Search Results for: trauma

October 2017

NIH funds $1.3M post-traumatic OA study

The National Institutes of Health in July awarded a $1.3 million grant to an Indiana University-Purdue University Indianapolis mechanical engineer to evaluate a new method of strengthening damaged cartilage and preventing arthritic progression. Continue reading

January 2015

IDEO study calls for military participants with post-trauma foot, ankle weakness

The Major Extremity Trauma Research Consortium (METRC) on January 2 called for participants for a Department of Defense-funded study examining the benefits of an integrated orthosis and rehabilitation program that incorporates the Intrepid Dynamic Exoskeletal Orthosis (IDEO) and the Return to Run … Continue reading

May 2014

Rehab with energy-storing orthosis boosts function after military trauma

An integrated orthotic and rehabilitation program for soldiers with severe lower extremity trauma improves physical function and pain and decreases consideration of late amputation, even when patients begin it more than two years after injury. Continue reading

July 2013

Post-traumatic OA: Unique implications for the military

Military populations experience high rates of disability related to post-traumatic osteo­arthritis (PTOA), which does not always originate from combat injury. But military researchers are also uniquely posi­tion­ed to explore therapeutic options to minimize the effect of PTOA.

By Jessica C. Rivera, MD, Joseph C. Wenke, PhD, James R. Ficke, MD, and Anthony E. Johnson, MD

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October 2017

Lower extremity clinicians absorb hurricanes’ impact

Clinicians in areas affected by hurricanes Harvey and Irma were prepared for issues involving preexisting lower extremity concerns, but were surprised by the number of cases they saw in the storm’s aftermath involving healthy people trying to function under extraordinary conditions.

By Nancy Shohet West Continue reading

October 2017

Implications of high ankle sprains in college athletes

High ankle sprains in collegiate athletes differ from lateral or medial ankle sprains in multiple clinically relevant ways. These include loss of sports participation time, mechanism of injury, rates of injury during competition versus practices, and the possible long-term risk of osteoarthritis.

By Timothy C. Mauntel, PhD, ATC; and Zachary Y. Kerr, PhD, MPH Continue reading

October 2017

Orthotic management tactics for hallux limitus

Orthotic devices for hallux limitus are designed to limit first metatarsophalangeal joint motion while providing cushioning and plantar pressure distribution. A lack of quality research on conservative treatment of the disorder, however, forces clinicians to rely on their own experience.

By Hank Black Continue reading

October 2017

Return-to-play concerns following Achilles tears

Achilles tendon ruptures are severe injuries that are associated with a long recovery and significantly affect an athlete’s ability to function at a high level. In devising strategies for rehabilitation and return to play, the goal of clinicians and athletes alike is to try to minimize this impact.

By J. Turner Vosseller, MD Continue reading

September 2017

OA accelerants: 4 factors help hasten disease progression

Age and body mass index (BMI)—as well as their interactions with glucose concentration and static femorotibial alignment—contribute to increased risk of accelerated knee osteoarthritis (OA), according to research from Tufts University School of Medicine in Boston that could have implications for early diagnosis and intervention in this population.

By Chris Klingenberg Continue reading

September 2017

Soft braces: Experts hunt for potential mechanisms

Soft braces are not designed to change lower extremity alignment or joint forces, but research suggests they may influence knee and ankle biomechanics in other ways, including by enhancing proprioception. This line of investigation could open the door to new therapeutic opportunities.

By Stephanie Kramer Continue reading

August 2017

Frontal plane kinematics and risk of ankle sprain

Research suggests that a simple step-down task has a strong relationship with frontal plane ankle kinematics during walking and jump landing, and may be one method of screening or assessing for increased inversion—and, in turn, increased risk of future ankle sprain—in clinical settings.

By Luke Donovan, PhD, ATC; and Mark A. Feger, PhD, ATC Continue reading

August 2017

Biomechanics of femoral neck fractures in runners

Factors related to joint loading during running contribute to the development of stress fractures in the femoral neck and other lower extremity structures. Research suggests these loading parameters can be reduced by altering running foot strike pattern, stride length, speed, and step rate.

By Mark Riebel, PT, DSc, OCS, SCS Continue reading

August 2017

Flip Flops: Biomechanical critiques resonate with clinicians and designers

It’s no secret by now that traditional flimsy flip flops are associated with gait alterations that can contribute to more serious issues, but for many patients, flip flops are a hard habit to break. A new generation of “comfort” flip flops offers an alternative, but clinicians remain wary.

By Shalmali Pal Continue reading

August 2017

Associations between history of injury and ankle shape have OA implications

Variations in ankle shape—some related to race—are associated with history of ankle injury, according to research from the University of North Carolina at Chapel Hill that may have implications related to risk of post-traumatic ankle osteoarthritis (OA).

By Jordana Bieze Foster Continue reading

August 2017

Pro-Select Ankle Brace

New from Elite Orthopaedics is the Pro-Select Lace Up Ankle Brace, which retails for $12. The brace is intended for patients with chronic weak ankles, post ankle trauma, postop ankle… Continue reading

July 2017

Recent trends favor use of bracing for knee OA

Experts say new research underscoring the clinical benefits of bracing for patients with knee osteoarthritis (OA), along with more comfortable device designs aimed at improving patient compliance, may help boost the historically low rates of brace utilization in this patient population.

By Barbara Boughton  Continue reading

July 2017

An interdisciplinary take on diabetic limb salvage

Developing a multidisciplinary team dedicated to diabetic limb salvage allows for immediate referral, lessens the burdens on individual practitioners, helps remove structural barriers that can delay patient care, and offers a framework in which to organize inpatient care for these patients.

By Brian M. Schmidt, DPM, AACFAS Continue reading

June 2017

NHL study adds to evidence linking concussion, lower body injury risks

A study of National Hockey League (NHL) injuries adds to the evidence suggesting concussion significantly increases the risk of lower body injury in athletes, and vice-versa. Continue reading

June 2017

OSTEOARTHRITIS: Studies explore mechanisms for distal knee OA therapies

Studies presented in May at the 2017 ISPO World Congress in Cape Town, South Africa, added to knee experts’ understanding of the mechanisms underlying distal interventions to reduce pain and joint loading in patients with medial knee osteoarthritis (OA). Continue reading

June 2017

Minimalist shoes: Risks and benefits for runners

Although there may be benefits to a change in running footwear, there are also risks associated with a switch to minimalist running shoes. Alterations in anatomy, physiology, and biomechanics associated with transitioning to minimalist footwear are likely to be unique to each runner.

By J. Todd Walker, MD; Donna Moxley Scarborough, PT, MS; Eric M. Berkson, MD; and Matthew J. Salzler, MD Continue reading

June 2017

Management of painful plantar fat pad atrophy

Aging and a number of medical conditions can lead to atrophy of the fat pads under the heel and forefoot, which often causes considerable pain. Cushioned footwear and orthoses are mainstays of treatment, but research also supports the use of fat grafting in recalcitrant cases.

By Barbara Boughton  Continue reading

May 2017

ACLR patients exhibit hop test deficits between limbs and vs matched controls

After anterior cruciate ligament reconstruction (ACLR), hop test scores differ not only between limbs but also when scores for either limb are compared with normative data from healthy athletes, according to research from the Netherlands that could have return-to-sports implications.

By Jordana Bieze Foster Continue reading

May 2017

Somatosensory deficits following ACL surgery

Research suggests light touch sensation in the foot and ankle may be negatively affected several years after anterior cruciate ligament (ACL) reconstruction—a finding consistent with studies that have reported decreased somatosensation in patients with other lower extremity conditions.

By Matthew Hoch, PhD, LAT; Steven Morrison, PhD; and Johanna Hoch, PhD, LAT Continue reading

April 2017

Sports injury prevention experts revisit risk factors and advocate for adherence

Despite strides, gaps between lab and practice remain

It’s an exciting time for clinicians involved in preventing sports injuries. Increasing numbers of studies are identifying risk factors associated with specific injuries and documenting the effectiveness of preventive interventions for reducing injury rates. Continue reading

April 2017

Protecting hip implants: Gait patterns help predict wear rates

Patient-specific implant wear rates following total hip arthroplasty (THA) are more strongly associated with gait patterns than component positioning, according to research from Chicago that suggests implant wear could be reduced with the use of predictive wear models.

By Katie Bell Continue reading