Forensic Podiatry: a New Path for Podiatrists?
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FORENSIC PODIATRY: A NEW PATH FOR PODIATRISTS? FINAL DEGREE PROJECT PODIATRY DEGREE SUBJECT CODE: 360416 AUTHOR: STEVEN CASTILLO PINEL TUTOR: Dr. CARLES VERGÈS SALAS DATE: 10TH OF JUNE 2015 FORENSIC PODIATRY: A NEW PATH FOR PODIATRISTS? INDEX 1. ABSTRACT / RESUM.................................................................pg. 4 2. AIMS…………………………………………………………………..pg. 5 3. PERSONAL MOTIVATION…………………………………………pg. 5 4. MATERIALS AND METHODS………………………….………….pg. 6 5. INTRODUCTION…………………………………………………….pg. 8 5.1 LEGAL MEDICINE AND FORENSIC SCIENCES………………………pg. 8 5.2 FORENSIC PODIATRY……………………………………………………pg. 9 6. HISTORY……….…………………………………………………...pg. 11 6.1 HISTORY OF PODIATRY………………………..………….……..pg. 11 6.1.1 History of Podiatry in Spain…………………………….………....pg. 11 6.2 HISTORY OF FORENSIC PODIATRY…………………………..…….pg. 12 6.3 FORENSIC PODIATRY NOWADAYS…………………………………pg. 13 6.4 FUTURE DEVELOPMENTS……………………………………………pg. 14 7. THE ROLE OF THE FORENSIC PODIATRIST……….……….pg. 15 7.1 IDENTIFICATION PODIATRIST RECORDS……………………….....pg. 15 7.2 BARE FOOTPRINTS IDENTIFICATION………………………………pg. 17 7.2.1 The Gunn Method………………………………………………………pg. 18 7.2.2 The Optical Centre Method……………………………………………pg. 19 7.2.3 The Overlay Method………………………………………….……......pg. 20 7.3 FOOTWEAR……………………………………………………….……..pg. 23 7.4 FORENSIC GAIT ANALYSIS………………………………………......pg. 27 7.5 WHAT IS NOT INCLUDED IN FORENSIC PODIATRY……….........pg. 30 8. FORENSIC PODIATRY IN CATALONIA, SPAIN…….………..pg. 32 9. DISCUSSION…………….…………………………………….......pg. 33 10. CONCLUSION……………………………………………………...pg. 36 11. BIBLIOGRAPHY………………………………………………..….pg. 37 12. ACKNOWLEDGMENTS………………………………………......pg. 39 2 FORENSIC PODIATRY: A NEW PATH FOR PODIATRISTS? TABLE INDEX 1. Table 4. Timeline of work progression of the final degree project………..pg. 7 2. Table 6.2 Brief Timeline with the History of Forensic Podiatry…………...pg. 12 3. Table 7.1. Forensic Podiatry Tasks in Podiatry Treatment Records…….pg. 16 4. Table 7.2. Forensic Podiatry Tasks in Barefoot Prints………………...…..pg. 22 5. Table 7.3 Forensic Podiatry Tasks in Footwear………………………...…pg. 26 6. Table 7.4. Most common recognisable Gait Features and Gait forms in Forensic Gait Analysis……………………………………………………...….pg. 28 7. Table 7.4.1 Forensic Podiatry Tasks in Gait Analysis…………………...…pg. 30 FIGURE INDEX 1. Figure 5.2. Bone Structure of the foot…………………………………......pg. 10 2. Figure 6.1.1. The University of Barcelona was the first school of podiatry ………………………………………………………………………………..…..pg. 11 3. Figure 6.3. Logo of the American Society of Forensic Podiatry……...…pg. 13 4. Figure 7.2. The Gunn Method…………………………………………...…pg. 18 5. Figure 7.2.1 Partial print analysis using The Gunn Method………...….…pg. 19 6. Figure 7.2.2. The Optical Centre Method……………………………....…...pg. 20 7. Figure 7.2.3. The Overlay Method…………………………………....……...pg. 21 8. Figure 7.3. Focal Point Instrument………………………………..………..pg. 24 9. Figure 7.3.1. Focal Points of Wear on the outsole of a shoe…..………….pg. 24 10. Figure 7.3.2. Preparation of footwear for internal examination…….pg. 25 3 FORENSIC PODIATRY: A NEW PATH FOR PODIATRISTS? 1. ABSTRACT Forensic podiatrists are specialised podiatrists in the field of Legal Medicine and Forensic Sciences. With their expertise level of the functioning foot, they are able to help the department of criminology. Their scope is divided in four subspecialties, in which each scope plays a very important part. Podiatry treatment records, barefoot prints, footwear and gait patterns are the main roles that forensic podiatrists employ. Forensic podiatry does not exist all over the world. It started in U.S.A and U.K. Currently in Catalonia, Spain, this field of podiatry still does not exist in 2015, but whether or not this will change in the future is questionable. Key Words: Forensic Podiatry, Podiatrist, Footprints, Criminology and Forensics RESUM Podòlegs forenses són podòlegs especialitzats en el camp de la Medicina Legal i Ciències Forenses. Amb el seu nivell de perícia dels peus en funcionament, són capaços d'ajudar al departament de criminologia. El seu àmbit d'aplicació es divideix en quatre sub-especialitats, en els quals cada àmbit té un paper molt important. Registres de podologia de tractament, gravats descalços, el calçat i els patrons de marxa són les funcions principals que podòlegs forenses fan servir. Podologia forense no existeix en tot el món. Es va iniciar en EUA i el Regne Unit. Actualment a Catalunya, Espanya, aquest camp de la podologia encara no existeix en 2015, però si això canviarà en el futur és qüestionable. Paraules clau: Podologia Forense, podòleg, Petjades, Criminologia i Forense 4 FORENSIC PODIATRY: A NEW PATH FOR PODIATRISTS? 2. AIMS The aims proposed in this study are to further understand this new field of podiatry and show how podiatrists are not limited just to work in a clinic or hospital but also for example in a crime scene. These are the following aims. - 1. To define how this new field came about. - 2. To describe the role of the forensic podiatrist. - 3. To propose the possibility of having forensic podiatry in Spain. 3. PERSONAL MOTIVATION I came across Forensic Podiatry as I was looking at International Podiatry Congresses and saw that this topic was spoken about. Choosing a topic that hasn’t been taught nor mentioned during our four-year Podiatry Degree at University, was an uncertain decision taken that soon after opened my learning horizons. I must add that I’m very thankful of my decision. The idea of being able to develop various forensic podiatric concepts at once, and to learn how one becomes a forensic podiatrist was really important for me, as it is unknown in Spain. In my opinion, Forensic Podiatry is quite an interesting topic that many podiatrists in Spain are unaware of. Perhaps one day; Spanish podiatrists may help, participate and solve crime cases along with the Forensic Department of the Spanish Police. 5 FORENSIC PODIATRY: A NEW PATH FOR PODIATRISTS? 4. MATERIALS AND METHODS To achieve a proper finding, a bibliographic research was needed. The most used source of information was through online databases, as specific information about Forensic Podiatry was difficult to find. Medical Science Articles was the source most employed to gather information about Forensic Podiatry and Forensic Podiatrists. Official and published articles were searched using the following databases: PUDMED and GOOGLE SCHOLAR. Words searched on these databases include, “Forensic” and “Podiatry” or “Podiatrist”. Most articles were chosen in English, although some were also in Spanish. There was no minimum date of publication established, as that would have limited the resources for this project. Most articles and resources used are published as of 2010. Books from the “CRAI Biblioteca del Campus de Ciencias de la Salud de Bellvitge” CRAI Library of Health Science Campus of Bellvitge of the University of Barcelona, were also used to further understand specific Biomechanical studies that Forensic Podiatrists use. Apart from gathering bibliographic information, a personal meeting was held with Pablo Martinez a professional podiatrist, at the University of Barcelona, Professionals in the Mossos d’Esquadra, Sargent Tomás Ramadán of the technical security planning division and Corporal Santiago Tugores of the scientific police division were contacted via email and interviewed about responsibilities and persons in charge. Dr. Gabriel Martí, a professor of Legal Medicine of the University of Barcelona was interviewed and asked about Forensics. All the professional contacts were located in Spain. Contacting Forensic Podiatrists from countries in USA, UK and Canada has resulted difficult due to the lack of time. 6 FORENSIC PODIATRY: A NEW PATH FOR PODIATRISTS? Date Facts/Duties/Actions October 2014 Title of project requested including aims and tutors. November 2014 Decision of title, tutor and modification of aims finalised. December 2014 Bibliographic search of Forensic Podiatry. January 2015 Personal meeting with podiatrist Pablo Martinez about his Thesis on podiatric dermatoglyphics related to criminalistics and forensic interest. February 2015 Online conversation via email with Corporal Santiago Tugores of the Mossos d’Esquadra about barefoot prints and gait analysis. March 2015 Personal meeting with Dr. Gabriel Martí, professor of legal medicine of the University of Barcelona. April 2015 Advancement of project with information and interviews. May 2015 Research with texts from the CRAI Library of the Health and Science Campus of Bellvitge. June 2015 Final Degree Project handed in on the 8th of June. Presentation on the 22nd of June. Table 4. Timeline of the final degree project work progression. A timeline table (Table 4) was made for organisation of personal work. 7 FORENSIC PODIATRY: A NEW PATH FOR PODIATRISTS? 5. INTRODUCTION 5.1 LEGAL MEDICINE AND FORENSIC SCIENCES Legal Medicine defined by Gisbert Calabuig, is the combination of medical and biological knowledge necessary to resolve law problems. Currently in Spain, expert Forensic Doctors assigned to the Legal Medicine Institutes are the ones mostly in charge of the Legal Medicine and Forensic Sciences. (Rapun, 2009). Legal Medicine and Forensic Sciences in Spain consist of: - Sanitary Rights - Thanalogical Legal Medicine - Forensic Pathology - Sexology Legal Medicine - Criminalistics, Forensic Identification and Genetics - Forensic Psychopathology - General Toxicology - Social Toxicology - Medication Risk and Pathology - Industrial Medication Risk and Pathology - Occupational Medicine Legal medicine in Spain encompasses