Category Archives: Clinical News

Current Issue News

April 2016

Get stronger, live longer: But few older adults meet US guidelines

Strength training twice weekly, as recommended by two national organizations, can help reduce all-cause mortality in older US adults, but fewer than 10% meet that recommendation, according to a study from Pennsylvania State University.

By Katie Bell Continue reading

April 2016

Soccer study finds steady rate of ACL injuries, disappointing 3-year outcomes

Despite advances in prevention and intervention, anterior cruciate ligament (ACL) injuries are no less common among professional soccer players now than in 2001, according to research from Sweden.

By Jordana Bieze Foster Continue reading

April 2016

Minimalist footwear, shortened stride affect loads differently during running

Running in minimalist footwear and running with a shorter stride length are both associated with reduced knee loads, but the two approaches differ in their effects on loading at the ankle, according to research from the University of Calgary in Canada.

By Jordana Bieze Foster Continue reading

April 2016

Stability for CP: AFO use benefits diplegic children

In children with diplegic cerebral palsy (CP), wearing bilateral ankle foot orthoses (AFOs) that promote heel-first ground contact helps to improve stability and may reduce the risk of falls, according to research presented in March at the annual meeting of the American Academy of Orthotists and Prosthetists (AAOP) in Orlando, FL.

By Jordana Bieze Foster Continue reading

April 2016

Shifting position of shoe heel rocker affects ankle mechanics during gait

Varying the placement of a shoe heel rocker affects walking gait kinematics, even when the toe rocker placement is kept constant, according to research presented in March at the annual AAOP meeting in Orlando, FL.

By Jordana Bieze Foster Continue reading

April 2016

Kinematics at foot, not shank, respond to increases in heel-sole differential

Elevating the heel of a shoe significantly affects foot kinematics but not shank kinematics during gait, according to research from the UK presented in March at the annual AAOP meeting in Orlando, FL.

By Jordana Bieze Foster Continue reading

March 2016

Benefits of balance: YBT is associated with history of injury

Deficits in single-leg balance may contribute to the high rate of injuries among endurance athletes, but hip strength may not, according to two studies presented in February at the American Physical Therapy Association’s annual Combined Sections Meeting in Anaheim, CA.

By P.K. Daniel Continue reading

March 2016

Test for lower extremity asymmetry identifies risk in recreational runners

Asymmetrical lower extremity neuromuscular control is predictive of repetitive stress injury in recreational runners, according to findings presented at the Combined Sections Meeting of the American Physical Therapy Association in February in Anaheim.

By P.K. Daniel Continue reading

March 2016

Clinically useful 2D measurements predict patellofemoral joint force

Researchers from East Carolina University (ECU) in Greenville, NC, have identified 2D lower extremity kinematic measurements that accurately predict patellofemoral joint (PFJ) force during running and can be used clinically to identify runners at risk of injury.

By P.K. Daniel Continue reading

March 2016

PFOA prognostication: Sagittal plane factors predict worsening

Sagittal plane mechanics and forces during gait in patients with patellofemoral osteoarthritis (PFOA) can help identify those who are likely to experience worsening pain or cartilage degeneration, according to research presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association in Anaheim, CA.

By Jordana Bieze Foster Continue reading

March 2016

Years after Achilles tear, injured limb demonstrates elevated knee loading

A history of Achilles tendon rupture is associated with elevated knee loading during hopping and running, suggesting an increased risk of knee osteoarthritis and other overuse knee pathologies, according to research from East Carolina University in Greenville, NC.

By Jordana Bieze Foster Continue reading

March 2016

Clinical single-leg hop tests can help estimate risk of OA after ACL injury

Performance on single-leg hop tests a few weeks after anterior cruciate ligament (ACL) injury can predict the risk of radiographic knee osteoarthritis (OA) five years later, according to research from the University of Delaware in Newark.

By Jordana Bieze Foster Continue reading

February 2016

Skipping hip surgery: FAI responds to conservative care

A pilot study has found that conservative management of femoroacetabular impingement (FAI) can provide improvements in pain and function equivalent to those usually achieved with surgery.

By John C. Hayes Continue reading

February 2016

Risk of lower extremity injury increases after athletes return from concussion

Collegiate athletes who sustain a concussion have an increased risk of a lower extremity injury long after returning to play, according to two recent studies that strengthen the case for a brain-sprain connection.

By Jordana Bieze Foster Continue reading

February 2016

Preventive measures in cross country runners should target ankle kinematics

Ankle kinematics prospectively predict injury risk in collegiate cross country runners, according to prospective research from the University of Memphis in Tennessee.

By Jordana Bieze Foster Continue reading

February 2016

Extension correction: AFO design improves PTTD mechanics

When a lamp cord doesn’t quite reach an outlet, you reach for an extension cord. So when a custom ankle foot orthosis (AFO) didn’t quite provide the corrected forefoot abduction desired in patients with post­erior tibial tendon dysfunction (PTTD), researchers from Syracuse, NY, added a lateral extension.

By Larry Hand Continue reading

February 2016

Study reports improved pain and gait with walker boot after ankle surgery

A walker boot is preferable to two other ankle devices for improving pain and gait after internal fixation for ankle fracture, according to research from the University of Oxford in the UK.

By Jordana Bieze Foster Continue reading

February 2016

Surgical shoe findings support limits on driving after bunion procedures

Patients should refrain from driving for at least six weeks after bunion surgery due to poor braking response times that are not improved with the use of surgical shoes, according to findings from the Medical University of Innsbruck in Austria.

By Larry Hand

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January 2016

Impact implications: Loading helps predict running injury risk

A two-year prospective study of female heel-strike runners found that those who suffered medically diagnosed injuries had higher impact variables at baseline than those who had never had an injury.

By John C. Hayes Continue reading

January 2016

Most NBA players return from Jones fracture with no drop in performance

Most professional basketball players who sustain Jones fractures are able to return to elite competition with no significant effect on their performance, according to a recent study that should please fantasy basketball players as well as lower extremity practitioners.

By Jordana Bieze Foster Continue reading

January 2016

Peak vGRF in ACL-reconstructed limb may influence collagen metabolism

After unilateral anterior cruciate ligament reconstruction (ACLR), mechanical loading in the affected limb is associated with altered patterns of collagen metabolism, according to research from the University of North Carolina at Chapel Hill that could help explain the development of knee osteoarthritis in patients with a history of ACLR.

By Jordana Bieze Foster Continue reading

November 2015

Fusion and low vitamin D: Two thirds of patients have deficiency

Vitamin D deficiency is prevalent in patients in the northern US undergoing midfoot, hindfoot, and ankle arthrodesis, even in those without predisposing risk factors, according to a recent study from Vermont that may have implications for lower extremity surgery.

By Katie Bell

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November 2015

Intrinsic exercises may help runners safely switch to minimalist footwear

The development of bone marrow edema after transitioning from traditional running shoes to minimalist footwear is associated with small intrinsic foot muscle size, according to research from Brigham Young University in Provo, UT.

By Jordana Bieze Foster

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November 2015

Half shoe outperforms double rocker for offloading, but also impairs gait

A half shoe offloads the forefoot more effectively than a double-rocker full-outsole shoe with an offloading insole, but the half shoe also is more likely to alter gait, according to research from Bologna, Italy.

By Jordana Bieze Foster Continue reading

November 2015

On the move: Gait training improves limited mobility

Gait training is effective for improving limited mobility in patients with knee osteo­arthritis (OA), according to a recent study, but the immediate benefit is not sustained after training has stopped.

By Lori Roniger

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