Category Archives: Clinical News

Current Issue News

November 2010

Choosing shoes for RA

Therapeutic designs are a tough sell

Despite research supporting the use of therapeutic shoes in patients with rheumatoid arthritis, a study from New Zealand suggests that only 5% of patients actually wear prescribed footwear.

The lack of compliance may be related to practitioners’ failure to understand the social and emotional implications of therapeutic footwear for patients—particularly women—with RA, according to a second study from the U.K.

By Jordana Bieze Foster

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November 2010

High-top styles, tied laces decrease Achilles tendon loading in cadavers

A high-top athletic shoe design and tightly tied laces can decrease peak Achilles tendon loading, primarily by limiting peak ankle dorsiflexion, according to a cadaver study from Virginia Tech University. Researchers analyzed the effects of low-top vs high-top athletic shoes … Continue reading

November 2010

In vivo data correlate with external effects of variable-stiffness OA shoe

The variable-stiffness shoe being developed at Stanford University not only reduces external knee adduction moment but also produces corresponding decreases in load within the joint, according to new in vivo data. The shoe (see “OA research: It’s all about the … Continue reading

November 2010

Tailoring PFP treatment

Maltracking signals VMO involvement

Research from Stanford University adds to the evidence that patellofemoral pain management may be most effective when tailored to subcategories of patients, and suggests that it’s too soon to give up on vastus medialis oblique activation as a contributing factor.

The findings were presented in early November at the annual meeting of the American Academy of Physical Medicine & Rehabilitation.

By Jordana Bieze Foster

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November 2010

In practice, tendinopathy patients find pain relieved with platelet rich plasma

The benefits of platelet-rich plasma injection for relief of tendinopathy pain are evident outside of a controlled research setting, according to results from a Scottsdale, AZ, private practice presented in November at the AAPM&R meeting. Physiatrists at Southwest Spine & … Continue reading

November 2010

Ankle retinacula changes may predict outcomes after fascial manipulation

Fascial manipulation can improve pain and postural stability in patients with functional ankle instability and evidence of retinacular changes on magnetic resonance imaging, according to research from Italy presented in November at the AAPM&R meeting. In an earlier study, published … Continue reading

October 2010

Insoles stand test of time

Six months may be too soon to replace – Diabetic insoles may not need to be replaced as frequently as previously thought, according to research from the U.K. presented in September at the second International Foot and Ankle Biomechanics (i-FAB) conference.

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October 2010

MRI reveals intrinsic muscle atrophy in patients with plantar fasciitis pain

Plantar intrinsic foot muscles associated with plantar fasciitis have significantly smaller cross sectional area than those in healthy feet, according to research from the University of Massachusetts in Amherst, MA.

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October 2010

History of clubfoot treatment affects kids’ activity only slightly by age of 10

Children treated for clubfoot as infants grow up to be active 10-year-olds who can keep pace with their peers during almost all activities, according to research from the Texas Scottish Rite Hospital for Children in Dallas.

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October 2010

EMG characterizes FAI

Altered activation isn’t just at the ankle – Two studies presented at the second International Foot and Ankle Biomechanics conference add to the evidence that treatment of chronic ankle instability should focus on improving feed-forward neuromuscular control mechanisms.

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October 2010

Rearfoot motion in runners responds to pronator-supinator strengthening

Strength training focused on the pronation and supination affects rearfoot motion in runners to a greater extent than traditional plantar- and dorsiflexion training, according to research from the University of Duisburg-Essen in Germany.

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October 2010

Study identifies gender differences in biomechanics of kicking in soccer

Gender differences in leg alignment and muscle activation during a soccer kick may in turn help explain gender differences in knee injury risk, according to research from the Hospital for Special Surgery in New York City.

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September 2010

Heels heighten OA risk

Flatter styles lessen stress on knee By Jordana Bieze Foster The Rhode Island Convention Center was not the place to be wearing high heels during the third week of August, when two studies presented at the annual meeting of the … Continue reading

September 2010

Impacts spell injury

Barefoot running seems a solution By Jordana Bieze Foster Despite what you may have heard, researchers are a long way from proving that barefoot runners are less prone to injury than those who run in shoes. But data presented at … Continue reading

September 2010

Intriguing AFO effects

Gait speed linked to braking force By Jordana Bieze Foster Rigid ankle foot orthoses increase gait speed in hemiplegic stroke patients, but not for the reasons one might think, according to research from the Kessler Foundation Research Center in New … Continue reading

September 2010

Training targets trips

Fall simulations help AK amputees By Jordana Bieze Foster Thanks to an improved ability to simulate falls in the laboratory, researchers are identifying variables that contribute to falls in above-knee amputees and implementing training programs to improve response to tripping. … Continue reading

September 2010

Robot-assisted ankle rehabilitation boosts functional mobility scores

Robot-assisted ankle rehabilitation significantly improves functional mobility in stroke patients, according to research from Northwestern University in Chicago. Researchers customized a continuous passive motion machine to create a portable rehabilitation robot that is used for both passive stretching and active … Continue reading

September 2010

Gait study finds FES of plantar flexors fails to improve mechanical recovery

Functional electrical stimulation of the plantar flexor muscles in addition to the dorsiflexors surprisingly had no effect on mechanical recovery during post-stroke gait in a study performed at the University of Delaware. Researchers analyzed the effects of dorsiflexion FES alone … Continue reading

September 2010

Diabetic boot bests TCC for offloading forefoot area but not for ulcer healing

A cast-boot ankle foot orthosis decreases plantar pressures under the forefoot more effectively than a total contact cast, but its relative effectiveness for ulcer healing is still a function of compliance, according to research from Washington University in St. Louis. … Continue reading

September 2010

Effects of prosthetic gel liner thickness on pressure lack statistical significance

The choice of a thick or thin gel liner in transtibial amputees may ultimately come down to personal preference, according to research from Northwestern University in Chicago. Investigators compared two prosthetic gel liners, one 3 mm thick and one 9 … Continue reading

September 2010

Lateral loading during cutting affects perceptions of turf shoe performance

A football player’s perception of a shoe may be related to the amount of lateral loading associated with that shoe during cutting, according to research from Cincinnati Children’s Hospital. Investigators analyzed cutting movements in 17 male teenaged football players as … Continue reading

September 2010

Even motion control footwear allows midfoot movement while running

Practitioners who recommend so-called motion control running shoes may want to think of “control” as a relative term, in light of research demonstrating significant sagittal plane movement of the foot within motion control shoes. Investigators from Northern Arizona University in … Continue reading

September 2010

Sport-specific neuromuscular training program improves tennis performance

A tennis-specific version of the neuromuscular training program developed in Cincinnati could significantly improve performance on the court, according to research published in the September issue of the Journal of Strength and Conditioning Research. The Sportsmetrics training program developed by … Continue reading

September 2010

Study finds hormones, fatigue affect ankle ligament laxity in female athletes

Much of the literature on hormones and ligament laxity has focused on the knee, but a study from James Madison University suggests that an interaction between hormone levels and fatigue may also affect laxity at the ankle. Researchers analyzed ankle … Continue reading

August 2010

A twist in ACL-OA link

Studies clash over surgery’s significance
In the wake of a Dutch report that surgery does not decrease the risk of radiographically diagnosed osteoarthritis following anterior cruciate ligament injury, research presented in July identified preoperative variables that could predict the development of OA after ACL reconstruction.

Plus: • Hamstring injuries • Hip screening

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