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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April 2015

Ankle fracture patients have elevated levels of synovial biomarkers for OA

Patients with acute intra-articular ankle fractures demonstrate elevated levels of biomarkers that are commonly associated with osteoarthritis (OA), suggesting that the degenerative process that leads…

By Jordana Bieze Foster Continue reading

April 2015

The perils of poses: Yoga-related injuries

Yoga is becoming increasingly popular with students looking to improve strength, flexibility, balance, and well being. But those who do too much, too soon are at risk for injury.

By Emily Delzell Continue reading

April 2015

A new triplanar paradigm for bunion management

The most common paradigm in bunion surgery relies on one or more metatarsal osteotomies to correct the 1-2 intermetatarsal angle (IMA) and soft tissue balancing to align the first metatarsophalangeal joint (MTPJ), sesamoid apparatus, and hallux. Additionally, the most common approach…

By Paul Dayton, DPM, MS, FACFAS, and Merrell Kauwe, DPM

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April 2015

Risk of overuse injury in high school athletes

Roughly 60% of overuse injuries in high school athletes occur in the lower extremities, injuries that are increasing in number as more students participate in sports. Treatment involves rest and correction of biomechanical deficiencies, and should be individualized to each athlete.

By Allison Schroeder; James Onate, PhD, AT, ATC, FNATA; and Thomas Best, MD, PhD Continue reading

April 2015

APTA’s revised heel pain guidelines spur dialogue

The American Physical Therapy Association has updated its 2008 guidelines on the nonsurgical treatment of heel pain with a bolstered evidence base, but lower extremity practitioners continue to debate the clinical merits and most effective applications of certain newer therapies.

By Hank Black Continue reading

April 2015

The psychology of returning to sports after ACL surgery

Psychological factors are responsible for delayed return to sports after anterior cruciate ligament reconstruction in a sig­nificant number of patients despite successful physical rehabilitation, but questions remain as to the most effective ways to address these issues.

By Trevor A. Lentz, PT, SCS, CSCS Continue reading

April 2015

Early weight bearing after Achilles tendon repair

Early mobilization and weight bearing after Achilles tendon repair is associated with improved patient satisfaction and faster return to work and sports, with no significant increase in rates of tendon rerupture or postoperative wound and nerve complications.

By David P. Taormina, MD, and Nirmal C. Tejwani, MD Continue reading

March 2015

Study finds triceps surae injury rate associated with age in soccer players

Older elite male soccer players sustain significantly more triceps surae injuries than do their younger counterparts, and could benefit from targeted training to prevent such injuries… Continue reading

March 2015

Bionic Leg

AlterG offers the AlterG Bionic Leg, a robotic assistive device that is activated by patient-
initiated movement, with benefits for both the therapist and patient. The Bionic Leg is… Continue reading

March 2015

Out on a limb: Rethinking pain

Pain doesn’t always behave the way we think it will. An intervention that relieves pain in the majority of patients might not provide relief for a significant minority. But that might mean we need to change the way we think about pain.

Jordana Bieze Foster, Editor Continue reading

March 2015

Down syndrome and total hip arthroplasty: Opportunities to optimize outcomes

Total hip arthroplasty can markedly improve quality of life in patients with Down syndrome, but the comorbidities and developmental disability associated with the chromosomal abnormality need to be taken into…

By Shalmali Pal Continue reading

March 2015

Predicting recurrence after clubfoot treatment

In the search for factors that predict recurrence after use of the Ponseti method for successful treatment of idiopathic clubfoot, conclusive evidence is in short supply. However, the one factor that is…

By Rachel Y. Goldstein, MD, MPH Continue reading

March 2015

Low back pain and risk of lower extremity injury

Low back pain is associated with kinematic and kinetic alterations that can increase the risk of lower extremity injury, parti­cularly in the presence of fatigue. New research suggests…

By Ram Haddas, PhD Continue reading

February 2015

Trial finds Pluristem product safe, improves post-THA muscle strength

A phase I/II trial of Pluristem Therapeutics’ expanded placental cell product for treatment of muscle injury after total hip arthroplasty (THA) found significant improvements in maximal voluntary muscle contraction force six months postsurgery in both operated and nonoperated gluteal muscle. Continue reading

February 2015

Study questions utility of adult balance test in concussed kids

With head trauma becoming increasingly worrisome in sports these days, a significant concern is whether the same protocols for clearing an athlete to return to sports should be used in both adults and children. Research from Cincinnati Children’s Hospital Medical Center suggests that the…

By Chris Klingenberg Continue reading

December 2014

Propét brings game-changing ideas to footwear with stabilizing technology and variable flexibility

The New Year will find Propét USA continuing its expansion of its comfort and therapeutic footwear offerings. In collaboration with its first podiatric advisor, foot and ankle surgeon Harold Schoenhaus, DPM, Propét will continue to build its new line of… Continue reading

February 2015

Treating and preventing ankle sprains in children

High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore whether clinical approaches designed for adults will also be effective in their younger counterparts.

By P.K. Daniel Continue reading

February 2015

An eccentric approach to hamstring injuries

The effectiveness of eccentric training for the prevention and rehabilitation of hamstring strains has been established in the medical literature. The next step is to identify an eccentric hamstring exercise that addresses the limitations of existing…

By Karl F. Orishimo, MS, CSCS, and Takumi Fukunaga, DPT, ATC, CSCS Continue reading

February 2015

Chronic ankle instability: effects on quality of life

Patient-reported outcomes can be used to monitor health-related quality of life in patients with chronic ankle instability, and lower extremity practitioners can design rehabilitation approaches to specifically target physical impairments that are known to contribute to quality of life.

By Megan N. Houston, PhD, ATC, and Matthew C. Hoch PhD, ATC Continue reading

February 2015

Knee OA brace experts revisit persistent issues

Systematic reviews and meta-analyses show that bracing for knee osteoarthritis (OA) is associated with significant benefits with regard to pain and function. But links to disease progression remain elusive, and the challenges of patient compliance are becoming even more complicated.

By Larry Hand Continue reading

February 2015

Achilles rehab: focusing on insertional tendinosis

Research supports eccentric strengthening for treatment of midportion Achilles tendinopathy, but a new study suggests the same approach…

By Lisa H. Jain, DPT, OCS; Kevin J. McCarthy, MD; Michael Williams, PT, OCS; Marie Barron, PT, OCS; Nick Bird, MPT; Brian Blackwell, PT, OCS; G. Andrew Murphy, MD; David R. Richards, MD; Susan Ishikawa, MD; and Margaret Kedia, PhD, DPT Continue reading

January 2015

Remedy Pro Offloading Shoe

DJO Global’s ProCare product line now includes the Remedy Pro Offloading Shoe, designed to reduce forefoot pressure and speed healing. The Remedy Pro is indicated for forefoot trauma, postsurgical healing … Continue reading