Category Archives: Home Feature

Featured Article Promoted to home page

May 2015

Music therapy and gait: rehab to a different beat

Research suggests the use of rhythmic stimuli for gait rehabilitation can help improve gait and balance in patients with Parkinson disease, stroke, and other conditions, but some questions regarding its overall applicability and optimal delivery method remain.

By Greg Gargiulo Continue reading

April 2015

The perils of poses: Yoga-related injuries

Yoga is becoming increasingly popular with students looking to improve strength, flexibility, balance, and well being. But those who do too much, too soon are at risk for injury.

By Emily Delzell Continue reading

April 2015

A new triplanar paradigm for bunion management

The most common paradigm in bunion surgery relies on one or more metatarsal osteotomies to correct the 1-2 intermetatarsal angle (IMA) and soft tissue balancing to align the first metatarsophalangeal joint (MTPJ), sesamoid apparatus, and hallux. Additionally, the most common approach…

By Paul Dayton, DPM, MS, FACFAS, and Merrell Kauwe, DPM

Continue reading

April 2015

Risk of overuse injury in high school athletes

Roughly 60% of overuse injuries in high school athletes occur in the lower extremities, injuries that are increasing in number as more students participate in sports. Treatment involves rest and correction of biomechanical deficiencies, and should be individualized to each athlete.

By Allison Schroeder; James Onate, PhD, AT, ATC, FNATA; and Thomas Best, MD, PhD Continue reading

April 2015

APTA’s revised heel pain guidelines spur dialogue

The American Physical Therapy Association has updated its 2008 guidelines on the nonsurgical treatment of heel pain with a bolstered evidence base, but lower extremity practitioners continue to debate the clinical merits and most effective applications of certain newer therapies.

By Hank Black Continue reading

April 2015

The psychology of returning to sports after ACL surgery

Psychological factors are responsible for delayed return to sports after anterior cruciate ligament reconstruction in a sig­nificant number of patients despite successful physical rehabilitation, but questions remain as to the most effective ways to address these issues.

By Trevor A. Lentz, PT, SCS, CSCS Continue reading

April 2015

Early weight bearing after Achilles tendon repair

Early mobilization and weight bearing after Achilles tendon repair is associated with improved patient satisfaction and faster return to work and sports, with no significant increase in rates of tendon rerupture or postoperative wound and nerve complications.

By David P. Taormina, MD, and Nirmal C. Tejwani, MD Continue reading

March 2015

Down syndrome and total hip arthroplasty: Opportunities to optimize outcomes

Total hip arthroplasty can markedly improve quality of life in patients with Down syndrome, but the comorbidities and developmental disability associated with the chromosomal abnormality need to be taken into…

By Shalmali Pal Continue reading

March 2015

Hallux valgus and plantar pressure measurement

Researchers and clinicians have found that plantar pressure assessment can help document the dynamic effects of hallux valgus surgery, postoperative physical therapy, and footwear or orthotic interventions, particularly in cases…

By Hank Black Continue reading

March 2015

The role of hip strength in ACL rehabilitation

A protocol that includes isolated hip strength­ening exercises during the early stages of postoperative rehabilitation after anterior cruciate ligament reconstruction may provide a platform on which to build in the later stages of rehab and may predict future performance.

By J. Craig Garrison, PhD, PT, ATC, SCS Continue reading

March 2015

Elastic therapeutic tape: The search for evidence

Athletes swear by it, but quality studies on elastic therapeutic tape are hard to come by, and the literature is littered with conflicting or inconclusive findings about the technique’s efficacy…

By Cary Groner Continue reading

March 2015

Predicting recurrence after clubfoot treatment

In the search for factors that predict recurrence after use of the Ponseti method for successful treatment of idiopathic clubfoot, conclusive evidence is in short supply. However, the one factor that is…

By Rachel Y. Goldstein, MD, MPH Continue reading

March 2015

Low back pain and risk of lower extremity injury

Low back pain is associated with kinematic and kinetic alterations that can increase the risk of lower extremity injury, parti­cularly in the presence of fatigue. New research suggests…

By Ram Haddas, PhD Continue reading

February 2015

High-intensity training: assessing injury risks

As increasing numbers of fitness enthusiasts embrace high-intensity training, reports of injuries have sparked a debate among clinicians about the benefits and risks associated with these programs.

By Cary Groner

Continue reading

February 2015

Peripheral neuropathy in Lyme disease patients

Reported cases of Lyme disease have been rising steadily over the past 30 years, but its diagnosis can be challenging. Left untreated, patients with Lyme disease can go on to develop neurological symptoms, including those that are characteristic of peripheral neuropathy.

By Greg Gargiulo Continue reading

February 2015

An eccentric approach to hamstring injuries

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

February 2015

Chronic ankle instability: effects on quality of life

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

February 2015

Knee OA brace experts revisit persistent issues

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

February 2015

Achilles rehab: focusing on insertional tendinosis

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

January 2015

Telemedicine: Bringing diabetic foot care to the small screen

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

January 2015

Sensory-targeted ankle rehabilitation strategies

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

January 2015

Knee OA as a long-term consequence of injury

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

January 2015

Implications of reduced stride length in running

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

January 2015

Clinical utility of the FMS and its component tasks

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

January 2015

Effects of unstable shoes: Many questions remain

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