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Special Editorial Supplements
- 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
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Category Archives: Feature Article
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
A lack of oxygen can negatively affect wound healing in a number of ways, but surgical, pharmacological, and other technological advances are allowing clinicians to enhance oxygen delivery to damaged tissues and…
By Nanjin Park, DPM; Latricia Allen, DPM, MPH; Mary Nametka, MSN, RN, CWS, CWON, FNP-BC; Vickie R. Driver, MS, DPM, FACFAS Continue reading
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
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
Patients often look to foot and ankle practitioners for advice about footwear choices. But a recent survey of physicians found that nearly half don’t educate their patients about footwear guidelines, and that only one in…
By Daniel Farber, MD Continue reading
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
Finding the right orthotic design starts with the space limitations presented by cycling shoes, but the challenges for lower extremity practitioners don’t end there. Factors to consider when prescribing foot orthoses include biomechanics, skill level, cycling discipline, and bike technology.
By P.K. Daniel
Foam rolling is a relatively new therapeutic approach, but early research suggests that it can help improve range of motion and muscle performance and aid in recovery after exercise. Questions remain, however, about the extent to which the effects involve myofascial mechanisms.
By Duane C. Button, PhD, CSEP-CEP, and David G. Behm, PhD
As a result of limitations in the fall prevention research to date, investigators and
clinicians are often left to make their best guesses about the effect of foot and ankle interventions based on the effect such strategies have on issues related to falls, rather than on falls themselves.
By Cary Groner
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
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
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 Continue reading
Existing data suggest bariatric surgery-induced weight loss can lead to rapid improvements in gait and physical function. The surgery may also help to address factors associated with knee osteoarthritis, which itself can affect mobility and function in obese patients.
By Andrew W. Froehle, PhD, Neal Dollin, MS, Richard T. Laughlin, MD, Donovan D. Teel II, MD, Richard J. Sherwood, PhD, and Dana L. Duren, PhD
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
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
Patients with Charcot-Marie-Tooth disease showing the greatest increase in speed appear to respond to and utilize the energy storing and releasing properties of a carbon fiber composite ankle foot orthosis differently from those who had smaller increases in walking speed.
By Janet S. Dufek, PhD; Edward S. Neumann, PhD, PE, CP; M. Cameron Hawkins, PhD; and Brendan J. O’Toole, PhD
Despite the documented benefits of supervised exercise in patients with claudication, its effect on actual clinical practice has been disappointing due to a lack of reimbursement. But practitioners and researchers have been investigating other options, with encouraging preliminary results.
By Cary Groner
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
Studies show that lower extremity amputation rates in patients with diabetes vary widely, sometimes even within individual healthcare systems. What’s more difficult to determine is why these variations exist and what can be done to improve access to care for all patients.
By Larry Hand
The etiology of Achilles tendon rupture is multifactorial, but the injury occurs most frequently in the athletic population. Clinicians still miss 24% of ruptures acutely, particularly in older patients, those in whom sports was not the causative mechanism, and those with high BMIs.
By Steven M. Raikin, MD
Many knee injury prevention programs do not focus on ankle dorsiflexion range of motion and hip adductor activation, but research suggests both distal and proximal variables contribute to alterations in frontal plane knee biomechanics and could affect injury risk.
By Darin A. Padua, PhD, ATC, and Micheal A. Clark, DPT, MS, PES, CES
Advocates of surgical nerve decompression in a subset of patients with diabetic neuropathy have published some impressive outcomes, but critics of the procedure point to the conspicuous absence of randomized trials. The issue has become one of the most contentious in diabetes care.
By Cary Groner
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
Research suggests that obesity influences the development of Achilles tendinopathy to a greater degree than other types of foot and ankle pain. This phenomenon will become increasingly important to lower extremity practitioners as global obesity rates continue to rise.
By Ryan T. Scott, DPM, AACFAS, and Christopher F. Hyer, DPM, MS, FACFAS
Hip strengthening can improve short-term outcomes related to patellofemoral pain syndrome, but further research is needed to determine the underlying mechanism and whether the same approach will also prove effective in managing patellofemoral osteoarthritis.
By Michael B. Pohl, PhD