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- UP THE CHAIN: How lower extremity care can improve spinal health
- CONFERENCE COVERAGE: 2017 ISPO World Congress
- CONFERENCE COVERAGE: 2017 IOC World Conference
- CONFERENCE COVERAGE: 2015 ISPO World Congress
- CONFERENCE COVERAGE: Ortho Technology Forum 2015
- Orthotic management of CMT: Dynamic solutions for active lifestyles
- CONFERENCE COVERAGE: Orthotics Technology Forum 2014
- ATHLETES AND INJURIES: The global question of prevention
- CONFERENCE COVERAGE: Orthotics Technology Forum 2013
- SPECIAL SECTION: Teachings from the East
- CONFERENCE COVERAGE: International Clubfoot Symposium
- CONFERENCE COVERAGE: Orthotics Technology Forum 2012
- STEPS AHEAD: Advances in foot and ankle biomechanics
- CONFERENCE COVERAGE: Custom Orthotic Insoles Technology Forum
- DEFENSIVE GAME PLAN: Global insights on sports injury prevention
- Recent Advances in Orthotic Therapy
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Category Archives: Clinical News
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
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
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
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
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
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
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
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.
• Balance, more than foot positioning, may affect amputee stair ambulation
• Time to stabilization fails to detect effect of ankle brace on stability
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.
• Treadmill outperforms outdoor walking for stroke rehabilitation
• Ankle weakness, not instability, explains reduced speed after TBI
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.
• Shoe-surface combination with lowest risk of ACL injury pairs cleats with grass
• Gender affects response to eccentric training for Achilles tendinopathy
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
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
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
PFPS responds to exercise
Plus: • Sprinter giveaways • Hamstring injury risks
Wedges assist stroke rehab
Plus: • Kids, footwear and gait • Teens and running shoes
Orthoses improve CP gait
Plus: • Valgus knee bracing • Achilles outcomes
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
Amputee runners hit the lab
Plus: Gait, work and AFOs • Morton’s extension
Seeking a fatigue-injury link
Plus: Baseball sliding strategies • Detraining and ankle injury
Kids’ loads shift underfoot
Plus: High heels and knee OA • Children and flip-flops
Plus: Knee and the NFL • Tape takes on exercise
by Jordana Bieze Foster
Plus: Ankle brace effects Amputee hip strength • Feedback boosts OA bracing by Jordana Bieze Foster
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