Category Archives: Clinical News

Current Issue News

May 2018

Wearable sensors assess relationship between foot problems and frailty

Assessing how foot problems— namely, pain, neuropathy, and deformity— contribute to frailty syndrome has been a challenge for researchers, as transporting frail elders to lab facilities creates its own set of issues. But a recent study from the University of Arizona used wearable sensors to assess the seniors in their “natural” environment and found significant relationships between the number of foot problems and degree of frailty. Continue reading

May 2018

Three-year follow-up: Close contact casting vs surgery

In a pre-specified, 3-year extension of a randomized clinical trial of equivalence, close-contact casting maintained equivalence in function compared to surgery in older adults with unstable ankle fracture. Furthermore, no significant differences were reported in quality of life or pain. The authors concluded that the focus of treatment for these patients should be on obtaining and maintaining reduction until union, using the most conservative means possible. Continue reading

May 2018

Lower-extremity amputation feared more than death

Both type 1 and type 2 diabetes are known for their life-threatening complications—in particular, blindness from retinopathy, kidney failure, and peripheral neuropathy. For patients with diabetes and foot pathology, amputation is a significant worry. A recent study in Foot & Ankle Specialist sought to understand just how much this population fears lower-extremity amputation (LEA).

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May 2018

Wasp stings: Some really do hurt more than others, and how to counsel patients

As summer approaches and we become more active outdoors, wasps will become more active, too. Two recent studies highlight the pain and danger of the ubiquitous wasp. The first study, from entomologists at the University of Utah, looked at stinger length compared to reported pain and toxicity.1 Continue reading

May 2018

Flip flops, bare feet, or sports shoes: Which are best and which are worst?

Many have long suspected the answer, but a new study would appear to resolve the question: Are flip flops really that bad for your feet? According to Chen and colleagues from the Department of Biomedical Engineering at The Hong Kong Polytechnic University, flip flops are most likely no better than barefoot when it comes to lower-limb co-contraction and joint contact force in the ankle. Continue reading

April 2018

Treatment for post-stroke spastic equinovarus and plantar flexor spasticity

Spasticity occurs in 20% to 40% of stroke patients. Two new studies add to the body of evidence supporting the use of botulinum toxin type A (BT-A) injections for post-stroke spasticity: the first looked at the ideal timing of injections for plantar flexor spasticity, and the second looked at ultrasound-guided injections for spastic equinovarus. Continue reading

April 2018

Crossover prosthetic design

Prosthetic feet are typically optimized for a narrow range of activities, meaning active prosthetic users may need more than 1 prosthesis to fully participate in activities with varying degrees of impact. Modern energy-storing feet (ESF) support users’ ability to walk at differing speeds, as well as support static standing, but they can limit aerobic activities and running speeds. Running-specific feet (RSF), while ideal for running and sprinting, do not support low impact activities, particularly standing or walking. Continue reading

April 2018

Post-operative complications after Achilles tendon rupture repair

Achilles tendon rupture (ATR) is one of the most common injuries resulting from sports and exercise activities. Its resulting functional deficits can last more than 2 years from the original injury. While traditionally it has been an injury seen more among men, prevalence among women has been increasing, most likely due to increased participation in recreational sports. Continue reading

April 2018

Low-cost trans-femoral prosthesis uses plantar insole sensors

Indian researchers have designed a trans-femoral prothesis with plantar insole sensors that they found allow users to achieve near able-bodied gait kinematics. The passive prosthesis uses a magneto-rheological (MR) damping system with electronic control based on plantar insole feedback Continue reading

April 2018

Supportive footwear for children with CMT

The effect of footwear on gait and balance of children and adolescents with Charcot-Marie-Tooth (CMT) disease is of interest to parents and clinicians. Children with CMT, which causes progressive damage to peripheral nerves, particularly the feet and ankles, often have gait difficulties due to muscle weakness, including problems with balance, resulting in falls. Continue reading

April 2018

Study assesses role of corticosteroid therapy in Achilles tendinopathy

Achilles tendinopathy is the most common overuse injury in sport, and it is common in non-athletes as well. High volume image guided injection and structured rehabilitation (HVIGI+SR) has been shown in repeated studies to provide significant improvement in… Continue reading

March 2018

Study finds little difference between DMO and PMO for hallux valgus

Guiding patients to make the most appropriate choice among options to correct hallux valgus has long been a challenge: Distal metatarsal osteotomy (DMO) is liked for its shorter incision, low level of invasiveness, lower complication rate, and its ability to improve pain and functionality across a wider range of deformities. Continue reading

March 2018

Center of pressure in normal, pes planus, and pes cavus feet

To better understand the association of non-normal foot postures with an increased risk of injury to the lower extremity, Australian researchers evaluated center of pressure (COP) in adults with pes planus, pes cavus, or normal feet. Continue reading

March 2018

Midfoot mobility and patellofemoral pain

Seeking to better understand foot mobility in adults with ­patel­lo­­femoral pain (PFP, or so-called runner’s knee), Australian researchers studied almost 200 adults aged 18 to 50 years. Both weight-bearing and non-weight-bearing measures were used to calculate… Continue reading

March 2018

Foot pain, ill-fitted footwear increase risk of falls in elderly

Foot pain and poor-fitting footwear are among the well-known risk factors for falls among the elderly. Two new studies from Spain sought to quantify the significance of these issues in the elderly by looking at lesser toe deformities (LTD) in a general population, and footwear fit among those with Alzheimer’s disease. Continue reading

March 2018

Reliability of FPI-6 in older adults warrants caution

Because it uses 6 items to quantify and classify foot pressure, the Foot Pressure Index-6 (FPI-6) is considered a more complete measure than many others. The FPI-6 has been validated for use with adults aged 18 to 57, where it can play a role in identifying risk factors for sports and training injuries. Continue reading

March 2018

Neuromuscular training in high-risk female adolescent athletes

Noting that an up to 10-fold increased risk of injury has been demonstrated in female athletes compared with male athletes, particularly for anterior cruciate ligament (ACL) sprains, patellofemoral pain, and ankle injuries, researchers sought to evaluate the effects of… Continue reading

March 2018

How might power training improve gait in older adults?

Building on previous data that tentatively supports the possibility that power training could induce changes in neuromuscular activation during level walking in older adults, researchers tested the effects of a 10-week… Continue reading

March 2018

Effects of running-specific prostheses at varying speeds

Most previous studies on running mechanics in amputees have used prostheses originally designed for walking, and those that have looked at running mechanics using prostheses designed for running have focused on sprinting. Continue reading

February 2018

Exercising arms improves post-stroke walking

Canadian researchers have demonstrated that that arm exercises—specifically, cycling the arms—improves post-stroke gait. The authors said this is the first study to test the effect of arm training on post-stroke leg function, even years after the event. The results appear in the Journal of Neurophysiology. Continue reading

February 2018

TJA patients discharged home alone do well

Patients who live alone had a safe and manageable recovery when discharged directly home after total joint arthroplasty (TJA), according to a prospective study published in The Journal of Bone & Joint Surgery. Continue reading

February 2018

Researchers target prevention of posttraumatic osteoarthritis

Reducing oxidative stress in mitochondria shortly after joint injury may prevent posttraumatic osteoarthritis (PTOA), according to a study published in Science Translational Journal. This discovery is compelling because young, active patients are more likely than older patients to experience these injuries, yet are not… Continue reading

February 2018

Core weakness may lead to low back pain in runners

Deep core-muscle weakness in runners leads to compensation strategies that increase pressure and loading on the spine, which may increase the risk of low back pain, a new analysis demonstrates. Continue reading

February 2018

Group urges training exercises to prevent ACL injury

Athletic trainers and healthcare professionals have a fresh set of recommendations to help prevent noncontact and indirect contact anterior cruciate ligament (ACL) injuries in athletes and physically active people. The position statement, “Prevention of Anterior Cruciate Ligament Injury,” from the… Continue reading

January 2018

Yoga reduces falls in older adults

Participating in a yoga course decreased the number of falls reported by older adults in a rural community in Wisconsin, according to new research published in December.

By Nicole Wetsman Continue reading