April 2010

Cover Story

Shoring up the rotation: The importance of hip mechanics in pitching

Over the course of a season, collegiate pitchers undergo changes in hip rotational range of motion and hip strength—changes that could increase injury risk or negatively affect performance.

By Giorgio Zeppieri Jr, MPT, SCS, CSCS Continue reading

The perils of poses: Yoga-related injuries

Yoga is becoming increasingly popular with students looking to improve strength, flexibility, balance, and well being. But those who do too much, too soon are at risk for injury.

By Emily Delzell Continue reading

Cleat Smarts: Foot posture and injury risk in pitchers

Injuries in baseball are fairly common, with an incidence of 5.8 injuries per 1000 athletic game exposures and 1.9 injuries per 1000 athletic practice exposures in the collegiate ranks.

By Luis A. Feigenbaum, PT, DPT, SCS, ATC, LAT, CSCS; Kathryn E. Roach, PT, PhD; Chris Vitolo PT, DPT; Victoria Bown, PT, DPT; Sabine Gempel, PT, DPT; Natalia Sikaczowski, PT, DPT; Kelly Stapf, PT, DPT; and Michelle Whitaker, PT, DPT Continue reading

Al Pike – Clinical Prosthetist

Most individuals and organizations outside the VA (Department of Veterans Affairs) think artificial limbs when they hear the word prosthetics. The term VA Prosthetics is misleading to many people and organizations’ including members of Congress as VA Prosthetics (Prosthetic and … Continue reading

Ready Patient One: Exer-gaming for rehabilitation

Video gaming technology is finding its way into clinical practice, and research supports its effectiveness for improving balance, strength, and function. But studies also suggest some patient populations may be more responsive to exer-gaming than others.

By Samantha Rosenblum

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Vancouver 2010: Behind the scenes

Qualifying for the Olympic Games or the Paralympics is about taking athletic performance to the next level. Sometimes it’s also about taking rehabilitation to the next level. That’s where lower extremity practitioners come in. By Cary Groner

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Editor Message

Out on a limb: Ingenuity targets activity

Diabetic foot specialists have a range of options for managing diabetic foot ulcers—from offloading devices to skin substitutes to surgical procedures. But sometimes the most effective treatment is the one that compels an active patient to simply slow down.

By Jordana Bieze Foster, Editor Continue reading

Out on a limb: Better than average

It happens all the time: The medical literature fails to support the effective­ness of an intervention, even though practitioners know for a fact the intervention actually does have a positive effect in some patients. But a new study suggests some researchers are now starting to look beyond…

By Jordana Bieze Foster, Editor Continue reading

Out on a limb: Teachings from Boston

As emotional as any tragic event is its first anniversary. New Yorkers know. Residents of New Orleans know. The families in Newtown, CT, know. Now it’s Boston’s turn.

By Jordana Bieze Foster, Editor

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Al Pike – Clinical Prosthetist

Most individuals and organizations outside the VA (Department of Veterans Affairs) think artificial limbs when they hear the word prosthetics. The term VA Prosthetics is misleading to many people and organizations’ including members of Congress as VA Prosthetics (Prosthetic and … Continue reading

Out on a limb: Ode to The Ogler

The best mentors have so much to teach us that sometimes it takes years for us to realize just how much we’ve learned. I’m reminded of that every time I sit down to write this column, but it’s hitting home especially hard right now.

Jordana Bieze Foster, Editor

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Out On a Limb: Up from the wreckage

Have a bad day at the office? At least you didn’t have to worry about not having any electricity. Or clean water. Most of us take these things for granted. But for some practitioners, in places devastated by war or by natural disaster, they are very real concerns that go hand in hand with lower extremity care. By Jordana Bieze Foster, Editor

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Managing hallux limitus and rigidus in athletes

The terms “hallux limitus” and “hallux rigidus” refer to a degenerative process of the great toe joint that was first described by Davies-Colley1 in 1887 and termed hallux flexus. Cotterill later coined the term hallux rigidus.2 The two terms represent a progression in…

By Howard Kashefsky, DPM, FACFAS Continue reading

Achilles experts ponder effects of heel elevation

After an Australian study raised questions about the conventional practice of elevating the heel to decrease Achilles tendon load, researchers and clinicians have been revisiting what is known about the many factors—including pain—that can affect tendon load and function.

by Cary Groner Continue reading

Influence of estrogen on the plantar fascia

Reported effects of estrogen on knee ligaments and the Achilles tendon raise questions about how the plantar fascia might be altered during the menstrual cycle and how those changes might affect injury risk.

By Jerrold Petrofsky, PhD, JD; and Haneul Lee, PT, DSc  Continue reading

The clinical implications of accelerated knee OA

Accelerated knee osteoarthritis (OA), defined by very rapid radiographic disease progression, is also associated with earlier and more severe symptoms than traditional OA. Identification of…

By Jeffrey B. Driban, PhD, ATC, CSCS Continue reading

Emerging treatments for diabetic neuropathy

Strict glycemic control is the most reliable treatment for diabetic peripheral neuropathy, but expanding knowledge of central and peripheral nervous system processes may help identify therapeutic methods…

By Sarnarendra Miranpuri, DPM, MD; Kush Patel; Gurwattan Miranpuri, PhD; Abhishek Chopra; and Ravinderjit Singh Continue reading

A new triplanar paradigm for bunion management

The most common paradigm in bunion surgery relies on one or more metatarsal osteotomies to correct the 1-2 intermetatarsal angle (IMA) and soft tissue balancing to align the first metatarsophalangeal joint (MTPJ), sesamoid apparatus, and hallux. Additionally, the most common approach…

By Paul Dayton, DPM, MS, FACFAS, and Merrell Kauwe, DPM

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Risk of overuse injury in high school athletes

Roughly 60% of overuse injuries in high school athletes occur in the lower extremities, injuries that are increasing in number as more students participate in sports. Treatment involves rest and correction of biomechanical deficiencies, and should be individualized to each athlete.

By Allison Schroeder; James Onate, PhD, AT, ATC, FNATA; and Thomas Best, MD, PhD Continue reading

APTA’s revised heel pain guidelines spur dialogue

The American Physical Therapy Association has updated its 2008 guidelines on the nonsurgical treatment of heel pain with a bolstered evidence base, but lower extremity practitioners continue to debate the clinical merits and most effective applications of certain newer therapies.

By Hank Black Continue reading

The psychology of returning to sports after ACL surgery

Psychological factors are responsible for delayed return to sports after anterior cruciate ligament reconstruction in a sig­nificant number of patients despite successful physical rehabilitation, but questions remain as to the most effective ways to address these issues.

By Trevor A. Lentz, PT, SCS, CSCS Continue reading

Early weight bearing after Achilles tendon repair

Early mobilization and weight bearing after Achilles tendon repair is associated with improved patient satisfaction and faster return to work and sports, with no significant increase in rates of tendon rerupture or postoperative wound and nerve complications.

By David P. Taormina, MD, and Nirmal C. Tejwani, MD Continue reading

Patient Perspective: Taking an alternative path to chronic foot pain relief

After a year in a fracture boot with a broken foot, I thought my ordeal was over. I was wrong. The broken bone in my foot, sustained after a fall down a staircase in my home, had occurred midway down the fifth metatarsal bone below my little toe—a site that is notoriously difficult to heal, according to my podiatrist.

By Barbara Boughton Continue reading

Cyclists and foot orthoses: A unique set of challenges

Finding the right orthotic design starts with the space limitations presented by cycling shoes, but the challenges for lower extremity practitioners don’t end there. Factors to consider when prescribing foot orthoses include biomechanics, skill level, cycling discipline, and bike technology.

By P.K. Daniel

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Foam rolling: Early study findings suggest benefits

Foam rolling is a relatively new therapeutic approach, but early research suggests that it can help improve range of motion and muscle performance and aid in recovery after exercise. Questions remain, however, about the extent to which the effects involve myofascial mechanisms.

By Duane C. Button, PhD, CSEP-CEP, and David G. Behm, PhD

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Foot and ankle strategies for patients at risk for falls

As a result of limitations in the fall prevention research to date, investigators and
clinicians are often left to make their best guesses about the effect of foot and ankle interventions based on the effect such strategies have on issues related to falls, rather than on falls themselves.

By Cary Groner

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Vitamin D and knee OA: Many theories, few answers

Several patient populations with an increased risk of knee osteoarthritis also are at increased risk for vitamin D deficiency, and research suggests vitamin D levels may be related to knee OA symptoms. The exact nature of the relationship, however, remains perplexing.

By Greg Gargiulo Continue reading

Al Pike – Clinical Prosthetist

Most individuals and organizations outside the VA (Department of Veterans Affairs) think artificial limbs when they hear the word prosthetics. The term VA Prosthetics is misleading to many people and organizations’ including members of Congress as VA Prosthetics (Prosthetic and … Continue reading

Microfracture surprises tarnish the experience

US orthopedic surgeons perform more than 25,000 microfractures annually, making the procedure the most common marrow-­stimulating technique used for repair of the cartilage defects that often affect active individuals.1 Although microfracture is a single-stage, low-cost intervention that requires only surgical time and common surgical tools, it requires…

By Emily Delzell

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Orthosis use in children with Down syndrome

The literature on preschool-aged and older children with Down syndrome tends to be consistent with conventional understanding of orthotic principles, but in very young children clinical decision-making about orthoses must also encompass  neuromotor implications.

By Julia Looper, PT, PhD

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Diabetic ankle fractures: Surgical considerations

Pittsburgh researchers found that patients with diabetes have higher complication rates than nondiabetic patients following open surgical management of ankle fractures, but also that the rate of major complications in the diabetic patients was relatively low.

By Robert W. Mendicino, DPM, FACFAS; Alan R. Catanzariti, DPM, FACFAS; Brian Dix, DPM; and Phillip Richardson, DPM Continue reading

Bone bruises and risk of knee osteoarthritis

Bone bruises are commonly associated with anterior cruciate ligament (ACL) tears, but researchers are only beginning to understand the potential clinical significance of these chondral lesions with regard to knee osteoarthritis (OA) and preventing ACL injury recurrence.

By Cary Groner

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Poststroke bone changes in patients who use AFOs

The medical literature suggests that changes in bone density and other bone characteristics after stroke persist after patients have regained ambulatorystatus. Whether ankle foot orthoses have a shielding effect on bone remodeling, however, remains unclear.

By Kyle Sherk, MS, CPO

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The epidemiology of plantar fasciitis

Up to 10% of the population may present with heel pain, which underscores the importance of practitioner familiarity with the diagnosis of plantar fasciitis and the associated risk factors.

By Capt. Danielle L. Scher, MD; Lt. Col. Philip J. Belmont, Jr., MD; and Maj. Brett D. Owens, MD

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The quest to improve rocker effects in O&P

The roll-over shape, a means of directly measuring rockers during gait, can help determine ways of optimizing orthotic and prosthetic devices so that the resulting gait is as natural as possible.

By Andrew H. Hansen, PhD

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Multiple factors affect running shoe selection

The concept of evidence-based running shoe selection is nice in theory, but in fact, the literature is replete with conflicting findings on a range of issues, from arch height to shoe construction.

By Col. Joseph M. Molloy, PT, PhD, SCS, and Maj. Deydre S. Teyhen, PT, PhD, OCS

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Pointe shoes complicate biomechanics of ballet

Pointe shoes, which elongate a dancer’s legs and accentuate the beauty of classical ballet technique, come with their own set of biomechanical principles—and their own set of risk factors for injury.

By Selina Shah, MD

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Pelvic neutral: Key to balance training

Research suggests that balance exercises can help decrease injury risk and improve performance, particularly in female athletes. But balance training technique can significantly influence results.

By Gretchen D. Oliver, PhD, ATC, LAT

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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

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

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

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

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

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

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

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

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

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

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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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

Predicting more than risk: FMS may also have performance link

The Functional Movement Screen (FMS) is best known as a predictor of future injury in athletes, but a recent two-year study of elite track and field athletes now suggests a relationship between high scores, which indicate fewer deficits, and improved performance. Continue reading

Cost-effectiveness study favors universal athlete training for ACL injury prevention

New research supports universal neuromuscular training of all young athletes—not just those at risk—as the most cost-effective and practical way to prevent anterior cruciate ligament (ACL) injuries. Continue reading

Joint stiffness and negative joint work change with footfall pattern in runners

Runners who switch foot strike patterns experience short-term changes in joint stiffness and negative joint work, regardless of whether a runner’s habitual pattern involves the forefoot or rearfoot, according to research from the University of Massachusetts Amherst. Continue reading

Patients as people: Experts emphasize personal approach

The patient in the video, an older woman with diabetic neuropathy, is a dog lover. Her dog-shaped earrings give this away. And this just might be the most important thing for the clinicians treating her to know. Continue reading

Extended analysis confirms ironic effect of diabetic foot cost cutting

An Arizona state Medicaid policy change designed to cut costs by eliminating podiatry services for diabetic foot infection had the opposite effect, according to a March presentation that included an extended analysis of previously reported data. Continue reading

IWGDF training programs take hold throughout Central, South America

As the International Working Group on the Diabetic Foot (IWGDF) undergoes a transition in leadership, the organization is reporting significant progress in implementing its Train the Foot Trainer (TtFT) program in Central and South America. Continue reading

Al Pike – Clinical Prosthetist

Most individuals and organizations outside the VA (Department of Veterans Affairs) think artificial limbs when they hear the word prosthetics. The term VA Prosthetics is misleading to many people and organizations’ including members of Congress as VA Prosthetics (Prosthetic and … Continue reading

BMI and TKA: Obese patients do benefit from surgery

Reluctance to perform total knee arthroplasty (TKA) in obese patients may be unwarranted, at least when it comes to functional outcomes, according to multiple studies presented in March at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS).

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Improvement in knee OA symptoms persists two years after PRP injection

Platelet rich plasma (PRP) injection in patients with mild to moderate knee osteoarthritis is associated with significant improvement in pain and function, according to research from Milan, Italy, presented in March at the AAOS meeting.

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Some athletes take years to come back from meniscal allograft transplantation

Meniscal allograft transplantation can help high-level athletes return to sports—but it might take a while, according to research from Rush University Medical Center in Chicago presented in March at the AAOS meeting.

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Postoperative femoral nerve blocks sap quadriceps strength, increase risk of falls

Femoral nerve blocks significantly impair quadriceps strength when used for postoperative analgesia after total knee arthroplasty (TKA) and anterior cruciate ligament (ACL) reconstruction, according to separate studies presented in March at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS).

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Replacement revisited: Positive outcomes include younger patients

Total ankle replacement (TAR) is growing in popularity, as an increasing number of studies suggest that the procedure’s outcomes rival those of ankle fusion—perhaps even in patients previously thought to be poor candidates for TAR.

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As in football, Achilles rupture means end of career for many NBA athletes

Fewer than half of National Basketball Association (NBA) players who suffer a complete Achilles tendon tear return to play for more than one season, and 39% never return to play at all, according to research presented in March at the AAOS meeting.

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AFOs affect plantar flexion strength in some high-level volleyball players

Volleyball players without ankle instability who wear hinged stirrup ankle foot orthoses (AFOs) may experience decreased plantar flexion strength as a result, according to research from Loyola University in Maywood, IL.

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Frazier Healthcare Acquires Orthotic Holdings Inc.

Ronkonkoma, NY, April 4, 2013 – Frazier Healthcare is pleased to announce the acquisition of Orthotic Holdings Inc. (“OHI”), holding company of Langer Biomechanics, Arizona AFO and The Orthotic Group. Through these three brands, OHI is the leading North American … Continue reading

In the moment: Diabetes

The photo shows a hospital scene that under different circumstances might be comical. A patient with a diabetic foot problem lies in a bed, surrounded by practitioners. But none of the practitioners are communicating with each other, and all but one have their backs to the patient.

Plus: • Platelet-rich plasma •Tendon lengthening • TCC utilization

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In the moment: knee OA

Two studies presented in March suggest that bracing for knee osteoarthritis may be effective in two patient populations that are not well represented in the OA bracing literature: those with lateral tibiofemoral compartment OA and those with severe disease. Plus: • Effects of footwear • PRP vs hyaluronan

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In the moment: sports medicine

Soccer is already the world’s most popular sport, but new research could very well broaden its appeal even further. Multiple studies from Denmark suggest that playing soccer can improve bone mineral density and other musculoskeletal risk factors associated with falls and fractures.

Plus: • FieldTurf vs grass • Pitchers leg it out

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Market Mechanics

Lakers celebrate Vitti, retiring head AT

The Los Angeles Lakers honored retiring head athletic trainer Gary Vitti, MS, ATC, during the first quarter of the Lakers’ April 3 home game against the Boston Celtics. Vitti, who will retire from his full-time role this summer, has been with the Lakers for 32 seasons and is the longest-tenured trainer in… Continue reading

Reichel forms sales rep group Medlutions

Patrick Reichel, a podiatry-focused medical, surgical, and pharmaceutical brand management expert, announced in March that he has formed Medlutions, a contract sales representative group and consulting firm for the Midwest region. Continue reading

Tekscan updates SportsAT software

Boston-based Tekscan in February released its SportsAT 2.0 for balance assessments. SportsAT, which includes a built-in balance compass to aid in rehabilitation and track prog­ress, helps lower extremity practitioners quickly quantify gait asymme­tries and evaluate rehabilitation pro­gress, and… Continue reading

Nike releases three new easy-don shoes

Beaverton, OR-based shoe giant Nike in March released three athletic shoes newly fitted with its Flyease entry system, designed for children and adults with disabilities (See “Nike launches easy-don Flyease high-tops,” August 2015, page 66). Continue reading

Radius Health drug cuts fracture risk

Waltham, MA-based Radius Health’s investigational drug abaloparatide-SC (subcutaneous) increases bone mineral density in the spine and hip in postmenopausal women with osteoporosis and may reduce their risk of vertebral and nonvertebral fractures, according to research presented April 1 at Endo 2016, the annual meeting of the Endocrine Society, in Boston. Continue reading

Foot Management honors LA Rams ATs

Baltimore, MD-based Foot Management hosted the Ed Block Courage Award dinner on March 11 to honor the St. Louis/LA Rams athletic trainers as the Ed Block NFL Athletic Training Staff of the Year. Continue reading

Patients give custom devices high marks

The Winnipeg-based Pedorthic Association of Canada (PAC) on April 11 released results of a patient-centered study showing six weeks of custom foot orthosis wear reduced foot and ankle pain and upped activity levels in most people who wore the devices. Continue reading

Ongoing Care OA brace improves gait

Ongoing Care Solutions’ pneumatic unloader brace with extension assist improved various gait parameters in people with knee osteoarthritis (OA) compared with standard conservative care, according to a study published in the April issue of The Journal of Knee Surgery. Continue reading

15 high schools get $50K each for ATs

The NFL Foundation, the National Athletic Trainers’ Association (NATA), Gatorade, and the Professional Football Athletic Trainers Society (PFATS) announced on March 14 the winners of the Athletic Trainer Initiative at the seventh-annual Youth Sports Safety Summit, held in Alexandria, VA, and hosted by NATA and the Youth Sports Safety Alliance. Continue reading

Amniox allografts help heal DFUs

Atlanta-based Amniox’s umbilical cord and amniotic membrane (UC/AM) wound allograft product helped promote healing in chronic diabetic foot ulcers (DFUs), according to findings of a retrospective study presented on March 23 at the Superbones Superwounds East 2016 Conference in Teaneck, NJ. Continue reading

BOC wins fifth Stevie award in 4 years

The Board of Certification/Accreditation (BOC) won a bronze Stevie on March 4 at the annual business awards ceremony, held in Las Vegas. Continue reading

ACSM debuts translational journal

The Indianapolis, IN-based American College of Sports Medicine (ACSM) on April 5 epublished the first issue of its new peer-reviewed journal, Translational Journal of the American College of Sports Medicine (TJACSM) at… Continue reading

Leipzig to host 2016 OTWorld in May

The German Association of Orthopaedic Technology in March announced dates for OTWorld, an international trade show and world congress that this year will focus on 3D printing. Continue reading

ASB holds first National Biomechanics Day

The American Society of Biomechanics (ASB) on April 7 had its first National Biomechanics Day,  a nationwide, synchronized event held at labs and other biomechanics facilities around the nation to educate high school students and their teachers about the field. Continue reading

NATA study shows AT access improving

Just over a third of US high schools have at least one full-time athletic trainer, the gold standard of care recommended by the National Athletic Trainers’ Association (NATA), according to a study published in February in the Journal of Athletic Training, the association’s scientific publication. Continue reading

Össur, CAF fund 2015 Mobility Clinics

Foothill Ranch, CA-based Össur and the San Diego-based Challenged Athletes Foundation (CAF) in March announced a new multiyear global sponsorship agreement that continues their decades-long collaboration to support people with limb loss. Continue reading

First PFA President Saul Marmer dies

Saul Marmer, CPed, the first president of the Pedorthic Footcare Association (established 1958) died March 16. He was 90. Continue reading

Lim gains partners for prosthetic socket

Lim Innovations reported in March that it has generated more than 10 clinical partners and providers for its Infinite Socket, which the San Francisco-based company launched in limited market release in September 2014. Continue reading

JOSPT board names Abbott editor-elect

The Board of Directors for JOSPT, the Journal of Orthopaedic & Sports Physical Therapy, in an April editorial named J. Haxby Abbott, DPT, PhD, FNZCP, editor-elect of the publication. Abbott will replace editor Guy G. Simoneau, PT, PhD, ATC, who has helmed the journal since 2002. Continue reading

Vionic founder Phillip Vasyli killed

Podiatrist Phillip Vasyli was stabbed to death in his home in Old Fort Bay on New Providence Island, Bahamas, on March 24. He was 59. Bahamian authorities have charged his wife, Donna Vasyli, with his murder. Continue reading

Ankle exoskeleton lowers energy costs

A letter published online April 1 by Nature reported that an unpowered exoskeleton reduces the metabolic cost of walking by 7.2 ± 2.6% for healthy human users under natural conditions, savings comparable to those with powered devices. Continue reading

BOC wins sales, customer service Stevies

The Board of Certification/Accreditation (BOC), based in Owings Mills, MD, won three business awards in February at the ninth annual Stevie Awards ceremony in Las Vegas. Continue reading

Delcam taps Cavanagh to give keynote at Orthotics Technology Forum in June

Biomechanics expert Peter Cavanagh, PhD, DSc, heads the presentation agenda at the 2014 North American Orthotics Technology Forum (OTF), forum sponsor Delcam announced in March. Continue reading

Pro-Tec rebranding highlights action

Redmond, WA-based Pro-Tech Athletics updated its brand in February with a new logo, tagline, and easy-to-read packaging that includes injury information and visual anatomy. Continue reading

ACFAOM 2014 offers interactive sessions

The American College of Foot & Ankle Orthopedics & Medicine’s (ACFAOM) annual clinical conference will focus on interactive podiatric education based on real clinical cases at its 2014 meeting, according to a March release from the organization. Continue reading

Sigvaris celebrates 150-year anniversary

Peachtree City, GA-based Sigvaris is celebrating 150 years of compression technology production with its “Share Your Story Sigvaris” sweepstakes, the company announced in March. Continue reading

Becker Orthopedic revamps website

Troy, MI-based Becker Orthopedic relaunched its website in February at beckerorthopedic .com with features that include a searchable online catalog, new product section, technical and clinical support, continuing education programs, and easy-to-access orthometry forms. Continue reading

Foot, ankle surgeons install new board

The American College of Foot and Ankle Surgeons (ACFAS) installed its 2014-2015 board of directors on February 28 at its 72nd Annual Scientific Conference in Orlando, FL. Continue reading

MVI Footcare vends Comfortland devices

Mettawa, IL-based MVI Footcare, a division of Med-Vet International, in March became a national distributor of Mebane, NC-based Comfortland Medical orthopedic rehabilitation, sports medicine, podiatric medicine, O&P, durable medical equipment, and orthotic products. Continue reading

UNC Greensboro opens enrollment for online education in kinesiology doctorate

The University of North Carolina at Greensboro (UNCG) will offer the nation’s first online doctorate of education degree in kinesiology beginning in fall 2014, university officials announced in March. Continue reading

Cadence Kickstart enters Korean market

Seattle-based Cadence Biomedical inked a distribution agreement on March 6 with a Korean medical device importer for the US company’s KickstartPT and KickstartPersonal systems. Continue reading

Nolaro24 offers live QuadraStep webinars

Middlebury, CT-based Nolaro24 has scheduled two live webinars on the use of its Quadra­Step system for pediatric and adult foot video gait analysis and foot orthotic selection and design. Continue reading

Ottobock moves operations to Louisville

Medical device manufacturer Ottobock has begun relocation of its North America logistics and distribution operations from Minneapolis and Toronto, Canada, to Louisville, KY, the company reported in March. Based in Duderstadt, Germany, Otto Bock HealthCare established Minnesota-based Ottobock in 1958 as the Americas corporate headquarters. Continue reading

Steadman orgs join US Olympic network

The Colorado Springs, CO-based US Olympic Committee in March designated the The Steadman Clinic and affiliated nonprofit Steadman Philippon Research Institute (SPRI) in Vail, CO, as a National Medical Center within the US Olympic Committee’s National Medical Network. Continue reading

Palumbo adds new footwear, AFO lines

Richard Conrey, PT, CPO, and Shawn Conrey, PTO, CPA, CPed, have bought Dania Beach, FL-based sports brace manufacturer Palumbo from company founder Pasquel Palumbo, MD. Continue reading

Stratasys holds amputee long drive event

Stratasys, a global maker of 3D systems and materials based in Rehovot, Israel, is sponsoring a competitive long drive event to introduce the growing golf-based sport to wounded veterans and other amputees as a new rehabilitation option. Continue reading

Al Pike – Clinical Prosthetist

Most individuals and organizations outside the VA (Department of Veterans Affairs) think artificial limbs when they hear the word prosthetics. The term VA Prosthetics is misleading to many people and organizations’ including members of Congress as VA Prosthetics (Prosthetic and … Continue reading

Orthopedist Jacquelin Perry dies, leaves legacy of innovative biomechanics work

Jacquelin Perry, MD, DSc (Hon), died on March 11 in her home in Downey, CA. She was 94, and worked until near the end of her life at Los Angeles’s Rancho Los Amigos Medical Center, where she cared for patients and conducted research for more than 50 years.

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New center aims to prevent sports injuries

This month orthopedic surgeon Lyle J. Micheli, MD, opened the doors to The Micheli Center for Sports Injury Prevention in Waltham, MA. Micheli is director of the Division of Sports Medicine at Boston Children’s Hospital, and clinical professor of orthopaedic … Continue reading

Levy & Rappel offers free 3D scanners

Levy & Rappel is offering a free Delcam iQube mini scanner to practitioners who dispense a high volume of custom orthotic devices. David Kramer, owner of Saddle Brook, NJ-based Levy & Rappel, said the scanners will increase practitioners’ efficiency and … Continue reading

BOC wins nod for sales, customer service

The Board of Certification/Accreditation (BOC) won a Stevie Award for sales and customer service at the seventh annual Stevie Awards ceremony, held in late February in Las Vegas, NV. BOC won the award as a result of changes made after … Continue reading

CMT research consortium looks for a cure

The Charcot-Marie-Tooth Association (CMTA) is continuing progress with its STAR (Strategy to Accelerate Research) Initiative, which it created to accelerate CMT research. The STAR initiative, which has recently reached several research milestones, provides a structure for collaboration among an international … Continue reading

High-tech boot debuts at AAOS meeting

DJO Global introduced its Air­Select suite of high-performance walking boots in late March to an audience of lower extremity professionals at the Annual Meeting of the American Academy of Orthopaedic  Surgeons, held in Chicago. Part of DJO Global’s Aircast brand, … Continue reading

APTA section funds geriatrics research

The American Physical Therapy Association (APTA) announced in April a $50,000 donation to the Foundation for Physical Therapy from the APTA’s Section on Geriatrics. The Section on Geriatrics earmarked $25,000 for the Marilyn Moffat Endowment Fund for Geriatric Research, which … Continue reading

Researchers investigate intelligent textiles

The Qatar National Research Fund in Doha announced in March an award of $2 million to an international group of researchers in the US and Qatar. The scientists are examining the use of new technology incorporated into specially made socks … Continue reading

CuraMedix, Strutz sign distribution deal

Lincoln, RI-based CuraMedix, and Strutz, based in Englewood Cliffs, NJ, inked a deal to partner in the distribution of their products to orthopedic, sports medicine, pain management, and podiatric and chiropractic practices, as well as physical therapy and rehab facilities. … Continue reading

Dralla calls for 2013 grant submissions

The Rockaway, NJ-based Dralla Foundation announced in March that it’s beginning its second year of grant awards to organizations that reflect its newly updated mission statement of supporting “programs geared toward providing an environment for children and adults with physical … Continue reading

Market Mechanics

• Orthotic fitters organization debuts, plans first symposium this summer
• STS creates casting sock for Richie
• Diabetic Foot Conference boasts record attendance, honors Joseph
• Redi-Thotics enters the matrix

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Diaped Flux-200

Algeos USA announces the launch of the Diaped Flux-200, a pocket-sized vascular Dop­pler device for detection and evaluation of blood flow in the feet of patients with diabetes. This hand-held, portable device can be used in or out of the … Continue reading

Pedors Genext Dress Orthotic

The new Genext Dress Orthotic from Pedors Shoes has been designed with a lower profile to fit into almost any dress or casual shoe. Using the original Genext cork and rubber shell for orthotic support, a memory foam component has been added to give the… Continue reading

Curbell Transfer Paper Website

Curbell Plastics is introducing myDesignOandP.com, a new website that allows patients to explore patterns and colors of transfer papers to personalize thermoplastic orthotic and prosthetic devices. Involving patients, and pediatric patients in particular… Continue reading

Spring Footwear From Spenco

Spenco introduces its new fashion-forward footwear for spring 2015. New this year are Crackle and Nightlight athletic slides, which capture the bright, rich color trend in popular footwear. Other sandals feature metallic embellishments, reptilian textures… Continue reading

Liner Patch

Tamarack Habilitation Technologies introduces the newest addition to its line of friction- and shear-reducing products, the GlideWear Prosthetic Liner Patch. Featuring a patented dual-layer, low-friction fabric technology, the GlideWear patch… Continue reading

FreeSport Knee Sleeve and Wrap

Breg has launched the FreeSport knee sleeve and wrap for athletes with mild to moderate discomfort, patellar maltracking, and related injuries such as runner’s knee. The FreeSport knee sleeve and wrap were created as a solution to issues of patient… Continue reading

Techmax Epoxy Resin

Streifeneder USA now offers Techmax Epoxy Resin, a new adhesive formulated specifically for technicians in the orthotics and prosthetics industry. Techmax is a durable, high-performance resin that is low odor, antibacterial, and contains no volatile… Continue reading

ProTech Met Foot Orthosis

Powerstep’s new ProTech Met offers the stability, support and comfort of the company’s ProTech Full Length Orthotic but has the added benefit of a built-in metatarsal pad, which helps spread and cushion the metatarsal heads to… Continue reading

Superstep Orthotic Insoles

KLM Orthotic Labs, experienced in the design and manufacture of custom and prefabricated foot orthotics and ankle-foot orthotics, introduces Superstep Orthotic Insoles. Based on KLM’s System Rx Technology (US Patent No. 5,746,952), the insoles have a comfortable, shock absorbing top … Continue reading

Compex Performance US

DJO introduces the Compex Performance US electronic muscle stimulator designed to complement training and exercise regimens. An over-the-counter, portable electronic muscle stimulator, the  Compex Performance US features technology approved by the Food and Drug Administration in 2002. The product utilizes … Continue reading

Diabetic and Medical Grade Socks

Doctor Specified offers a new line of diabetic and medical grade hosiery. The line features true hand linked toe seams and deep heel pockets. High performance synthetic yarns are utilized with selective “half cushion” construction to maintain comfort and protect … Continue reading

Flexible Children’s

Keeping Pace has added to its line of children’s orthopedic footwear with the new KPLCW model, which features a newly designed flexible bottom sole. The new footwear features a double-depth, triple-width fit to accommodate ankle foot orthoses. Continue reading

New Balance 1226

This fall, Boston-based New Balance will expand its NBx running collection with the introduction the New Balance 1226, a high mileage trainer for the runner looking for moderate stability and exceptional cushioning. N-ergy cushioning diffuses heel strike impact for a … Continue reading

Soft Opaque Now in Mulberry

Sigvaris offers one of the season’s on-trend shades, Mulberry, in its Soft Opaque hosiery collection. With the softness of microfiber and durable, breathable construction, Soft Opaque hosiery is designed to look and feel like designer fashion tights… Continue reading

Tendon Trak For Tendinopathy

Created by a physical therapist for treating lower extremity tendinopathies, the Tendon Trak from Innovative Bracing supports the tendon to decrease pain and improve function by facilitating anatomically efficient muscle contraction without excessive compression. Continue reading

Cold Roller Muscle Therapy

Trigger Point Performance Therapy introduces the Cold Roller, designed to target muscles with a combination of myofascial release and cold compression. After two or more hours in the freezer, the gel-filled stainless steel roller maintains an effective cold temperature for … Continue reading


Tekscan announces the release of MobileMat BESS, a computerized implementation of the Balance Error Scoring System (BESS) designed to improve the reliability of the postural stability component of sports concussion assessment. Continue reading

Dynamic Chopart Gait Stabilizer

Hersco offers a new Dynamic Chopart Gait Stabilizer as the latest addition to its line of ankle foot orthoses (AFOs). The new Dynamic Chopart Gait Stabilizer is an AFO designed for Chopart amputees who wish to remain active. Addressing concerns about AFOs feeling… Continue reading

Soft Silicone
 Express Liner

WillowWood’s new Express Liner features its new softer durometer silicone, engineered to replicate the performance and comfort levels of thermoplastic elastomer (TPE) for amputees who are used to wearing TPE prosthetic liners. Continue reading

Rock Sauce 

Rocktape, known for its kinesiology tape products, has announced the release of Rock Sauce, a topical lotion for isolated muscle pain and joint soreness. The active ingredients in the lotion’s formulation include 20% methyl salicylate… Continue reading


For practitioners frustrated with the limitations of leather, Bracemasters offers the DRAFO DRG Flex, the latest addition to the DRAFO (dynamic response ankle foot orthosis) Gauntlet Series of hygienic, durable custom products. The DRAFO DRG Flex provides a balance between … Continue reading

Tri-Panel Knee Immobilizer

Elite Orthopaedics introduces the Advantage Tri-Panel Knee Immobilizer for immobilization of the knee joint postoperatively or after injury. The brace is fully adjustable to accommodate varying leg circumferences and available in three lengths. It may be dispensed by orthopedic surgeons, … Continue reading

Flexible Ulcer 

Mölnlycke Health Care US announces the release of Mepilex Border Flex, a flexible bordered dressing for pressure ulcers, foot ulcers, and leg ulcers that is designed to fit the challenging contours of the human body. Continue reading

SenMoCOR Rehab System

SenMoCOR (Sensory Motor Control-Oriented Rehabilitation) offers the user and the clinician immediate visual feedback regarding sensory motor control with an easy-to-wear laser and laser targets. Developed by the International Academy of Orthopedic… Continue reading

Cascade Dafo Strap Updates

Cascade Dafo announces two customer-driven improvements to the straps on its orthoses. First, both custom and prefabricated DAFO (Dynamic Ankle Foot Orthosis) solutions now have a clean, new look, thanks to upgraded Ultrasonic Welded Straps… Continue reading

Expedition Foot Orthosis

Footmaxx has introduced the Expedition, a durable and lightweight orthotic device featuring a carbon fiber module, Poron XRD midlayer, and silver-infused X-Static topcover for… Continue reading

Element Sport Ankle Brace

DeRoyal introduces the new Element Sport ankle brace. The brace is engineered to provide  subtalar control through calcaneal stabilization and positioning. A unique heel strapping system holds the calcaneus under the talus, which controls subtalar inversion and talar rotation to … Continue reading

 Gait Analysis

The G-walk, now available from Rehabilitation Technical Components, is a pocket-sized, wireless gait lab for user-friendly evaluation of spatiotemporal gait parameters. To assess a patient’s gait sym­metry, just strap on the cellphone-sized… Continue reading

Nail Balm Kit

Dr. Swaim’s Natural Skin Care introduces the Anti-fungal Nail Balm Kit. Made from all natural ingredients, the kit is designed to provide safe and effective topical treatment for onychomycosis. The Anti-fungal Nail Balm Kit includes two push-up tubes of anti-fungal … Continue reading

ManukaMed Honey Dressing

ManukaMed USA has launched an improved version of its ManukaHD Lite honey-impregnated dressing, designed to provide active absorption of wound exudates and maximum exposure to medical-grade Leptospermum scoparium (Manuka) honey… Continue reading

 Sports Wrap

Star Nutrition announces the latest addition to its popular Incrediwear line, the Incredibrace elastic bandage wrap. Applications for the Incredibrace sports wrap include ankle sprains, tendinitis, and knee injuries, as well as general joint discomfort or pain. Continue reading

SportsAT 2.0 Software

New from Tekscan, the SportsAT 2.0 software provides essential information for complete balance and concussion assessments. Sports medicine professionals can use SportsAT 2.0 to complete objective baseline and postinjury tests, quickly assess injury risk, identify asymmetries, and… Continue reading

Step Sensor 
Vibration Therapy

The Step Sensor is the first offering in Brownmed’s new line of vibration therapy products under the Intellinetix brand. The Step Sensor is a low-
profile, discreet device designed to harness the power of vibration to improve balance… Continue reading

Breakaway Athletic Shoe

Ektio Athletic Shoes announces the launch of its new shoe, the Breakaway, which improves upon previous models with regard to comfort, performance, and ease of use. Endorsed by former National Basketball Association players Rick Barry and John Starks, the Breakaway … Continue reading

China-Gel Tube 2 Go

China-Gel introduces a new convenient 2-oz travel tube of its topical pain reliever. The Tube 2 Go features the original China-Gel formula and comes with a clip for attaching to a purse, athletic bag, or other accessory. Developed by a … Continue reading

Polypropylene in New Colors

Homopolymer polypropylene from Allied Plastic Supply is now available in flesh tone and black for creating prosthetic definitive sockets. Both colors are available in 1/2” thickness. Polypropylene combines an excellent strength to weight ratio with a high degree of stiffness … Continue reading

Orpyx SurroSense Rx

Orpyx’s flagship product, the SurroSense Rx, is a wearable tool to help manage and track complications associated with diabetic peripheral neuropathy. The SurroSense Rx system alerts the user via a smartwatch when plantar pressures are detected above a threshold level for a prolonged period, so… Continue reading

NelMed Knee Support

Core Products International offers the NelMed Knee Support. Constructed of a heavy duty, surgical stretch material, the flexible support allows a full range of joint flexion and extension. It is designed to provide firm support for patients with damaged ligaments … Continue reading


Cadence insoles are prefabricated orthotic devices designed to provide an elusive combination of semirigid support and shock-absorbing comfort to improve patient compliance. Designed by a physical therapist, each device includes a three-quarter… Continue reading

Al Pike – Clinical Prosthetist

Most individuals and organizations outside the VA (Department of Veterans Affairs) think artificial limbs when they hear the word prosthetics. The term VA Prosthetics is misleading to many people and organizations’ including members of Congress as VA Prosthetics (Prosthetic and … Continue reading

Pressure Positive Raw-Dock

The Pressure Positive Company announces the addition of The Original Raw-Dock, in collaboration with Raw Health International, makers of Raw Heat and Raw Ice topical analgesics. The Raw-Dock slips into the large end of the Backnobber II and locks in … Continue reading

WalkingHealth Fall-Risk Analysis

WalkJoy has updated the software used with its namesake gait restoration product to help clinicians assess a patient’s risk of falling. WalkingHealth is a portable gait analysis tool to identify a patient’s risk of falling as low, medium, or… Continue reading

MVI Footcare
 Podiatric Chairs

MVI Footcare is proud to announce that its expanded equipment line now includes Algeos USA Podiatric Chairs. The Nova Eden, Nova Lune, and Nova Aire podiatric chairs are multifunctional, affordable, and designed with the patient… Continue reading

TheraSport Leg Sleeves

Therafirm’s new TheraSport brand introduces TheraSport Athletic Leg Sleeves to round out a product line engineered to improve circulation and help provide energy for greater endurance, enhanced performance, and a speedy recovery. The soft, lightweight sleeves feature a comfortable band with a… Continue reading

FS6 Compression Foot Sleeve

Allied OSI Labs has added the FS6 Compression Sleeve to its growing catalog of products for foot and ankle practices. The FS6 Compression Sleeve is designed to relieve the pain and swelling associated with plantar fasciitis by offering six zones of compression and support: firm compression… Continue reading


Franklin Fascia Massagers stand out from the self-massage crowd with their spiky exteriors. The spikes are designed to stimulate sensory receptors and increase circulation, while the kneading motion massages away tension and mobilizes connective tissue. Continue reading

Rocktape Kinesiology Tape

Rocktape kinesiology tape is designed to treat common injuries and enhance performance and recovery. Rocktape can be used for compression, to promote recovery, or decompression, to relieve pain and swelling. Engineered for the demands of endurance athletes, the Rocktape Active … Continue reading

3DSizeME with Color Detection

The 3DsizeME system from TechMed 3D—including the Structure Sensor, 3DsizeME free iPad app, and MSoft software—is a compact, versatile, and affordable scanning solution that now offers a new color detection feature. Operators can now use colored positioning targets to identify anatomical landmarks or… Continue reading

FootFidget Exercise Device

Designed by physical therapists, the FootFidget is a versatile exercise device for health and fitness that can be used as a dynamic footrest when sitting or standing for long periods of time. “Fidgeting” (pressing the foot against the device’s flexible resistance bands) while sitting or standing can help improve… Continue reading