Home

Cover Story


cover-main
Women’s Work: Overcoming gender barriers in lower extremity specialties

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

Editor Message


1Limb-Jordana-nolabel
Out on a limb: Weight loss vs wellness

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

Departments


Orthotic-Devices-for-the-Win-2c
Management of athletes with excessive pronation

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

10knee-shutterstock_57539299-copy
Role of bariatric surgery in patients with knee OA

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

10rehab-istock_10441574b5-copy
Crossover consequences of unilateral treatments

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

10insoles-iStock_31504904
Insole research explores postural control effects

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