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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June 2016

Ottobock study, RCT support use of its
C-Brace in paresis, Patella Pro in PFPS

Ottobock in May reported results of studies involving two of the Duderstadt, Germany-based company’s devices.

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June 2016

A Finer Pointe: Visualizing the ankle’s response to ballet’s toughest task

The use of detailed orthopedic imaging to examine dancers’ ankles while in the en pointe position offers insight into the biomechanical demands associated with a position that, although highly unnatural, is nevertheless essential to a ballerina’s performance.

By Jeffrey A. Russell, PhD, AT, FIADMS Continue reading

June 2016

When knee OA research becomes legal testimony

In worker’s compensation cases, including those involving knee osteoarthritis, an expert witness often will be asked to use his or her knowledge of biomechanics to provide an opinion supporting or refuting a causal relationship between work conditions and an overuse injury.

By Steven T. McCaw, PhD

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June 2016

Treatment of distal toe calluses and ulcerations

When calluses or ulcers develop on the distal aspect of the lesser toes, offloading pressure from the distal end of the digit is essential for healing to occur. Research suggests that toe crest pads offer an inexpensive but effective means of offloading and healing these distal wounds.   

By Monica Melo, DNP, RN, ACNS-BC, CWOCN, CFCN

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May 2016

Look out below: injury risk on the trampoline

Trampoline use, both in backyards and in large recreational parks, is up. So are injuries incurred on the equipment, including fractures with potentially serious long-term sequelae. Some groups advise  a ban on home use, but other experts disagree, citing the equipment’s benefits for motor learning and active play.

By P.K. Daniel Continue reading

May 2016

Managing metatarsalgia in athletic populations

Metatarsalgia is a common foot disorder. The term metatarsalgia refers to a pain syndrome in the forefoot and not to a specific diagnosis. Pain is confined to the area across the plantar forefoot, including the second through fourth metatarsal heads.

By Howard Kashefsky, DPM, FACFAS Continue reading

May 2016

Hip strength asymmetry and patellofemoral pain

Hip strength asymmetry has been observed in patients with existing patello­femoral pain syndrome (PFPS) and poten­tially could be used to screen for at-risk individuals.

By Franklin Caldera, DO, MBA; and Christopher Plastaras, MD Continue reading

April 2016

Managing hallux limitus and rigidus in athletes

The terms “hallux limitus” and “hallux rigidus” refer to a degenerative process of the great toe joint that was first described by Davies-Colley1 in 1887 and termed hallux flexus. Cotterill later coined the term hallux rigidus.2 The two terms represent a progression in…

By Howard Kashefsky, DPM, FACFAS Continue reading

April 2016

The clinical implications of accelerated knee OA

Accelerated knee osteoarthritis (OA), defined by very rapid radiographic disease progression, is also associated with earlier and more severe symptoms than traditional OA. Identification of…

By Jeffrey B. Driban, PhD, ATC, CSCS Continue reading

March 2016

Strength training: Bone health benefits for men

Men with low bone mass are much less likely than their female counterparts to receive treatment. But research suggests that resistance exercise is a safe and effect­­ive way to improve bone mineral density in men and, in turn, reduce the risk of fracture and related complications

By Pamela S. Hinton, PhD Continue reading

March 2016

Ankle instability rehab emphasizes individuality

Research presented at the most recent International Ankle Symposium indicates that rehabilitation for chronic ankle instability is evolving from a one-size-fits-all approach to an increased focus on matching specific interventions to the patients who are most likely to benefit.

By Lori Roniger Continue reading

March 2016

Clinical single-leg hop tests can help estimate risk of OA after ACL injury

Performance on single-leg hop tests a few weeks after anterior cruciate ligament (ACL) injury can predict the risk of radiographic knee osteoarthritis (OA) five years later, according to research from the University of Delaware in Newark.

By Jordana Bieze Foster Continue reading

February 2016

Multiple jumpers increase risk for ‘trampoline ankle’

Large forces can cause severe fractures: Multiple trampoline jumpers are a primary cause of “trampoline ankle,” according to a recent Canadian study, which also noted that, when two individuals are bouncing out of sync, they generate kinetic energy forces that produce a high-impact effect that can cause serious growth-plate injuries in children.

By P.K. Daniel Continue reading

February 2016

Mobility-enhancing care in CP helps strengthen bones

Cerebral palsy (CP) can decrease mobility, which is key to quality living. Children with CP and compromised mobility are at risk for low bone mineral density and fragility fractures, but physical therapy programs and orthoses can help kids be more active to build stronger bones.

By Hank Black Continue reading

February 2016

Keeping kids in braces can prevent clubfoot relapse

More than a third of Ponseti-corrected clubfeet relapse and require additional treatment. Making a complete initial correction, ensuring optimal brace comfort, and  encouraging parental buy-in to bracing  over the long term reduces brace nonadherence, a major cause of recurrence.

By Barbara Boughton Continue reading

February 2016

Texting while walking: Gait adaptations and injury implications

It’s not surprising that tactile interaction with a smartphone while walking can increase the risk of traumatic injury, but texting while walking also affects gait in ways that may ultimately have long-term effects.

By Shalmali Pal Continue reading

February 2016

Active Stance: Patients with at-risk feet need collaborative care

In a recent editorial in The Lancet Diabetes-Endocrinology,1 Lipsky and colleagues wrote that diabetic foot disease “…is not a one doctor disease—it demands multidisciplinary care. Furthermore, as a notoriously unglamorous problem, the disease depends on…

By Terrence P. Sheehan, 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