Category Archives: Feature Article

Featured Issue Article

February 2016

Plantar fasciitis: clinical concerns in cleated sports

Cleated sports are associated with a high incidence of lower extremity injuries. American football and soccer are particularly troublesome due to unique risk factors involving footwear design, loading patterns, and sport-specific biomechanics.

By Patricia Pande, MClScPT, CSCS, CPed Continue reading

February 2016

Active Stance: Patients with at-risk feet need collaborative care

In a recent editorial in The Lancet Diabetes-Endocrinology,1 Lipsky and colleagues wrote that diabetic foot disease “…is not a one doctor disease—it demands multidisciplinary care. Furthermore, as a notoriously unglamorous problem, the disease depends on…

By Terrence P. Sheehan, MD

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February 2016

Biomechanists explore effect of obesity on falls

Obese patients have an increased risk for falls and fall-related injury, not just because of the loads involved, but also because of the strategies they use to recover from a trip or slip. Findings from a growing body of research will help in developing interventions to minimize that risk.

By Hank Black Continue reading

February 2016

Dynamic load analysis for injury prevention

Identifying loading patterns associated with Jones fractures and other common sports-related injuries can assist with the development of custom modifications to footwear, insoles, and training programs to help reduce injury rates and enhance athletic careers.

By Yannick Goeb, Nate Wilcox-Fogel, and Kenneth J. Hunt, MD Continue reading

January 2016

Plantar fasciitis: Clinical considerations in runners

Clinicians should advocate for the cost-effective, judicious use of foot orthoses for runners with plantar fasciitis, in accordance with the present body of knowledge.

By Patricia Pande, MClScPT, CSCS, CPed Continue reading

January 2016

Conference coverage: 4th PFP research retreat

Studies presented at the Patellofemoral Pain Research Retreat in Manchester, UK, illustrate the progress researchers are making toward the ultimate goal of being able to tailor exercise protocols and other interventions to best address the needs of specific patient subgroups.

By Jordana Bieze Foster Continue reading

January 2016

Footwear, traction, and the risk of athletic injury

High degrees of rotational traction associated with athletic footwear can increase the risk of noncontact lower extremity injury following an unexpected neuromuscular perturbation, possibly by increasing biomechanical joint loading at the ankle and knee.

By John W. Wannop, PhD; Ryan Madden, MSc; and Darren J. Stefanyshyn, PhD, PEng Continue reading

January 2016

Yoga for knee OA pain: a mind-body approach

Although the medical literature has not yet provided definitive evidence of effectiveness, a number of existing studies suggest that yoga interventions are associated with improved physical and mental health outcomes among adults with knee osteoarthritis.

By Monica R. Maly, PT, PhD Continue reading

January 2016

Compression and clots in athletes who travel

Hemostatic activation following a marathon is lower in athletes who run with compression socks than those who run with typical athletic socks, suggesting the garments may help reduce the risk of postexercise clot formation in athletes who travel to events.

By Amanda Zaleski, MS; and Beth Taylor, PhD Continue reading

November 2015

Shear-wave elastography could help optimize Achilles rehab

Researchers at the University of Delaware in Newark are using a new ultrasound-based technique to better understand the effects of rehabilitation on the Achilles tendon, which could help optimize rehab protocols to improve long-term function.

By Cary Groner Continue reading

November 2015

Surgeon finds himself on other end of scalpel

A meniscal injury gave one practitioner new insight into the patient experience and renewed his belief that healing isn’t just about what happens physically.

By Cary Groner Continue reading

November 2015

Equinus: Its surprising role in foot pathologies

Although milder than the spasticity-induced cases of equinus, limited ankle dorsiflexion in the non-neurological pop­ulation is increasingly recognized as a source of excessive strain throughout the foot and a factor in the pathogenesis of many foot conditions.

By Nicholas V. DiMassa and Jeffrey M. Whitaker DPM, FACFAS    Continue reading

November 2015

Experts revisit hyperbaric oxygen for diabetic ulcers

Recent analyses cautiously recommend the short-term adjunctive use of hyperbaric oxygen therapy (HBOT) for diabetic foot ulcer healing under certain conditions, but in the absence of high-quality clinical trials, experts continue to debate the controversial therapy’s benefits.

By Hank Black Continue reading

November 2015

Quadriceps symmetry after ACL reconstruction

Using muscle function symmetry as an indicator of patient progress after anterior cruciate ligament (ACL) reconstruction can provide insight about potential targets for intervention to improve movement quality, functional performance, and patient outcomes.

By Christopher Kuenze, PhD, ATC; and Adam Kelly, MS, ATC      Continue reading

November 2015

Intermittent claudication: next-generation therapy

Given that existing therapies for intermittent claudication are not appropriate for all patients, researchers are working to develop new therapies focused on improving patients’ ability to compensate for a vascular occlusion by expanding collateral artery pathways.

By Steven J. Miller, PhD; A. George Akingba, MD, PhD; and Joseph L. Unthank, PhD  Continue reading

October 2015

From amputee to clinical prosthetist: four journeys

A number of amputees, many inspired by the expert care they received after losing a limb, have been motivated to pursue careers in prosthetics, where they can provide patients with a unique and personal perspective. Four of these practitioners shared their stories with.

By P.K. Daniel Continue reading

October 2015

Including injury history adds to value of FMS

Multiple studies indicate that poor movement, as assessed using the Functional Movement Screen, and past history of injury are risk factors for future injury, and a recent investigation suggests that risk is…

By MAJ Michael Garrison, PT, DSc, OCS, SCS; and MAJ Richard Westrick, PT, DSc, OCS, SCS Continue reading

October 2015

Running in an exerted state: mechanical effects

Kinematic and kinetic alterations in the lower extremities that researchers have observed during the course of a prolonged run may provide clinically relevant insights into patellofemoral pain and other conditions associated with a gradual onset of symptoms during exercise.

By Lauren Benson, MS; and Kristian O’Connor, PhD Continue reading

October 2015

Post-polio syndrome: It takes a team approach

Along with technical issues related to muscle weakness, fatigue, and pain, the challenges of managing this hetero­gen­eous population include patients’ emotional response to the idea of needing an orthotic device for a disability they thought they had overcome.

By Larry Hand Continue reading

October 2015

Hamstring injuries: The clinical promise of PRP

Preliminary research suggests platelet-rich plasma (PRP) is a safe and effective means of treating hamstring injuries that do not respond to early conservative measures…

By Frank B. Wydra, MD; Ryan R. Fader, MD; Omer Mei-Dan, MD; and Eric C. McCarty, MD Continue reading

September 2015

Knee OA, biomechanics, and progression to TKA

The frontal and sagittal plane gait bio­mechanics associated with progression to total joint replacement in patients with knee osteoarthritis, particularly variables related to sustained loading, may be promising…

By Cheryl Hubley-Kozey, PhD, and Gillian Hatfield, PT, PhD Continue reading

September 2015

Tibial stress fractures: an evidence-based approach

Study findings suggest that increased loading rates and tibial acceleration are associated with an increased risk of sustaining a tibial stress fracture. Interventions directed at reducing these impact…

By CPT Jamie B. Morris, DPT, OCS, CSCS, and LTC Donald L. Goss, PT, PhD, OCS, ATC Continue reading

September 2015

Fifth met fractures and osteoporosis in women

Given that older women are at increased risk for osteoporosis, an increased incidence of fifth metatarsal fractures with increasing age in women suggests that such injuries could serve as an early point of entry into osteoporosis treatment and fracture prevention.

By David Beck, MD, Justin Kane, MD, and David Pedowitz, MD    Continue reading

September 2015

Cryotherapy and muscle recovery after exercise

Research utilizing contrast-enhanced ultrasound suggests that, although cryo­therapy effectively decreases the pain associated with exercise-related muscle damage, those symptomatic effects are not associated with decreased blood flow in the affected skeletal muscle.

By Noelle M. Selkow, PhD, ATC, and Susan A. Saliba, PhD, MPT, ATC Continue reading

September 2015

Surface EMG: A how-to guide for practitioners

With evidence-based protocols in hand, practitioners can feel more comfortable clinically integrating surface electromyography (sEMG) assessment, creating more sophisticated sEMG treatment protocols, and demonstrating the effectiveness of interventions.

By Rachelle Bordlee, sDPT, and Christopher Kevin Wong, PT, PhD Continue reading