Category Archives: Clinical News

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May 2015

Lumbar link? Ankle, spinal pathologies coexist in cadavers

Practitioners treating a patient with ankle osteoarthritis (OA) may want to ask if the patient has a history of back pain, according to a recent study that found an association between lumbar disc degeneration and ankle OA in cadavers.

By Larry Hand

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May 2015

Knee and hip OA significantly impact quality of life in younger adult patients

Adults aged between 20 and 55 years with hip or knee osteo­arthritis (OA) report significantly higher levels of distress and disability and poorer health-related quality of life than the general population for that age range, according to research from the University of Melbourne in Australia.

By Jordana Bieze Foster

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May 2015

Symptoms precede tibiofemoral radiographic changes by 2-3 years

Incident radiographic knee OA is preceded by two to three years of prodromal symptoms, which may present an opportunity for intervention, according to research from Keele University in Staffordshire, UK.

By Jordana Bieze Foster

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April 2015

At-risk youth: ACL revisions plague pediatric populations

Two large studies presented in late March at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS) added to the evidence that pediatric patients have an elevated risk of surgical revision after anterior cruciate ligament (ACL) reconstruction…

By Jordana Bieze Foster  Continue reading

April 2015

Most NFL players successfully return from Lisfranc injury, but it takes time

Almost all National Football League (NFL) players who sustain tarsometatarsal (Lisfranc) joint injuries return to competition, but very few do so quickly, according to research from the University of Pennsylvania School of Medicine in Philadelphia.

By Jordana Bieze Foster Continue reading

April 2015

Habitual foot-strike patterns may persist in older runners after switch from shoes

Experienced runners older than 30 years are less likely than adolescents to change foot strike pattern when switching from traditional running shoes to barefoot running, which may increase their risk of injury, according to a study from the University of Kansas in Kansas City.

By Jordana Bieze Foster Continue reading

April 2015

Inclination insights: Ankle motion predicts wedge insole effect

Motion analysis of the ankle joint complex may predict how a patient with medial knee osteoarthritis (OA) will respond to using a lateral wedge insole, according to a new study from the University of Salford in the UK.

By Larry Hand Continue reading

April 2015

MRI reveals cartilage change associated with altered kinematics after ACL injury

Altered tibial position during flexion and extension one year after anterior cruciate ligament (ACL) reconstruction is associated with early cartilage changes, according to research presented in late March in Las Vegas at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS).

By Jordana Bieze Foster

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April 2015

Ankle fracture patients have elevated levels of synovial biomarkers for OA

Patients with acute intra-articular ankle fractures demonstrate elevated levels of biomarkers that are commonly associated with osteoarthritis (OA), suggesting that the degenerative process that leads…

By Jordana Bieze Foster Continue reading

March 2015

Retraining gains: In-field cadence cues reduce impacts

In-field gait retraining, which cues a modest increase in step rate, can help address biomechanical risk factors associated with tibial stress fracture in runners, according to research from East Carolina University in Greenville, NC. Continue reading

March 2015

Study finds triceps surae injury rate associated with age in soccer players

Older elite male soccer players sustain significantly more triceps surae injuries than do their younger counterparts, and could benefit from targeted training to prevent such injuries… Continue reading

March 2015

Most baseball players return from ACL reconstruction, but play in fewer games

Nearly all Major League Baseball position players who undergo anterior cruciate ligament (ACL) reconstruction return to play at least 30 games, but those who do return play in fewer games… Continue reading

March 2015

Double bonus: AFOs improve dual-task gait in two ways

Wearing ankle foot orthoses (AFOs) is associated with both physical and cognitive performance during dual-task gait in children with myelomeningocele, according to research presented in… Continue reading

March 2015

Plantar flexion resistance alters knee flexion, foot strike in stroke patients

Increasing the plantar flexion resistance of an ankle foot orthosis (AFO) reduces knee hyperextension and changes foot strike pattern during gait in chronic stroke patients, according to research presented in… Continue reading

March 2015

More restrictive orthotic devices boost balance over time in children with CP

Balance improves over time in children with cerebral palsy (CP) who switch from a dorsiflexion-free orthotic device to a more restrictive one, according to research from Northwestern University’s Feinberg School of Medicine in Chicago. Continue reading

February 2015

All about the ALL: knee ligament stabilizes internal rotation

The anterolateral ligament (ALL) of the knee, a structure not well-documented or consistently reported before the 2013 publication of a Belgian study, is a key stabilizer of internal rotation—though only when the knee is flexed at high angles—and may be… Continue reading

February 2015

Female high school basketball players benefit from neuromuscular training

A six-week progressive neuromuscular training program is associated with significant improvement in single-leg balance on unstable surfaces in female high school basketball players, according to research from Bellarmine University in Louisville, KY. Continue reading

February 2015

Baseball players maintain improved balance 6 months after UCL surgery

Improved balance in baseball players who have had Tommy John surgery is maintained after their release from physical therapy, according to research from Fort Worth, TX.

By Jordana Bieze Foster

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February 2015

Heel pain gains: Studies support multimodal treatment

Multimodal physical therapy is associated with significant symptom relief in patients with plantar heel pain, but may be most effective for those with symptoms lasting fewer than seven months, according to research presented in February at the annual… Continue reading

February 2015

Reason for benefits of balance training eludes ankle instability investigators

Eight pathological factors do not explain the self-reported improvements in perceived disability associated with balance training for functional ankle instability (FAI), according to research from the University of Kansas Medical Center in Kansas City. Continue reading

February 2015

Progressive strengthening improves function after total knee arthroplasty

Patients who do progressive strengthening exercises after total knee arthroplasty (TKA) are significantly more likely than those who do conventional rehabilitation to have normal-range functional outcomes at one year, according to research from the University of Delaware. Continue reading

January 2015

Breaking bad: Ankle fracture study highlights mortality

Is ankle fracture in the elderly the new hip fracture? Hip fractures in older adults have often been linked to high mortality rates, and a recent study suggests the same may be true of ankle fractures, given that some of the same variables are at play. Continue reading

January 2015

Home-based walking program boosts mobility but does not alter rate of falls

While walking is a popular form of exercise among the elderly that improves mobility, a home-based walking program does not curb the risk of falling, according to an Australian study. Continue reading

January 2015

Rate of torque development in the hip differentiates fallers from nonfallers

Rate of torque development (RTD) in the hip extensor muscles is an outcome that could be key to identifying patients at risk for falling, according to a study epublished in December 2014 by Aging Clinical & Experimental Research. Continue reading

November 2014

Resistance is useful: Ankle band activates hip during landing

Wearing a resistance band around the ankles during jump landings is associated with increased hip abduction moments and gluteus medius activation, and may be a more functional alternative to the therapeutic exercises typically used to train the same muscles, according… Continue reading