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The effectiveness of eccentric training for the prevention and rehabilitation of hamstring strains has been established in the medical literature. The next step is to identify an eccentric hamstring exercise that addresses the limitations of existing…
By Karl F. Orishimo, MS, CSCS, and Takumi Fukunaga, DPT, ATC, CSCS Continue reading
Patient-reported outcomes can be used to monitor health-related quality of life in patients with chronic ankle instability, and lower extremity practitioners can design rehabilitation approaches to specifically target physical impairments that are known to contribute to quality of life.
By Megan N. Houston, PhD, ATC, and Matthew C. Hoch PhD, ATC Continue reading
Systematic reviews and meta-analyses show that bracing for knee osteoarthritis (OA) is associated with significant benefits with regard to pain and function. But links to disease progression remain elusive, and the challenges of patient compliance are becoming even more complicated.
By Larry Hand Continue reading
Research supports eccentric strengthening for treatment of midportion Achilles tendinopathy, but a new study suggests the same approach…
By Lisa H. Jain, DPT, OCS; Kevin J. McCarthy, MD; Michael Williams, PT, OCS; Marie Barron, PT, OCS; Nick Bird, MPT; Brian Blackwell, PT, OCS; G. Andrew Murphy, MD; David R. Richards, MD; Susan Ishikawa, MD; and Margaret Kedia, PhD, DPT Continue reading
Many experts believe that comprehensive acceptance of telemedicine for prevention and monitoring of diabetic wounds and other lower extremity care is right around the corner.
By Hank Black Continue reading
Current treatments for chronic ankle instability (CAI) may be ineffective in reducing its development and recurrence. To help address this issue, the authors have proposed a new treatment paradigm based on …
By Patrick O. McKeon, PhD, ATC, CSCS, and Erik A. Wikstrom, PhD, ATC, FACSM Continue reading
A knee injury can have painful and disabling long-term repercussions, such as the early onset of knee osteoarthritis (OA) or accelerated knee OA. Injury prevention and effective interventions may help …
By Jeffrey B. Driban, PhD, ATC, CSCS; Brian Pietrosimone, PhD, ATC; Nicole M. Cattano, PhD, ATC; Matthew S. Harkey, MS, ATC; and Brittney A. Luc, MS, ATC Continue reading
Decreasing stride length during running has been shown to result in biomechanical changes that are associated with reduced loading of biological tissues and, by extension, also may reduce the …
By Melissa A. Thompson, PhD, and Kristine M. Hoffman, DPM Continue reading
Although some research has found that using the composite score for the seven component tasks of the Functional Movement Screen is a reliable way to predict risk of injury in athletes, other studies …
By Erin Hartigan, PT, DPT, OCS, PhD, ATC; Nicole Chimera, PhD, ATC, CSCS; and Sarah Lamberton, NSCA-CPT Continue reading
Current research suggests that relatively small but statistically significant changes are associated in the short term with the use of unstable shoes. However, it is unclear if those changes are clinically meaningful, or whether long-term use would yield greater or diminished results.
By Jacob Gardner, PhD Continue reading
Some evidence suggests that, if ankle braces limit athletes’ motion in the sagittal plane, the risk of knee injury could be increased, but other studies have found no association between ankle bracing and knee injury rates. The conflicting findings have made for a clinical conundrum.
By Cary Groner Continue reading
Multiple descriptive studies have demonstrated the clinical benefits of eccentric exercise interventions in patients with Achilles tendinopathy, but researchers have not yet identified the cause-and-effect mechanisms leading to decreased pain or increased function.
By Matthew Crill, MS, MBA, PT Continue reading
A pilot study has demonstrated the feasibility and potential success for employing the Internet to deliver targeted individualized exercise routines for patients with knee osteoarthritis, which may help…
By Alison Brooks, MD; Bryan Heiderscheit, PT, PhD; and John E. Beaulieu, PhD Continue reading
The Y Balance Test (YBT) is a reliable tool and may be used to predict injury risk. However, clear cut-points have not been sufficiently defined, and more research investigating the mechanics and muscle activation strategies used during the YBT is needed.
By Craig A. Smith, DPT, and Meghan Warren, PT, MPH, PhD Continue reading
Patients with diabetes and peripheral neuropathy can benefit from participation in mild to moderate aerobic, resistance, and balance activities. But they must take precautions to ensure exercise is safe as well…
By Steven Morrison, PhD, and Sheri R. Colberg, PhD Continue reading
Findings of an association between hip mobility and patellofemoral pain suggest practitioners may be putting the cart before the horse by implementing strength programs in individuals with PFP without first measuring and addressing deficits in hip extension.
By Sean Roach, PhD, DPT, ATC Continue reading
Despite the ongoing development of new treatments, onychomycosis is still an extremely recalcitrant disease with high rates of relapse and reinfection, and the associated physical and cosmetic implications can negatively affect patients’ quality of life and self esteem.
By Greg Gargiulo Continue reading
The biomechanical implications of high-heeled shoes are well known, and now dramatic weight-bearing images and new study findings are taking practitioner and patient awareness to the next level. But many women are still sacrificing their feet for fashion.
By Emily Delzell Continue reading
Preliminary research suggests the use of a kinetic return ankle foot orthosis is associated with small but significant short-term increases in calf circumference, which in turn suggests this type of device might reduce or protect against the risk of disuse muscle atrophy.
By Robert H. Meier, CO, BOCO; David C. Ruthsatz, CO, CPA; and Daniel Cipriani, PT, PhD Continue reading
There is considerable debate in medical circles as to whether healthcare practitioners should embrace social media, but online aficionados say they welcome the opportunity to exchange information, educate, connect, and potentially attract more patients.
By P.K. Daniel Continue reading
Increasing body mass index is associated with significantly increased peak plantar pressures regardless of the type of offloading device used. However, it is possible to decrease plantar pressures in some regions of the foot with the use of offloading devices.
By Andrew J. Meyr, DPM, FACFAS; Kelly Pirozzi, DPM, AACFAS; and Matthew R. Wagoner, DPM Continue reading
The increasing utilization of total knee arthroplasty has led to increased efforts to identify variables that can be modified to help improve postoperative functional outcomes. These risk factors include patient weight, smoking, diabetes, infection, and joint range of motion.
By John Ryan Quinn, MD, and Ran Schwarzkopf, MD, MSc Continue reading
Cryotherapy applied to a joint may not necessarily have the same effects on balance and physical performance that have been demonstrated in applications involving muscle.
By Emily E. Williams, ATC, and Giampietro L. Vairo, PhD, ATC Continue reading
A growing body of research is demonstrating that the focus of actions or movements is critical to how well athletes and patients respond to feedback from instructors or clinicians, and one of the central issues is the distinction between internal focus and external focus.
By Cary Groner Continue reading
Some practitioners find plantar fasciitis patients respond to corticosteroid injection when other treatments have failed, but concerns about complications make others cautious. With evidence-based guidelines in short supply, the decision often comes down to clinical experience.
By Larry Hand Continue reading