Search Results for: trauma

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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January 2016

Footwear, traction, and the risk of athletic injury

High degrees of rotational traction associated with athletic footwear can increase the risk of noncontact lower extremity injury following an unexpected neuromuscular perturbation, possibly by increasing biomechanical joint loading at the ankle and knee.

By John W. Wannop, PhD; Ryan Madden, MSc; and Darren J. Stefanyshyn, PhD, PEng Continue reading

January 2016

Compression and clots in athletes who travel

Hemostatic activation following a marathon is lower in athletes who run with compression socks than those who run with typical athletic socks, suggesting the garments may help reduce the risk of postexercise clot formation in athletes who travel to events.

By Amanda Zaleski, MS; and Beth Taylor, PhD Continue reading

November 2015

Battles of Achilles II: How the debate is informing clinical practice

Four years later, the ongoing discussion of the relative merits of surgical and nonsurgical management of Achilles tendon rupture is starting to affect practice patterns – even in the US.

By Cary Groner Continue reading

November 2015

Shear-wave elastography could help optimize Achilles rehab

Researchers at the University of Delaware in Newark are using a new ultrasound-based technique to better understand the effects of rehabilitation on the Achilles tendon, which could help optimize rehab protocols to improve long-term function.

By Cary Groner Continue reading

November 2015

Surgeon finds himself on other end of scalpel

A meniscal injury gave one practitioner new insight into the patient experience and renewed his belief that healing isn’t just about what happens physically.

By Cary Groner Continue reading

November 2015

Quadriceps symmetry after ACL reconstruction

Using muscle function symmetry as an indicator of patient progress after anterior cruciate ligament (ACL) reconstruction can provide insight about potential targets for intervention to improve movement quality, functional performance, and patient outcomes.

By Christopher Kuenze, PhD, ATC; and Adam Kelly, MS, ATC      Continue reading

November 2015

Out on a limb: Hockey gets hip to FAI

Despite evidence of significant lower extremity injury risks associated with ice hockey, even at youth levels, preventing those types of injuries has never been a priority in that sport. But that may be starting to change.

Jordana Bieze Foster, Editor Continue reading

October 2015

AOPA honors advocates, student O&P poster winners at National Assembly

The Washington, DC-based Ameri­can Orthotic & Prosthetic Association (AOPA) on October 9 recognized the three recipients of its Ralph R. “Ronney” Snell Legislative Advocacy Award at its National Assembly in San Antonio, TX. Continue reading

October 2015

The mechanistic mysteries of foam rolling

As the popularity of foam rollers escalates, researchers are scrambling to document the therapy’s effects and tease out the possible underlying mechanisms, which now appear to be more complicated than the earliest investigators had hypothesized.

By Cary Groner Continue reading

October 2015

From amputee to clinical prosthetist: four journeys

A number of amputees, many inspired by the expert care they received after losing a limb, have been motivated to pursue careers in prosthetics, where they can provide patients with a unique and personal perspective. Four of these practitioners shared their stories with.

By P.K. Daniel Continue reading

October 2015

Running in an exerted state: mechanical effects

Kinematic and kinetic alterations in the lower extremities that researchers have observed during the course of a prolonged run may provide clinically relevant insights into patellofemoral pain and other conditions associated with a gradual onset of symptoms during exercise.

By Lauren Benson, MS; and Kristian O’Connor, PhD Continue reading

September 2015

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    Continue reading

September 2015

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 Continue reading

August 2015

Childhood obesity and OA: Can early care reduce risk?

Osteoarthritis (OA) risk factors and symptoms seen in adults have been found in obese kids, who often have musculoskeletal pain. Weight loss may help, but preventing OA may also require gait and exercise interventions, particularly those that reduce pain that leads to inactivity.

By Erin Boutwell Continue reading

August 2015

Running modifications to alter PFJ contact force

Patellofemoral pain interventions have increasingly focused on running technique and training approaches—such as utilization of a forefoot strike pattern, a shortened step length, and manipulations to training pace—to reduce patellofemoral joint loading parameters.

By Collin D. Bowersock, BS, and John D. Willson, PT, PhD Continue reading

August 2015

Contributors to pediatric ACL surgery outcomes

Different factors influence outcomes after anterior cruciate ligament reconstruction in younger and older pediatric patients, but regardless of age, a delay to surgery is correlated with more severe additional injuries and the need for additional surgical procedures.

By Justin T. Newman, MD Continue reading

July 2015

Intricacies of metatarsal stress fracture treatment

A growing body of research on metatarsal stress fractures is helping lower extremity practitioners manage both the biomechanical and physiological effects of these frustrating injuries, as well as the expectations of patients who are eager to return to activity.

By Erin Boutwell Continue reading

July 2015

Driving safety: The effects of lower extremity impairment

The question of when or if it’s safe for patients to drive after surgery or while wearing a lower extremity orthotic device is one practitioners should address. But, in the absence of formal guide­lines, clinicians’ advice is often inconsistent.

By Hank Black Continue reading

July 2015

Role of early rehab stages after ACL reconstruction

Traditionally, anterior cruciate ligament reconstruction outcomes have been assessed preoperatively and several months postoperatively, but new research suggests the early postoperative stages of recovery may also significantly affect self-reported outcomes.

By Caitlin J. Miller, PT, DPT, and Jesse C. Christensen, PT, DPT, SCS Continue reading

June 2015

Total ankle arthroplasty: defining its clinical niche

Research generally upholds total ankle arthroplasty as a viable alternative to the traditional first-line surgical treatment, ankle arthrodesis, for correctly selected patients with end-stage ankle arthritis. But complication rates associated with ankle arthroplasty remain an area of concern.

By Hank Black Continue reading

June 2015

Hip strength, balance, and risk of ACL injury

Hip strength is associated with performance on the Star Excursion Balance Test in female collegiate athletes, a finding that adds to the evidence that hip strengthening programs can…

By Jatin P. Ambegaonkar, PhD, ATC, OT, CSCS; Lindsey M. Mettinger, MS, ATC; Shane V. Caswell, PhD, ATC; Andrea Burtt, MS, ATC; Shruti J. Ambegaonkar, PT, PhD; and Nelson Cortes, PhD    Continue reading

May 2015

Obese children develop knee malalignment as they mature

Effect might increase future OA risk – As obese children undergo the rapid physical changes of puberty, they develop knee malalignment that could potentially contribute to development of knee osteoarthritis (OA), according to recent research from Nationwide Children’s Hospital in Columbus, OH.

By Emily Delzell Continue reading