Category Archives: Clinical News

Current Issue News

August 2010

Orthoses relieve PFPS

Key variables predict response
Prefabricated foot orthoses improve the ability to perform weight-bearing knee flexion tasks in patients with patellofemoral pain, according to research from La Trobe University in Australia.

Plus: • Lacing techniques • Fatter, flatter feet

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August 2010

Saving limbs at home

Studies spotlight American outcomes
For years, the amputation prevention literature has been dominated by studies performed outside the United States. Two recent studies, however, have served notice that that trend is starting to change.

Plus: • Depressive effects • Antibiotic regimens

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July 2010

Fighting fatigue

As a growing body of research supports the idea that fatigue contributes to sports-related injury, investigators are now working to identify those athletes who may be most vulnerable to the effects of fatigue and interventions that could counteract those effects.

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July 2010

Charcot and limb loss

Ulcer prevention is the key to amputation prevention in patients with Charcot arthropathy, according to research from Chicago that raises the question of whether pre-emptive surgical correction of deformities is warranted in Charcot patients.

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July 2010

Habitual high-heeled shoe wearers exhibit musculotendinous changes

Women who are so accustomed to high heels that they feel uncomfortable in flat shoes demonstrate musculotendinous changes compared to those who prefer flats, according to research from Manchester Metropolitan University in the U.K. Investigators recruited 11 women between the … Continue reading

July 2010

Orthosis study favors three-quarter length for patients with hallux valgus

A study from the University of Tennessee supports the use of a three-quarter length custom orthosis for patients with hallux valgus deformity. The study compared custom orthoses of full, three-quarter, and sulcus lengths. The orthoses were worn by 25 patients … Continue reading

July 2010

Altered ability to detect joint loading plagues chronically unstable ankles

Even in the absence of impaired joint laxity, chronically unstable ankles demonstrate a reduced ability to detect afferent signals in response to applied loads, according to research from the University of Delaware. In 19 healthy ankles and 10 ankles with … Continue reading

July 2010

Study finds variations in co-contraction during closed kinetic chain exercises

Closed kinetic chain exercises vary considerably with respect to quadriceps-hamstrings co-contraction, which may have significant implications for rehabilitation, according to research from the University of North Carolina in Chapel Hill. Investigators analyzed activation of the vastus medialis, vastus lateralis, medial … Continue reading

June 2010

In the moment: Sports medicine

After more than a decade of discord and sometimes contentious debate, biomechanists appear moving toward a consensus that the mechanism of anterior cruciate ligament injury cannot be wholly attributed to either the frontal or sagittal planes but is in fact multiplanar.

Plus: • Shoes and knee OA • Foot strike patterns

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May 2010

In the moment: O&P

Net gain for ankle bracing – Rigid and semi-rigid ankle braces may help prevent inversion ankle sprains in female volleyball players with no previous history of sprain, according to research published in the April issue of Foot & Ankle International. Plus: • Neuropathyandgait • Partialweightbearing • Erratum

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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 Continue reading

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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