Assessing how foot problems— namely, pain, neuropathy, and deformity— contribute to frailty syndrome has been a challenge for researchers, as transporting frail elders to lab facilities creates its own set of issues. But a recent study from the University of Arizona used wearable sensors to assess the seniors in their “natural” environment and found significant relationships between the number of foot problems and degree of frailty.
In a pre-specified, 3-year extension of a randomized clinical trial of equivalence, close-contact casting maintained equivalence in function compared to surgery in older adults with unstable ankle fracture. Furthermore, no significant differences were reported in quality of life or pain. The authors concluded that the focus of treatment for these patients should be on obtaining and maintaining reduction until union, using the most conservative means possible.
Both type 1 and type 2 diabetes are known for their life-threatening complications—in particular, blindness from retinopathy, kidney failure, and peripheral neuropathy. For patients with diabetes and foot pathology, amputation is a significant worry. A recent study in Foot & Ankle Specialist sought to understand just how much this population fears lower-extremity amputation (LEA).
As summer approaches and we become more active outdoors, wasps will become more active, too. Two recent studies highlight the pain and danger of the ubiquitous wasp. The first study, from entomologists at the University of Utah, looked at stinger length compared to reported pain and toxicity.1
Many have long suspected the answer, but a new study would appear to resolve the question: Are flip flops really that bad for your feet? According to Chen and colleagues from the Department of Biomedical Engineering at The Hong Kong Polytechnic University, flip flops are most likely no better than barefoot when it comes to lower-limb co-contraction and joint contact force in the ankle.
Multidisciplinary views of chronic foot, ankle, and knee-related conditions that curtail activity in otherwise healthy adults
Editor’s note – Welcome to this first installment of a series for the readers of Lower Extremity Review: LER Perspectives. This planned, occasional series is designed to provide multidisciplinary voices to both common and uncommon conditions seen in clinical practice by podiatrists, orthotists and prosthetists, physical therapists, and other clinicians who care for patients with a lower extremity concern.
The goal of the series is to provide a forum for clinicians from an array of specialties to offer perspective on a clinical question or issue.
In this LER Perspective, we asked clinicians in daily practice to identify their most commonly seen foot and ankle and knee conditions that cause previously healthy and active adults to curtail activity. Dr Jay Segel offers the podiatric perspective, Mr Ken Johnson provides the physical therapy perspective, and Dr Kim Ross provides the chiropractic perspective.
Please write to LER with your suggestions for topics that should be covered in a future installment.
Industry News & Updates
SMU President Sharon Diaz announces retirement Iowa governor signs the Physical Therapy Licensure Compact APMA Registry Ready for MIPS 2018 Reporting Year Podiatry Care May Lead to Reduced Hospitalizations and Opioid Prescription, Study Shows PT Referral Rates Nearly Halved Between 2003 and 2014 APTA posts 2018 House of Delegates motions Foundation announces 2018 scholarship and grant opportunities TPE audit shows sharp decline in improper claim payment rate DMU students exercise with Parkinson’s patients American Academy of Podiatric Sports Medicine elects new president Dillon completes AOPA-funded systematic review project