Category Archives: Clinical News

Current Issue News

May 2010

In the moment: Footcare

PTTD prognostication – Four variables, identifiable at an initial clinical evaluation, can help predict whether bracing will be successful in patients with posterior tibial tendon dysfunction, according to research from the University of Rochester Medical Center in Rochester, NY.

Plus: • Athleticshoetraction • OrthosesandMTSS

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April 2010

In the moment: Diabetes

The photo shows a hospital scene that under different circumstances might be comical. A patient with a diabetic foot problem lies in a bed, surrounded by practitioners. But none of the practitioners are communicating with each other, and all but one have their backs to the patient.

Plus: • Platelet-rich plasma •Tendon lengthening • TCC utilization

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April 2010

In the moment: knee OA

Two studies presented in March suggest that bracing for knee osteoarthritis may be effective in two patient populations that are not well represented in the OA bracing literature: those with lateral tibiofemoral compartment OA and those with severe disease. Plus: • Effects of footwear • PRP vs hyaluronan

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April 2010

In the moment: sports medicine

Soccer is already the world’s most popular sport, but new research could very well broaden its appeal even further. Multiple studies from Denmark suggest that playing soccer can improve bone mineral density and other musculoskeletal risk factors associated with falls and fractures.

Plus: • FieldTurf vs grass • Pitchers leg it out

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March 2010

In the moment: Footcare

Across the spectrum of lower-extremity diabetes care—from education to conservative intervention to surgery—practitioners have plenty of room for improvement, according to research presented in February at the annual meeting of the American College of Foot and Ankle Surgeons. Plus: • New mod for met pain • Flat feet and bracing • PT post-bunionectomy

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March 2010

In the moment: Rehabilitation

The promise of platelets: People are talking about platelet rich plasma . The nonsurgical therapeutic technique has been credited with a SuperBowl comeback, and it’s been criticized in one of the most-respected journals in the literature. Not surprisingly, some are wondering if it’s too good to be true.

Plus: • Achilles benchmarks • Hip strength and PFP • AFOs and hemiplegia

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February 2010

In the Moment: O&P

Amputees fight another day: Better care increases return-to-duty rates

U.S. military personnel serving in Iraq and Afghanistan are no less likely to suffer an injury requiring amputation than their counterparts who served in previous conflicts, but such an injury is far less likely to keep today’s soldiers from returning to duty.

Plus:
• Balance, more than foot positioning, may affect amputee stair ambulation
• Time to stabilization fails to detect effect of ankle brace on stability

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February 2010

In the Moment: Neuromuscular

CP: Means sap strength data:Subgroup analysis may be key to gait link

Gait researchers’ frustrations in demonstrating benefits of strength training in children with cerebral palsy can be traced to the heterogeneity of the study population, according to a National Institutes of Health study that offers some insight as to which patients are most likely respond.

Plus:
• Treadmill outperforms outdoor walking for stroke rehabilitation
• Ankle weakness, not instability, explains reduced speed after TBI

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February 2010

In the Moment: Sports Medicine

Walk this way: Heels first: Rearfoot strike pattern uses less energy

Forefoot strike patterns, particularly those of the barefoot variety, have generated a lot of buzz in running circles lately. But a University of Utah study suggests that rearfoot strike patterns have advantages as well.

Plus:
• Shoe-surface combination with lowest risk of ACL injury pairs cleats with grass
• Gender affects response to eccentric training for Achilles tendinopathy

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January 2010

In the Moment: Olympic Sports

Spotlight on skier safety – Injury ‘avalanche’ prompts concerns When the torch is lit to kick off the Winter Olympics in Vancouver next month, the Canadian ski team will be missing no fewer than six of its best Alpine skiers, downed by five anterior cruciate ligament tears and one broken leg. All six were injured between the last week in November and the first week in January. Plus: • Average rehab after hip labral repair could fit in NHL offseason window • ‘Double-push’ cross country skiing outpaces conventional techniques

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January 2010

In the Moment: Foot Care

Kids’ shoes come up short – Study links tight fit to hallux valgus angle Keeping up with the ever-changing footwear needs of growing children can be a challenge for parents, but squeezing kids into too-short shoes may put them at risk for hallux valgus, according to research from the Medical University of Vienna. Plus: • Posted total contact insoles reduce hindfoot valgus in flexible flatfoot • Falls prevention efforts in elderly could start with toe strengthening

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January 2010

In the Moment: O&P

Knee braces activate brain – fMRI confirms proprioceptive effects Functional magnetic resonance imaging research from Belgium demonstrates the effect of lower extremity proprioceptive stimulation on brain activity and confirms that the effect of a knee brace or sleeve extends far beyond local joint biomechanics. Plus: • Ankle foot orthoses improve symmetry, gait in stroke patients with hemiplegia • Abduction bracing in infants with DDH delays learning to walk by three weeks

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November 2009

In the Moment: Sports Medicine

PFPS responds to exercise
Plus: • Sprinter giveaways • Hamstring injury risks

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November 2009

In the Moment: Foot Care

Wedges assist stroke rehab
Plus: • Kids, footwear and gait • Teens and running shoes

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November 2009

In the Moment: O&P

Orthoses improve CP gait
Plus: • Valgus knee bracing • Achilles outcomes

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October 2009

In the Moment: Sports Medicine

Alter footfall? Not so fast

Natural running pattern may be best – Websites all over the internet claim that runners who use a rearfoot strike pattern can run more efficiently and prevent injury by converting to a midfoot or forefoot strike pattern. But, as if we needed another reason to distrust information found online, studies of these variables suggest otherwise.

Plus: Skateboarding shoes • ACL do-overs • PTTD protocols

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September 2009

In the Moment: O&P

Amputee runners hit the lab
Plus: Gait, work and AFOs • Morton’s extension

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September 2009

In the Moment: Sports Medicine

Seeking a fatigue-injury link
Plus: Baseball sliding strategies • Detraining and ankle injury

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September 2009

In the Moment: Footwear

Kids’ loads shift underfoot
Plus: High heels and knee OA • Children and flip-flops

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August 2009

In the Moment: Sports Medicine

Plus: Knee and the NFL • Tape takes on exercise
by Jordana Bieze Foster

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August 2009

In the Moment: O&P

Plus: Ankle brace effects Amputee hip strength • Feedback boosts OA bracing by Jordana Bieze Foster

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August 2009

In the Moment: Foot Care

Rehab enhances HV results
Post-op plan medializes weight bearing

Austrian researchers have found that rehabilitation following hallux valgus surgery can significantly improve weightbearing under the first ray, which has long been one of the barriers to full functional recovery.

by Jordana Bieze Foster

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July 2009

In the Moment: 0&P

Plus: Oscar Pistorius, Drop foot AFO technology
by Jordana Bieze Foster

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July 2009

OA research: It’s all about the shoes

The next big thing in knee osteoarthritis treatment might be a variable-stiffness shoe
By Jennifer C. Erhart, PhD, Nicholas J. Giori, MD, PhD, and Thomas P. Andriacchi, PhD

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July 2009

In the Moment: Sports Medicine

Plus: Running shoes, Lunges and ligaments
by Jordana Bieze Foster

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