Category Archives: Special Section

July 2011

ACL injury prevention training focuses on younger athletes

Age-specific protocols are key to success

Training programs aimed at preventing anterior cruciate ligament injuries have been used for many years, but injury rates remain high. Injury prevention experts suggest such programs may be more effective if implemented before children reach the ages associated with highest injury risk and if the programs utilize age-specific protocols.

By Emily Delzell

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July 2011

Not all practitioners embrace soft soles for novice walkers

Barefoot-like isn’t necessarily best

Barefoot is a biomechanics buzzword these days, but not all practitioners believe soft-soled shoes are best for very young children, even if such shoes do approx­imate the barefoot walking experience.

By Shalmali Pal

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July 2011

Charcot-Marie-Tooth patients respond to AFO management

But recognizing device limits is key

Muscle weakness and instability associated with Charcot-Marie-Tooth disease in children can be addressed with ankle foot orthoses, research suggests, but practi­tioners should be aware of the limitations of AFOs in this patient population as well as the ever-present challenge of compliance.

By Shalmali Pal

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July 2011

French study favors Ponseti over compatriots’ technique

Casting simplifies clubfoot management

In a comparative study published in the April/May issue of the Journal of Pediatric Orthopaedics, French researchers found that Ponseti casting compared favorably to French physiotherapy for initial treatment of idiopathic clubfoot.

By Emily Delzell

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July 2011

Early research characterizes gait associated with autism

Results could have clinical implications

Little research has been published about gait patterns in children with autism, but that could be changing. One recently published study, although small, appears to lay the foundation for more focused research and could have clinical implications as well.

By Larry Hand

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CONFERENCE COVERAGE: Custom Orthotic Insoles Technology Forum

Increasing numbers of clinicians and lab owners who have made the leap to digital orthotic technology are seeing meaningful returns on those investments in terms of increased convenience, flexibility, and—importantly—profitability. At the inaugural Custom Orthotic Insoles Technology Forum, held in April at the University of Bath in the U.K., a number of satisfied digital technology converts shared their success stories and underscored the key issues that prospective adopters should consider before taking the plunge themselves.

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June 2011

Custom Orthotic Insoles Technology Forum

Perhaps the most predominant theme echoed by speakers at the conference was the need to understand and carefully weigh the pros and cons of investing in digital technology, as well as the pros and cons of different individual systems, to facilitate decision-making for individual situations.

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June 2011

The future of orthotic technology

Machining orthoses with desktop cryogenics, or using an open-source “3D printer” that not only replicates orthoses but can also replicate itself, may seem unattainably futuristic. But these technologies are on the verge of being ready for prime time, and attendees at the Custom Orthotic Insoles Technology Forum got a sneak peak.

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DEFENSIVE GAME PLANNING: Global insights on sports injury prevention

Multinational all-star teams of sports medicine experts convened in Monaco in April for the World Conference on Prevention of Illness & Injury in Sport, now under the direction of the International Olympic Committee. LER’s exclusive coverage of this event details clinical and scientific progress toward prevention of lower extremity injuries in basketball, soccer, volleyball, running, and ice hockey.

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May 2011

Lace-up ankle braces reduce risk of sprain in basketball players regardless of history

Findings contrast with prior studies Lace-up ankle braces can significantly reduce the risk of ankle sprain in high school basketball players, even those with no history of injury, according to findings from Wisconsin that challenge current evidence-based thinking about prophylactic … Continue reading

May 2011

Postural stability decreases with taping but not bracing in Gaelic football study

Athletes concerned about dynamic postural stability, such as those with a history of ankle sprain, may be better off with ankle bracing than taping, according to an Irish study presented in Monaco in April. In a study of 15 male … Continue reading

May 2011

Data support use of multimodal approach for decreasing incidence of groin injuries

Specific mechanisms remain unclear Multimodal warm-up exercise programs appear to have benefits for reducing the incidence of groin injuries in athletes, but researchers are working to identify which specific training components have the greatest effect. Almost an afterthought at the … Continue reading

May 2011

Screening has benefit, but Philippon calls for more action to save hips in hockey

His research group has identified three physical exam findings that can effectively screen for risk of femoral acetabular impingement in adolescent hockey players, but the world’s most famous hip surgeon thinks more drastic preventive measures may be warranted much earlier … Continue reading

May 2011

Volleyball findings link training volume to symptoms of patellar tendinopathy

Jumping ability not implicated Hard work can make up for a lack of natural talent in sports, but research from Norway suggests that may not be true when it comes to the risk of patellar tendinopathy (jumper’s knee) in young … Continue reading

May 2011

Soccer, basketball athletes demonstrate differences in plantar pressure patterns

Dynamic plantar pressure distributions vary between soccer and basketball players in ways that may have implications for preventing injuries related to repetitive loading, according to research from Spain presented in Monaco in April. Investigators from Catholic University San Antonio in … Continue reading

May 2011

Hamstring trial confirms effectiveness of eccentric strengthening exercises

Efforts focus on soccer players Norway and Denmark are traditionally rivals in soccer. But an increasingly popular Norwegian eccentric strength training technique for preventing hamstring injuries recently got a big assist from Danish researchers. An open cluster randomized controlled trial … Continue reading

May 2011

Kinetic testing variables fail to predict which novice runners will stay healthy

Kinetic variables, including impact peaks, do not predict risk of running related lower extremity injury in novice runners, according to research from the Netherlands. Investigators from University Medical Center Groningen prospectively analyzed kinetics in 181 novice recreational runners (mean BMI … Continue reading

May 2011

Tibial internal rotation emerges as theme in debate over mechanism of ACL rupture

Valgus may play supporting role The usual luminaries were on hand in Monaco to exchange familiar barbs over the relative contributions of knee valgus and knee flexion to anterior cruciate ligament injury, but much of the new research being presented … Continue reading

May 2011

Researchers make early progress toward understanding genetics of sports injuries

Genetics may be the final frontier of sports injury prevention, and researchers are only beginning to explore it. But investigators from South Africa are slowly making progress in identifying specific gene variants associated with risk of anterior cruciate ligament injury … Continue reading

A REAL-WORLD APPROACH TO DIABETIC FOOT CARE

Welcome to the first mini publication on diabetic foot care. LER has created an easy to read, practical real world approach to diabetic foot care designed to improve outcomes for your diabetic patients. Articles on diabetic footwear, diabetic socks, compression hosiery, diabetic insoles and the Therapeutic Shoe Bill offer in depth information to assist in your daily practice.

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March 2011

FROM THE EDITOR: KEEPING IT REAL

We hear a lot about evidence-based medicine these days. And there are certainly a number of benefits to being able to base treatment decisions on data from high-level published studies. But practitioners who treat diabetic patients know all too well that healthcare in the real world is different from healthcare in the literature.

Jordana Bieze Foster, Editor

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March 2011

Socks: Getting in shape with new technologies

Socks are often an afterthought for patients with diabetes, but they shouldn’t be. Advances in materials science and new twists on old favorites mean that modern socks conform to feet without the bunching, chafing, slipping, and irritation of the past. Some even promote healing.

By Shalmali Pal

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March 2011

Insoles: An exercise in compromise

Diabetic feet need pampering and protection from microtrauma, but they also need stability and support. A diabetic insole, representing the ultimate middle ground between sock and shoe, should offer the best of all worlds: cushioning, structure, shock absorption, and durability.

By Shalmali Pal

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March 2011

Compression stockings: One size definitely does not fit all

Proper selection and sizing of compression hosiery can be confusing, but both are essential for control of edema and management of more serious vascular conditions in patients with diabetes. And then there’s the even more challenging issue of patient compliance.

By Shalmali Pal

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March 2011

The Therapeutic Shoe Bill: Making sure the benefits add up

Taking full advantage of the TSB means jumping through more than a few bureaucratic hoops, as mandated by the federal government. But it also requires that lower extremity experts build better working relationships with each other and with their diabetic patients.

By Shalmali Pal

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