Category Archives: Special Section

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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March 2011

Footwear: Advantages of a whole-patient approach

As important as it is to fit the foot properly within the shoe, that’s only one part of the process. Patients’ comorbidities, personality, and fashion sense all determine the extent to which a pair of footwear can maximize a diabetic patient’s outcomes and minimize complications.

By Shalmali Pal

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July 2010

LER: Our first year

We published 12 information-packed issues,and readers responded— on our website and through our social media outlets. These are just a few of the highlights.

• Top Articles – Most Visits • Top Products – Most viewed • Articles Most Commented On • Most Viewed Product Videos • Top 5 – Most Time Spent on Article • #1 Facebook Fan

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June 2010

Investigators examine biomechanical effects of carbon composite devices

AFOs must find energy balance – The extent to which carbon composite ankle foot orthoses improve gait efficiency in stroke patients may be a function of walking speed, according to a Swedish study. And despite the fact that the devices are known for their energy storage, research from the Netherlands suggests that the relationship between energy storage and energy cost may be complicated.

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June 2010

Obesity impairs children’s response to orthotic therapy for flexible flatfoot

Is earlier intervention needed? Researchers and clinicians are only beginning to understand the relationship between pediatric flexible flatfoot and obesity, which becomes even more complicated in the context of orthotic treatment. Findings from Hong Kong appear to throw another wrinkle into the mix, suggesting that obese children are significantly slower to respond to orthotic therapy than their normal-weight counterparts.

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June 2010

Researchers explore screening options for earlier diagnosis of Charcot foot

Biomechanics may offer clues – Too often, by the time Charcot neuroarthropathy is diagnosed, it is too late to do much more than accommodate the resulting deformity. That’s why researchers from Germany and the U.K. are working to find ways of screening for patients at risk for Charcot, which would facilitate earlier and more effective intervention.

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June 2010

Studies confirm effect of knee bracing on OA symptoms, joint adduction moment

But placebo findings raise questions – Three German studies presented at the ISPO meeting in Leipzig confirm that bracing for knee osteoarthritis is associated with both symptom improvement and biomechanical effects. But the findings also suggest that the relationship between those two sets of outcome measures is more complicated than one might think.

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June 2010

Experts advocate pressure measurement utilization to improve orthotic outcomes

Fancy camera systems not required – A pressure measurement system is an essential clinical tool for maximizing orthotic outcomes that too many practitioners are not yet utilizing, according to two presentations at the FIP meeting in Amsterdam.

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Global Intelligence: News and views from around the world

Top opinion leaders and researchers from across the globe came together in May for the International Society of Prosthetics & Orthotics (ISPO) meeting in Leipzig, Germany, and the International Federation of Podiatrists (FIP) meeting in Amsterdam. This special report covers a range of topics from both events, specifically selected for their relevance to the lower extremity practitioner. By Jordana Bieze Foster

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