Search Results for: trauma

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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July 2014

Studies explore statin use for lower limb indications

A growing body of research suggests that statins may help improve not just cardiovascular outcomes but also those associated with lower extremity conditions such as peripheral arterial disease and knee…

By Larry Hand Continue reading

July 2014

Foot ulceration in patients with rheumatoid arthritis

Research has identified ankle-brachial index, loss of sensation, and deformity as predictors of foot ulceration in patients with rheumatoid arthritis, and also suggests that ulceration influences…

By Jill Firth, PhD, BSc (Hons), and Heidi J Siddle, PhD, MSc, BSc (Hons)
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June 2014

Managing foot and ankle injuries in baseball players

Baseball players at all skill levels routinely suffer from foot and ankle injuries, with position players being afflicted more often than pitchers or catchers. Making the correct initial diagnosis without delay can lead to more rapid and effective treatment, rehabilitation, and return to play.

By Gabriel V. Gambardella, DPM, Jeffrey Delott, DPM, and Zachary J. Korwek Continue reading

June 2014

Effects of targeted exercise on chronic ankle instability

Clinicians and researchers are increasingly utilizing exercise protocols focused on improving proprioception, range of motion, and strength to influence the more active and functional deficits that have been associated with chronic ankle instability in the literature.

By Mark A. Feger, MEd, ATC, and Jay Hertel, PhD, ATC Continue reading

May 2014

Kids, clothes, and AFOs: Finding just the right fit

When a child is required to wear ankle foot orthoses (AFOs), his or her clothes have to be more than just cute. Trying to match the logistical requirements of AFOs with fashion concerns and psychosocial development can be a challenge for patients and parents alike.

By Shalmali Pal Continue reading

May 2014

Cell games: Clinical use of stem cell therapy is starting to outpace the evidence

Stem cell therapy is rapidly gaining momentum as a clinical option for indi­ca­tions including meniscal injury, wound healing, and osteoarthritis. But high-level research on the tech­nol­ogy’s efficacy and long-term safe­ty is hard to come by.

By Emily Delzell Continue reading

May 2014

Research downplays role of shoe design elements in maintaining runners’ health

Runners today aren’t like the runners of the 1970s. They’re far less likely to be male, thin, or dedicated to the sport. And yet, the medical literature suggests that running injury rates are essentially unchanged. Continue reading

May 2014

Late-breaking ACL data raise questions about use of landing-based screening

A presenter from Norway gave IOC conference attendees a sneak peek at his group’s latest findings and generated considerable discussion by suggesting that many aspects of drop-landing mechanics are not predictive of anterior cruciate ligament (ACL) injury in elite female athletes. Continue reading

May 2014

Elastic therapeutic tape: Applications at the ankle

Research on the use of elastic therapeutic tape in patients with chronic ankle instability is limited, but recent findings do suggest that leaving the elastic tape on for several days is associated with improvements in…

By Janet Simon, MS, ATC; Emily Hall, MS, ATC; and Carrie Docherty, PhD, ATC Continue reading

May 2014

Knee OA guidelines take patient-centric approach

Updated guidelines and new appropriate use criteria for nonoperative management of knee osteoarthritis aim to focus more directly on typical knee OA patients, who often have comorbidities that can complicate care and…

By Larry Hand Continue reading

April 2014

Patient Perspective: Taking an alternative path to chronic foot pain relief

After a year in a fracture boot with a broken foot, I thought my ordeal was over. I was wrong. The broken bone in my foot, sustained after a fall down a staircase in my home, had occurred midway down the fifth metatarsal bone below my little toe—a site that is notoriously difficult to heal, according to my podiatrist.

By Barbara Boughton Continue reading

April 2014

Vitamin D and knee OA: Many theories, few answers

Several patient populations with an increased risk of knee osteoarthritis also are at increased risk for vitamin D deficiency, and research suggests vitamin D levels may be related to knee OA symptoms. The exact nature of the relationship, however, remains perplexing.

By Greg Gargiulo Continue reading

April 2014

Out on a limb: Teachings from Boston

As emotional as any tragic event is its first anniversary. New Yorkers know. Residents of New Orleans know. The families in Newtown, CT, know. Now it’s Boston’s turn.

By Jordana Bieze Foster, Editor

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March 2014

Ellipse updates limb-lengthening system

The US Food and Drug Administration gave Irvine, CA-based Ellipse Technologies clearance in February to market the latest generation of its adjustable intramedullary nail system for limb lengthening of the femur or tibia.

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March 2014

Active Stance: Developing the sustainable knee in an age of early TKA

To sustain is to endure. Knee osteoarthritis (OA) is a considerable worldwide health concern, as it greatly impacts an individual’s quality of life, general health, and societal role participation.

By John Nyland, DPT, SCS, EdD, ATC, CSCS, FACSM, David N.M. Caborn, MD, and Roland Jakob, MD

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March 2014

Functional tests to predict lower extremity injury risk

Adding four functional tests to the preparticipation physical evaluations performed in student athletes may allow clinicians to identify individuals at risk for lower extremity musculoskeletal injury and implement preventive interventions to maximize safe­ty in sports participation.

By Alexis Meister, BS, ATC; Dustin Grooms, MEd, ATC, CSCS; Cambrie Starkel, MS; and James Onate, PhD, ATC, FNATA

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March 2014

Influence of stride length on mechanics of pitching

Because power in baseball pitchers is generated from the feet through the core to the throwing arm, the study of stride length and its impact on pitching performance may help define an optimum technique that better protects pitchers from upper extremity injuries.

By Ryan L. Crotin, PhD, and Dan K. Ramsey, PhD

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March 2014

The ideal running shoe: An elusive, evolving concept

The body of research that has evaluated running shoe prescription and injury suggests the most important factors to consider when selecting a running shoe are that it fits the foot perfectly and that the midsole is comfortable and appropriate for the individual athlete’s running style.

By Thomas C. Michaud, DC

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February 2014

In youth athletes, repair after meniscal injury poses challenge

Obesity, gender affect tear complexity – Adolescents and children suffer more complex meniscus injuries that are often less repairable than previously reported, according to a study published in the December 2013 issue of the American Journal of Sports Medicine (AJSM).

By P.K. Daniel

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February 2014

WalkOn Reaction AFO

Ottobock announces the launch of the WalkOn Reaction AFO. Fabricated from a prepreg advanced carbon composite, the Reaction is lightweight, low profile, and extremely tough. It is designed for patients with weak dorsiflexion, poststroke impairment, traumatic brain injury, multiple sclerosis, neuromuscular atrophy, peroneal paralysis, and partial foot amputation.

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February 2014

BRD Sport Achilles Brace

The BRD Sport Achilles Ankle brace is designed to provide reliable relief of pain due to Achilles tendinitis, achillobursitis, or post-traumatic irritation. Three-dimensional knitting offers a four-way stretch to improve fit and comfort. An anatomically contoured silicone tendon pad aids with increased joint stabilization and recovery.

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February 2014

The brain: A new frontier in ankle instability research

Transcranial magnetic stimulation research suggests cortical excitability may be able to help differentiate healthy, previously injured, and functionally unstable ankle joints, and underscores the need to clinically target both mechanical and proprioceptive deficits in patients with FAI.

By Alan R. Needle, PhD

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January 2014

Painful hip impingement: Functional implications

Physical impairments associated with femoroacetabular impingement include limited range of motion, muscle weakness, and altered biomechanics. Attention to these areas during rehabilitation can improve surgical outcomes and may even reduce the risk of osteoarthritis.

By Jerrad R. Guenther, BSc, Michael K. Gilbart MD, FRCS(C), MEd, and Michael A. Hunt PT, PhD

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