August 2009

Cover Story


Pregnancy and gait: From foot pain to fall prevention

Researchers are investigating how changes during pregnancy may affect the lower extremities in the long term, as well as ways to treat and prevent these issues.

By Lori Roniger Continue reading

Taller, heavier children have heightened Sever disease risk

Long-term pain warrants early ID – Children presenting with calcaneal apo­phy­sitis (Sever disease) are anthropometrically different from their peers and experience a lengthy period of pain, according to Australian study findings that underscore the importance of early intervention and…

By Katie Bell Continue reading

Gait analysis for clubfoot may reveal long-term issues

Surgery more likely to alter gait – Children treated for idiopathic clubfoot by age 2 years may experience subtle changes in gait by the time they are aged 5 years, and nonoperative treatment may confer more normal movement than surgery, according to a recent study.

By Larry Hand Continue reading

Robotic gait training doesn’t wow young patients with CP

Kids, parents differ on ‘normal’ gait – Although physical therapists and parents often strive for attaining “normal” gait in children with neuromotor disorders, a new study from researchers at the University of Alberta in Edmonton, Canada, indicates that…

By Brigid Galloway Continue reading

Growing pains: Adapting O&P devices to maturing patients

Accommodating growth without compromising fit and function is a challenge for practitioners who prescribe orthotic devices for young patients. Adjustments and add-ons—as well as educating parents about expected changes—can make for smoother transitions.

By Shalmali Pal Continue reading

Childhood obesity and OA: Can early care reduce risk?

Osteoarthritis (OA) risk factors and symptoms seen in adults have been found in obese kids, who often have musculoskeletal pain. Weight loss may help, but preventing OA may also require gait and exercise interventions, particularly those that reduce pain that leads to inactivity.

By Erin Boutwell Continue reading

Sports compression garments: the expectations vs the evidence

Research suggests that compression garments can be effective for improving muscle recovery after fatiguing exercise, but has found little to indicate an athletic performance benefit.

By P.K. Daniel Continue reading

SureStep SMO

The SureStep SMO remains the most advanced method of controlling excessive pronation and providing stability to the hypotonic population. Suitable for patients up to 80 lbs. Continue reading

BigShot/BigShot Lite

A growing child means eventually outgrowing the original SureStep SMO. The BigShot and BigShot Lite are the perfect solutions for older children who still need the stability of SureStep. Continue reading

Indy 2 Stage

A uniquely designed orthosis developed to help children reach their potential. This exceptional “orthosis within an orthosis” allows for the SureStep SMO to be utilized independent of the AFO. Children can work through a variety of transitional skills without impeding normal muscle function. Continue reading

PullOver & Advanced

The SureStep PullOver is an amazing tool that not only facilitates improved stability of the foot and ankle complex using a SureStep SMO, but it is also the only SMO that incorporates a true dorsiflexion assist through the use of a removable proximal strut. Continue reading

HEKO & HEKO PreFab

SureStep HEKO is the first and only pediatric hyper extension knee orthosis to incorporate a 4-axis knee hinge, for smooth, anatomically correct flexion and extension. This exceptional device provides localized control of the knee, preventing hyperextension, valgus and varus, while allowing full flexion and extension. With adjustable extension stops, the HEKO offers up to 30 degrees of adjustability. Continue reading

Criss Crossers & De-Rotation Straps

The first and only device developed to discourage w-sitting, Criss Crossers use a unique audio cue to remind children to change their position. Continue reading

TLSO

The SureStep TLSO has redefined spinal management. The soft, flexible plastic serves well to create improved upright positioning, while still allowing for slight movement in all planes. Continue reading

Shoes/Sandals

SureStep shoes have been custom designed specifically for children who wear orthoses. Their wider, deeper heel, toe box and instep allow for adequate room and a comfortable fit. The unique tread promotes intrinsic movement and flexibility while a special “cut-line” allows for easy shoe modifications. Continue reading

Components

SureStep HEKO Hinge, SureStep DA Hinge, SureStep Rivet Press, SureStep Free Motion Hinge & SureStep Dorsiflexion Assist Band Continue reading

Defining Culture

“Enriching and transforming lives through compassionate care and innovation” is our company mission statement. As our focus is on the pediatric special needs population, it’s pretty easy to stay attentive to that mission. Continue reading

Robotic ankle training for CP transitions from lab to clinic

A robotic system developed at the Rehabilitation Institute of Chicago (RIC), previously shown to have efficacy in a research lab setting, is also effective when used in a physical therapy clinic for ankle training in children with…

By Hank Black Continue reading

Early focus on gross motor skills may benefit children with autism

In children with autism spectrum disorder (ASD), lower fine and gross motor skills are associated with higher disease severity scores, according to new research that supports the concept of earlier motor skills intervention in this population.

By Shalmali Pal Continue reading

BMI does not drop after surgical realignment for Blount disease

Surgical correction of the varus alignment that is characteristic of Blount disease does not lead to greater patient activity or reduction in body mass index (BMI), according to a recent study.

By Hank Black Continue reading

Incline walking: An offloading option for patients with knee OA

Incline walking on a treadmill results in less frontal plane knee loading and more gluteus, hamstrings, quadriceps, and triceps surae muscle activation than level walking, and therefore may benefit patients with knee osteoarthritis or those who have undergone knee replacement.

By Henry Wang, PhD, Mason Haggerty, MS, Clark Dickin, PhD, and Jennifer Popps, PhD Continue reading

Understanding Hypotonia

Diagnostic challenges should not delay clinical intervention – Hypotonia, or abnormally low muscle tone, is by itself not a disorder but a symptom of an enormous array of issues—many of which can be difficult to diagnose accurately.

By Christina Hall Nettles Continue reading

Gait: The Cornerstone of Intervention

Quantifying the effects of hypotonia starts in the clinic – Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when discussing the effects of hypotonia on gait in pediatric patients, partly because they trust that experience…

By Cary Groner Continue reading

The Importance of Gross Motor Skills

Early intervention can help provide a solid foundation – Many kids with Down syndrome, autism, and other neurological conditions may experience biomechanical limitations in the form of delayed development of gross motor skills. One of the drivers of that delay can be hypotonia.

By Shalmali Pal Continue reading

Orthotic Solutions for Children with Hypotonia

New research underscores years of positive clinical results – When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to document the effectiveness that clinicians have been reporting anecdotally for years.

By Cary Groner Continue reading

An unexpected path, an invaluable perspective

For this family, one tiny extra chromosome led to a journey of self discovery – When our son was born, we prayed for a healthy baby with 10 fingers and 10 toes. Our prayers were answered. Three years later, those same prayers were said for baby number two. And, once again, our prayers were answered.

By Suzi Klimek Continue reading

Orthotic success stories: Four cases in a series

Each child in this case series was assessed every other week for 16 weeks (12 weeks for one patient who moved out of state) to determine mastery of items 23, 26-28, 30-39, 41, 42, and 45 (ranging from “pull to stand” to “run”) on the Peabody Developmental Motor Scale. Test instructions were modified as needed for children to understand them …

By Megan Smith, CO Continue reading

Prevention of ACL injuries targets youngest athletes

Some evidence suggests that neuromuscular training before puberty can help further reduce anterior cruciate ligament (ACL) injury rates. But young children respond differently to instruction than their older counterparts, which means early intervention requires some creativity.

By P.K. Daniel Continue reading

Outcome studies continue to support Ponseti method

Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most cases. But variations to the traditional Ponseti method are arising, particularly in developing countries, and may alter outcomes.

By Larry Hand Continue reading

Digging in to prevent ACL injuries in volleyball

Landing and change of direction in volleyball can put players at risk of anterior cruciate ligament (ACL) injury. Few ACL prevention studies have focused on volleyball, but players can benefit from screening and intervention programs that have been shown to be effective in other sports.

By Joanne L. Parsons, MSc, PT, CAT(C)

Continue reading

Knee OA: Take a load off

From weight loss to exercise to lever arms, effective early interventions can stave off surgery.
By Monica R. Maly, PT, PhD

Continue reading

Editor Message


Out on a limb: Falling in with feedback

One of the interesting things about LER’s multi­disciplinary perspective is being able to follow a new idea as it is examined and embraced by one specialty after another, each with its own therapeutic goals and challenges.

By Jordana Bieze Foster, Editor Continue reading

Taller, heavier children have heightened Sever disease risk

Long-term pain warrants early ID – Children presenting with calcaneal apo­phy­sitis (Sever disease) are anthropometrically different from their peers and experience a lengthy period of pain, according to Australian study findings that underscore the importance of early intervention and…

By Katie Bell Continue reading

Gait analysis for clubfoot may reveal long-term issues

Surgery more likely to alter gait – Children treated for idiopathic clubfoot by age 2 years may experience subtle changes in gait by the time they are aged 5 years, and nonoperative treatment may confer more normal movement than surgery, according to a recent study.

By Larry Hand Continue reading

Robotic gait training doesn’t wow young patients with CP

Kids, parents differ on ‘normal’ gait – Although physical therapists and parents often strive for attaining “normal” gait in children with neuromotor disorders, a new study from researchers at the University of Alberta in Edmonton, Canada, indicates that…

By Brigid Galloway Continue reading

Growing pains: Adapting O&P devices to maturing patients

Accommodating growth without compromising fit and function is a challenge for practitioners who prescribe orthotic devices for young patients. Adjustments and add-ons—as well as educating parents about expected changes—can make for smoother transitions.

By Shalmali Pal Continue reading

Out on a limb: Hands-free therapy

My former company launched a publication called Telehealth in 1998. Nearly two decades later, that magazine no longer exists, and telemedicine hasn’t revolutionized healthcare the way some thought it would. But advances are being made, and researchers are demonstrating that the potential applications for remote healthcare include…

By Jordana Bieze Foster, Editor Continue reading

Childhood obesity and OA: Can early care reduce risk?

Osteoarthritis (OA) risk factors and symptoms seen in adults have been found in obese kids, who often have musculoskeletal pain. Weight loss may help, but preventing OA may also require gait and exercise interventions, particularly those that reduce pain that leads to inactivity.

By Erin Boutwell Continue reading

SureStep SMO

The SureStep SMO remains the most advanced method of controlling excessive pronation and providing stability to the hypotonic population. Suitable for patients up to 80 lbs. Continue reading

BigShot/BigShot Lite

A growing child means eventually outgrowing the original SureStep SMO. The BigShot and BigShot Lite are the perfect solutions for older children who still need the stability of SureStep. Continue reading

Indy 2 Stage

A uniquely designed orthosis developed to help children reach their potential. This exceptional “orthosis within an orthosis” allows for the SureStep SMO to be utilized independent of the AFO. Children can work through a variety of transitional skills without impeding normal muscle function. Continue reading

PullOver & Advanced

The SureStep PullOver is an amazing tool that not only facilitates improved stability of the foot and ankle complex using a SureStep SMO, but it is also the only SMO that incorporates a true dorsiflexion assist through the use of a removable proximal strut. Continue reading

HEKO & HEKO PreFab

SureStep HEKO is the first and only pediatric hyper extension knee orthosis to incorporate a 4-axis knee hinge, for smooth, anatomically correct flexion and extension. This exceptional device provides localized control of the knee, preventing hyperextension, valgus and varus, while allowing full flexion and extension. With adjustable extension stops, the HEKO offers up to 30 degrees of adjustability. Continue reading

Criss Crossers & De-Rotation Straps

The first and only device developed to discourage w-sitting, Criss Crossers use a unique audio cue to remind children to change their position. Continue reading

TLSO

The SureStep TLSO has redefined spinal management. The soft, flexible plastic serves well to create improved upright positioning, while still allowing for slight movement in all planes. Continue reading

Shoes/Sandals

SureStep shoes have been custom designed specifically for children who wear orthoses. Their wider, deeper heel, toe box and instep allow for adequate room and a comfortable fit. The unique tread promotes intrinsic movement and flexibility while a special “cut-line” allows for easy shoe modifications. Continue reading

Components

SureStep HEKO Hinge, SureStep DA Hinge, SureStep Rivet Press, SureStep Free Motion Hinge & SureStep Dorsiflexion Assist Band Continue reading

Defining Culture

“Enriching and transforming lives through compassionate care and innovation” is our company mission statement. As our focus is on the pediatric special needs population, it’s pretty easy to stay attentive to that mission. Continue reading

Robotic ankle training for CP transitions from lab to clinic

A robotic system developed at the Rehabilitation Institute of Chicago (RIC), previously shown to have efficacy in a research lab setting, is also effective when used in a physical therapy clinic for ankle training in children with…

By Hank Black Continue reading

Early focus on gross motor skills may benefit children with autism

In children with autism spectrum disorder (ASD), lower fine and gross motor skills are associated with higher disease severity scores, according to new research that supports the concept of earlier motor skills intervention in this population.

By Shalmali Pal Continue reading

BMI does not drop after surgical realignment for Blount disease

Surgical correction of the varus alignment that is characteristic of Blount disease does not lead to greater patient activity or reduction in body mass index (BMI), according to a recent study.

By Hank Black Continue reading

Understanding Hypotonia

Diagnostic challenges should not delay clinical intervention – Hypotonia, or abnormally low muscle tone, is by itself not a disorder but a symptom of an enormous array of issues—many of which can be difficult to diagnose accurately.

By Christina Hall Nettles Continue reading

Out on a limb: Taking on Tommy John

Baseball’s approach to preventing arm injuries so far has been to try to limit loads on the arm itself. But more and more evidence seems to suggest some of the prevention efforts should be focused further down the kinetic chain.

By Jordana Bieze Foster, Editor Continue reading

Gait: The Cornerstone of Intervention

Quantifying the effects of hypotonia starts in the clinic – Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when discussing the effects of hypotonia on gait in pediatric patients, partly because they trust that experience…

By Cary Groner Continue reading

The Importance of Gross Motor Skills

Early intervention can help provide a solid foundation – Many kids with Down syndrome, autism, and other neurological conditions may experience biomechanical limitations in the form of delayed development of gross motor skills. One of the drivers of that delay can be hypotonia.

By Shalmali Pal Continue reading

Orthotic Solutions for Children with Hypotonia

New research underscores years of positive clinical results – When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to document the effectiveness that clinicians have been reporting anecdotally for years.

By Cary Groner Continue reading

An unexpected path, an invaluable perspective

For this family, one tiny extra chromosome led to a journey of self discovery – When our son was born, we prayed for a healthy baby with 10 fingers and 10 toes. Our prayers were answered. Three years later, those same prayers were said for baby number two. And, once again, our prayers were answered.

By Suzi Klimek Continue reading

Orthotic success stories: Four cases in a series

Each child in this case series was assessed every other week for 16 weeks (12 weeks for one patient who moved out of state) to determine mastery of items 23, 26-28, 30-39, 41, 42, and 45 (ranging from “pull to stand” to “run”) on the Peabody Developmental Motor Scale. Test instructions were modified as needed for children to understand them …

By Megan Smith, CO Continue reading

Prevention of ACL injuries targets youngest athletes

Some evidence suggests that neuromuscular training before puberty can help further reduce anterior cruciate ligament (ACL) injury rates. But young children respond differently to instruction than their older counterparts, which means early intervention requires some creativity.

By P.K. Daniel Continue reading

Outcome studies continue to support Ponseti method

Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most cases. But variations to the traditional Ponseti method are arising, particularly in developing countries, and may alter outcomes.

By Larry Hand Continue reading

Out on a limb: Might as well jump

One of the biggest challenges in sports injury prevention is that the sheer number of potential injuries makes it prohibitive to screen for all of them. But what if there was a single test that could be used to screen for all lower extremity injuries? It’s not as farfetched as you might think.

Continue reading

Out on a Limb: Thinking big

Obesity is a big problem, one that seems to just keep getting bigger.
by Jordana Bieze Foster

Continue reading

Departments


Management of Achilles tendinopathy in runners

Achilles tendinopathy is a common lower extremity injury in athletes as well as nonathletes. The Achilles tendon is often a site of injury in runners and is the second most common running-related musculo­skeletal injury, after medial tibial stress syndrome, with an…

By Howard Kashefsky, DPM Continue reading

Uneven terrain: Tactics for orthotic-device users

Helping patients manage an orthotic device can be challenging, but doing so in the face of uneven terrain is a balancing act between stability, mobility, and strength. Device adjustments and rehabilitation pro­tocols can help patients avoid asymmetries and reduce the risk of falling.

By Shalmali Pal Continue reading

Foot strike while running and patellofemoral pain

Recent research supports the idea that increased patellofemoral stress is a contributing factor in runners with patello­femoral pain, and that gait retraining to promote a…

By Jenevieve L. Roper, PhD; Deborah L. Doerfler, PT, DPT, PhD; Christine M. Mermier, PhD; and Janet S. Dufek, PhD Continue reading

Foot rotation during gait in patients with knee OA

Rotating the foot in or out during gait is associated with significant decreases in frontal plane knee load during early or late stance, respectively, and can be effective for reducing pain and potentially slowing the progression of…

By Kevin Alan Valenzuela, ABD, CSCS; and Hunter Jared Bennett, PhD Continue reading

Radiofrequency-based arthroscopy in the ankle

The results of a retrospective chart review suggest that the use of plasma-mediated bipolar radiofrequency-based arthroscopic microdebridement is associated with notable decreases…

By Renato Giorgini, DPM, FACFAS; Stephanie Giles, DPM; Omer Aci, DPM; and Christopher Japour, DPM, MS  Continue reading

Taller, heavier children have heightened Sever disease risk

Long-term pain warrants early ID – Children presenting with calcaneal apo­phy­sitis (Sever disease) are anthropometrically different from their peers and experience a lengthy period of pain, according to Australian study findings that underscore the importance of early intervention and…

By Katie Bell Continue reading

Gait analysis for clubfoot may reveal long-term issues

Surgery more likely to alter gait – Children treated for idiopathic clubfoot by age 2 years may experience subtle changes in gait by the time they are aged 5 years, and nonoperative treatment may confer more normal movement than surgery, according to a recent study.

By Larry Hand Continue reading

Robotic gait training doesn’t wow young patients with CP

Kids, parents differ on ‘normal’ gait – Although physical therapists and parents often strive for attaining “normal” gait in children with neuromotor disorders, a new study from researchers at the University of Alberta in Edmonton, Canada, indicates that…

By Brigid Galloway Continue reading

Growing pains: Adapting O&P devices to maturing patients

Accommodating growth without compromising fit and function is a challenge for practitioners who prescribe orthotic devices for young patients. Adjustments and add-ons—as well as educating parents about expected changes—can make for smoother transitions.

By Shalmali Pal Continue reading

Childhood obesity and OA: Can early care reduce risk?

Osteoarthritis (OA) risk factors and symptoms seen in adults have been found in obese kids, who often have musculoskeletal pain. Weight loss may help, but preventing OA may also require gait and exercise interventions, particularly those that reduce pain that leads to inactivity.

By Erin Boutwell Continue reading

Running modifications to alter PFJ contact force

Patellofemoral pain interventions have increasingly focused on running technique and training approaches—such as utilization of a forefoot strike pattern, a shortened step length, and manipulations to training pace—to reduce patellofemoral joint loading parameters.

By Collin D. Bowersock, BS, and John D. Willson, PT, PhD Continue reading

Researchers inch toward understanding of PTTD

In recent years, studies have elucidated aspects of the biomechanical effects of posterior tibial tendon dysfunction that may ultimately lead to improvements in treatment. But it isn’t always clear which factors contribute to PTTD and which
develop in response.

By Cary Groner Continue reading

Vitamin D deficiency and risk of fracture in football players

Many US football players have lower than adequate serum vitamin D levels, but questions remain about the potential benefits of proactive treatment with supplementation to address vitamin D deficiency and reduce the risk of fracture in this
patient population.

By Mark A. Duca, MD; Christina M. Mathyssek, PhD; Jeffrey W. Bost, PA-C; and Joseph C. Maroon, MD Continue reading

Contributors to pediatric ACL surgery outcomes

Different factors influence outcomes after anterior cruciate ligament reconstruction in younger and older pediatric patients, but regardless of age, a delay to surgery is correlated with more severe additional injuries and the need for additional surgical procedures.

By Justin T. Newman, MD Continue reading

SureStep SMO

The SureStep SMO remains the most advanced method of controlling excessive pronation and providing stability to the hypotonic population. Suitable for patients up to 80 lbs. Continue reading

BigShot/BigShot Lite

A growing child means eventually outgrowing the original SureStep SMO. The BigShot and BigShot Lite are the perfect solutions for older children who still need the stability of SureStep. Continue reading

Indy 2 Stage

A uniquely designed orthosis developed to help children reach their potential. This exceptional “orthosis within an orthosis” allows for the SureStep SMO to be utilized independent of the AFO. Children can work through a variety of transitional skills without impeding normal muscle function. Continue reading

PullOver & Advanced

The SureStep PullOver is an amazing tool that not only facilitates improved stability of the foot and ankle complex using a SureStep SMO, but it is also the only SMO that incorporates a true dorsiflexion assist through the use of a removable proximal strut. Continue reading

HEKO & HEKO PreFab

SureStep HEKO is the first and only pediatric hyper extension knee orthosis to incorporate a 4-axis knee hinge, for smooth, anatomically correct flexion and extension. This exceptional device provides localized control of the knee, preventing hyperextension, valgus and varus, while allowing full flexion and extension. With adjustable extension stops, the HEKO offers up to 30 degrees of adjustability. Continue reading

Criss Crossers & De-Rotation Straps

The first and only device developed to discourage w-sitting, Criss Crossers use a unique audio cue to remind children to change their position. Continue reading

TLSO

The SureStep TLSO has redefined spinal management. The soft, flexible plastic serves well to create improved upright positioning, while still allowing for slight movement in all planes. Continue reading

Shoes/Sandals

SureStep shoes have been custom designed specifically for children who wear orthoses. Their wider, deeper heel, toe box and instep allow for adequate room and a comfortable fit. The unique tread promotes intrinsic movement and flexibility while a special “cut-line” allows for easy shoe modifications. Continue reading

Components

SureStep HEKO Hinge, SureStep DA Hinge, SureStep Rivet Press, SureStep Free Motion Hinge & SureStep Dorsiflexion Assist Band Continue reading

Defining Culture

“Enriching and transforming lives through compassionate care and innovation” is our company mission statement. As our focus is on the pediatric special needs population, it’s pretty easy to stay attentive to that mission. Continue reading

Robotic ankle training for CP transitions from lab to clinic

A robotic system developed at the Rehabilitation Institute of Chicago (RIC), previously shown to have efficacy in a research lab setting, is also effective when used in a physical therapy clinic for ankle training in children with…

By Hank Black Continue reading

Early focus on gross motor skills may benefit children with autism

In children with autism spectrum disorder (ASD), lower fine and gross motor skills are associated with higher disease severity scores, according to new research that supports the concept of earlier motor skills intervention in this population.

By Shalmali Pal Continue reading

BMI does not drop after surgical realignment for Blount disease

Surgical correction of the varus alignment that is characteristic of Blount disease does not lead to greater patient activity or reduction in body mass index (BMI), according to a recent study.

By Hank Black Continue reading

Understanding Hypotonia

Diagnostic challenges should not delay clinical intervention – Hypotonia, or abnormally low muscle tone, is by itself not a disorder but a symptom of an enormous array of issues—many of which can be difficult to diagnose accurately.

By Christina Hall Nettles Continue reading

Patient Perspective: The long struggle to get a knee back in the game

It happened about two years ago while I was playing a friendly game of basketball with my teenage sons and friends. I was 49 years old and never felt like slowing down. Like most guys, while playing ball, we would imitate our favorite players.

By Joseph Hayward Continue reading

Gait: The Cornerstone of Intervention

Quantifying the effects of hypotonia starts in the clinic – Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when discussing the effects of hypotonia on gait in pediatric patients, partly because they trust that experience…

By Cary Groner Continue reading

The Importance of Gross Motor Skills

Early intervention can help provide a solid foundation – Many kids with Down syndrome, autism, and other neurological conditions may experience biomechanical limitations in the form of delayed development of gross motor skills. One of the drivers of that delay can be hypotonia.

By Shalmali Pal Continue reading

Orthotic Solutions for Children with Hypotonia

New research underscores years of positive clinical results – When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to document the effectiveness that clinicians have been reporting anecdotally for years.

By Cary Groner Continue reading

An unexpected path, an invaluable perspective

For this family, one tiny extra chromosome led to a journey of self discovery – When our son was born, we prayed for a healthy baby with 10 fingers and 10 toes. Our prayers were answered. Three years later, those same prayers were said for baby number two. And, once again, our prayers were answered.

By Suzi Klimek Continue reading

Orthotic success stories: Four cases in a series

Each child in this case series was assessed every other week for 16 weeks (12 weeks for one patient who moved out of state) to determine mastery of items 23, 26-28, 30-39, 41, 42, and 45 (ranging from “pull to stand” to “run”) on the Peabody Developmental Motor Scale. Test instructions were modified as needed for children to understand them …

By Megan Smith, CO Continue reading

AFO tuning: Balancing function and satisfaction

Tuning of ankle foot orthoses (AFOs) and AFO-footwear combinations can significantly improve gait in patients with neuromuscular impairments. Even so, some pa- t­ients still prefer their untuned devices, which has led researchers and clinicians to reexamine their approach to intervention.

By Cary Groner Continue reading

Return of strength after Achilles tendon surgery

Despite excellent subjective outcomes following Achilles tendon repair, significant plantar flexion and dorsiflexion strength deficits often persist. However, modern trends in postoperative rehabilitation represent a progression toward a more functional strength recovery.

By David A. Porter, MD, PhD, Kirk Cleland, MD, and Angela M. Rund, MEd, ATC Continue reading

Flexible flatfoot: Foot orthoses and outcomes

Many studies have shown an effect of foot orthoses on biomechanical function in patients with flexible flatfoot, but few studies have focused on patient-centered outcomes. There is a need to investigate the effect of foot orthoses on pain and fatigue in these individuals over time.

By Sarah A. Curran, PhD Continue reading

Running shoe mass: Can feet tell any difference?

Research suggests that when trying on athletic shoes in a retail store, an individual’s perceptions of shoe mass primarily come from handling the shoes and less (if at all) from test-wearing them. In addition, the foot’s perception of shoe mass does not appear to improve with practice.

By Joel G. Greenya, BS, Stephen J. Slade, BS, Christopher L. Kliethermes, PhD, and David S. Senchina, PhD Continue reading

Dynamic compression for recovery in athletes

US Olympic Committee researchers have found that peristaltic pulse compression of the lower extremities may provide a means of enhancing the rheological properties of the lower extremities without resorting to extreme temperatures, expensive body work, or stretching.

By William A Sands, PhD, FACSM, CSCS Continue reading

Prevention of ACL injuries targets youngest athletes

Some evidence suggests that neuromuscular training before puberty can help further reduce anterior cruciate ligament (ACL) injury rates. But young children respond differently to instruction than their older counterparts, which means early intervention requires some creativity.

By P.K. Daniel Continue reading

Outcome studies continue to support Ponseti method

Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most cases. But variations to the traditional Ponseti method are arising, particularly in developing countries, and may alter outcomes.

By Larry Hand Continue reading

Finding fashion options that accommodate AFOs

Practitioners know patients who feel that ankle foot orthoses (AFOs) hinder their sartorial style are less likely to be compliant, but many clinicians feel ill-equipped to give fashion advice. That’s when the expertise of a stylist, seamstress, or personal shopper can come in handy.

By Shalmali Pal

Continue reading

Plantar fasciitis: Unique challenges in basketball

Not only do basketball players have many of the same risk factors for plantar fasciitis as the general population, they also have the added challenge of a grueling season and very little opportunity to rest. That means practitioners have had to be creative when it comes to treatment.

By P.K. Daniel

Continue reading

Gait retraining improves symptoms of knee OA

A number of different gait modifications have been demonstrated to significantly reduce the knee adduction moment in patients with knee osteoarthritis (OA). Now research suggests gait retraining can also help reduce the pain associated with knee OA and improve function.

By Pete B. Shull, PhD

Continue reading

Diabetic limb salvage: Surgeon’s perspective

When preventive measures have been exhausted, various surgical approaches can be employed to provide each diabetic patient with a functional, biomechanically sound foot that is free of infection, while minimizing the risk of future lower limb complications.

By Gabriel V. Gambardella, DPM, and Peter A. Blume, DPM, FACFAS

Continue reading

MS and gait: Assessment facilitates opportunity

Significant progress has been made in quantifying gait impairment in patients with multiple sclerosis, but clinician-friendly assessment techniques that are sensitive to mild levels of impairment are needed to facilitate early intervention and in turn improve patient outcomes.

By Douglas A. Wajda and Jacob J. Sosnoff, PhD

Continue reading

Achilles tears: Angling for optimal outcomes

The optimal immobilization angle for Achilles tendon healing may be smaller than previously thought.
By Walter H. Wray III, MD, Conor Regan, MD, Sagar Patel, BS, Ryan May, BS, and Selene G. Parekh, MD, MBA

Continue reading

Diabetes: Taking steps to prevent amputation

How a Nashville intervention program decreased amputation rates by 40% over a five year period.
By Mark Hinkes, DPM

Continue reading

Rehab speeds return after ACL surgery

At this knee center, return to play is based not on the calendar but on range of motion and strength. By Scott E. Urch, MD, K. Donald Shelbourne, MD, and Heather Freeman, PT, DHS

Continue reading

How cadavers could change your practice

Modeling studies have implications for management of plantar fasciitis, stress fractures and PTTD.
By Erin D. Ward, DPM

Continue reading

Technology: Choosing a digital foot scanner

Digital scanners can save time and money, but only if they provide the clinical information you need.
By Larry Huppin, DPM

Continue reading

News


Striking out hamstring strain: Protocol helps protect baseball players

A hamstring injury intervention program is effective for reducing the rate of hamstring injuries and reinjuries in professional baseball players, according to ongoing research from the University of Delaware presented in July at the annual meeting of the…

By Katie Bell Continue reading

Achilles tendon size, stiffness differ based on runners’ shoe preference

The Achilles tendons of experienced minimalist runners differ from the tendons of those who wear traditional running shoes with regard to size, stiffness, and stress, according to research from the University of Connecticut in Storrs that…

By Jordana Bieze Foster Continue reading

Athletes with low neurocognitive scores exhibit high-risk landing biomechanics

Athletes with low neurocognitive scores are more likely than their higher-scoring counterparts to demonstrate landing mechanics associated with anterior cruciate injury (ACL) risk, according to research from the University of Florida in Gainesville.

By Jordana Bieze Foster Continue reading

Taller, heavier children have heightened Sever disease risk

Long-term pain warrants early ID – Children presenting with calcaneal apo­phy­sitis (Sever disease) are anthropometrically different from their peers and experience a lengthy period of pain, according to Australian study findings that underscore the importance of early intervention and…

By Katie Bell Continue reading

Gait analysis for clubfoot may reveal long-term issues

Surgery more likely to alter gait – Children treated for idiopathic clubfoot by age 2 years may experience subtle changes in gait by the time they are aged 5 years, and nonoperative treatment may confer more normal movement than surgery, according to a recent study.

By Larry Hand Continue reading

Robotic gait training doesn’t wow young patients with CP

Kids, parents differ on ‘normal’ gait – Although physical therapists and parents often strive for attaining “normal” gait in children with neuromotor disorders, a new study from researchers at the University of Alberta in Edmonton, Canada, indicates that…

By Brigid Galloway Continue reading

Growing pains: Adapting O&P devices to maturing patients

Accommodating growth without compromising fit and function is a challenge for practitioners who prescribe orthotic devices for young patients. Adjustments and add-ons—as well as educating parents about expected changes—can make for smoother transitions.

By Shalmali Pal Continue reading

Healing hamstrings: Sport-specific factors affect return to play

A new study of more than 500 hamstring injuries sustained by collegiate soccer players provides evidence that return to participation after these strains is influenced by factors other than an athlete’s strength and flexibility.

By Barbara Boughton Continue reading

Self-reported information helps predict knee injury risk in female soccer players

Two self-reported measures are significantly associated with risk of knee injury in adolescent female soccer players, according to a Danish study that could have implications for screening.

By Jordana Bieze Foster Continue reading

Baseball season takes toll on hip strength and range of motion in collegiate pitchers

Hip range of motion (ROM) and strength in collegiate baseball pitchers decrease significantly over the course of a competitive season, but these changes are not associated with pitching workload, according to research from the University of Florida in Gainesville.

By Jordana Bieze Foster

Continue reading

Telerehabilitation after TKA: Remote PT matches in-person outcomes

In a randomized trial said by its authors to be the largest of its kind, patients receiving in-home therapy after total knee arthroplasty had equivalent outcomes whether they saw a therapist face-to-face or via a video- and sound-connected “visit” from a remote location.

By John C. Hayes

Continue reading

Muscle force changes vary after gait modification to reduce knee moment

A single gait modification to reduce knee adduction moment in patients with knee osteoarthritis (OA) is associated with muscle force pattern changes that vary from one patient to another, according to research from Shanghai, China.

By Jordana Bieze Foster Continue reading

OA treatment outperforms usual care with regard to pain but not sensitization

The mechanism by which an integrated nonsurgical treatment program reduces pain in patients with knee osteoarthritis (OA) does not appear to involve pain sensitization, according to research from Denmark.

By Jordana Bieze Foster Continue reading

Childhood obesity and OA: Can early care reduce risk?

Osteoarthritis (OA) risk factors and symptoms seen in adults have been found in obese kids, who often have musculoskeletal pain. Weight loss may help, but preventing OA may also require gait and exercise interventions, particularly those that reduce pain that leads to inactivity.

By Erin Boutwell Continue reading

SureStep SMO

The SureStep SMO remains the most advanced method of controlling excessive pronation and providing stability to the hypotonic population. Suitable for patients up to 80 lbs. Continue reading

BigShot/BigShot Lite

A growing child means eventually outgrowing the original SureStep SMO. The BigShot and BigShot Lite are the perfect solutions for older children who still need the stability of SureStep. Continue reading

Indy 2 Stage

A uniquely designed orthosis developed to help children reach their potential. This exceptional “orthosis within an orthosis” allows for the SureStep SMO to be utilized independent of the AFO. Children can work through a variety of transitional skills without impeding normal muscle function. Continue reading

PullOver & Advanced

The SureStep PullOver is an amazing tool that not only facilitates improved stability of the foot and ankle complex using a SureStep SMO, but it is also the only SMO that incorporates a true dorsiflexion assist through the use of a removable proximal strut. Continue reading

HEKO & HEKO PreFab

SureStep HEKO is the first and only pediatric hyper extension knee orthosis to incorporate a 4-axis knee hinge, for smooth, anatomically correct flexion and extension. This exceptional device provides localized control of the knee, preventing hyperextension, valgus and varus, while allowing full flexion and extension. With adjustable extension stops, the HEKO offers up to 30 degrees of adjustability. Continue reading

Criss Crossers & De-Rotation Straps

The first and only device developed to discourage w-sitting, Criss Crossers use a unique audio cue to remind children to change their position. Continue reading

TLSO

The SureStep TLSO has redefined spinal management. The soft, flexible plastic serves well to create improved upright positioning, while still allowing for slight movement in all planes. Continue reading

Shoes/Sandals

SureStep shoes have been custom designed specifically for children who wear orthoses. Their wider, deeper heel, toe box and instep allow for adequate room and a comfortable fit. The unique tread promotes intrinsic movement and flexibility while a special “cut-line” allows for easy shoe modifications. Continue reading

Components

SureStep HEKO Hinge, SureStep DA Hinge, SureStep Rivet Press, SureStep Free Motion Hinge & SureStep Dorsiflexion Assist Band Continue reading

Defining Culture

“Enriching and transforming lives through compassionate care and innovation” is our company mission statement. As our focus is on the pediatric special needs population, it’s pretty easy to stay attentive to that mission. Continue reading

Robotic ankle training for CP transitions from lab to clinic

A robotic system developed at the Rehabilitation Institute of Chicago (RIC), previously shown to have efficacy in a research lab setting, is also effective when used in a physical therapy clinic for ankle training in children with…

By Hank Black Continue reading

Early focus on gross motor skills may benefit children with autism

In children with autism spectrum disorder (ASD), lower fine and gross motor skills are associated with higher disease severity scores, according to new research that supports the concept of earlier motor skills intervention in this population.

By Shalmali Pal Continue reading

BMI does not drop after surgical realignment for Blount disease

Surgical correction of the varus alignment that is characteristic of Blount disease does not lead to greater patient activity or reduction in body mass index (BMI), according to a recent study.

By Hank Black Continue reading

Understanding Hypotonia

Diagnostic challenges should not delay clinical intervention – Hypotonia, or abnormally low muscle tone, is by itself not a disorder but a symptom of an enormous array of issues—many of which can be difficult to diagnose accurately.

By Christina Hall Nettles Continue reading

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

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

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

Gait: The Cornerstone of Intervention

Quantifying the effects of hypotonia starts in the clinic – Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when discussing the effects of hypotonia on gait in pediatric patients, partly because they trust that experience…

By Cary Groner Continue reading

The Importance of Gross Motor Skills

Early intervention can help provide a solid foundation – Many kids with Down syndrome, autism, and other neurological conditions may experience biomechanical limitations in the form of delayed development of gross motor skills. One of the drivers of that delay can be hypotonia.

By Shalmali Pal Continue reading

Orthotic Solutions for Children with Hypotonia

New research underscores years of positive clinical results – When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to document the effectiveness that clinicians have been reporting anecdotally for years.

By Cary Groner Continue reading

An unexpected path, an invaluable perspective

For this family, one tiny extra chromosome led to a journey of self discovery – When our son was born, we prayed for a healthy baby with 10 fingers and 10 toes. Our prayers were answered. Three years later, those same prayers were said for baby number two. And, once again, our prayers were answered.

By Suzi Klimek Continue reading

Orthotic success stories: Four cases in a series

Each child in this case series was assessed every other week for 16 weeks (12 weeks for one patient who moved out of state) to determine mastery of items 23, 26-28, 30-39, 41, 42, and 45 (ranging from “pull to stand” to “run”) on the Peabody Developmental Motor Scale. Test instructions were modified as needed for children to understand them …

By Megan Smith, CO Continue reading

Prevention of ACL injuries targets youngest athletes

Some evidence suggests that neuromuscular training before puberty can help further reduce anterior cruciate ligament (ACL) injury rates. But young children respond differently to instruction than their older counterparts, which means early intervention requires some creativity.

By P.K. Daniel Continue reading

Outcome studies continue to support Ponseti method

Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most cases. But variations to the traditional Ponseti method are arising, particularly in developing countries, and may alter outcomes.

By Larry Hand Continue reading

Less and less limb loss: But uphill battle still awaits, experts say

Lower extremity amputation (LEA) rates in the US continue to fall, according to an analysis published in July that confirms earlier research demonstrating a steady decline beginning in the 1990s.

Continue reading

Amputation, reulceration rates fall after two years of orthotic therapy

Orthotic therapy in patients with diabetes and a history of foot ulcers was associated with dramatic decreases in reulceration and amputation rates, according to data from Spanish researchers at the Universidad Complutense de Madrid.

Continue reading

Removable plug insoles significantly reduce pressure, as do arch supports

Researchers from Taiwan confirmed that insoles with removable plugs reduce forefoot plantar pressures in patients with diabetic neuropathy, and those pressures are further reduced by adding arch support.

Continue reading

Stress management: Landing mechanics predict fracture risk

Landing biomechanics have long been a focus of anterior cruciate ligament (ACL) injury research, but they may also be predictive of lower extremity stress fracture, according to a study presented in July at the American Orthopaedic Society for Sports Medicine (AOSSM) meeting in Chicago. Continue reading

Two studies explore contributions of core muscles to ACL injury risk

Two recent studies underscore the association between core mus­­cle function and risk factors for anteri­or cruciate ligament injury.

Continue reading

Customizing stochastic resonance boosts balance effects in FAI patients

Stochastic resonance stimulation (SRS) more effectively improves balance in patients with functional ankle instability (FAI) when optimized based on each patient’s sensory threshold than when all patients receive the same treatment, according to research from Virginia Commonwealth University in Richmond.

Continue reading

In the Moment: Sports Medicine

Plus: Knee and the NFL • Tape takes on exercise
by Jordana Bieze Foster

Continue reading

In the Moment: O&P

Plus: Ankle brace effects Amputee hip strength • Feedback boosts OA bracing by Jordana Bieze Foster

Continue reading

In the Moment: Foot Care

Rehab enhances HV results
Post-op plan medializes weight bearing

Austrian researchers have found that rehabilitation following hallux valgus surgery can significantly improve weightbearing under the first ray, which has long been one of the barriers to full functional recovery.

by Jordana Bieze Foster

Continue reading

Market Mechanics


Spenco execs buy footwear, Silicore rights after Implus buys insole, 2nd Skin lines

Waco, TX-based Spenco Medical Corporation in July announced that four of its executives have purchased the company’s foot­wear and Silicore assets in the wake of the sale of its insole and 2nd Skin first aid lines to Durham, NC-based Implus. Continue reading

Fidia Pharma’s gel gives lasting OA pain relief

Parsippany, NJ-based Fidia Pharma USA’s injectable viscoelastic gel significantly improves knee osteoarthritis (OA) pain for up to a year in patients younger than 40 years, according to data presented July 7 at the annual meeting of the… Continue reading

FDA OKs Erchonia laser for toe fungus

McKinney, TX-based Erchonia reported in July that the Food and Drug Administration (FDA) has given 510(k) marketing clearance to its low-level laser for onychomycosis. Continue reading

Acor offers Prime ordering system

Cleveland, OH-based Acor Orthopaedic recently launched Acor Prime, a simplified system for ordering its products that includes free shipping both ways and a free STS sock with each gauntlet or Richie brace order. Continue reading

Össur posts OARSI knee OA protocols for subgroups, first winner of online contest

Össur reported on July 22 that, after a two-day consensus symposium sponsored by the Foothill Ranch, CA-based company, an expert panel has published clinical treatment protocols for three subgroups of patients with knee osteoarthritis (OA). Continue reading

FDA approves Dysport for kids with CP

Basking Ridge, NJ-based Ipsen Biopharmaceuticals announced August 1 that the Food and Drug Administration (FDA) had given the nod to its abobotulinum­toxinA injection for treatment of… Continue reading

APTA issues exercise guidelines for obese kids

The American Physical Therapy Association’s (APTA) scientific journal, Physical Therapy, in June published guidelines for providing safe and effective exercise interventions for children with obesity. Continue reading

Surgeon, patient advocate Pellicore dies

Orthopedic surgeon Raymond Pellicore, MD, died July 17 at age 97. His philosophy and compassionate approach to the treatment of people with limb loss and orthopedic problems lives on in the archives of the… Continue reading

E&C passes sports medicine clarity act

The US House Energy and Commerce Committee on July 13 unanimously passed the Sports Medicine Licensure Clarity Act (H.R. 921), according to the Carrollton, TX-based National Athletic Trainers’ Association, which has worked to get Congress to… Continue reading

Zion predicts $1B gain in insole market

Deerfield Beach, FL-based Zion Market Research predicted in a report issued July 27 that the global foot orthotic insoles market, valued at $2.637 billion in 2015, will reach $3.678 billion by 2021, growing at a CAGR (compound annual growth rate) of around 5.6% between 2016 and 2021. Continue reading

OHI VP finishes second Ironman race

Josh White, DPM, cofounder of Milford, CT-based SafeStep and VP of its parent company, OHI, headquartered in Ronkonkoma, NY, on July 24 finished his second Ironman competition. Continue reading

Topical Gear device may lower risks to ACL

Data presented in July show Austin, TX-based Topical Gear’s wearable neuromuscular (WNM) device may help reduce anterior cruciate ligament (ACL) injury risk in young female soccer players. Continue reading

Dralla Foundation awards 2016 grants

The Rockaway, NJ-based Dralla Foundation in July released the names of its 2016 grant recipients. The awards fund events for children and adults with physical challenges. Continue reading

Amputee Coalition taps Lundquist as CCO

The Manassas, VA-based Amputee Coalition announced in July that Karen Lundquist will join their leadership team as communications officer (CCO). Continue reading

Ottobock AFO reduces knee OA pain

A study published July 8 in the Archives of Orthopaedic and Trauma Surgery found an ankle foot orthosis (AFO) made by Duderstadt, Germany-based Otto­bock significantly reduced pain and stiffness and improved physical function in patients with knee osteoarthritis (OA). Continue reading

Taller, heavier children have heightened Sever disease risk

Long-term pain warrants early ID – Children presenting with calcaneal apo­phy­sitis (Sever disease) are anthropometrically different from their peers and experience a lengthy period of pain, according to Australian study findings that underscore the importance of early intervention and…

By Katie Bell Continue reading

Gait analysis for clubfoot may reveal long-term issues

Surgery more likely to alter gait – Children treated for idiopathic clubfoot by age 2 years may experience subtle changes in gait by the time they are aged 5 years, and nonoperative treatment may confer more normal movement than surgery, according to a recent study.

By Larry Hand Continue reading

Robotic gait training doesn’t wow young patients with CP

Kids, parents differ on ‘normal’ gait – Although physical therapists and parents often strive for attaining “normal” gait in children with neuromotor disorders, a new study from researchers at the University of Alberta in Edmonton, Canada, indicates that…

By Brigid Galloway Continue reading

Growing pains: Adapting O&P devices to maturing patients

Accommodating growth without compromising fit and function is a challenge for practitioners who prescribe orthotic devices for young patients. Adjustments and add-ons—as well as educating parents about expected changes—can make for smoother transitions.

By Shalmali Pal Continue reading

NAAOP moves to block Medicare policy that ‘would return amputees to 70s care’

The National Association for the Advancement of Orthotics & Prosthetics (NAAOP) in August created a petition calling for the White House to rescind Medi­care’s recently published draft policy for Local Coverage Determination for Lower Limb Prosthetics. Continue reading

AOPA names lifetime achievement winner

The Washington, DC-based American Orthotic & Prosthetic Association (AOPA) reported in July plans to honor Thomas V. DiBello, CO, with its Lifetime Achievement Award at the 2015 AOPA National Assembly in San Antonio, TX. Continue reading

Converse revamps classic shoe for comfort

Boston-based Converse in August launched a new version of its classic Chuck Taylor sneaker, reporting the new shoe is redesigned for comfort with technology from its parent company Nike, headquartered in Beaverton, OR. Continue reading

DJO launches wireless stimulation device

DJO Global in July received Food and Drug Administration (FDA) approval to begin sales of the San Diego-based company’s wireless electric muscle stimulation device. Continue reading

IOC calls for world conference proposals

The International Olympic Committee (IOC) in July called for proposals for its 2017 IOC World Conference on Prevention of Injury & Illness in Sport. Continue reading

AOFAS releases plantar fasciitis guide

The American Orthopaedic Foot & Ankle Society (AOFAS) teamed up with Consumer Reports Health to produce a patient handout that it released in July focusing on conservative treatment of plantar fasciitis (PF). Continue reading

ETH Zürich announces ‘Cybathlon’ event

Swiss university ETH (Eidgenössische Technische Hochschule) Zürich will hold in October 2016 a new championship event for individuals who use advanced assistive devices. Continue reading

Rogers renames elastomeric division

Woodbury, CT-based Rogers Corporation on July 29 changed the name of its High Performance Foams Division to Elastomeric Material Solutions to better reflect its growing range of high-performance engineered materials solutions and capabilities to meet customer needs. Continue reading

Alliqua markets graft for tendon repair

Langhorne, PA-based Alliqua Biomedical in July reported that its exclusive licensing agreement with Summit, NJ-based Celgene Cellular Therapeutics now includes the right to market an advanced wound care product for podiatric and orthopedic applications. Continue reading

Ortho devices report predicts $940M rise

London, UK-based health industry research firm GlobalData reported on July 30 that the global orthopedic braces and orthotics market will rise from $2.56 billion in 2014 to reach just under $3.5 billion by 2021, largely driven by an aging population and patient preference for braces and supports as noninvasive treatment options. Continue reading

POI names Bach new editor in chief

The International Society for Prosthetics and Orthotics in July named Australian biomechanist Timothy Bach, PhD, editor in chief of its flagship journal, Prosthetics and Orthotics International (POI). Continue reading

Therafirm sponsors Kenyan runner

Kansas City, KA-based Therafirm and Auburn, ME-based Bedard Pharmacy and Medical Supplies are supporting Kenyan runner Moninda Marube on a cross-country run he began July 1 to raise awareness of human trafficking. Continue reading

Nike launches easy-don Flyease high-tops

Beaverton, OR-based Nike on July 18 began selling its new Flyease athletic shoe, designed for quick no-lace donning by people with disabilities, in limited quantities on nike.com. Continue reading

Childhood obesity and OA: Can early care reduce risk?

Osteoarthritis (OA) risk factors and symptoms seen in adults have been found in obese kids, who often have musculoskeletal pain. Weight loss may help, but preventing OA may also require gait and exercise interventions, particularly those that reduce pain that leads to inactivity.

By Erin Boutwell Continue reading

SureStep SMO

The SureStep SMO remains the most advanced method of controlling excessive pronation and providing stability to the hypotonic population. Suitable for patients up to 80 lbs. Continue reading

BigShot/BigShot Lite

A growing child means eventually outgrowing the original SureStep SMO. The BigShot and BigShot Lite are the perfect solutions for older children who still need the stability of SureStep. Continue reading

Indy 2 Stage

A uniquely designed orthosis developed to help children reach their potential. This exceptional “orthosis within an orthosis” allows for the SureStep SMO to be utilized independent of the AFO. Children can work through a variety of transitional skills without impeding normal muscle function. Continue reading

PullOver & Advanced

The SureStep PullOver is an amazing tool that not only facilitates improved stability of the foot and ankle complex using a SureStep SMO, but it is also the only SMO that incorporates a true dorsiflexion assist through the use of a removable proximal strut. Continue reading

HEKO & HEKO PreFab

SureStep HEKO is the first and only pediatric hyper extension knee orthosis to incorporate a 4-axis knee hinge, for smooth, anatomically correct flexion and extension. This exceptional device provides localized control of the knee, preventing hyperextension, valgus and varus, while allowing full flexion and extension. With adjustable extension stops, the HEKO offers up to 30 degrees of adjustability. Continue reading

Criss Crossers & De-Rotation Straps

The first and only device developed to discourage w-sitting, Criss Crossers use a unique audio cue to remind children to change their position. Continue reading

TLSO

The SureStep TLSO has redefined spinal management. The soft, flexible plastic serves well to create improved upright positioning, while still allowing for slight movement in all planes. Continue reading

Shoes/Sandals

SureStep shoes have been custom designed specifically for children who wear orthoses. Their wider, deeper heel, toe box and instep allow for adequate room and a comfortable fit. The unique tread promotes intrinsic movement and flexibility while a special “cut-line” allows for easy shoe modifications. Continue reading

Components

SureStep HEKO Hinge, SureStep DA Hinge, SureStep Rivet Press, SureStep Free Motion Hinge & SureStep Dorsiflexion Assist Band Continue reading

Defining Culture

“Enriching and transforming lives through compassionate care and innovation” is our company mission statement. As our focus is on the pediatric special needs population, it’s pretty easy to stay attentive to that mission. Continue reading

Robotic ankle training for CP transitions from lab to clinic

A robotic system developed at the Rehabilitation Institute of Chicago (RIC), previously shown to have efficacy in a research lab setting, is also effective when used in a physical therapy clinic for ankle training in children with…

By Hank Black Continue reading

Early focus on gross motor skills may benefit children with autism

In children with autism spectrum disorder (ASD), lower fine and gross motor skills are associated with higher disease severity scores, according to new research that supports the concept of earlier motor skills intervention in this population.

By Shalmali Pal Continue reading

BMI does not drop after surgical realignment for Blount disease

Surgical correction of the varus alignment that is characteristic of Blount disease does not lead to greater patient activity or reduction in body mass index (BMI), according to a recent study.

By Hank Black Continue reading

Analysts predict sluggish market for robotic orthopedic surgery systems

London, UK-based market information firm GlobalData reported in July that computer-assisted and robotic surgery are expected to remain the reserve of top-tier hospitals, mostly in developed countries, and that the technology has been slow to gain general acceptance. Continue reading

Pedorthic groups announce symposium

The Pedorthic Association of Canada (PAC) and the Pre­scription Foot Orthotic Laboratory Association (PFOLA) announced in July the two organizations will partner for the annual PAC Symposium in 2015. Continue reading

DME admins to reject claims with errors

Beginning September 1, paper claims that are billed with incorrect modifiers will be returned as “unprocessable,” according to Nash­ville, TN-based CGS Administrators, the Jurisdiction C Durable Medical Equipment Medicare Administrative Contractor (DME MAC). Continue reading

O&P Social launches new platform

O&P Social, a social media site for O&P, pedorthic, and allied health professionals, in July revamped its site, oandpsocial.com, with new functions and features. Continue reading

Insoles decrease sensitivity to pain

A study epublished on July 16 reported that shock-absorbing insoles (SAIs) made by Otto Bock Scandinavia in Norrköping, Sweden, reduce pain sensitivity and perception in young soccer players playing on artificial turf. Continue reading

Self-adapting dressing reduces costs

Santa Clara, CA-based Osnovative Systems reported in July that a study of its self-adaptive wound dressing showed the product reduced wound care costs by 30%. Continue reading

Sigvaris offers education, marks 150 years

Peachtree City, GA-based Sigvaris North America is offering several educational opportunities to practitioners who fit compression hose and stockings, the company announced in July. Continue reading

US district court dismisses AOPA suit

In August the US District Court for the District of Columbia issued a decision granting the government’s motion to dismiss the case the American Orthotic and Prosthetic Association (AOPA) filed in May 2013 challenging the Medicare… Continue reading

Tekscan demos devices at biomech event

Tekscan introduced attendees of the seventh World Congress of Biomechanics, held in Boston July 6-11, to a variety of its lab based biomechanical assessment and application technology solutions. Continue reading

ACFAP installs DeCaro as new president

The American College of Foot and Ankle Pediatrics (ACFAP) installed Louis J. DeCaro, DPM, on July 25 as its new president. DeCaro, who is currently in private practice in West Hatfield, MA, and directs several adult and pediatric biomechanics clinics, specializes in podopediatrics. Continue reading

Bacterin filler effective for talar defects

Patients with osteochondral defects of the talus and previously failed microfractures who underwent malleolar osteotomy and implantation of Belgrade, MT-based Bacterin’s allograft bone graft material had positive outcomes at two-year follow-up, according to a study epublished in July by The Journal of Foot & Ankle Surgery. Continue reading

Down syndrome group honors Veldman

The National Down Syndrome Congress (NDSC) on July 12 presented SureStep CEO Bernie Veldman, CO, with its 2014 Exceptional Meritorious Service at its annual conference in Indianapolis. Continue reading

Diabetic shoes cut lower extremity risks

Milwaukee, WI-based Dr. Comfort released results in July of a study showing people with type 2 diabetes who wear therapeutic shoes lower their likelihood of developing foot ulcers and undergoing lower limb amputations. Continue reading

CaerVision appoints new director

Frederick, MD-based CaerVision, in July appointed Sarah Brey­meier senior director of its Podiatry Network, which provides educational and marketing content for televisions and monitors in practitioners’ waiting and exam rooms. Continue reading

APMA gives Amniox seal of approval

The American Podiatric Medical Association (APMA) in July gave its Seal of Approval to Amniox’s Neox Wound Matrix and Clarix Regenerative Matrix product lines. Continue reading

Understanding Hypotonia

Diagnostic challenges should not delay clinical intervention – Hypotonia, or abnormally low muscle tone, is by itself not a disorder but a symptom of an enormous array of issues—many of which can be difficult to diagnose accurately.

By Christina Hall Nettles Continue reading

Gait: The Cornerstone of Intervention

Quantifying the effects of hypotonia starts in the clinic – Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when discussing the effects of hypotonia on gait in pediatric patients, partly because they trust that experience…

By Cary Groner Continue reading

The Importance of Gross Motor Skills

Early intervention can help provide a solid foundation – Many kids with Down syndrome, autism, and other neurological conditions may experience biomechanical limitations in the form of delayed development of gross motor skills. One of the drivers of that delay can be hypotonia.

By Shalmali Pal Continue reading

Orthotic Solutions for Children with Hypotonia

New research underscores years of positive clinical results – When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to document the effectiveness that clinicians have been reporting anecdotally for years.

By Cary Groner Continue reading

An unexpected path, an invaluable perspective

For this family, one tiny extra chromosome led to a journey of self discovery – When our son was born, we prayed for a healthy baby with 10 fingers and 10 toes. Our prayers were answered. Three years later, those same prayers were said for baby number two. And, once again, our prayers were answered.

By Suzi Klimek Continue reading

Orthotic success stories: Four cases in a series

Each child in this case series was assessed every other week for 16 weeks (12 weeks for one patient who moved out of state) to determine mastery of items 23, 26-28, 30-39, 41, 42, and 45 (ranging from “pull to stand” to “run”) on the Peabody Developmental Motor Scale. Test instructions were modified as needed for children to understand them …

By Megan Smith, CO Continue reading

Prevention of ACL injuries targets youngest athletes

Some evidence suggests that neuromuscular training before puberty can help further reduce anterior cruciate ligament (ACL) injury rates. But young children respond differently to instruction than their older counterparts, which means early intervention requires some creativity.

By P.K. Daniel Continue reading

Outcome studies continue to support Ponseti method

Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most cases. But variations to the traditional Ponseti method are arising, particularly in developing countries, and may alter outcomes.

By Larry Hand Continue reading

APMA announces 2013 abstract awards

The American Podiatric Medical Association (APMA) announced the winners of its 2013 APMA Annual Scientific Meeting Abstract Competition on July 24 at its annual meeting, held in Las Vegas. APMA presented awards to first-, second-, and third-place winners in five … Continue reading

UNO opens $6M biomechanics building

The University of Nebraska at Omaha (UNO) will hold the official ribbon-cutting ceremony for its new $6-million biomechanics research facility on September 5 during the annual meeting of the American Society of Biomechanics. The 23,000-square-foot building houses research efforts led … Continue reading

Toenail topical shows efficacy in trials

A topical antifungal manufactured by Palo Alto, CA-based Ancor Pharmaceuticals clears nails and fungal infection in people with onychomycosis, according to data presented in July at the 2013 American Podiatric Medical Association Annual Scientific Meeting held in Las Vegas. Max … Continue reading

FDA clears Empi Phoenix stimulator

The Empi Phoenix, a neuromuscular electrical stimulator designed to supplement physical therapy before or after surgery for total knee replacement or anterior cruciate ligament repair, has received 510(k) clearance from the Food and Drug Administration, according to a July statement … Continue reading

Center expands sports injury surveillance

The Datalys Center for Sports Injury Research and Prevention in Indianapolis announced in July that its data collection is expanding beyond college sports to include national youth, high school, and amateur sports programs. The National Collegiate Athletic Association (NCAA), the … Continue reading

EPA endorses socks’ fungicidal effects

The Environmental Protection Agency granted public health claim approval in July to Richmond, VA-based Cupron for the antifungal properties of its new copper-infused diabetic socks. The PRO Therapy System socks kill 99.9% of Trichophyton mentagrophytes (athlete’s foot fungus) after 12 … Continue reading

Motion lab targets assistive technology

Cleveland State University (CSU) opened the doors in July to its new Parker Hannifin Motion and Control Lab, where the research focus is assistive technology. Lab scientists are working on computerized “smart” prosthetic limbs that react like natural limbs and … Continue reading

Orthocare Innovations wins tech honor

R&D Magazine highlighted its picks for the year’s best technology in July, naming Oklahoma City-based Orthocare Innovations’ microprocessor foot-ankle system to its list of the 100 most technologically significant products introduced in the last year. Other winners of this year’s … Continue reading

VA verifies DM Systems’ vet-owner status

Vetbiz.gov, an arm of the US Department of Veterans Affairs (VA), certified Evanston, IL-based DM Systems in July as a veteran-owned small business. DM Systems president and owner Denis Drennan, MD, is a Vietnam veteran who won the Bronze Star … Continue reading

Midwest O&P chapter makes donation

The Midwest Chapter of the American Academy of Orthotists and Prosthetists made its annual donation in July to the Orthotic & Prosthetic Activities Foundation’s Dale Yasukawa Scholarship. The $1000 donation will help sustain the scholarship of an O&P student at … Continue reading

Aqualeg opens its first facility in the US

European company Aqualeg opened its first US facility on July 30 in Rock Hill, SC, naming Michael Burton general manager. The company, based in Nantes, France, is scheduled to introduce its hybrid cover that can be adapted to compatible existing … Continue reading

Delcam succeeds with US-based forum

Delcam’s 2013 Orthotics Technology Forum, held in the US for the first time in May at the Georgia Institute of Technology in Atlanta, showcased new and upcoming technologies and processes designed to assist practitioners in the prescription, design, and manufacture … Continue reading

ComfortFit updates online ordering

Roselle, NJ-based ComfortFit Orthotics has added new online ordering capabilities. Customers can now view complete information on all new orders as well as three years of account history, order noncustom products online, and query lab staff about orders, products, materials, … Continue reading

PEL announces new owners, retirements

Cleveland, OH-based PEL Supply Company announced on August 1 that the company has been purchased by PEL LLC, a private organization led by Michael A. Sotak, who also assumes the positions of president and CEO. Sotak spent the past six … Continue reading

Orthofeet launches shoe line at APMA

Northvale, NJ-based Orthofeet partnered with former National Football League quarterback Randall Cunningham to introduce its latest footwear collection at this year’s annual meeting of the American Podiatric Medical Association (APMA), held in Las Vegas in late July. The Performance collection … Continue reading

Market Mechanics: APMA Round-up

Evidence supports foot care products
Companies from across the foot care spectrum got a boost from research presented in July at the annual meeting of the American Podiatric Medical Association in Toronto. Continue reading

Products


JMS Swiftwick Compression Socks

JMS Plastics Supply now offers a line of advanced compression socks to minimize the perspiration that builds up in prosthetic liners. The new Swiftwick Valor Compression Socks use a patented bonding process to deliver the natural antiodor and antifungal benefits … Continue reading

I-Runner Pro Athletic Shoes

I-Runner Shoes announces the addition of two new Medicare-approved athletic shoes, both with highly slip-resistant outsoles. The I-Runner Pro models are all black, one in mesh and the other leather. They feature a deep, wide… Continue reading

DVS-Dynamic Vacuum System

Ottobock has released the DVS-Dynamic Vacuum, a socket technology solution for transtibial amputees.  Integrating innovative design with simplicity, the DVS system reduces the movement between the limb and socket that is associated with… Continue reading

iTOM-CAT Scanning System

SOLO Laboratories is proud to release the iTOM-CAT, a new innovation in 3D scanning technology. Portability and ease of transport make this iPad-based scanner system a convenient option for clinicians who work out of multiple locations or… Continue reading

Run 2.0 Women’s Sock

Injinji is a sock company dedicated to the health and performance of feet. The company now introduces the Women’s Run 2.0 sock. The Women’s Specific Run 2.0 features material with increased two-way stretch to provide better… Continue reading

Plantar Fasciitis Sleeve

Three of the most commonly prescribed methods for plantar fasciitis relief include taping, stretching, and compression therapy. The new Nice Stretch Plantar Fasciitis Sleeve from Brownmed combines all three treatment protocols into one unique sleeve that is comfortable enough to wear all day. Continue reading

BigShot/BigShot Lite

A growing child means eventually outgrowing the original SureStep SMO. The BigShot and BigShot Lite are the perfect solutions for older children who still need the stability of SureStep. Continue reading

Restiffic RLS Therapy

New from medi USA is Restiffic, a drug-free treatment for restless leg syndrome (RLS). Restiffic is a foot wrap that provides gentle, relaxing pressure on the abductor hallucis and flexor hallucis brevis muscles, which helps reduce uncontrollable… Continue reading

Orthotic Solutions for Children with Hypotonia

New research underscores years of positive clinical results – When it comes to orthotic management of pediatric patients with hypotonia, the medical literature is only beginning to document the effectiveness that clinicians have been reporting anecdotally for years.

By Cary Groner Continue reading

RX24 Quadrastep System

The RX24 Quadrastep system is a biomechanically tailored approach to ready-to-wear orthosis prescription that is designed to yield custom-quality results. Inventor Roberta Nole, MA, PT, CPed,  has created a patented clinical algorithm that identifies and categorizes a patient’s feet into … Continue reading

Quadrastep Now In New Sizes

Nolaro24 proudly introduces two new sizes of its Quadrastep System custom-to-foot-type prefabricated foot orthosis line. The product line now fits up to men’s size 14 in C Quad orthoses for neutral feet and D Quad ortho­ses for… Continue reading

Orthofeet Breathable Shoes

Orthofeet is introducing innovative Women’s shoes that combine chic design with stretchy fit in the forefoot. The shoes feature unique Double Fastening Strap System that allows fastening on either side of the shoe, as well as easy adjustment of the … Continue reading

Shoes/Sandals

SureStep shoes have been custom designed specifically for children who wear orthoses. Their wider, deeper heel, toe box and instep allow for adequate room and a comfortable fit. The unique tread promotes intrinsic movement and flexibility while a special “cut-line” allows for easy shoe modifications. Continue reading

Diabetic A5513 Custom Insert

Allied OSI Labs adds the Diabetic A5513 Custom Insert to its growing catalog of foot and ankle products. The Diabetic A5513 Custom Insert is designed to help prevent foot wounds that can lead to amputation in patients with diabetes. Continue reading

Earthwalk Sterling Collection Orthoses

The Sterling Collection from Earthwalk Orthotics combines alchemy and biomechanics, incorporating the healing properties of silver in the design to maximize performance. Every design feature was carefully selected for its unique contribution to the… Continue reading

Square Toe Post-Op Shoe

Powerstep’s new Square Toe Post-Op Shoe is designed to provide protection for the foot following surgery or trauma. A rigid heel counter and ankle strap hold the foot securely in place to control motion in the shoe. Continue reading

Coral Joint Supplement

Coral introduces Coral Joint & Collagen Support, a supplement engineered to help maintain bone health and joint flexibility. Ingredients include above-the-sea EcoSafe coral minerals and vitamins D3, K1, and… Continue reading

DiabeticDefense Topical Products

The PediFix Footcare Company introduces its DiabeticDefense line of topical products for diabetic footcare. These formulas help patients with diabetes care for their feet to minimize dry, rough, cracked skin; wash away fungus and bacteria; and help prevent skin breakdown. … Continue reading

Childhood obesity and OA: Can early care reduce risk?

Osteoarthritis (OA) risk factors and symptoms seen in adults have been found in obese kids, who often have musculoskeletal pain. Weight loss may help, but preventing OA may also require gait and exercise interventions, particularly those that reduce pain that leads to inactivity.

By Erin Boutwell Continue reading

Gait: The Cornerstone of Intervention

Quantifying the effects of hypotonia starts in the clinic – Effective management of children with hypotonia requires an understanding of how the condition affects gait. Clinicians typically rely on their professional experience when discussing the effects of hypotonia on gait in pediatric patients, partly because they trust that experience…

By Cary Groner Continue reading

KiddieROCKER Pediatric AFO

Allard USA announces KiddieROCKER, the newest addition to the ToeOFF family of products, for children with more involved pathologies. KiddieROCKER supports the foot-ankle complex while facilitating a more normal range of motion during the developmental years, as well as increased … Continue reading

AFX Pro and New AFX

Progressive Health Innovations has rebranded its AFX ankle foot maximizer as the AFX Pro and launched a new AFX product. The two products feature many of the same benefits. With four levels of resistance, the AFX Pro (suggested retail price … Continue reading

Comfort Air Stabilizer Gauntlet

New from CyberKinetics is the Comfort Air Stabilizer Gauntlet, with special breathability features to maximize patient comfort and improve compliance without sacrificing support, control, or function. The defining characteristic of the… Continue reading

LIMP from G&W

G&W Heel Lift launches the first leg inequality measurement pad. The easy-to-use Leg Inequality Measurement Pad is eight layers of tinted vinyl, each 3 mm thick, for a total of 24 mm or approximately one inch. The layers are easily … Continue reading

Heel Lift Ankle Sock

G&W Heel Lift now offers the Heel Lift Ankle Sock. This new ankle sock has a therapy pocket concealed inside the sock to hold heel lifts for secure placement while wearing sandals or flip-flops. Because the sock does not cover… Continue reading

Levy and Rappel LevyAFO 9.0

Levy and Rappel is committed to providing practitioners with choices. The LevyAFO 9.0 offers four levels of support, seven color options and a choice of closure at any height. The standard 1” padded collar provides maximum comfort.

Continue reading

Robotic ankle training for CP transitions from lab to clinic

A robotic system developed at the Rehabilitation Institute of Chicago (RIC), previously shown to have efficacy in a research lab setting, is also effective when used in a physical therapy clinic for ankle training in children with…

By Hank Black Continue reading

ThermoTecc Heat Moldable Foot Device System

“Poly Gel® is committed to bringing the most scientifically and technologically advanced products to market.” says Peter Bickel, Vice President of Sales & Marketing. “The new ThermoTecc™ heat moldable foot device system is only one of a multitude of innovations on the horizon.”

Continue reading

Elite Ortho Knee Braces

New from Elite Orthopaedics are three knee braces: the Range of Motion Hinged Knee Wrap, the Post Operative Range of Motion Knee Brace Light, and the Post Operative Range of Motion Knee Brace Standard. Continue reading

Book for Patients With Chronic Pain

Patients with complex regional pain syndrome (CRPS) now have a new tool to begin a path to recovery. Why Are My Nerves So Sensitive? is written by three physical therapists affiliated with the International Spine & Pain Institute… Continue reading

Arcopedico Cork Sandals

Arcopedico USA takes a refreshing look at women’s comfort footwear with its cork sandals. The sandals feature bright hues, flirty wedges, leather and knit straps, anti-slip thermal rubber, and lightweight soles made… Continue reading

Comfortmaxx Orthoses

New from Footmaxx is the Comfortmaxx hand-crafted custom orthosis line featuring 100% merino wool and designed with comfort in mind. Merino wool helps keep feet warm in cold months and cool in hot months… Continue reading

Gait analysis for clubfoot may reveal long-term issues

Surgery more likely to alter gait – Children treated for idiopathic clubfoot by age 2 years may experience subtle changes in gait by the time they are aged 5 years, and nonoperative treatment may confer more normal movement than surgery, according to a recent study.

By Larry Hand Continue reading

The Importance of Gross Motor Skills

Early intervention can help provide a solid foundation – Many kids with Down syndrome, autism, and other neurological conditions may experience biomechanical limitations in the form of delayed development of gross motor skills. One of the drivers of that delay can be hypotonia.

By Shalmali Pal Continue reading

Ironman Insoles

Spenco introduces new Ironman insoles, specifically engineered to help endurance athletes conquer challenges. Available in Ironman Race and Ironman Train configurations, the insoles offer a combination of cushioning… Continue reading

Criss Crossers & De-Rotation Straps

The first and only device developed to discourage w-sitting, Criss Crossers use a unique audio cue to remind children to change their position. Continue reading

Soft Opaque Hose in Pecan

Sigvaris’s Soft Opaque hosiery line is created for women who want the look and feel of designer hosiery and the medical benefit of graduated compression. Now Soft Opaque garments come in a new pecan shade designed to look natural against the skin while helping to disguise varicose veins, spider veins, and bruising… Continue reading

Taller, heavier children have heightened Sever disease risk

Long-term pain warrants early ID – Children presenting with calcaneal apo­phy­sitis (Sever disease) are anthropometrically different from their peers and experience a lengthy period of pain, according to Australian study findings that underscore the importance of early intervention and…

By Katie Bell Continue reading

Purple Gel Foot Pads

Dr. Jill’s Foot Pads introduces Purple Gel Pads, distinctively colored to be more easily visible than a clear gel pad if accidentally dropped. Purple Gel Pads come in five shapes: ball foot cushions (in 1/8″ or 1/4″ thickness)… Continue reading

Outcome studies continue to support Ponseti method

Clubfoot researchers have begun to report long-term data that continue to solidify the superiority of the conservative method over surgical intervention in most cases. But variations to the traditional Ponseti method are arising, particularly in developing countries, and may alter outcomes.

By Larry Hand Continue reading

Defining Culture

“Enriching and transforming lives through compassionate care and innovation” is our company mission statement. As our focus is on the pediatric special needs population, it’s pretty easy to stay attentive to that mission. Continue reading

Synxsole Foot Orthoses

Designed by Australian podiatrists with more than 22 years of combined experience, Synxsole foot orthoses are slim, shock absorbing, and affordable. Synxsoles’ design delivers increased stability across the forefoot and midfoot… Continue reading

Indy 2 Stage

A uniquely designed orthosis developed to help children reach their potential. This exceptional “orthosis within an orthosis” allows for the SureStep SMO to be utilized independent of the AFO. Children can work through a variety of transitional skills without impeding normal muscle function. Continue reading

TLSO

The SureStep TLSO has redefined spinal management. The soft, flexible plastic serves well to create improved upright positioning, while still allowing for slight movement in all planes. Continue reading

Robotic gait training doesn’t wow young patients with CP

Kids, parents differ on ‘normal’ gait – Although physical therapists and parents often strive for attaining “normal” gait in children with neuromotor disorders, a new study from researchers at the University of Alberta in Edmonton, Canada, indicates that…

By Brigid Galloway Continue reading

Pro-Tec Orb Massage Ball

Pro-Tec Athletics introduces The Orb, a deep tissue massage ball. The Orb allows for a multidirectional roll for targeting specific lower extremity areas. The high-density device is designed to reduce muscle fatigue and tightness, promote flexibility, and enhance performance. The … Continue reading

Peg Assist Walker Insole

Darco International announces another addition to its popular Peg Assist Offloading Insole line of products, the new Peg Assist Walker Insole. The easy to use, off-the-shelf product quickly turns most standard walking boots into a more… Continue reading

Two-toned Quikiks

Quikiks Hands-Free Shoes are now available in new contemporary two-tone styles. Created in response to customer feedback, the new color combinations include a white and navy upper with a black outsole and an all-black leather… Continue reading

HEKO & HEKO PreFab

SureStep HEKO is the first and only pediatric hyper extension knee orthosis to incorporate a 4-axis knee hinge, for smooth, anatomically correct flexion and extension. This exceptional device provides localized control of the knee, preventing hyperextension, valgus and varus, while allowing full flexion and extension. With adjustable extension stops, the HEKO offers up to 30 degrees of adjustability. Continue reading

AF7 Ankle Bracing Sleeve

Sports medicine and performance brand OS1st has released the AF7 Ankle Bracing Sleeve. Like all the company’s technical bracing sleeves, the slip-on AF7 Ankle Bracing Sleeve features Compression Zone Technology for graduated… Continue reading

TurboToe Overshoe

The TurboToe safety overshoe is designed to protect the forefoot from accidental impact. The TurboToe is now available in a new XXS size with a purple toe cover, which fits North American men’s sizes 2-4 and women’s sizes… Continue reading

Tola System Now With Strap

The Tola neuromuscular release system now includes the Tola Strap, making it more effective and easier to use. The Tola Strap allows the user to relax the target muscles and apply pressure to hard-to-reach areas without assistance. The 8-ft adjustable … Continue reading

Components

SureStep HEKO Hinge, SureStep DA Hinge, SureStep Rivet Press, SureStep Free Motion Hinge & SureStep Dorsiflexion Assist Band Continue reading

OP-Tek Flex Materials

Curbell Plastics announces the availability of OP-Tek Flex materials—soft, flexible sheet materials designed to maximize patient comfort when used for prosthetic inner liners and orthotic inner boots. Curbell is the exclusive distributor for the… Continue reading

Early focus on gross motor skills may benefit children with autism

In children with autism spectrum disorder (ASD), lower fine and gross motor skills are associated with higher disease severity scores, according to new research that supports the concept of earlier motor skills intervention in this population.

By Shalmali Pal Continue reading

An unexpected path, an invaluable perspective

For this family, one tiny extra chromosome led to a journey of self discovery – When our son was born, we prayed for a healthy baby with 10 fingers and 10 toes. Our prayers were answered. Three years later, those same prayers were said for baby number two. And, once again, our prayers were answered.

By Suzi Klimek Continue reading

Understanding Hypotonia

Diagnostic challenges should not delay clinical intervention – Hypotonia, or abnormally low muscle tone, is by itself not a disorder but a symptom of an enormous array of issues—many of which can be difficult to diagnose accurately.

By Christina Hall Nettles Continue reading

Advanced Casting Technology Sandals

Advanced Casting Technology offers more than thirty of the most popular styles and colors of Birkenstock® sandals and clogs with new models being added each season.

Continue reading

New Langer PPT Foams

Langer Biomechanics introduces its new, advanced line of PPT engineered foams, designed to provide practitioners with tools for protecting patients. PPT is versatile, comfortable, durable, and its ability to absorb rapid repetitious shock (attenuation) is almost twice that of other … Continue reading

Orthoflex Thermoplastic

Orthoflex, new from Allied O&P Supply, is a flexible, formable thermoplastic material designed for below-knee socket liners, above-knee socket liners, ankle foot orthosis cushioning, inner booties, shock absorption… Continue reading

BMI does not drop after surgical realignment for Blount disease

Surgical correction of the varus alignment that is characteristic of Blount disease does not lead to greater patient activity or reduction in body mass index (BMI), according to a recent study.

By Hank Black Continue reading

Growing pains: Adapting O&P devices to maturing patients

Accommodating growth without compromising fit and function is a challenge for practitioners who prescribe orthotic devices for young patients. Adjustments and add-ons—as well as educating parents about expected changes—can make for smoother transitions.

By Shalmali Pal Continue reading

Dynamic Walk

The Dynamic Walk Orthosis is a new dorsiflexion assist AFO constructed of thermomoldable carbon fiber composite. Utilizing high-fatigue life PEEK rods bilaterally as the flexing members, the Dynamic Walk provides substantial dorsi-assist with subtalar inversion and eversion control.  The open … Continue reading

Impacto Ergo Mates

Among the newest additions to the Impacto Protective Products foot protection line are Ergo Mates. Ergo Mates are designed to reduce fatigue, pain, and discomfort when walking or standing for long periods. Continue reading

Medi USA PT Control

Medi USA LP Launches PT® Control Whitsett, NC, May 20, 2009. Medi USA receives favorable Medicare reimbursement for the PT® Control, which is a knee brace designed to ease the pain and aid in the rehabilitation of patients suffering from … Continue reading

Queen Cobra Foot Orthosis

Footmaxx introduces the new Queen Cobra Orthotic, a cobra-cut custom foot orthosis designed to fit in the slimmest, tightest-fitting shoes. Handcrafted, Queen Cobra is a sulcus-length orthotic device with a vinyl top cover… Continue reading

PullOver & Advanced

The SureStep PullOver is an amazing tool that not only facilitates improved stability of the foot and ankle complex using a SureStep SMO, but it is also the only SMO that incorporates a true dorsiflexion assist through the use of a removable proximal strut. Continue reading

Clima-Flex OA Knee Brace

DJO Global has launched the Clima-Flex OA Knee Brace from DonJoy. The Clima-Flex OA Knee Brace is designed to offer a new level of comfortable cooling relief through compression and offloading for patients with mild to moderate… Continue reading

SureStep SMO

The SureStep SMO remains the most advanced method of controlling excessive pronation and providing stability to the hypotonic population. Suitable for patients up to 80 lbs. Continue reading

Pro Taco Ankle Device

Topical Gear, a company that designs protective gear for female athletes, has released the Pro Taco. A taco-shaped buttress applies topical pressure to the anterior talofibular and calcaneofibular ligaments and two foam buttresses apply pressure to the neuroreceptors in the … Continue reading

Turbomed FS3000 External AFO

Turbomed Orthotics offers the FS3000 external foot drop brace. The FS3000 brace is a custom-built modular AFO (ankle foot orthosis) made from highly durable thermoplastic. The device attaches to the outside of a patient’s footwear and… Continue reading

Prevention of ACL injuries targets youngest athletes

Some evidence suggests that neuromuscular training before puberty can help further reduce anterior cruciate ligament (ACL) injury rates. But young children respond differently to instruction than their older counterparts, which means early intervention requires some creativity.

By P.K. Daniel Continue reading

EVO Quatro Ankle Stabilizer

The new EVO Quatro Ankle Stabilizer from Med Spec is a low-profile version of the EVO Ankle Stabilizer. The Quatro’s boot design has been modified to reduce the coverage around the midfoot and allow for… Continue reading

Orthotic success stories: Four cases in a series

Each child in this case series was assessed every other week for 16 weeks (12 weeks for one patient who moved out of state) to determine mastery of items 23, 26-28, 30-39, 41, 42, and 45 (ranging from “pull to stand” to “run”) on the Peabody Developmental Motor Scale. Test instructions were modified as needed for children to understand them …

By Megan Smith, CO Continue reading