In lower extremity healthcare, as in politics, it hasn’t been easy for women to succeed in traditionally male-dominated roles. The gender demographics have shifted toward parity over time—in some specialties more than others—but challenges still remain.
By Emily Delzell
Obese individuals often spend their entire lives telling themselves how much better their lives would be if only they were thin. But losing massive amounts of weight following bariatric surgery doesn’t automatically make a person a better candidate for total knee arthroplasty (TKA)—any more than it automatically makes a person happy—if underlying issues have been ignored.
By Jordana Bieze Foster, Editor
Pronation is a triplanar movement and is the combination of rearfoot eversion, midfoot abduction, and talocrural dorsiflexion.1 Pronation in normal gait allows flexible, adaptive changes to varying types of terrain; it dissipates ground reaction forces; and encourages lower extremity internal rotation.
By Frank Layman, PT, DPT, EdD, MT; and April Wilson, PTA, BS, CI, CKTP, IASTM
Weight loss following bariatric surgery can have biomechanical and symptomatic benefits for obese patients with knee osteoarthritis (OA). But it’s less certain whether that weight loss can also reduce the risk of obesity-related complications following total knee arthroplasty.
By Shalmali Pal
The mechanisms underlying the so-called crossover effect—when a unilateral intervention results in bilateral changes—are still unclear, but clinical applications related to lower extremity strengthening, fatigue, and stretching are already being explored by rehabilitation specialists.
By Cary Groner
A growing body of evidence suggests that foot orthoses may be a helpful addition to other therapies for improving balance and potentially reducing the risk of falls. The findings have been mixed, however, and clinical enthusiasm for this type of insole intervention also varies.
By Hank Black