Dr Angela Brenton-Rule

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Head of Discipline

Phone: +64 9 921 9999 ext 7215

Email: angela.brentonrule@aut.ac.nz

Physical Address:
90 Akoranga Drive
Northcote
Private Bag 9206
Auckland 1142

Qualifications:

  • Bachelor of Science (zoology)
  • Graduate Diploma in Business (marketing)
  • Bachelor of Health Science in Podiatry (Honours)
  • Doctor of Philosophy

Memberships and Affiliations:

  • Board member Podiatry NZ
  • Associate editor Arthritis Care and Research
  • Member Association of Rheumatology Health Professionals (a division of the American College of Rheumatology)
  • Member Musculoskeletal Arthritis Cluster

Teaching Areas:

  • Podiatric pathology
  • Podiatric rheumatology
  • Postural stability and falls risk

Research Areas:

  • Chronic musculoskeletal conditions affecting the feet
  • Rheumatoid arthritis
  • Lupus
  • Older adult
  • Footwear
  • Postural stability

Research Summary:

Dr Angela Brenton-Rule is a NZ registered podiatrist with extensive clinical and research experience relating to the foot and ankle in rheumatoid arthritis (RA). She is also involved in the specialist podiatric rheumatology clinic in the AUT Integrated Health Clinic. She completed her doctoral studies in 2015 to become only the second New Zealand podiatrist to achieve a doctoral degree. Her research focused on the foot and ankle characteristics associated with falls in people with RA.

Foot and ankle characteristics and falls in adults with RA

People RA have an increased risk of falls compared to healthy older adults. The foot is a common site of pathology in people with RA. Previous studies have identified that foot and ankle problems are associated with falls in older adults. The aim of this research was to determine whether foot and ankle characteristics are associated with falls in people with RA.
Two hundred adults with RA were recruited from rheumatology outpatient clinics in Auckland, New Zealand. RA characteristics, common fall risk factors, and foot and ankle variables were measured at baseline. Participants were then followed for 12 months, to record the occurrence of falls, using monthly falls calendars and telephone calls. Statistical analysis determined clinical and foot and ankle characteristics which are associated with a history of falls. Characteristics which were predictors of future falls were also identified.

Current Research Projects:

Current research projects include:
  • Incidence and outcome of falls in people with RA
  • The association between region-specific foot pain to foot plantar pressures in established rheumatoid arthritis
  • Vascular disease and foot complications in people with rheumatoid arthritis
  • Foot and ankle characteristics in people with lupus
  • Gout and footwear

Schedule:

Podiatry New Zealand Conference 29-30 June 2018
The Pullman Hotel Auckland

Publications:

  • Molyneux, P., Carroll, M., Stewart, S., Brenton-Rule, A., & Rome, K. (2017). Ultrasound characteristics of the mid-portion of the Achilles tendon in runners: A systematic review protocol. Systematic Reviews, 6(1).  
  • Brenton-Rule, A., Dalbeth, N., Bassett, S., Menz, H. B., & Rome, K. (2015). Are foot and ankle characteristics associated with falls in people with rheumatoid arthritis? A prospective study. Arthritis Care Res, 69 (8).
  • Brenton-Rule, A., Dalbeth, N., Bassett, S., Menz, H. B., & Rome, K. (2015). Foot and ankle characteristics associated with falls in adults with established rheumatoid arthritis: a cross-sectional study. BMC Musculoskeletal Disorders, 17(22).
  • Morpeth, T., Brenton-Rule, A., Carroll, M., Frecklington, M., & Rome, K. (2015). Fear of falling and foot pain, impairment and disability in rheumatoid arthritis: a case-control study. Clinical Rheumatology (online publication).
  • Brenton-Rule, A., Dalbeth, N., Bassett, S., Menz, H. B., & Rome, K. (2015). The incidence and risk factors for falls in adults with rheumatoid arthritis: a systematic review. Seminars in Arthritis and Rheumatism, 44(4), 389-398.
  • Lansdowne, N., Brenton-Rule, A., Carroll, M., & Rome, K. (2015). Perceived barriers to the management of foot health in patients with rheumatic conditions. Journal of Foot and Ankle Research, 8(14).
  • Hendry, G., Brenton-Rule, A., Barr, G., & Rome, K. (2015). Footwear experiences of people with chronic musculoskeletal diseases. Arthritis Care and Research.
  • Brenton-Rule, A., Hendry, G. J., Barr, G., & Rome, K. (2014). An evaluation of seasonal variations in footwear worn by adults with inflammatory arthritis: a cross-sectional observational study using a web-based survey. Journal of Foot and Ankle Research, 7(36).
  • Brenton-Rule, A., D'Almeida, S., Bassett, S., Carroll, M., Dalbeth, N., & Rome, K. (2013). The effects of sandals on postural stability in patients with rheumatoid arthritis: an exploratory study. Clinical Biomechanics, 29, 350-353.
  • Carroll, M., Joyce, W., Brenton-Rule, A., Dalbeth, N., & Rome, K. (2013). Assessment of foot and ankle muscle strength using hand held dynamometry in patients with established rheumatoid arthritis. Journal of Foot and Ankle Research, 6(1).
  • Brenton-Rule, A., Carroll, M., Dalbeth, N., Bassett, S., Mattock, J., Menz, H. B., . . . Rome, K. (2012). Reliability of the TekScan MatScan ® system for the measurement of postural stability in older people with rheumatoid arthritis. Journal of Foot and Ankle Research, 5(21).
  • Brenton-Rule, A., Bassett, S., Walsh, A., & Rome, K. (2011). The evaluation of walking footwear on postural stability in healthy older adults: An exploratory study. Clinical Biomechanics, 26(8), 885-887.

Awards:

  • ASICS Honour scholarship $6800
  • Health Research Council Clinical Research Training Fellowship (3 year fulltime for PhD) $275,000

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