- 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: Home Feature
Research suggests that individuals with chronic ankle instability use different movement strategies to maintain postural control than individuals with healthy ankles. These changes may be related to alterations in movement variability associated with ankle instability.
By Lisa Chinn, MS, ATC, and C. Collin Herb, MEd, ATC
Superficial thrombophlebitis (STP) is a common and controversial condition largely overshadowed by its big brother, deep vein thrombosis (DVT).1 Frequent reports of concomitant STP and DVT, with or without pulmonary embolus, align the two pathophysiologies closely.
By Marlin W. Schul, MD, MBA, RVT
There’s no question that exercise is good for kids. But the trauma associated with some youth sports can dramatically increase the risk that those kids will develop knee or ankle osteoarthritis by the time they reach adulthood. The key next step is to determine what can be done about it.
By Yvonne M. Golightly, PT, PhD, Stephen W. Marshall, PhD, and Dennis J. Caine, PhD
This two-part series explores the role of rotational forces in athletic injuries and the extent to which bracing can help control those forces and, in turn, prevent those injuries. This first installment examines ankle sprains, PTTD, patellofemoral pain, and osteoarthritis.
By Cary Groner
Published studies on pes cavus are in short supply, making evidence-based orthotic management a challenge. This author proposes a theory of pes cavus etiology based on muscle imbalances and reactions, which may support the concept of early orthotic intervention.
By Paul R. Scherer, DPM
Two years after their inaugural event, experts on patellofemoral pain syndrome congregated in Belgium to once again dissect and analyze the latest research on the mechanisms underlying PFP and the effectiveness of such interventions as bracing, foot orthoses, and exercise.
By Cary Groner
The evidence documenting the role of nutrition in improving wound healing and neuropathy symptoms hasn’t been widely publicized, particularly among lower extremity healthcare practitioners. But getting that information to your diabetic patients could help save their feet.
By Larry Hand
A recent paper suggests that a checklist system can help practitioners educate caregivers about orthotic device use in children with CP, which could improve compliance. But experts differ as to whether such checklists make sense in the complex world of O&P devices.
By Larry Hand
At the Palo Alto Foundation Medical Group, rehabilitation following operative repair of Achilles tendon ruptures is based on three key evidence-based criteria for return to activity and selective use of an anti-gravity treadmill to accelerate that return.
By Amol Saxena, DPM, FACFAS
Outcomes of revascularization in patients with lower extremity critical limb ischemia should be defined according to patient goals and functional criteria rather than more traditional, physician-oriented variables such as limb salvage and graft patency.
By Ginger L. Manos, MD, John W. York, MD, FACS, and Brent L. Johnson, MS
In the surgical management of ankle fractures, post-traumatic arthritis is the outcome that practitioners and patients would most like to avoid. But given the sensitivity of joint cartilage to even the slightest malalignment or pressure shift, that can be easier said than done.
By Cary Groner
Amputees lack the lower extremity muscles responsible for maintaining kinematic stability under increasing load carriage conditions, and would benefit from a more versatile prosthetic foot design that could adapt dynamically to changing loads.
By Kurt Collier, CP
In sports, the concept of “affordance perception” can mean sensing an opponent’s next move, which has implications not just for performance but also for reducing injury risk. An understanding of affordance perception also can improve the effectiveness of training.
By Julie A. Weast-Knapp, MA, and Kevin Shockley, PhD
Robert Weil, DPM interviews Lower Extremity Review editor Jordana Bieze Foster for his radio show; The Sports Doctor. The Sports Doctor Show covers all aspects of sports medicine including treatment & prevention of injuries, current events and health and fitness topics. The interview aired on August 4th. Click here to listen to the exciting interview.
Exercise is a cornerstone of treatment for diabetes, but for years patients with peripheral neuropathy have been discouraged from weight-bearing exercise for fear of further increasing ulceration risks. Now new research is turning that advice on its head.
By Cary Groner
The prevalence of leg ulceration in adults, either active or healed, is 1% to 2%, and the majority have chronic venous insufficiency.1 Although CVI has received less attention than arterial insufficiency, estimates suggest it is 10 times more common. Despite the prevalence of venous ulcers, they are often neglected or managed inadequately.
By Steven E. Zimmet, MD, RVT, FACPh
In the ongoing battle against inversion ankle sprains in basketball and other sports, high tops are old news. But shoe designers have begun to investigate other ways that shoes might play a role in preventing sprains rather than contributing to the problem.
By Cary Groner
The medical literature generally supports the use of foot orthoses for management of plantar fasciitis symptoms, but evidence regarding specific orthotic designs is inconclusive. Early research suggests a temporary custom foot orthosis may be an effective treatment option.
By Caryn Doggett, DPT, Michelle Drake, DPT, and Robert Boyles, PT, DSc, OCS
Previous research has identified superior balance in professional golfers compared with controls as well as associations between balance and skill level in amateur golfers. This study compared standing balance characteristics between professional and highly skilled amateur golfers.
By Robert Donatelli, PT, PhD; Kenji Carp, PT, ATC, OCS; Guido Pagnacco, PhD; and John Adam, ATC
New England Baptist Hospital’s multidisciplinary prehabilitation program is grounded in research suggesting that outcomes after total joint replacement can be positively influenced by preoperative care that includes management of patient expectations as well as exercise.
By Claire E. Robbins, PT, DPT, MS, GCS, James V. Bono, MD, and Carl T. Talmo, MD
Ankle foot orthoses and other O&P devices allow patients to walk faster, for longer periods of time, with a more biomechanically efficient gait. It seems logical that energy costs would decrease as a result. But that’s been surprisingly difficult for researchers to prove.
By Cary Groner
Interdisciplinary foot screening and limb salvage programs in this country and around the world have successfully reduced diabetic foot ulceration and amputation rates, and in doing so have inspired others to initiate similar prevention programs in their own countries.
By Emily Delzell
Functional knee braces can’t be effective if athletes won’t wear them, and many athletes won’t wear them because they fear their athletic performance will be negatively affected. But early research suggests that athletes accommodate to knee brace wear almost immediately.
By Neetu Rishiraj, ATC, PhD, Jack E. Taunton, MSc, MD, Robert Lloyd-Smith, MD, William Regan, MD, and Navin Prasad, MSc, MD
Injuries in softball pitchers typically occur in the upper extremities, but focusing rehabilitation and prevention efforts on the upper body alone ignores the essential supporting roles played by the pelvis and lower extremities in providing a stable base for the pitching motion.
By Gretchen D. Oliver, PhD, ATC, LAT