Dr Joanne Paton
Profiles

Dr Joanne Paton

Associate Professor of Podiatry

School of Health Professions (Faculty of Health)

Biography

Biography

Qualifications

Graduating in 1992, Joanne completed her MSc with distinction in Podiatric Biomechanics in 2002. She received a Doctorate from the Peninsula College of Medicine and Dentistry in 2008, having conducted a randomised control trial evaluating the effect of insoles used for ulcer prevention in diabetic neuropathic feet. 

Joanne is a past NIHR Research Fellow. She has extensive clinical experience as a Musculoskeletal Specialist Podiatrist working with the diabetic foot. Her current clinical focus is improving the patient experience through the better delivery of insoles for diabetic foot protection.

Joanne leads the BEUP (Behaviour Enhancement and Ulcer Prevention) research team at the University of Plymouth. She has secured grants in excess of one million pounds and published widely on the topic of insoles for ulcer prevention and balance enhancement in diabetes. More information about the BEUP team and their programme of research can be found at; Behaviour Enhancement and Ulcer Prevention in Diabetes - University of Plymouth

Professional membership

Podiatric Biomechanics Group

Royal Society of Podiatrists

Diabetes UK

FDUK

Teaching

Teaching

Teaching interests

  • Diabetic foot screening and ulcer prevention

  • Musculoskeletal pathology

  • Podiatric Biomechanics and gait analysis
  • Research methods

Research

Research

Research interests

  • Behavior change and diabetic self management
  • Diabetic insole adherance
  • Orthotic manufacture and function
  • Biomechanics of the diabetic foot
  • Kinetic analysis
  • Clinical Trials
  • Falls and falls prevention

Grants & contracts

2023. £116,298. S Abey, K Anil, R Collings, J Paton. Great Foundations. 

2021. £53,390. J Tinsley, R Collings, J Paton. NIHR ICA-PCAF.

2020. £9905.89 J Tinsley, R Collings, J Paton. NIHR Internship. 

2020. £44,553. J Williams, R Collings, J Paton. NIHR. ICA-PCAF.

2019. £112,710. J Paton, J Freeman, J Marsden. University of Plymouth Global Challenge Research Fund. 

2018. £20,000. J Paton, R Collings, V Lepesis. UOP, Impact and Innovation Grant.

2017. £10,000. Sara Harris, Joanne Paton. NIHR/HEE internship. 

2017. £52,708. J Paton, S Creanor. NIHR. Clinical Trials Fellowship.

2017. £15,000 English FRAME. J Paton. South West Clinical Network of NHS England. 

2015. £961,859. A Buchanan, J Paton, S Wood, N Chochalingam. SBRI-COLAB-4972: Phase 2 Low-Cost Personalised Insoles for Diabetic Foot Ulcer Prevention.

2014. £99,785. A Buchanan, J Paton, S Wood, N Chochalingam. SBRI-COLAB-4972: Phase 1 Low-Cost Personalised Insoles for Diabetic Foot Ulcer Prevention.

2014. £25,079. R. Collings, J Paton. TorbayMedical Research Fund. Study Title: Prevention of foot ulcer recurrence inpeople with diabetes using an in-shoe pressure measurement technology: afeasibility RCT.

2013. £6,229.99. P English, J Paton, G Bruce. Plymouth Hospitals General Charity research grant. Study Title: ‘Instant insole enhancement for theprevention of foot ulcer recurrence in people with diabetes using an in-shoepressure measurement technology: A randomised control trial feasibility study'.

2012. £164,265. M Cramp, S Morrison, J Marsden, J Freeman, J Paton. The effects of footand ankle impairments on mobility and balance in community dwelling adults poststroke – a personal and multi-disciplinary approach.

2011. £156,248. J Paton. NIHR CAT Clinical Lectureship Fellowship. Balance enhancement and ulcer prevention in neuropathic individuals with diabetes.

Publications

Publications

Key publications

Key publications are highlighted

Journals
Articles
Lepesis V, Paton J, Rickard A, Latour JM & Marsden J (2023) 'Effects of foot and ankle mobilisations combined with home stretches in people with diabetic peripheral neuropathy: a proof-of-concept RCT' Journal of Foot and Ankle Research 16, (1) , DOI Open access
Tansley J, Collings R, Williams J & Paton J (2023) 'Off-loading and compression therapy strategies to treat diabetic foot ulcers complicated by lower limb oedema: a scoping review' Journal of Foot and Ankle Research 16, (1) , DOI Open access
Lepesis V, Marsden J, Rickard A, Latour JM & Paton J (2023) 'Systematic review and meta‐analysis of the effects of foot and ankle physical therapy, including mobilisations and exercises, in people with diabetic peripheral neuropathy on range of motion, peak plantar pressures and balance' Diabetes/Metabolism Research and Reviews , DOI Open access
Bus SA, Sacco ICN, Monteiro-Soares M, Raspovic A, Paton J, Rasmussen A, Lavery LA & van Netten JJ (2023) 'Guidelines on the prevention of foot ulcers in persons with diabetes (IWGDF 2023 update)' Diabetes/Metabolism Research and Reviews , DOI Open access
van Netten JJ, Raspovic A, Lavery LA, Monteiro-Soares M, Paton J, Rasmussen A, Sacco ICN & Bus SA (2023) 'Prevention of foot ulcers in persons with diabetes at risk of ulceration: A systematic review and meta‐analysis' Diabetes/Metabolism Research and Reviews , DOI Open access
van Netten JJ, Sacco ICN, Lavery L, Monteiro-Soares M, Paton J, Rasmussen A, Raspovic A & Bus SA (2023) 'Clinical and biomechanical effectiveness of foot‐ankle exercise programs and weight‐bearing activity in people with diabetes and neuropathy: A systematic review and meta‐analysis' Diabetes/Metabolism Research and Reviews , DOI Open access
Khan M, Cassidy E, Parkin T, Wallace A, Carter B, Paton J, Donohue K, Mitchell S, Quin G & McNarry N (2023) 'The Care and Management of Children and Young People with Ataxia Telangiectasia Provided by Nurses and Allied Health Professionals: a Scoping Review' The Cerebellum , DOI Open access
Collings R, Freeman J, Latour J, Hosking J & Paton J (2023) 'Insoles to ease plantar pressure in people with diabetes and peripheral neuropathy: a feasibility randomized controlled trial with an embedded qualitative study' Pilot and Feasibility Studies 9, , DOI Open access
Williams JK, Collings R, Kent B & Paton J (2022) 'Prevalence and incidence of mental health issues amongst adults with diabetes at risk of foot complications in the European Union: a systematic review protocol' JBI Evidence Synthesis 20, (8) 2094-2101 , DOI Open access
Lepesis V, Marsden J, Paton J, Rickard A & Latour J (2022) 'Experiences of foot and ankle mobilisations combined with home stretches in people with diabetes: A qualitative study embedded in a proof-of-concept randomised controlled trial' Journal of Foot and Ankle Research 15, (7) , DOI Open access
Paton J, Abey S, Hendy P, Williams J, Collings R & Callaghan L (2021) 'Behaviour change approaches for individuals with diabetes to improve foot self-management: a scoping review' Journal of Foot and Ankle Research 14, (1) , DOI Open access
Rogers A, Morrison SC, Gorst T, Paton J, Freeman J, Marsden J & Cramp MC (2020) 'Repeatability of plantar pressure assessment during barefoot walking in people with stroke' Journal of Foot and Ankle Research 13, (1) , DOI Open access
Collings R, Freeman J, Latour JM & Paton J (2020) 'Footwear and insole design features for offloading the diabetic at risk foot - A Systematic Review and Meta-Analyses' Endocrinology, Diabetes and Metabolism , DOI Open access
Hatton AL, Gane EM, Maharaj JN, Burns J, Paton J, Kerr G & Rome K (2019) 'Textured shoe insoles to improve balance performance in adults with diabetic peripheral neuropathy: study protocol for a randomised controlled trial' BMJ Open 9, (7) e026240-e026240 , DOI Open access
Collings RJ, Freeman J, Latour J, Glasser S, Vickery PJ, Enki D, Lepesis V & Paton J (2019) 'INSoles To Ease Pressure (INSTEP) Study: a multicentre, randomised controlled feasibility study to compare the effectiveness of a novel instant optimised insole with a standard insole for people with diabetic neuropathy: a study protoco' BMJ Open , DOI Open access
Gorst T, Rogers A, Morrison SC, Cramp M, Paton J, Freeman J & Marsden J (2018) 'The prevalence, distribution, and functional importance of lower limb somatosensory impairments in chronic stroke survivors: a cross sectional observational study' Disability and Rehabilitation 41, (20) 2443-2450 Author Site , DOI Open access
Gorst TR, Freeman J, Marsden J, Paton J, cramp M, rogers A & morisson S (2017) 'Exploring foot and ankle impairments affecting mobility and balance in stroke (FAiMiS study)' Physiotherapy , DOI Open access
Collings RJ, Freeman J, latour JM, glasser S & paton J (2017) 'Footwear and insole design features to prevent foot ulceration in people with diabetes: a systematic review protocol' JBI Database of Systematic Reviews and Implementation Reports , DOI Open access
Paton J, Hatton AL, Rome K & Kent B (2016) 'Effects of foot and ankle devices on balance, gait and falls in adults with sensory perception loss' JBI Database of Systematic Reviews and Implementation Reports 14, (12) 127-162 , DOI Open access
Paton J, Glasser S, Collings R & Marsden J (2016) 'Getting the right balance: insole design alters the static balance of people with diabetes and neuropathy' JOURNAL OF FOOT AND ANKLE RESEARCH 9, Author Site , DOI Open access
Glasser S, Collings R, Paton J & Marsden J (2015) 'Effect of experimentally reduced distal sensation on postural response to hip abductor/ankle evertor muscle vibration' Gait & Posture 42, (2) 193-198 , DOI Open access
Gorst T, Lyddon A, Marsden J, Paton J, Morrison SC, Cramp M & Freeman J (2015) 'Foot and ankle impairments affect balance and mobility in stroke (FAiMiS): the views and experiences of people with stroke' Disability and Rehabilitation 38, (6) 589-596 , DOI Open access
Collings R, Paton J, Chockalingam N, Gorst T & Marsden J (2015) 'Effects of the site and extent of plantar cutaneous stimulation on dynamic balance and muscle activity while walking' Foot (Edinburgh, Scotland) 25, (3) 159-163 Open access
Lyddon A, Morrison S, Gorst T, Marsden J, Paton J, Freeman J & Cramp M (2015) 'Foot loading characteristics in people after stroke: A preliminary analysis of plantar pressure data' INTERNATIONAL JOURNAL OF STROKE 10, 34-34
Glasser S, Paton J, Collings R & Marsden J (2015) 'Effect of reduced foot and ankle sensation on postural response to hip abductor/foot everter vibration' Journal of Foot and Ankle Research 8, (S1) , DOI
Collings R, Paton J, Glasser S & Marsden J (2015) 'The effect of vision impairment on dynamic balance' Journal of Foot and Ankle Research 8, (S1) , DOI
Paton JS, Roberts A, Bruce GK & Marsden J (2014) 'Patients' Experience of therapeutic footwear whilst living at risk of neuropathic diabetic foot ulceration: an interpretative phenomenological analysis (IPA)' J Foot Ankle Res 7, (1) Author Site , DOI Open access
Paton J, Jones R, Stenhouse E & Bruce G (2014) 'A longitudinal investigation into functional and physical durability of insoles used for the preventative management of neuropathic diabetic feet' Journal of the American Podiatric Medical Association 1, (104) 50-57
Paton JS, Collings R, Glasser S & Kent B (2014) 'The effects of foot and ankle devices on balance, gait and falls in adults with sensory perception loss: a systematic review protocol' The JBI Database of Systematic Reviews and Implementation Reports 12, 74-91
Paton J, Thomason K, Trimble K, Metcalfe J & Marsden J (2013) 'The effect of a forefoot offloading postoperative shoe on posture, balance, muscle activity and plantar pressure; a preliminary study' Journal of the American Podiatric Medical Association
Lyddon A, Morrison S, Gorst T, Marsden J, Paton J, Freeman J & Cramp M (2013) 'Foot and ankle impairments affecting mobility and balance in stroke (FAiMiS): measurement of foot and ankle impairments' INTERNATIONAL JOURNAL OF STROKE 8, 68-68
Gorst T, Marsden J, Paton J, Cramp M, Lyddon A, Morrison S & Freeman J (2013) 'Foot and Ankle Impairments affecting Mobility and balance In Stroke (FAiMiS); the views of people with stroke' INTERNATIONAL JOURNAL OF STROKE 8, 68-69
Paton JS, Roberts A, Bruce GK & Marsden J (2013) 'Does footwear affect balance?: the views and experiences of people with diabetes and neuropathy who have fallen' J Am Podiatr Med Assoc 103, (6) 508-515 Author Site , DOI
Paton JS, Thomason K, Trimble K, Metcalfe JE & Marsden J (2013) 'Effect of a forefoot off-loading postoperative shoe on muscle activity, posture, and static balance' J Am Podiatr Med Assoc 103, (1) 36-42 Author Site , DOI
Paton J, Stenhouse E, Bruce G & Jones R (2012) 'A comparison of functional and prefabricated insoles used for the preventative management of neuropathic diabetic foot ulceration: A single blind randomised control trial' Journal of Foot and Ankle Research
Paton JS, Stenhouse EA, Bruce G, Zahra D & Jones RB (2012) 'A comparison of customised and prefabricated insoles to reduce risk factors for neuropathic diabetic foot ulceration: a participant-blinded randomised controlled trial' J Foot Ankle Res 5, (1) Author Site , DOI Open access
Paton J, Bruce G, Jones R & Stenhouse E (2011) 'Effectiveness of insoles used for the prevention of ulceration in the neuropathic diabetic foot: a systematic review' J Diabetes Complications 25, (1) 52-62 Author Site , DOI
Paton (2007) 'The physical characteristics of orthotic materials used in the manufacture of orthosis for patients with diabetes' Foot and Ankle International 28(10), 1057-1063 , DOI
Paton JS, Woodrow T & Passmore C (2007) 'The effect of plantar cover padding with U'd cut out on plantar foot pressure; a preliminary study' British Journal of Podiatry 10, (3) 115-220
Paton J, Stenhouse E, Jones R & Bruce G (2007) 'Custom-made total contact insoles and prefabricated functional diabetic insoles: A case report' The Diabetic Foot Journal 10,
Paton J, Jones RB, Stenhouse E & Bruce G (2007) 'The physical characteristics of materials used in the manufacture of orthoses for patients with diabetes' Foot & Ankle International 28, 1057-1063
Paton JS (2006) 'The relationship between navicular drop and first metatarsophalangeal joint motion' Journal of the American Podiatric Medical Association 96, (4) 313-317
Paton JS & Spooner SK (2006) 'Effect of extrinsic rearfoot post design on the lateral-to-medial position and velocity of the center of pressure' J Am Podiatr Med Assoc 96, (5) 383-392 Author Site , DOI
Paton J & Smith C (2005) 'Medical knee pain: an update on a common clinical pathology emphasising biomechanical origins' International journal of podiatric biomechanics 2, (2) 3-9
Conference Papers
Cramp M, Gorst T, Lyddon A, Frceman J, Paton J, Morrison S & Matsden J (2016) 'A cross-sectional study investigating foot and ankle impairments is people with stroke' 50-50
Paton J, Jones R, Stenhouse E & Bruce G (2010) 'A longitudinal investigation into functional and physical durability of insoles used for the preventative management of neuropathic diabetic feet' Stafford Conference on Clinical Biomechanics 1-/-0/2010Stoke on Trent
Paton J, Jones R, Stenhouse E & Bruce G (2010) 'A longitudinal investigation into functional and physical durability of insoles used for the preventative management of neuropathic diabetic feet' Presented to the i-FAB biomechanics congress. 1-/-0/2010Seattle USA
Paton J (2010) 'How to survive your PhD' R and D Student Research Network. Society of Chiropodists and Podiatrists Annual Professional Conference Bournmouth 1-/-0/2010
Paton J (2010) 'Orthoses and the Diabetic Foot' Society of Chiropodists and Podiatrists Annual Professional Conference. Bournmouth 1-/-0/2010
Paton J, Jones R, Stenhouse E & Bruce G (2007) 'Custom Made Total Contact Insole Versus Prefabricated Insole: A Case Report' Diabetes UK Annual Professional Conference 1-/-0/20079-9
Paton JS, Stenhouse E, Jones RB & Brice G (2007) 'Custom-made total contact insole versus prefabricated diabetic insole: a case report' 9-9
Presentations and posters
Paton J, Thomason K, Trimble K, Metcalfe J & Marsden J Paton J, Thomason K, Trimble K, Metcalfe J & Marsden J 'The effect of a forefoot offloading postoperative shoe on posture, balance, muscle activity and plantar pressure; a preliminary study'
Paton J, Thomason K, Trimble K, Metcalfe J & Marsden J Paton J, Thomason K, Trimble K, Metcalfe J & Marsden J 'The effect of a forefoot offloading postoperative shoe on posture, balance, muscle activity and plantar pressure; a preliminary study'
Scott J, Chatzistergos P, Naemi R, Buchanan A, Wood S, Chockalingam N & Paton J Scott J, Chatzistergos P, Naemi R, Buchanan A, Wood S, Chockalingam N & Paton J 'A stakeholder informed, low-cost, personalised 3D-printed insole for diabetic foot ulcer prevention' , DOI
Scott J, Chatzistergos P, Naemi R, Buchanan A, Wood S, Chockalingam N & Paton J Scott J, Chatzistergos P, Naemi R, Buchanan A, Wood S, Chockalingam N & Paton J 'A stakeholder informed, low-cost, personalised 3D-printed insole for diabetic foot ulcer prevention' , DOI
Ingram J, Cawley S, Jones A, Coulman E, Gregory C, Pickles T, Kei HSH, Fletcher P, Curran M & Prior T Ingram J, Cawley S, Jones A, Coulman E, Gregory C, Pickles T, Kei HSH, Fletcher P, Curran M & Prior T 'Abstracts from The College of Podiatry Annual Conference 2016' , DOI
Cramp M, Gorst T, Rogers A, Freeman J, Paton J, Morrison SC & Marsden J Cramp M, Gorst T, Rogers A, Freeman J, Paton J, Morrison SC & Marsden J 'Foot and ankle impairments as predictors of mobility and balance after stroke (FAiMiS study)' Author Site , DOI
Glasser S, Paton J, Collings R & Marsden J Glasser S, Paton J, Collings R & Marsden J 'Frontal plane postural control: A comparison of people with diabetic peripheral neuropthy and healthy controls' , DOI
Paton J, Glasser S, Collings R & Marsden J Paton J, Glasser S, Collings R & Marsden J 'Getting the right balance: Insole design alters static balance in people with diabetic neuropathy' , DOI Open access
Glasser S, Paton J, Collings R & Marsden J Glasser S, Paton J, Collings R & Marsden J 'The effects of ankle foot orthoses and stance width in people with diabetic peripheral neuropthy' , DOI