Forsythe L, Felson DT. (2015) The effect of different types of insoles or shoe modifications on medial loading of the knee in persons with medial knee osteoarthritis: a randomised trial. J Orthop Res. 2015 Nov;33(11):1646-54. doi: 10.1002/jor.22947.
4.Chapman GJ, Parkes MJ, Forsythe L, Felson DT, Jones RK. (2015) Ankle motion influences the external knee adduction moment and may predict who will respond to lateral wedge insoles?: an ancillary analysis from the SILK trial. Osteoarthritis Cartilage. 2015 Aug;23(8):1316-22. doi: 10.1016/j.joca.2015.02.164.
5.Herrington, L., Munro, A., Comfort, P. (2015) The effect of jumping –landing training and strengthtraining on frontal plane projection angle Manual Therapy (in press) doi: 10.1016/j.math.2015.04.00914;188-198
6: Sweeney D, Nester C, Preece S, Mickle K. Effect of antipronation foot orthosis geometry on compression of heel and arch soft tissues. J Rehabil Res Dev. 2015;52(5):543-51. doi: 10.1682/JRRD.2014.12.0306. PubMed PMID: 26465089.7: Harrison-Blount M, Cullen M, Nester CJ, Williams AE. An action research approach to facilitating the adoption of a foot health assessment tool in India. J Foot Ankle Res. 2015 Sep 16;8:52. doi: 10.1186/s13047-015-0108-3. Collection 2015. PubMed PMID: 26388945; PubMed Central PMCID: PMC4574208.
8: Hashmi F, Nester C, Wright C, Newton V, Lam S. Characterising the biophysical properties of normal and hyperkeratotic foot skin. J Foot Ankle Res. 2015 Aug 12;8:35. doi: 10.1186/s13047-015-0092-7. eCollection 2015. PubMed PMID: 26269720; PubMed Central PMCID: PMC4533794.9: Nester CJ, Jarvis HL, Jones RK, Bowden PD, Liu A. Movement of the human foot in 100 pain free individuals aged 18-45: implications for understanding normal foot function. J Foot Ankle Res. 2014 Nov 28;7(1):51. doi: 10.1186/s13047-014-0051-8. eCollection 2014. PubMed PMID: 25493100; PubMed Central PMCID: PMC4260241.
10: Angin S, Crofts G, Mickle KJ, Nester CJ. Ultrasound evaluation of foot muscles and plantar fascia in pes planus. Gait Posture. 2014;40(1):48-52. doi: 10.1016/j.gaitpost.2014.02.008. Epub 2014 Feb 26. PubMed PMID: 24630465.
11: Graham AS, Williams AE. Foot Health Education for People with Rheumatoid Arthritis: '…. A Game of Chance…' - A Survey of Patients' Experiences. Musculoskeletal Care. 2015 Jun 15. doi: 10.1002/msc.1111. [Epub ahead of print] PubMed PMID: 26076891.