Category Archives: Clinical News

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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

November 2014

Training to increase running cadence alters biomechanics but not efficiency

Six weeks of training to increase running cadence is associated with significant changes in kinematics and vertical loading rate, but does not affect running efficiency, according to research from the University of Massachusetts Amherst. Continue reading

November 2014

ATFL data suggest ligament thickening after sprain does not cause instability

Both ankle sprain copers and patients with chronic ankle instability have thickened anterior talofibular ligaments (ATFL), suggesting that these structural changes are not the cause of chronic instability, according to research from the University of Evansville in Indiana. Continue reading

October 2014

Poses for postural stability: Yoga enhances balance in older fallers

Findings of a randomized controlled trial published in the September issue of Archives of Physical Medicine and Rehabilitation suggest a 12-week yoga program modified for older fallers may be as effective as tai chi and…

By Greg Gargiulo Continue reading

October 2014

Orthoses add no benefit to eccentric calf training for Achilles tendinopathy

Customized foot orthoses are no more effective than sham orthoses for improving pain and function in patients with Achilles tendinopathy when used in combination with eccentric calf exercises, according to research from…

By Jordana Bieze Foster Continue reading

October 2014

RCT finds exercise therapy improves pain, function in patients with hip OA

Twelve weeks of exercise therapy can significantly reduce pain and improve function in patients with hip osteoarthritis (OA), according to a randomized controlled trial from German researchers.

By Jordana Bieze Foster Continue reading

October 2014

Uneven numbers: TAA bests ankle fusion on stairs, inclines

End-stage ankle arthritis patients who receive a newer-generation total joint implant function slightly but significantly better when walking on uneven surfaces than patients who undergo ankle arthro­desis, according to a recent pro­spective study.

By Hank Black

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October 2014

Knee OA patients demonstrate limited range of motion at midfoot and hallux

Moderate to severe medial knee osteoarthritis (OA) is associated with limited range of motion at the midfoot and hallux during barefoot walking—gait alterations that may influence the effects of footwear and orthoses in this…

By Jordana Bieze Foster

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October 2014

Faster running speed increases load at the ankle more than at the knee

Increasing running speed in recreational runners has greater kinetic effects at the ankle than the knee, according to research from Denmark that may have implications for injury prevention.

By Jordana Bieze Foster

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September 2014

Achilles oddity: Heeled shoes may boost load during gait

A recent study using innovative technology has questioned the potential role of standard running shoes with slightly elevated heels for the prevention and treatment of Achilles tendon pathology.

By Hank Black Continue reading

September 2014

Patients with MS exhibit better balance, neural changes after Wii-based training

Using a video game balance board that provides high intensity, task-oriented, visual feedback training induces favorable short-term changes in brain microarchitecture related to movement and balance in people with multiple sclerosis, according to a study conducted by …

By Emily Delzell

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September 2014

Vibration intervention helps counteract induced arthrogenic muscle inhibition

Both direct local muscle vibration (LMV) and whole body vibration (WBV) improve quadriceps arthrogenic muscle inhibition (AMI), according to a study from neuromuscular researchers at the University of North Carolina at Chapel Hill. The findings suggest vibratory stimuli can enhance …

By Emily Delzell Continue reading

August 2014

Making history: Nurse is first US osseointegrated amputee

It was a first for Las Vegas physical therapist Edward Dolegowski, PT: An amputee reported that her prosthesis felt like her leg.

By Samantha Rosenblum Continue reading

August 2014

Weight-bearing casts for Achilles tear keep pace with nonweight-bearing

Use of a weight-bearing cast for the nonoperative treatment of acute Achilles tendon rupture produces outcomes that are at least equivalent to traditional nonweight-bearing casts, according to a randomized controlled trial from researchers in Auckland, New Zealand.

By Emily Delzell Continue reading

August 2014

AFO users retain deficits in function, blood flow many years after stroke

People who use an ankle foot orthosis (AFO) after a stroke retain significant deficits in neuromuscular function and blood flow many years later, according to research from the University of Oklahoma in Oklahoma City.

By Emily Delzell Continue reading

July 2014

Screening gets specific: Functional testing studies sharpen focus

As evidence accumulates in support of functional movement testing for predicting injury risk, researchers are taking a closer look at how functional screening can be applied to specific athlete populations.

By Jordana Bieze Foster Continue reading

July 2014

Athletes with hip flexor tightness have reduced gluteus maximus activation

Hip flexor tightness is associated with reduced gluteus maximus activation during an overhead squat, according to findings from the University of North Carolina at Chapel Hill (UNC) that are consistent with…

By Jordana Bieze Foster Continue reading

July 2014

Hip exercises boost postural control in individuals with ankle instability

Four weeks of hip external rotator and abductor strengthening significantly improves postural control in patients with functional ankle instability (FAI) and may be useful for preventing recurrent instability…

By Jordana Bieze Foster Continue reading

July 2014

An ill windlass: Neuropathy is associated with impairment

Windlass mechanism impairment is evident in patients with diabetic neuropathy and could contribute to increased plantar pressures and ulceration risk, according to research from the …

By P.K. Daniel Continue reading