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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
Category Archives: Home Feature
Pressure measurement technology can differentiate between the impact forces of a stability shoe and a flexible shoe during gait, according to a preliminary study presented in August at the annual meeting of the American Society of Biomechanics in Long Beach, CA.
By Katie Bell
Researchers from New York University have found that wearing high heels increases muscle activation, which can have painful ramifications throughout the kinetic chain. Some individuals, however, seem to adapt to high heels more effectively than others.
By Smita Rao, PT, PhD, and Renata Ripa, MA
The medical literature supports the use of orthotic devices in patients with posterior tibial tendon dysfunction, especially those in the early stages. Demonstrated benefits include improvements in foot and ankle alignment, clinical symptoms, and functional outcomes.
By Holly Olszewski, CPO
Despite the expense associated with advanced wound care technologies, evidence suggests that switching from standard care makes both clinical and economic sense if a diabetic foot ulcer has not experienced a 50 percent reduction in wound area after four weeks.
By Emily Delzell
Some studies support the effectiveness of physical therapy for reducing pain and improving function in patients with hip osteoarthritis, but evidence on the topic is limited and contradictory—suggesting that perhaps PT is most effective in a specific subgroup of patients.
By Alexis A. Wright, PT, PhD, DPT, and Garrett S. Naze, PT, DPT
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 second installment examines rotation as a contributor to anterior cruciate ligament injury.
By Cary Groner
Wrong-site surgery can have significant financial and professional consequences, which is why surgeons’ organizations are promoting protocols specifically designed to reduce such errors. A recent survey of foot and ankle surgeons suggests those efforts are paying off.
By Donald E. Fowler III, MD; Karl M. Schweitzer Jr, MD; Olubusola Brimmo, MD; Ryan May, BS; and Selene G. Parekh, MD, MBA
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