- Additional Resources
Special Editorial Supplements
- UP THE CHAIN: How lower extremity care can improve spinal health
- CONFERENCE COVERAGE: 2017 ISPO World Congress
- CONFERENCE COVERAGE: 2017 IOC World Conference
- CONFERENCE COVERAGE: 2015 ISPO World Congress
- CONFERENCE COVERAGE: Ortho Technology Forum 2015
- Orthotic management of CMT: Dynamic solutions for active lifestyles
- CONFERENCE COVERAGE: Orthotics Technology Forum 2014
- ATHLETES AND INJURIES: The global question of prevention
- CONFERENCE COVERAGE: Orthotics Technology Forum 2013
- SPECIAL SECTION: Teachings from the East
- CONFERENCE COVERAGE: International Clubfoot Symposium
- CONFERENCE COVERAGE: Orthotics Technology Forum 2012
- STEPS AHEAD: Advances in foot and ankle biomechanics
- CONFERENCE COVERAGE: Custom Orthotic Insoles Technology Forum
- DEFENSIVE GAME PLAN: Global insights on sports injury prevention
- Recent Advances in Orthotic Therapy
- Download this FREE eBook to see how foot pressure data contributes to more efficient treatment and better outcomes.
Category Archives: Feature Article
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
Clinicians have known for many years that uneven plantar pressures, combined with the loss of sensitivity caused by peripheral neuropathy, are associated with foot ulcers in diabetes patients. Ulcers often occur in different areas than peak pressures do, however. Shear forces, caused by pressure differentials in the foot, may be more to blame than plantar pressures per se.
by Cary Groner
Conditions associated with drop foot are as varied as post-stroke hemiplegia, brain or spinal cord injury, and neuromuscular disorders including multiple sclerosis (MS). Patients with drop foot are unable to use the dorsiflexor muscles to lift the foot clear of the ground during the gait’s swing phase, nor can they control plantar flexion during heel strike. The result is an awkward, unstable gait and a tendency to trip when the toes brush the ground.
by Cary Groner
In recent years, scientific studies have shown that anterior cruciate ligament (ACL) injury in athletes can lead to later osteoarthritis in a large proportion of cases. In fact, some studies have documented osteoarthritis rates of 50% to 100% in former athletes who have experienced ACL injury, when followed for 15 to 20 years.
By Barbara Boughton
Stretching and splinting have long been treatment strategies for plantar fasciitis. However, new research and ongoing clinical experience are calling into question older methodologies and providing evidence for some new approaches.
by Cary Groner
Ongoing research into posterior tibial tendon dysfunction (PTTD) has revealed risk factors that include female sex, increasing age, overweight, unsupportive footwear, and even metabolic syndromes such as diabetes. Although typically associated with older, inactive patients, PTTD is also seen more rarely in young athletes.
by Cary Groner
Clinicians who treat ambulatory cerebral palsy patients rely heavily on ankle-foot orthoses, which are the most effective treatment option for improving gait mechanics. But because CP encompasses such a wide range of symptoms, selecting the most appropriate corrective brace for a patient’s specific gait abnormality or abnormalities can present clinical challenges. Recent studies that shed light on ankle-foot orthoses’ impact on gait are characteristic of crucial ongoing research.
By Linda Weber
Whether it’s rock climbing, triathalons, cycling, running or the high jump, advances in prosthetic design have made high-caliber athletic competition a reality for some amputees. One such athlete testified in the September issue of Prosthetics and Orthotics International, “Snowboarding with the new prosthesis is like it was before the amputation!”
by Barbara Boughton
Achieving full range of motion is a key outcome of any rehabilitation program after ACL reconstruction. But what are the ingredients of a rehabilitation program that produces the best outcomes in terms of ROM?
By Barbara Boughton
Researchers are only starting to examine how orthotic management of PTTD affects foot and ankle kinematics.
By Jeff Houck, PT, PhD, Christopher G. Neville, PT, MS, and Adolph Flemister, MD
Feedback-based gait retraining may help reduce rates of loading by improving joint kinematics and proprioception.
By Jody L. Riskowski, PhD
If foot pressures are to be reduced, healing to progress, and prevention of ulceration to be a realistic
goal, offloading is imperative. Part one of two.
By Robert J. Snyder, DPM, FACFAS, CWS, and Karen K. Lanier, CPed
Treatment program includes patient education, deep friction massage, eccentric exercise, and Mulligan taping.
By Russell Woodman, FSOM,OCS,MCTA, DPT, and Juan C. Garbalosa, PhD, PT
As patients pay more for healthcare, they will expect more from the patient experience. The most successful practices will be those that are best able to meet — and exceed — those expectations.
By Jason Kraus
The basic goal is to improve toe clearance during swing and provide stability during stance, but new orthotic technologies do much more.
By Jeremy Farley, CPO/L
Full-length carbon graphite orthoses may improve outcomes through load redistribution and forefoot motion control.
By Smita Rao, PT, PhD
Research suggests that traction on modern artificial turf can vary depending on cutting angle.
By Michelle Sabick, PhD; Benjamin Cooper, MS; Seth Kuhlman, MS; and Ronald Pfeiffer, EdD, LAT, ATC
Once identified, functional hallux limitus can be effectively managed with orthotic devices.
By James G. Clough, DPM Continue reading
More favorable diabetic foot ulcer outcomes will require a better understanding of why patients don’t comply.
By Ryan Crews, MS, CCRP
Pinpoint problem areas, compare orthotic devices and improve consistency in fabrication.
By Georgeanne Botek, DPM, and Tammy M. Owings, DEng.
The literature on use of AFOs for stroke management could—and should—change your practice. By Stefania Fatone, PhD, BPO(Hons)