Cover Story

Health literacy: the challenge of making clinical information accessible to patients

Healthcare education materials for patients are consistently written at a reading level too advanced for a significant number of people–a trend that affects all aspects of lower extremity care and can adversely affect clinical outcomes.

By Hank Black

Editor Message

Out on a limb: Reading lessons

The Internet and social media have transformed health advocates’ ability to disseminate educational information, which has the potential to substantially improve outcomes across all healthcare disciplines.

By Jordana Bieze Foster


Knee OA, biomechanics, and progression to TKA

The frontal and sagittal plane gait bio­mechanics associated with progression to total joint replacement in patients with knee osteoarthritis, particularly variables related to sustained loading, may be promising…

By Cheryl Hubley-Kozey, PhD, and Gillian Hatfield, PT, PhD

Tibial stress fractures: an evidence-based approach

Study findings suggest that increased loading rates and tibial acceleration are associated with an increased risk of sustaining a tibial stress fracture. Interventions directed at reducing these impact…

By CPT Jamie B. Morris, DPT, OCS, CSCS, and LTC Donald L. Goss, PT, PhD, OCS, ATC

Fifth met fractures and osteoporosis in women

Given that older women are at increased risk for osteoporosis, an increased incidence of fifth metatarsal fractures with increasing age in women suggests that such injuries could serve as an early point of entry into osteoporosis treatment and fracture prevention.

By David Beck, MD, Justin Kane, MD, and David Pedowitz, MD   

Cryotherapy and muscle recovery after exercise

Research utilizing contrast-enhanced ultrasound suggests that, although cryo­therapy effectively decreases the pain associated with exercise-related muscle damage, those symptomatic effects are not associated with decreased blood flow in the affected skeletal muscle.

By Noelle M. Selkow, PhD, ATC, and Susan A. Saliba, PhD, MPT, ATC

Surface EMG: A how-to guide for practitioners

With evidence-based protocols in hand, practitioners can feel more comfortable clinically integrating surface electromyography (sEMG) assessment, creating more sophisticated sEMG treatment protocols, and demonstrating the effectiveness of interventions.

By Rachelle Bordlee, sDPT, and Christopher Kevin Wong, PT, PhD