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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September 2016

Management of athletes with early-stage PTTD

Posterior tibial tendon dysfunction (PTTD), known also as tibialis posterior tendon dysfunction, is one of the leading causes of acquired flatfoot in adults, but the…

By By Frank Layman, PT, DPT, EdD, MT; and April Wilson, PTA, BS, CI, CKTP, IASTM Continue reading

September 2016

Chronic ankle instability, gait, and muscle activity

New research suggests lower extremity clinicians should consider implementing gait training in combination with targeted strengthening of the peroneus longus and gluteus medius muscles to help restore normal gait patterns in patients with chronic ankle instability.

By Rachel Koldenhoven, MEd, ATC Continue reading

September 2016

Reducing postoperative thromboembolism risk

Preventing deep venous thrombosis and pulmonary embolism after lower extremity surgery can involve pharmaceutical therapies or mechanical interventions. The type of prophylaxis used depends on the type of surgery, pre-existing risk factors, and patient preference.

By Barbara Boughton Continue reading

August 2016

Ottobock AFO reduces knee OA pain

A study published July 8 in the Archives of Orthopaedic and Trauma Surgery found an ankle foot orthosis (AFO) made by Duderstadt, Germany-based Otto­bock significantly reduced pain and stiffness and improved physical function in patients with knee osteoarthritis (OA). Continue reading

August 2016

Management of Achilles tendinopathy in runners

Achilles tendinopathy is a common lower extremity injury in athletes as well as nonathletes. The Achilles tendon is often a site of injury in runners and is the second most common running-related musculo­skeletal injury, after medial tibial stress syndrome, with an…

By Howard Kashefsky, DPM Continue reading

August 2016

Foot strike while running and patellofemoral pain

Recent research supports the idea that increased patellofemoral stress is a contributing factor in runners with patello­femoral pain, and that gait retraining to promote a…

By Jenevieve L. Roper, PhD; Deborah L. Doerfler, PT, DPT, PhD; Christine M. Mermier, PhD; and Janet S. Dufek, PhD Continue reading

August 2016

Radiofrequency-based arthroscopy in the ankle

The results of a retrospective chart review suggest that the use of plasma-mediated bipolar radiofrequency-based arthroscopic microdebridement is associated with notable decreases…

By Renato Giorgini, DPM, FACFAS; Stephanie Giles, DPM; Omer Aci, DPM; and Christopher Japour, DPM, MS  Continue reading

August 2016

Striking out hamstring strain: Protocol helps protect baseball players

A hamstring injury intervention program is effective for reducing the rate of hamstring injuries and reinjuries in professional baseball players, according to ongoing research from the University of Delaware presented in July at the annual meeting of the…

By Katie Bell Continue reading

July 2016

Diabetic Light Compression Sock

The Caresox Diabetic Light Compression sock is designed to provide maximum comfort for patients with diabetes. Manu­factured in Italy, the quick-drying Silver DryStat fibers are antifungal, antibacterial, and odor resistant. Continue reading

July 2016

Blood Flow Restriction Training: The slow-flow movement is fast becoming rehab’s hottest trend

Partially occluding blood flow to the limbs, in com­bin­ation with low-load resistance exercise, appears to facilitate hypertrophy and strength gains in athletes and others while protecting the joints from damaging stresses.

By Cary Groner Continue reading

July 2016

Understanding turf toe: The role of foot orthoses

Turf toe is a common injury in football players competing on artificial turf, but it also occurs in soccer and baseball players on natural grass and other playing surfaces. Turf toe is a sprain of the capsule of the first metatarsophalangeal (MTP) joint; increasing grades of injury may include…

By Patricia Pande, MClScPT, CSCS, CPed Continue reading

July 2016

Lower extremity strength and injury risk in runners

Study findings regarding strengthening interventions in runners with patello­femoral pain syndrome have been inconsis­tent, perhaps because specific subgroups are more responsive than others. Preliminary research suggests high school runners may make up…

By Lace Luedke, PT, DPT, PhD, OCS, CSCS Continue reading

July 2016

Limb length discrepancy: When, how to intervene?

Limb length discrepancies (LLDs) as small as 1.5 cm can significantly affect gait, and some clinicians choose to intervene in cases of even smaller discrepancies. Many LLDs can be addressed orthotically, but surgical techniques are becoming less invasive and more effective.

By Cary Groner Continue reading

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.   


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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