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May 2011

Effects of knee bracing on patellofemoral pain

Research suggests that different bracing designs may have different mechanisms of action for relief of patellofemoral pain syndrome, which is consistent with the heterogeneous nature of the condition and underscores the need to understand each design’s function prior to treatment.

By Song Joo Lee, MS, Yupeng Ren, MS, Nicole A. Wilson, PhD, Sang Hoon Kang, PhD, and Li-Qun Zhang, PhD

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May 2011

Prefab-custom orthoses debate mellows with age

Not so long ago, the effectiveness of prefabricated foot orthoses relative to their custom brethren was a bitterly divisive topic. But the vitriol has dissipated over time, as practitioners have turned their focus to the appropriate selective use of each type of device.

by Cary Groner

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May 2011

Osseous implications of ACL reconstruction

The loss of bone integrity that accompanies ACL injury persists after reconstructive surgery, even with aggressive rehabilitation. Improved interventions may help decrease patients’ risk for low bone mineral density and osteoarthrosis.

By John Nyland DPT, SCS, EdD, ATC, CSCS, FACSM

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May 2011

Platelet-rich plasma: More than a last resort?

Findings from studies of PRP can be conflicting and confusing, but lower extremity practitioners remain cautiously optimistic about the trendy treatment’s clinical potential to accelerate healing of soft tissues, bone, and diabetic wounds.

by Cary Groner

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April 2011

Sprain in the Forecast: Epidemiology and risk factors for ankle sprain

Analysis of the epidemiology of ankle sprain has revealed modifiable and non-modifiable risk factors. Understanding these will allow practitioners to help athletes minimize their risk of acute injury and chronic sequelae.

By CPT Brian R. Waterman, MD; Joseph R. Langston, BS; Kenneth L. Cameron, PhD, ATC; LTC Philip J. Belmont, Jr, MD; and LTC Brett D. Owens, MD

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April 2011

In search of a mechanism for foot orthoses’ effects

The seemingly endless quest to discover why foot orthoses relieve symptoms is veering away from skeletal alignment and toward somatosensory variables, though some still insist that kinematics play a role as well.

by Cary Groner

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April 2011

Differential diagnosis of Charcot arthropathy

Early detection of Charcot neuroarthropathy is critical for preventing the bone and joint destruction associated with later stages, but symptoms that mimic other conditions can make a differential diagnosis difficult.

By Georgeanne Botek, DPM, and Gina Hild, DPM

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April 2011

Sensitivity to self image boosts O&P outcomes

O&P devices are all-too-public indicators of an infirmity, and often limit clothing and footwear options—all of which contributes to poor self image. But a little empathy can keep self image issues from sabotaging patient compliance.

By Emily Delzell

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April 2011

Rehabilitation following microfracture surgery

Much of the success of microfracture surgery for articular cartilage lesions in the knee depends on what happens after the surgery is over. Progressive, controlled loading of the repaired joint is the key to safe and effective rehabilitation.

By Jon Fravel, ATC, and Michael Shaffer PT, ATC, OCS

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March 2011

Upstanding interventions: Falls prevention in O&P

Devices that improve proprioception, balance, and biomechanics can help patients avoid the significant morbidity and mortality associated with falls. But in some cases, a device may actually increase risk. That’s why matching the right intervention to the right patient is essential.

By Cary Groner

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February 2011

Head Games: Neurocognitive contributors to noncontact injury

Because movement is controlled by the central nervous system, any type of cognitive disturbance can increase an athlete’s risk of injury. An increasing research focus on these neuropsychological variables could determine the future of rehabilitation and injury prevention.

By Charles Buz Swanik, PhD, ATC

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January 2011

THINKING SMALL: Making strides in children’s footwear

It was my first trip to buy shoes for my then-toddler son. He had just started walking with the aid of helping hands, and as I stared out at a sprawling display of shoes inside a high-end children’s shoe department, I felt utterly confounded. Some of the shoes felt soft, others were hard-soled and stiff, many were akin to moccasins. I was assaulted by all manner of colors and patterns and styles, each one different from the next. Massaging my eyes, I wanted to only to leave.

By L.W. Barnes

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November 2010

The truth about barefoot running: It’s complicated

One side claims running shoes cause injury; the other side counters that barefoot running comes with its own risks. There are likely elements of truth on both sides. But when it comes to giving your patients advice about barefoot running, experts have more questions than answers.

by Cary Groner

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October 2010

Military Medicine: What it means for civilian practitioners

The military – a wellness utopia of active and healthy young adults who must maintain fitness and weight standards to remain in good standing. Personnel medical histories are part of vast military databases that practitioners and researchers use to chart trends and examine the evolution of treatments. Unlike with civilian medicine, patients and their outcomes can be followed through years-long stretches, offering a view that is otherwise hard to come by.

By L.W. Barnes

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September 2010

Pressure Treatment: Dynamic data guide orthotic therapy

Dynamic pressure measurement systems aren’t just for research any more. The technology optimizes outcomes by enabling practitioners to prescribe orthoses that address particular gait abnormalities and to quantify the biomechanical effects.

by Cary Groner

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