August 2012

Cover Story


SureStepSMO-feat
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-feat
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

Indy2Stage-feat
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

PulloverAdvanced-feat
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-feat
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-feat
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-feat
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-feat2
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

rivet-press
Components

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

bernie2
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 training device setup. (Reprinted with permission from Sukal-Moulton T, Clancy, T, Zhang LQ, Gaebler- Spira D. Clinical application of a robotic ankle training program for cerebral palsy compared to the research lab- oratory application: Does it translate to practice? Arch Phys Med Rehabil 2014 May 1. [Epub ahead of print])
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

8PEDS-autism-Madi-Y-buckets-1-thumb
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

8PEDS-Blount-During-1-thumb
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

feature-knee
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-hyp-main2
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-main
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

gms-main
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

orthotics-main
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

julia
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

case-study-Jeremiah-pics
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

8PEDS-ACL-iStock5897024-copy
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

Atom-and-teddy-thumb
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

feature-cover
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

falls-feature
Can AFOs help prevent falls?

Studies suggest that ankle foot orthoses can improve balance in some individuals, so it might seem logical that they would also help prevent falls. But the medical literature has yet to reveal a direct con­nection between AFOs and falls risk, and as a result the issue has become a mag­net for debate.

By Cary Groner

Continue reading

Editor Message


SureStepSMO-feat
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-feat
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

Indy2Stage-feat
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

PulloverAdvanced-feat
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-feat
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-feat
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-feat
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-feat2
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

rivet-press
Components

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

bernie2
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 training device setup. (Reprinted with permission from Sukal-Moulton T, Clancy, T, Zhang LQ, Gaebler- Spira D. Clinical application of a robotic ankle training program for cerebral palsy compared to the research lab- oratory application: Does it translate to practice? Arch Phys Med Rehabil 2014 May 1. [Epub ahead of print])
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

8PEDS-autism-Madi-Y-buckets-1-thumb
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

8PEDS-Blount-During-1-thumb
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-hyp-main2
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

1Limb-Jordana-nolabel
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-main
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

gms-main
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

orthotics-main
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

julia
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

case-study-Jeremiah-pics
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

8PEDS-ACL-iStock5897024-copy
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

Atom-and-teddy-thumb
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

Jordana
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

Jordana
Out on a limb: Olympic inspiration

Images from the London Olympics were everywhere in late July and early August—on our televisions, our radios, our computer screens, and our smart phones. Flags were flown, national anthems played, and countries ranked by medal count. In so many ways, the Olympics are about the achievements of individual nations. But a closer look reveals a more complex picture.

Jordana Bieze Foster, Editor

Continue reading

Special Report


CONFERENCE COVERAGE: Orthotics Technology Forum 2012

Click image to download PDF (4mb)

Orthotic laboratory managers, CAD-CAM technology experts, and lower extremity practitioners convened in Manchester, UK, in July to share ideas and experiences related to the automated design and manufacture of foot orthotic devices.

By Jordana Bieze Foster

Sponsored by an educational grant from…


SureStepSMO-feat
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-feat
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

Indy2Stage-feat
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

PulloverAdvanced-feat
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-feat
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-feat
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-feat
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-feat2
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

rivet-press
Components

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

bernie2
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 training device setup. (Reprinted with permission from Sukal-Moulton T, Clancy, T, Zhang LQ, Gaebler- Spira D. Clinical application of a robotic ankle training program for cerebral palsy compared to the research lab- oratory application: Does it translate to practice? Arch Phys Med Rehabil 2014 May 1. [Epub ahead of print])
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

8PEDS-autism-Madi-Y-buckets-1-thumb
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

8PEDS-Blount-During-1-thumb
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-hyp-main2
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-main
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

gms-main
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

orthotics-main
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

julia
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

case-study-Jeremiah-pics
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

8PEDS-ACL-iStock5897024-copy
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

Atom-and-teddy-thumb
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

conf-coverage-feature
Future of Orthotic Design will focus on practitioners

Foot orthotic laboratories have long been the principal players in the computer aided design and computer aided manufacturing (CAD-CAM) of foot orthoses. But practitioners are gradually starting to play a bigger role in the process—a development that dramatically enhances the potential for clinical creativity but also introduces an extra element of uncertainty.

Continue reading

OPTIMIZING ORTHOTIC MILLING

Computer aided manufacturing is anything but a one-size-fits-all proposition. Customers have a range of variables to choose from, and making the right decision in most cases depends on knowing what type of orthotic material the machine will be asked to handle.

Continue reading

High-tech heel pad tissue analysis: Orthotic implications

The use of technology to improve orthotic design is not limited to CAD-CAM applications, as demonstrated by University of Salford researchers in two presentations at the Orthotics Technology Forum.

Continue reading

Digital design of an internal lattice structure for orthotic additive manufacturing. (Photo courtesy of Chris Lewis Jones/Delcam.)
Additive manufacturing inches toward prime time

The fledgling field of additive manufacturing is still somewhat fragmented, as evidenced by the fact that the same technology can be described as rapid prototyping or 3D printing. But additive manufacturing’s profile is definitely on the rise, and its advocates are optimistic that lower extremity clinical applications are right around the corner.

Continue reading

Departments


SureStepSMO-feat
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-feat
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

Indy2Stage-feat
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

PulloverAdvanced-feat
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-feat
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-feat
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-feat
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-feat2
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

rivet-press
Components

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

bernie2
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 training device setup. (Reprinted with permission from Sukal-Moulton T, Clancy, T, Zhang LQ, Gaebler- Spira D. Clinical application of a robotic ankle training program for cerebral palsy compared to the research lab- oratory application: Does it translate to practice? Arch Phys Med Rehabil 2014 May 1. [Epub ahead of print])
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

8PEDS-autism-Madi-Y-buckets-1-thumb
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

8PEDS-Blount-During-1-thumb
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-hyp-main2
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

9_FA_patient_persp
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-main
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

gms-main
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

orthotics-main
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

julia
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

case-study-Jeremiah-pics
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

feature-afo
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

feature-achilles
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

feature-orthosis
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

feature-footwear
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

feature-athlete
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

8PEDS-ACL-iStock5897024-copy
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

Atom-and-teddy-thumb
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

feature-afo
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

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feature-OA
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

Figure 1: Toe-in gait has been shown to reduce knee pain and improve knee function for indi- viduals with knee osteoarthritis after six weeks of training.9
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

feature-diabetes
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

feature-gait
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

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prosthetic-feature
Load cells enhance study of prosthetic foot rollover

A new technology, the load cell, can be used to assess rollover characteristics of prosthetic feet in a variety of walking envi­ronments. Load cell analysis can help identify premature foot-flat and dead spots and determine the effects of energy stor­age and return designs on amputee gait.

By Edward S. Neumann, PhD, PE, CP, FAAOP; Justin Brink, MSE, EI; Kartheek Yalamanchili, MSE, EI; and Joon S. Lee, PhD

Continue reading

toewalking-feature
Idiopathic toe walking: Insights on intervention

As researchers explore the possibility that idiopathic toe walking has an underlying neurologic cause, clinicians continue to refine treatment strategies to keep ITW patients off their toes. Orthotic devices play a key role, with lower-profile devices growing in popularity.

By Emily Delzell

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gait-feature
Gait alterations associated with diabetic neuropathy

Inconsistent findings from laboratory stud­­ies have made it difficult to deter­mine which gait alterations are specific to diabetic peripheral neuropathy and which also affect diabetic patients with­out neuropathy. Body-worn sensor tech­nol­ogy may help clarify the distinctions.

By Tahir Khan, DPM, and Ron Guberman, DPM, DABPS

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stretching-feature2
Acute stretching debate approaches a consensus

Experts still disagree about whether stretch­­ing prior to athletic activity can prevent injury and, if so, whether those ben­e­fits offset any negative performance effects. But they do tend to agree that some form of stretching is probably a good idea for most athletes.

By Cary Groner

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bracing-feature
OA bracing: Longer use does not impair strength

Dose-response research refutes the com­mon perception that increasing brace wear time leads to muscle atrophy in patients with knee osteoarthritis. In fact, longer bracing duration appears to im­prove hamstring strength as well as in­creas­ing patients’ physical activity levels.

By Cheryl L. Hubley-Kozey, PhD, and Gillian Hatfield Murdock, PT, MSc

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News


In the Moment: Footcare

By Emily Delzell

SureStepSMO-feat
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-feat
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

Indy2Stage-feat
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

PulloverAdvanced-feat
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-feat
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-feat
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-feat
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-feat2
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

rivet-press
Components

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

bernie2
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 training device setup. (Reprinted with permission from Sukal-Moulton T, Clancy, T, Zhang LQ, Gaebler- Spira D. Clinical application of a robotic ankle training program for cerebral palsy compared to the research lab- oratory application: Does it translate to practice? Arch Phys Med Rehabil 2014 May 1. [Epub ahead of print])
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

8PEDS-autism-Madi-Y-buckets-1-thumb
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

8PEDS-Blount-During-1-thumb
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-hyp-main2
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

Photos courtesy of Edward Dolegowski, PT.
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-main
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

gms-main
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

orthotics-main
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

julia
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

case-study-Jeremiah-pics
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

8PEDS-ACL-iStock5897024-copy
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

Atom-and-teddy-thumb
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

wykres_09_outl
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

Photo courtesy of the University of Iowa.
Clubfoot conversion: Nearly all surgeons adopt Ponseti method

The shift away from aggressive surgery to correct clubfoot in now all but complete, according to research published in July in the Journal of Pediatric Orthopaedics (JPO). The study shows the Ponseti me­thod is now the treatment of choice for the vast majority of practitioners and that increased understanding of the technique has resulted in better outcomes.

Continue reading

Selective plantar fascia release assists healing of recalcitrant forefoot ulcers

Korean surgeons have developed an alternative to Achilles tendon lengthening for reducing plantar pressure and promoting wound healing in patients with diabetic foot ulcers.

Continue reading

Study finds noise-enhanced insoles reduce gait variability in older adults

A subsensory level of mechanical noise delivered directly to the foot soles of healthy older adults during walking has the potential to normalize gait variability and possibly reduce the risk of falls, according to research published in July in Gait & Posture.

Continue reading

Market Mechanics


SureStepSMO-feat
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-feat
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

Indy2Stage-feat
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

PulloverAdvanced-feat
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-feat
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-feat
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-feat
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-feat2
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

rivet-press
Components

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

bernie2
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 training device setup. (Reprinted with permission from Sukal-Moulton T, Clancy, T, Zhang LQ, Gaebler- Spira D. Clinical application of a robotic ankle training program for cerebral palsy compared to the research lab- oratory application: Does it translate to practice? Arch Phys Med Rehabil 2014 May 1. [Epub ahead of print])
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

8PEDS-autism-Madi-Y-buckets-1-thumb
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

8PEDS-Blount-During-1-thumb
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-hyp-main2
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-main
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

gms-main
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

orthotics-main
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

julia
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

case-study-Jeremiah-pics
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

8PEDS-ACL-iStock5897024-copy
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

Atom-and-teddy-thumb
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

US sprinter will debut prosthetic running foot at Paralympic games

US Paralympic track and field athlete Richard Browne will compete in the London games wearing Freedom Innovations’ Catapult Running Foot, a high-tech prosthetic designed to maximize energy return. Browne is slated to compete in the 100-m dash and the high … Continue reading

DJO Surgical inks deal with researchers to develop osseointegrated prosthesis

San Diego-based DJO Global’s surgical business unit signed a deal in July with the University of Utah, Salt Lake City, to develop an alternative to traditional socket technology, a percutaneous osseointegrated prosthesis (POP) for above the knee amputees. The POP … Continue reading

Napa Valley hosts foot pathology event

Napa, CA-based ProLab Orthotics and the College of Podiatric Medicine, Western University of Health Sciences, Pomona, CA, will hold “Solutions to Foot Pathology” in the Napa Valley  October 19-21. During the seminar, which coincides with the annual grape harvest, faculty … Continue reading

Superfeet opens UK operations center

Ferndale, WA-based Superfeet Worldwide assumed direct responsibility in July for all its European distribution through a new operations center in Edinburgh, Scotland. Superfeet will also begin distributing its products and systems directly to retailers in the UK and Ireland. The … Continue reading

Gait and foot function seminars scheduled

Boston-based Tekscan is slated to host three gait and foot function analysis seminars this fall on plantar pressure mapping technology. Seminars are scheduled for September 15-16, Washington DC; October 13-14, Fort Worth, TX; and November 17-18, Toron­to, Canada. For more … Continue reading

Texas podiatric foundation awards grants

Commerce City, CO-based Mile High Orthotics Lab helped fund the first annual scholarship grants awarded June 30 by the Texas Podiatric Medical Foundation at its state meeting in Galveston. The recipients of the grants, which were open to Texas residents … Continue reading

i-FAB-PG publishes consensus on PMD

An international scientific group has published its final consensus document on plantar pressure measurement devices. The Pedobarographic Group of the International Foot and Ankle Biomechanics (i-FAB-PG) released the paper in July, presenting the group’s consensus on the definition and standardization … Continue reading

Pennsylvania sets licensure standards

In July Pennsylvania Gov. Tom Corbett approved HB 48, which amends the Pennsylvania Medical Practices Act of 1985 to provide for licensure of prosthetists, orthotists, pedorthists, and orthotic fitters. The new law sets standards of professional conduct and requires practitioners … Continue reading

Products


julia
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

products-medspec
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

SureStepSMO-feat
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

alice-alan
Alice Alan Fall Collection

Alice Alan Shoes’ Fall Collection is designed to bring together comfort, style, and fit in ready-to-wear women’s dress shoes that feature a removable orthotic to minimize the stress of wearing heels. Handcrafted in New York City, each pair is made … Continue reading

pedcat
pedCAT Imaging System

Foot and ankle specialists can now get a 3D, physiological weight-bearing image with the pedCAT diagnostic imaging device from CurveBeam. The compact pedCAT system uses cone beam computed tomography to produce undistorted, unobstructed images of the foot and ankle. It … Continue reading

PulloverAdvanced-feat
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

Zenvisibles
Zenvisibles Seamless Liners

Foot Zen by Doctor Specified introduces Zenvisibles—a no-show liner product designed for people who don’t want to wear socks with loafers or pumps but want to avoid the negative consequences of perspiration that can result from not wearing socks. Zenvisibles … Continue reading

products-topical
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

kevin-orthotics
G Brace Gauntlet

Kevin Orthotics announces the release of the Free Motion G Brace (G200) AFO. The custom-molded leather gauntlet orthosis is designed to stabilize the subtalar, talocalcaneal, and midtarsal joints. The absence of a vamp facilitates fitting into patients’ shoes. The articulating … Continue reading

afo-combo
AFO-Footwear Combo Device

Buffalo Brace and Jerry Miller Shoes introduce an ankle foot orthosis built right into a custom-molded shoe. The AFO component features a padded collar, thermal molded polypro­pylene frame, and custom removable inserts. The shoe component features include an elongated opening, … Continue reading

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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

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New Injinji Toesocks

Injinji offers two new performance socks. Performance Midweight Toesocks, Injinji’s most padded toesock, are engineered for sensitive feet and individuals who prefer maximum cushioning. The padded toesocks offer light compression for a snug fit and a honeycomb design for optimal … Continue reading

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Components

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

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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

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SportX Odor Eliminator

On the heels of last year’s launch of its Ever-Safe sock line, Ever-Safe now offers a safe and permanent odor eliminator to help keep those socks smelling fresh. SportX technology doesn’t just mask unwanted odors, it inhibits growth of the … Continue reading

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Comfort Shoes With Cork

Arcopedico has unveiled a new line of handmade comfort shoes, featuring two recognized styles now with stretch uppers made from Portuguese cork. Springy, light, flexible, sustainable, and water-resistant, cork is a natural fit for the company’s comfort shoe construction. The … Continue reading

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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

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Boost Compression Socks

Total Vein Systems, a Houston-based medical supply company, recently introduced Boost, its new line of Athletic Compression Therapy. Boost socks are designed to increase blood circulation and enhance oxygen delivery to working and recovering muscles to acceler­ate recuperation and reduce … Continue reading

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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littleSteps Gait Plate

Introducing the littleSteps Gait Plate for children, a semirigid prefabricated orthosis designed to limit in-toeing gait caused by rotational deformities of the lower limb and to address any associated overpronation. The semirigid shell extends laterally beyond the fourth and fifth … Continue reading

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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

Robotic training device setup. (Reprinted with permission from Sukal-Moulton T, Clancy, T, Zhang LQ, Gaebler- Spira D. Clinical application of a robotic ankle training program for cerebral palsy compared to the research lab- oratory application: Does it translate to practice? Arch Phys Med Rehabil 2014 May 1. [Epub ahead of print])
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

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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

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Milsport Heel Rest

Milsport Medical offers its Heel Rest, an ergonomic offloading open wound cavity device for heel pressure ulcers. The ergonomic calf pad fits the contours of the lower leg to completely float the heel and reduce pressure points. The Air-O-Tech low … Continue reading

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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

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Hames Air Brace

Hames Orthotech introduces the Hames Air Brace for treating plantar fasciitis and Achilles tendinitis. Designed to be worn in a shoe, the brace allows for heel pain treatment during ambulation. With each step, the heel is cushioned by a U-shaped … Continue reading