Category Archives: Feature Article

Featured Issue Article

April 2010

The quest to improve rocker effects in O&P

The roll-over shape, a means of directly measuring rockers during gait, can help determine ways of optimizing orthotic and prosthetic devices so that the resulting gait is as natural as possible.

By Andrew H. Hansen, PhD

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April 2010

Multiple factors affect running shoe selection

The concept of evidence-based running shoe selection is nice in theory, but in fact, the literature is replete with conflicting findings on a range of issues, from arch height to shoe construction.

By Col. Joseph M. Molloy, PT, PhD, SCS, and Maj. Deydre S. Teyhen, PT, PhD, OCS

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April 2010

Pointe shoes complicate biomechanics of ballet

Pointe shoes, which elongate a dancer’s legs and accentuate the beauty of classical ballet technique, come with their own set of biomechanical principles—and their own set of risk factors for injury.

By Selina Shah, MD

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April 2010

Pelvic neutral: Key to balance training

Research suggests that balance exercises can help decrease injury risk and improve performance, particularly in female athletes. But balance training technique can significantly influence results.

By Gretchen D. Oliver, PhD, ATC, LAT

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March 2010

A three-point approach to testing running shoes

The assessment test—which focuses on heel counter firmness, torsional control, and flexibility—can help in selecting a shoe that will be biomechanically effective as well as comfortable.

By Bruce E. Williams, DPM

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March 2010

Return to football after Achilles tendon rupture

Only two-thirds of NFL skill players ever come back, and those who do find their performance significantly affected. But a prodromal period may offer opportunities for early intervention.

By Khalid Shirzad, MD; John D. Hewitt, MD; Carter Kiesau, MD; and Selene G. Parekh, MD, MBA

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March 2010

Initiate weightbearing early after hip fracture

The improved outcomes seen with early ambulation go beyond gait and function. Because independence is so closely tied to mortality, proper rehab may also help patients live longer.

By Paula Richley Geigle, PT, PhD, Karen Lynn Gordes, PT, DScPT, Kimberly Dodson, and Gene Shirokobrod

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March 2010

Active Stance: Orthoses – Functional relevance of the arch

The closer foot posture measures get to describing the medial longitudinal arch and plantar vault, the more applicable they are to the dynamic gait cycle.

By Stu Currie, DC; Don Bursch, PT, OCS; and Ed Glaser, DPM

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March 2010

Preoperative exercise boosts TKA outcomes

An evidence-based exercise regimen, designed to enhance knee strength and the ability to complete functional tasks, may speed recovery following total knee arthroplasty in patients with knee OA.

By Kent Brown, MS, CSCS; Joseph A. Brosky Jr., PT, MS, SCS; Dave Pariser, PT, PhD; and Robert Topp, RN, PhD

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February 2010

Simplifying alignment for transtibial prostheses

This three-step approach, based on a vertical alignment axis, offers a low-tech alternative for prosthetic alignment in developing nations, but also has applications in developed countries as
a simple clinical test to identify gait deviations.

By Yeongchi Wu, MD

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February 2010

Partial foot amputation: Evidence for device use

Orthotic and prosthetic intervention for partial foot amputation is intended to restore the effective foot length and normalize gait and function. Research is only beginning to examine whether current interventions are up to the challenge.

By Michael P. Dillon, BP&O (Hons.), PhD

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February 2010

Marketing risk: Beyond diabetic foot education

Tactics borrowed from the advertising world could be just what is needed to effectively communicate the risks of foot ulcers and amputation to patients with diabetes and improve outcomes as a result.

By Jeffrey M. Robbins, DPM, Gerald Strauss, PhD, and Jennifer Regler, DPM

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February 2010

Data suggest proximal links to ankle instability

Research suggests that individuals with chronic ankle instability are also likely to have impaired neuromuscular function at the knee and hip – findings that could change your approach to preventing recurrent ankle sprains.

By Phillip A. Gribble, PhD, ATC

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February 2010

Active Stance: ACL injury in women – Tracking a ‘black swan’

A high school forward rebounds the basketball, as she has thousands of times before. She lands with a flat foot, extended knee, and torso leaning awkwardly sideways, as her knee buckles inward. An audible pop is heard and felt as the anterior cruciate ligament (ACL) in her knee tears and ends her season, compromising her hopes of a college scholarship and perhaps even her expectation of a long, active, and healthy life.

by Timothy E. Hewett, PhD

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January 2010

Practice Tactics

Positive physician-patient relationships are critical to the healing process and have been shown to directly impact clinical results. By Jason Kraus

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January 2010

Knee loads during golf: Implications after TKA

If the knee loads generated during a golf swing are enough to take down Tiger Woods, should it really be considered a low-impact sport? By Judy A. Blake, BA, Nikolai Steklov, BA, Shantanu Patil, MD, Clifford W. Colwell Jr., MD, and Darryl D. D’Lima, MD, PhD

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January 2010

Active Stance: A controlled-stress approach to PTTD

Controlled stress would seem to be the ideal environment for orthotic management of PTTD. How could that be accomplished? By Frank Caruso, CO

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January 2010

Whole body vibration: Neuro-rehab applications

It’s popular with professional athletes and Hollywood celebrities. But WBV also has very real clinical potential for patients with neurological disorders. By Kurt Jackson, PT, PhD, GCS and Harold Merriman, PT, PhD, CLT

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January 2010

Effective compression therapy starts with you

Practitioners themselves may be to blame for not ensuring that stockings are fit properly and that patients know how to wear them correctly. By Linda Weber

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January 2010

Diabetes: Offloading difficult wounds. Part 2

The second article in this two-part series addresses preventing recurrence and management of Charcot foot and foot amputations. By Robert J. Snyder, DPM, FACFAS, CWS, and Karen K. Lanier, CPed, LPed

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December 2009

PFPS gender gap inspires researchers

Although the mechanisms behind patellofemoral pain syndrome (PFPS), like those of anterior cruciate ligament (ACL) injuries, are still somewhat elusive, research is shedding new light on the role gender plays in the onset of this chronic overuse condition.

By Linda Weber

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December 2009

Heel pain relief: Expanding the playbook

The science of treating plantar fasciitis in athletes is evolving to consider the unusual demands these patients put on their feet. Although clinicians continue to rely on conservative management with rest, ice, anti-inflammatory medications, taping, and orthoses, some are embracing new approaches that seem counterintuitive but offer evidence of improved outcomes.

by Cary Groner

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December 2009

Lower extremity O&P warms to CAD-CAM

With a start-up cost of many tens of thousands of dollars and a steep learning curve, it’s no surprise that many O&P practitioners have been slow to transition to computer-aided design and computer-aided manufacturing (CAD-CAM).

By L.W. Barnes

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December 2009

Ankle sprain research focuses on teens

Epidemiological studies confirm what coaches, trainers, parents, and student athletes already know—that ankle sprains are the most common musculoskeletal injury among high school athletes. A study in the August issue of the American Journal of Sports Medicine bears that out, with recurrent ankle injuries accounting for 28.3% of recurrent traumatic sports injuries in teen athletes.

by Linda Weber

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December 2009

CPO seeks central fab: Finding a match

Charles Kuffel, CPO, of Blaine, MN, knows his limitations. If the clinician and father of four is going to keep his referrals happy, get products to his patients on time and have a life outside the office, it means outsourcing some orthotic orders to a central fabricator.

By L.W. Barnes

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