February 2010

Cover Story


3D PRINTING OF FOOT ORTHOSES: Clinical feasibility and cost-benefit analyses

Several technical issues currently limit the cost effectiveness of 3D-printing custom foot orthoses, but these will likely be addressed in the near future with the emergence of larger and faster 3D printers.

By Steven Hoeffner, PhD; Timothy Pruett; Breanne Przestrzelski, MS; Brian Kaluf, CP; Nikki Hooks, CO; Katelyn Ragland; Shannon Hall; Kyle Walker; Dan Ballard, CPed; and John DesJardins, PhD Continue reading

Multiple jumpers increase risk for ‘trampoline ankle’

Large forces can cause severe fractures: Multiple trampoline jumpers are a primary cause of “trampoline ankle,” according to a recent Canadian study, which also noted that, when two individuals are bouncing out of sync, they generate kinetic energy forces that produce a high-impact effect that can cause serious growth-plate injuries in children.

By P.K. Daniel Continue reading

Improving foot posture, balance in CMT may aid ankle stability

Early care advised for FAI prevention: Functional ankle instability (FAI) is a common problem in children and adolescents with Charcot-Marie-Tooth disease (CMT), according to Australian research that advises further study of interventions that target balance and normalize foot structure to evaluate whether they can help improve ankle stability in this population.

By Katie Bell Continue reading

Dynamic warm-up with balance, plyo work leads to safer landings

Helps protect ACL in both genders: A one-time neuromuscular training intervention designed to prevent anterior cruciate ligament (ACL) injury is more effective than a traditional warm-up for improving landing technique in youth athletes, according to a study that could help convince coaches and athletes to embrace such training programs.

By Chris Klingenberg  Continue reading

Mobility-enhancing care in CP helps strengthen bones

Cerebral palsy (CP) can decrease mobility, which is key to quality living. Children with CP and compromised mobility are at risk for low bone mineral density and fragility fractures, but physical therapy programs and orthoses can help kids be more active to build stronger bones.

By Hank Black Continue reading

Keeping kids in braces can prevent clubfoot relapse

More than a third of Ponseti-corrected clubfeet relapse and require additional treatment. Making a complete initial correction, ensuring optimal brace comfort, and  encouraging parental buy-in to bracing  over the long term reduces brace nonadherence, a major cause of recurrence.

By Barbara Boughton Continue reading

Texting while walking: Gait adaptations and injury implications

It’s not surprising that tactile interaction with a smartphone while walking can increase the risk of traumatic injury, but texting while walking also affects gait in ways that may ultimately have long-term effects.

By Shalmali Pal Continue reading

Koven, LEAP collaborate to save limbs

The Preventive Foot Care Centers of America, a managed care podiatry network administered by the Las Vegas-based Lower Extremity Amputation Prevention (LEAP) Alliance, announced on January 22 a collaborative amputation prevention effort with Koven Tech­nology, based in St. Louis, MO. Continue reading

Soft tissues may help determine response to Ponseti treatment

Children with idiopathic clubfoot who have relapses after treatment with the Ponseti method demonstrate different soft tissue abnormalities than children whose clubfoot is permanently corrected, according to research published in the August issue of the Journal of Bone & Joint Surgery.

By Erin Boutwell Continue reading

Study questions utility of adult balance test in concussed kids

With head trauma becoming increasingly worrisome in sports these days, a significant concern is whether the same protocols for clearing an athlete to return to sports should be used in both adults and children. Research from Cincinnati Children’s Hospital Medical Center suggests that the…

By Chris Klingenberg Continue reading

Shoe flexibility influences gait characteristics in early walkers

A recent study published in the winter issue of Pediatric Physical Therapy found that children just learning to walk may have altered gait characteristics when wearing flexible shoes.

By Erin Boutwell Continue reading

Treating and preventing ankle sprains in children

High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore whether clinical approaches designed for adults will also be effective in their younger counterparts.

By P.K. Daniel Continue reading

Cerebral palsy and knee pain: management tips

Knee pain is common in children with CP, but given the many health challenges facing this patient population, knee symptoms may not be given high priority. Proper diagnosis and treatment of knee pain, however, can be key to maximizing a childʼs mobility and quality of life.

By Shalmali Pal Continue reading

High-intensity training: assessing injury risks

As increasing numbers of fitness enthusiasts embrace high-intensity training, reports of injuries have sparked a debate among clinicians about the benefits and risks associated with these programs.

By Cary Groner

Continue reading

Ponseti method surpasses surgery for long-term clubfoot outcomes

But both groups fall short of controls – Children treated for clubfoot with the Ponseti method have less pain and fewer gait impairments as adults than those treated with surgery, according to research from Shriners Hospital for Children in Chicago.

By Samantha Rosenblum

Continue reading

Ankle dorsiflexion patterns vary in Charcot-Marie-Tooth disease

Data support case-by-case approach – Gait patterns can vary significantly among young patients with Charcot-Marie-Tooth disease (CMT), and pathomechanics can vary even between limbs in one child, according to a recent study published in Gait & Posture.

By Larry Hand

Continue reading

Ankle weights improve walking in children with Down syndrome

Load may help engage plantar flexors – Adding an ankle load during treadmill walking significantly improves gait kinetics in children with Down syndrome (DS), possibly due to greater contributions from the ankle plantar flexors, according to a study from Georgia State University in Atlanta.

By Larry Hand

Continue reading

In youth athletes, repair after meniscal injury poses challenge

Obesity, gender affect tear complexity – Adolescents and children suffer more complex meniscus injuries that are often less repairable than previously reported, according to a study published in the December 2013 issue of the American Journal of Sports Medicine (AJSM).

By P.K. Daniel

Continue reading

TKA in obese patients: Weighing the risks vs the benefits

Total knee arthroplasty significantly improves functional outcomes in obese patients, but is also riskier than in normal-weight patients. As the number of obese patients with knee osteoarthritis continues to rise, clinicians are being challenged to find a balance between the risks and the benefits.

By Susan M. Odum, PhD, and Bryan D. Springer, MD

Continue reading

New flatfoot data rekindle debate over role of obesity

Australian researchers found no correlation between body mass index and prevalence of pediatric flatfoot, but used a different methodology than previous studies that reached an opposite conclusion. The conflicting results have revitalized the ongoing debate on this topic.

By Cary Groner

Continue reading

Strength training improves function in children with CP

Research suggests strength training can improve gait and function in children with cerebral palsy. But to be successful, experts say, the training needs to be part of a multifaceted rehabilitation program that accounts for more than the physical limitations imposed by the disease.

By Shalmali Pal

Continue reading

Over the Edge: Lower extremity injuries in figure skaters

Competitive figure skating today is much less about artistry and much more about athleticism than in years past. Training is longer and harder than ever, while the classic unforgiving skate boot design has remained essentially unchanged. And lower extremity injuries in skaters are on the rise.

By Nathan W. Saunders, MA, and Steven T. Devor, PhD, FACSM

Continue reading

Keys to compliance in O&P: Practitioners share their success stories

Perfect compliance is probably too much to hope for. But patient education, diligent follow-up, empathy and a little imagination can go a long way toward improving device wear rates and clinical outcomes.

By L.W. Barnes

Continue reading

Editor Message


Out on a limb: Her head’s in the game

It’s more difficult to assess the effects of head impacts in female lacrosse players than in their male counter­parts. But it’s no less important, particularly with regard to lower extremity injury prevention.

By Jordana Bieze Foster, Editor Continue reading

Multiple jumpers increase risk for ‘trampoline ankle’

Large forces can cause severe fractures: Multiple trampoline jumpers are a primary cause of “trampoline ankle,” according to a recent Canadian study, which also noted that, when two individuals are bouncing out of sync, they generate kinetic energy forces that produce a high-impact effect that can cause serious growth-plate injuries in children.

By P.K. Daniel Continue reading

Improving foot posture, balance in CMT may aid ankle stability

Early care advised for FAI prevention: Functional ankle instability (FAI) is a common problem in children and adolescents with Charcot-Marie-Tooth disease (CMT), according to Australian research that advises further study of interventions that target balance and normalize foot structure to evaluate whether they can help improve ankle stability in this population.

By Katie Bell Continue reading

Dynamic warm-up with balance, plyo work leads to safer landings

Helps protect ACL in both genders: A one-time neuromuscular training intervention designed to prevent anterior cruciate ligament (ACL) injury is more effective than a traditional warm-up for improving landing technique in youth athletes, according to a study that could help convince coaches and athletes to embrace such training programs.

By Chris Klingenberg  Continue reading

Mobility-enhancing care in CP helps strengthen bones

Cerebral palsy (CP) can decrease mobility, which is key to quality living. Children with CP and compromised mobility are at risk for low bone mineral density and fragility fractures, but physical therapy programs and orthoses can help kids be more active to build stronger bones.

By Hank Black Continue reading

Keeping kids in braces can prevent clubfoot relapse

More than a third of Ponseti-corrected clubfeet relapse and require additional treatment. Making a complete initial correction, ensuring optimal brace comfort, and  encouraging parental buy-in to bracing  over the long term reduces brace nonadherence, a major cause of recurrence.

By Barbara Boughton Continue reading

Out on a limb: Arch triumphs

New research from the University of Western Australia will put some extra spring in a runner’s step – but only if he or she is wearing the right kind of footwear. In discussions of running mechanics, we hear a lot about the spring-like properties of the lower extrem­ities, which are significantly dependent on the…

By Jordana Bieze Foster, Editor Continue reading

Out on a limb: imperfect symmetry

Psychologists tell us that the symmetry of a person’s face influences whether he or she is perceived as attractive. But when it comes to rehabilitation of anterior cruciate ligament (ACL) injuries, some types of symmetry are more desirable than others.

By Jordana Bieze Foster, Editor Continue reading

Koven, LEAP collaborate to save limbs

The Preventive Foot Care Centers of America, a managed care podiatry network administered by the Las Vegas-based Lower Extremity Amputation Prevention (LEAP) Alliance, announced on January 22 a collaborative amputation prevention effort with Koven Tech­nology, based in St. Louis, MO. Continue reading

Soft tissues may help determine response to Ponseti treatment

Children with idiopathic clubfoot who have relapses after treatment with the Ponseti method demonstrate different soft tissue abnormalities than children whose clubfoot is permanently corrected, according to research published in the August issue of the Journal of Bone & Joint Surgery.

By Erin Boutwell Continue reading

Study questions utility of adult balance test in concussed kids

With head trauma becoming increasingly worrisome in sports these days, a significant concern is whether the same protocols for clearing an athlete to return to sports should be used in both adults and children. Research from Cincinnati Children’s Hospital Medical Center suggests that the…

By Chris Klingenberg Continue reading

Shoe flexibility influences gait characteristics in early walkers

A recent study published in the winter issue of Pediatric Physical Therapy found that children just learning to walk may have altered gait characteristics when wearing flexible shoes.

By Erin Boutwell Continue reading

Treating and preventing ankle sprains in children

High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore whether clinical approaches designed for adults will also be effective in their younger counterparts.

By P.K. Daniel Continue reading

Cerebral palsy and knee pain: management tips

Knee pain is common in children with CP, but given the many health challenges facing this patient population, knee symptoms may not be given high priority. Proper diagnosis and treatment of knee pain, however, can be key to maximizing a childʼs mobility and quality of life.

By Shalmali Pal Continue reading

Ponseti method surpasses surgery for long-term clubfoot outcomes

But both groups fall short of controls – Children treated for clubfoot with the Ponseti method have less pain and fewer gait impairments as adults than those treated with surgery, according to research from Shriners Hospital for Children in Chicago.

By Samantha Rosenblum

Continue reading

Ankle dorsiflexion patterns vary in Charcot-Marie-Tooth disease

Data support case-by-case approach – Gait patterns can vary significantly among young patients with Charcot-Marie-Tooth disease (CMT), and pathomechanics can vary even between limbs in one child, according to a recent study published in Gait & Posture.

By Larry Hand

Continue reading

Ankle weights improve walking in children with Down syndrome

Load may help engage plantar flexors – Adding an ankle load during treadmill walking significantly improves gait kinetics in children with Down syndrome (DS), possibly due to greater contributions from the ankle plantar flexors, according to a study from Georgia State University in Atlanta.

By Larry Hand

Continue reading

In youth athletes, repair after meniscal injury poses challenge

Obesity, gender affect tear complexity – Adolescents and children suffer more complex meniscus injuries that are often less repairable than previously reported, according to a study published in the December 2013 issue of the American Journal of Sports Medicine (AJSM).

By P.K. Daniel

Continue reading

Out on a limb: Independent variables

When more conventional approaches lead to inconsistent or inexplicable findings, researchers sometimes find that assessing the variability of an outcome can provide a valuable perspective. But researchers still have a great deal to learn about how much variability is too much, or too little, with regard to lower extremity issues.

Jordana Bieze Foster, Editor

Continue reading

New flatfoot data rekindle debate over role of obesity

Australian researchers found no correlation between body mass index and prevalence of pediatric flatfoot, but used a different methodology than previous studies that reached an opposite conclusion. The conflicting results have revitalized the ongoing debate on this topic.

By Cary Groner

Continue reading

Strength training improves function in children with CP

Research suggests strength training can improve gait and function in children with cerebral palsy. But to be successful, experts say, the training needs to be part of a multifaceted rehabilitation program that accounts for more than the physical limitations imposed by the disease.

By Shalmali Pal

Continue reading

Out on a limb: Forces of habit

One of the best things about visiting Negril, Jamaica, is taking a yoga class from Fanette Johnson. And one of the first things Fanette will do in class is have you sit cross-legged on your mat, then have you re-cross your legs in the manner that feels less natural.

Jordana Bieze Foster, Editor Continue reading

Out on a Limb: Ad salutem

As true as it is in advertising, it may be even more true in healthcare. As evidence, this issue features not one but two articles on the ongoing battle to improve patient compliance—a battle practitioners have been fighting since even before the halcyon days of the three martini lunch. By Jordana Bieze Foster

Continue reading

Departments


Does history of running protect against knee OA?

Running may increase the risk of knee osteoarthritis (OA) onset or progression for some people, but in many others the knees will be safe during running; in such individuals, the benefits of physical activity can positively affect weight management and other means of reducing OA risk.

By Nicole M. Cattano, PhD, LAT, ATC; and Jeffrey B. Driban, PhD, ATC, CSCS Continue reading

Managing O&P patients who are hard on devices

Even patients who obediently wear their O&P devices can pose a clinical challenge if they wear their devices past the point of breakdown. Experts offer suggestions for dealing with patients who are hard on devices—including those who are very large, very active, or very frugal.

By Shalmali Pal Continue reading

Basketball shoe trends favor fashion over feet

Several confounding factors make it difficult to determine statistical associations between footwear and injuries in basketball, but attitudes toward shoes among National Basketball Association (NBA) players suggest both positive and negative trends with regard to potential injury risk.

By Will Carroll Continue reading

Jump mechanics and risk of patellar tendinopathy

To understand the association between jumping biomechanics and transmission of forces through the patellar tendon, practitioners must have a working knowledge of the anatomy of the knee, as well as the biomechanical factors that determine force transmission through the knee.

By Rob Halle, PT, DPT, OCS, CSCS Continue reading

Plantar fasciitis: clinical concerns in cleated sports

Cleated sports are associated with a high incidence of lower extremity injuries. American football and soccer are particularly troublesome due to unique risk factors involving footwear design, loading patterns, and sport-specific biomechanics.

By Patricia Pande, MClScPT, CSCS, CPed Continue reading

Multiple jumpers increase risk for ‘trampoline ankle’

Large forces can cause severe fractures: Multiple trampoline jumpers are a primary cause of “trampoline ankle,” according to a recent Canadian study, which also noted that, when two individuals are bouncing out of sync, they generate kinetic energy forces that produce a high-impact effect that can cause serious growth-plate injuries in children.

By P.K. Daniel Continue reading

Improving foot posture, balance in CMT may aid ankle stability

Early care advised for FAI prevention: Functional ankle instability (FAI) is a common problem in children and adolescents with Charcot-Marie-Tooth disease (CMT), according to Australian research that advises further study of interventions that target balance and normalize foot structure to evaluate whether they can help improve ankle stability in this population.

By Katie Bell Continue reading

Dynamic warm-up with balance, plyo work leads to safer landings

Helps protect ACL in both genders: A one-time neuromuscular training intervention designed to prevent anterior cruciate ligament (ACL) injury is more effective than a traditional warm-up for improving landing technique in youth athletes, according to a study that could help convince coaches and athletes to embrace such training programs.

By Chris Klingenberg  Continue reading

Mobility-enhancing care in CP helps strengthen bones

Cerebral palsy (CP) can decrease mobility, which is key to quality living. Children with CP and compromised mobility are at risk for low bone mineral density and fragility fractures, but physical therapy programs and orthoses can help kids be more active to build stronger bones.

By Hank Black Continue reading

Keeping kids in braces can prevent clubfoot relapse

More than a third of Ponseti-corrected clubfeet relapse and require additional treatment. Making a complete initial correction, ensuring optimal brace comfort, and  encouraging parental buy-in to bracing  over the long term reduces brace nonadherence, a major cause of recurrence.

By Barbara Boughton Continue reading

Active Stance: Patients with at-risk feet need collaborative care

In a recent editorial in The Lancet Diabetes-Endocrinology,1 Lipsky and colleagues wrote that diabetic foot disease “…is not a one doctor disease—it demands multidisciplinary care. Furthermore, as a notoriously unglamorous problem, the disease depends on…

By Terrence P. Sheehan, MD

Continue reading

Biomechanists explore effect of obesity on falls

Obese patients have an increased risk for falls and fall-related injury, not just because of the loads involved, but also because of the strategies they use to recover from a trip or slip. Findings from a growing body of research will help in developing interventions to minimize that risk.

By Hank Black Continue reading

Dynamic load analysis for injury prevention

Identifying loading patterns associated with Jones fractures and other common sports-related injuries can assist with the development of custom modifications to footwear, insoles, and training programs to help reduce injury rates and enhance athletic careers.

By Yannick Goeb, Nate Wilcox-Fogel, and Kenneth J. Hunt, MD Continue reading

Koven, LEAP collaborate to save limbs

The Preventive Foot Care Centers of America, a managed care podiatry network administered by the Las Vegas-based Lower Extremity Amputation Prevention (LEAP) Alliance, announced on January 22 a collaborative amputation prevention effort with Koven Tech­nology, based in St. Louis, MO. Continue reading

Soft tissues may help determine response to Ponseti treatment

Children with idiopathic clubfoot who have relapses after treatment with the Ponseti method demonstrate different soft tissue abnormalities than children whose clubfoot is permanently corrected, according to research published in the August issue of the Journal of Bone & Joint Surgery.

By Erin Boutwell Continue reading

Study questions utility of adult balance test in concussed kids

With head trauma becoming increasingly worrisome in sports these days, a significant concern is whether the same protocols for clearing an athlete to return to sports should be used in both adults and children. Research from Cincinnati Children’s Hospital Medical Center suggests that the…

By Chris Klingenberg Continue reading

Shoe flexibility influences gait characteristics in early walkers

A recent study published in the winter issue of Pediatric Physical Therapy found that children just learning to walk may have altered gait characteristics when wearing flexible shoes.

By Erin Boutwell Continue reading

Treating and preventing ankle sprains in children

High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore whether clinical approaches designed for adults will also be effective in their younger counterparts.

By P.K. Daniel Continue reading

Cerebral palsy and knee pain: management tips

Knee pain is common in children with CP, but given the many health challenges facing this patient population, knee symptoms may not be given high priority. Proper diagnosis and treatment of knee pain, however, can be key to maximizing a childʼs mobility and quality of life.

By Shalmali Pal Continue reading

Peripheral neuropathy in Lyme disease patients

Reported cases of Lyme disease have been rising steadily over the past 30 years, but its diagnosis can be challenging. Left untreated, patients with Lyme disease can go on to develop neurological symptoms, including those that are characteristic of peripheral neuropathy.

By Greg Gargiulo Continue reading

An eccentric approach to hamstring injuries

The effectiveness of eccentric training for the prevention and rehabilitation of hamstring strains has been established in the medical literature. The next step is to identify an eccentric hamstring exercise that addresses the limitations of existing…

By Karl F. Orishimo, MS, CSCS, and Takumi Fukunaga, DPT, ATC, CSCS Continue reading

Chronic ankle instability: effects on quality of life

Patient-reported outcomes can be used to monitor health-related quality of life in patients with chronic ankle instability, and lower extremity practitioners can design rehabilitation approaches to specifically target physical impairments that are known to contribute to quality of life.

By Megan N. Houston, PhD, ATC, and Matthew C. Hoch PhD, ATC Continue reading

Knee OA brace experts revisit persistent issues

Systematic reviews and meta-analyses show that bracing for knee osteoarthritis (OA) is associated with significant benefits with regard to pain and function. But links to disease progression remain elusive, and the challenges of patient compliance are becoming even more complicated.

By Larry Hand Continue reading

Achilles rehab: focusing on insertional tendinosis

Research supports eccentric strengthening for treatment of midportion Achilles tendinopathy, but a new study suggests the same approach…

By Lisa H. Jain, DPT, OCS; Kevin J. McCarthy, MD; Michael Williams, PT, OCS; Marie Barron, PT, OCS; Nick Bird, MPT; Brian Blackwell, PT, OCS; G. Andrew Murphy, MD; David R. Richards, MD; Susan Ishikawa, MD; and Margaret Kedia, PhD, DPT Continue reading

Ponseti method surpasses surgery for long-term clubfoot outcomes

But both groups fall short of controls – Children treated for clubfoot with the Ponseti method have less pain and fewer gait impairments as adults than those treated with surgery, according to research from Shriners Hospital for Children in Chicago.

By Samantha Rosenblum

Continue reading

Ankle dorsiflexion patterns vary in Charcot-Marie-Tooth disease

Data support case-by-case approach – Gait patterns can vary significantly among young patients with Charcot-Marie-Tooth disease (CMT), and pathomechanics can vary even between limbs in one child, according to a recent study published in Gait & Posture.

By Larry Hand

Continue reading

Ankle weights improve walking in children with Down syndrome

Load may help engage plantar flexors – Adding an ankle load during treadmill walking significantly improves gait kinetics in children with Down syndrome (DS), possibly due to greater contributions from the ankle plantar flexors, according to a study from Georgia State University in Atlanta.

By Larry Hand

Continue reading

In youth athletes, repair after meniscal injury poses challenge

Obesity, gender affect tear complexity – Adolescents and children suffer more complex meniscus injuries that are often less repairable than previously reported, according to a study published in the December 2013 issue of the American Journal of Sports Medicine (AJSM).

By P.K. Daniel

Continue reading

Charcot-Marie-Tooth: AFO mechanics and gait patterns

Patients with Charcot-Marie-Tooth disease showing the greatest increase in speed appear to respond to and utilize the energy storing and releasing properties of a carbon fiber composite ankle foot orthosis differently from those who had smaller increases in walking speed.

By Janet S. Dufek, PhD; Edward S. Neumann, PhD, PE, CP; M. Cameron Hawkins, PhD; and Brendan J. O’Toole, PhD

Continue reading

Exploring treatment options for intermittent claudication

Despite the documented benefits of supervised exercise in patients with claudication, its effect on actual clinical practice has been disappointing due to a lack of reimbursement. But practitioners and research­ers have been investigating other options, with encouraging preliminary results.

By Cary Groner

Continue reading

The brain: A new frontier in ankle instability research

Transcranial magnetic stimulation research suggests cortical excitability may be able to help differentiate healthy, previously injured, and functionally unstable ankle joints, and underscores the need to clinically target both mechanical and proprioceptive deficits in patients with FAI.

By Alan R. Needle, PhD

Continue reading

Variable amputation rates in patients with diabetes

Studies show that lower extremity amputation rates in patients with diabetes vary widely, sometimes even within individual healthcare systems. What’s more difficult to determine is why these variations exist and what can be done to improve access to care for all patients.

By Larry Hand

Continue reading

Epidemiology of Achilles tendon rupture in the US

The etiology of Achilles tendon rupture is multifactorial, but the injury occurs most frequently in the athletic population. Clini­cians still miss 24% of ruptures acutely, particularly in older patients, those in whom sports was not the causative mechanism, and those with high BMIs.

By Steven M. Raikin, MD

Continue reading

New flatfoot data rekindle debate over role of obesity

Australian researchers found no correlation between body mass index and prevalence of pediatric flatfoot, but used a different methodology than previous studies that reached an opposite conclusion. The conflicting results have revitalized the ongoing debate on this topic.

By Cary Groner

Continue reading

Strength training improves function in children with CP

Research suggests strength training can improve gait and function in children with cerebral palsy. But to be successful, experts say, the training needs to be part of a multifaceted rehabilitation program that accounts for more than the physical limitations imposed by the disease.

By Shalmali Pal

Continue reading

Assessing alternatives to first MTP joint fusion

Arthrodesis remains effective for most patients with end-stage hallux rigidus, but finding an alternative that allows more range of motion can be challenging. Faced with disappointing arthroplasty outcomes, surgeons have had to get creative.

By Cary Groner

Continue reading

Hemiplegic CP: Effects in the uninvolved limb

In patients with spastic hemiplegic CP, practitioners and researchers tend to focus primarily on the hemiplegic limb. But hemiplegia also leads to impairments in the uninvolved limb, which are important to consider when designing a therapeutic approach.

By Julieanne P. Sees, DO, and Freeman Miller, MD

Continue reading

Footwear properties and football injuries

Excessive rotational traction that occurs at the interface between the shoe and the playing surface, as well as shoe properties such as rotational stiffness, may have the potential to influence the high incidence of lower extremity injuries in athletes.

By Feng Wei, PhD, and Eric G. Meyer, PhD

Continue reading

Trends in materials, part II: Foot orthoses

This two-part series examines trends and techniques in materials development and fabrication. This second installation focuses on technological advances that are likely to affect the structural properties and manufac­­ture of in-shoe foot orthoses.

By Cary Groner

Continue reading

The influence of obesity on ankle fracture risk

Obese patients are more likely than nonobese individuals to sustain an ankle fracture, particularly a severe ankle fracture. Contributing factors may include increased torque on the ankle or low bone mineral density relative to body weight.

By Christy King, DPM, AACFAS
Continue reading

Simplifying alignment for transtibial prostheses

This three-step approach, based on a vertical alignment axis, offers a low-tech alternative for prosthetic alignment in developing nations, but also has applications in developed countries as
a simple clinical test to identify gait deviations.

By Yeongchi Wu, MD

Continue reading

Partial foot amputation: Evidence for device use

Orthotic and prosthetic intervention for partial foot amputation is intended to restore the effective foot length and normalize gait and function. Research is only beginning to examine whether current interventions are up to the challenge.

By Michael P. Dillon, BP&O (Hons.), PhD

Continue reading

Marketing risk: Beyond diabetic foot education

Tactics borrowed from the advertising world could be just what is needed to effectively communicate the risks of foot ulcers and amputation to patients with diabetes and improve outcomes as a result.

By Jeffrey M. Robbins, DPM, Gerald Strauss, PhD, and Jennifer Regler, DPM

Continue reading

Data suggest proximal links to ankle instability

Research suggests that individuals with chronic ankle instability are also likely to have impaired neuromuscular function at the knee and hip – findings that could change your approach to preventing recurrent ankle sprains.

By Phillip A. Gribble, PhD, ATC

Continue reading

Active Stance: ACL injury in women – Tracking a ‘black swan’

A high school forward rebounds the basketball, as she has thousands of times before. She lands with a flat foot, extended knee, and torso leaning awkwardly sideways, as her knee buckles inward. An audible pop is heard and felt as the anterior cruciate ligament (ACL) in her knee tears and ends her season, compromising her hopes of a college scholarship and perhaps even her expectation of a long, active, and healthy life.

by Timothy E. Hewett, PhD

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News


Subconcussive subtleties: Lacrosse study links balance, impacts

Measures of cumulative subconcussive head impacts during a men’s lacrosse season are associated with decreases in balance scores from pre- to postseason, according to findings from Sacred Heart University in Fairfield, CT, that could have implications for lower extremity injury risk.

By Katie Bell Continue reading

Stiffer shoes improve running energetics as long as first MTP flexion is preserved

Increasing running shoe bending stiffness helps improve running energetics up to the point at which it impairs metatarsophalangeal (MTP) joint flexion—a threshold that varies between individuals—according to research from the Republic of Korea.

By Jordana Bieze Foster Continue reading

Long after return to play, ACL injury takes toll on perceived knee function

Perceived knee function is poorer in athletes who successfully return to play after an anterior cruciate ligament (ACL) injury than in their uninjured counterparts, despite no strength or balance differences between the groups, according to research from Norway.

By Jordana Bieze Foster Continue reading

Multiple jumpers increase risk for ‘trampoline ankle’

Large forces can cause severe fractures: Multiple trampoline jumpers are a primary cause of “trampoline ankle,” according to a recent Canadian study, which also noted that, when two individuals are bouncing out of sync, they generate kinetic energy forces that produce a high-impact effect that can cause serious growth-plate injuries in children.

By P.K. Daniel Continue reading

Improving foot posture, balance in CMT may aid ankle stability

Early care advised for FAI prevention: Functional ankle instability (FAI) is a common problem in children and adolescents with Charcot-Marie-Tooth disease (CMT), according to Australian research that advises further study of interventions that target balance and normalize foot structure to evaluate whether they can help improve ankle stability in this population.

By Katie Bell Continue reading

Dynamic warm-up with balance, plyo work leads to safer landings

Helps protect ACL in both genders: A one-time neuromuscular training intervention designed to prevent anterior cruciate ligament (ACL) injury is more effective than a traditional warm-up for improving landing technique in youth athletes, according to a study that could help convince coaches and athletes to embrace such training programs.

By Chris Klingenberg  Continue reading

Mobility-enhancing care in CP helps strengthen bones

Cerebral palsy (CP) can decrease mobility, which is key to quality living. Children with CP and compromised mobility are at risk for low bone mineral density and fragility fractures, but physical therapy programs and orthoses can help kids be more active to build stronger bones.

By Hank Black Continue reading

Keeping kids in braces can prevent clubfoot relapse

More than a third of Ponseti-corrected clubfeet relapse and require additional treatment. Making a complete initial correction, ensuring optimal brace comfort, and  encouraging parental buy-in to bracing  over the long term reduces brace nonadherence, a major cause of recurrence.

By Barbara Boughton Continue reading

Skipping hip surgery: FAI responds to conservative care

A pilot study has found that conservative management of femoroacetabular impingement (FAI) can provide improvements in pain and function equivalent to those usually achieved with surgery.

By John C. Hayes Continue reading

Risk of lower extremity injury increases after athletes return from concussion

Collegiate athletes who sustain a concussion have an increased risk of a lower extremity injury long after returning to play, according to two recent studies that strengthen the case for a brain-sprain connection.

By Jordana Bieze Foster Continue reading

Preventive measures in cross country runners should target ankle kinematics

Ankle kinematics prospectively predict injury risk in collegiate cross country runners, according to prospective research from the University of Memphis in Tennessee.

By Jordana Bieze Foster Continue reading

Extension correction: AFO design improves PTTD mechanics

When a lamp cord doesn’t quite reach an outlet, you reach for an extension cord. So when a custom ankle foot orthosis (AFO) didn’t quite provide the corrected forefoot abduction desired in patients with post­erior tibial tendon dysfunction (PTTD), researchers from Syracuse, NY, added a lateral extension.

By Larry Hand Continue reading

Study reports improved pain and gait with walker boot after ankle surgery

A walker boot is preferable to two other ankle devices for improving pain and gait after internal fixation for ankle fracture, according to research from the University of Oxford in the UK.

By Jordana Bieze Foster Continue reading

Surgical shoe findings support limits on driving after bunion procedures

Patients should refrain from driving for at least six weeks after bunion surgery due to poor braking response times that are not improved with the use of surgical shoes, according to findings from the Medical University of Innsbruck in Austria.

By Larry Hand

Continue reading

Koven, LEAP collaborate to save limbs

The Preventive Foot Care Centers of America, a managed care podiatry network administered by the Las Vegas-based Lower Extremity Amputation Prevention (LEAP) Alliance, announced on January 22 a collaborative amputation prevention effort with Koven Tech­nology, based in St. Louis, MO. Continue reading

All about the ALL: knee ligament stabilizes internal rotation

The anterolateral ligament (ALL) of the knee, a structure not well-documented or consistently reported before the 2013 publication of a Belgian study, is a key stabilizer of internal rotation—though only when the knee is flexed at high angles—and may be… Continue reading

Female high school basketball players benefit from neuromuscular training

A six-week progressive neuromuscular training program is associated with significant improvement in single-leg balance on unstable surfaces in female high school basketball players, according to research from Bellarmine University in Louisville, KY. Continue reading

Baseball players maintain improved balance 6 months after UCL surgery

Improved balance in baseball players who have had Tommy John surgery is maintained after their release from physical therapy, according to research from Fort Worth, TX.

By Jordana Bieze Foster

Continue reading

Heel pain gains: Studies support multimodal treatment

Multimodal physical therapy is associated with significant symptom relief in patients with plantar heel pain, but may be most effective for those with symptoms lasting fewer than seven months, according to research presented in February at the annual… Continue reading

Reason for benefits of balance training eludes ankle instability investigators

Eight pathological factors do not explain the self-reported improvements in perceived disability associated with balance training for functional ankle instability (FAI), according to research from the University of Kansas Medical Center in Kansas City. Continue reading

Progressive strengthening improves function after total knee arthroplasty

Patients who do progressive strengthening exercises after total knee arthroplasty (TKA) are significantly more likely than those who do conventional rehabilitation to have normal-range functional outcomes at one year, according to research from the University of Delaware. Continue reading

Soft tissues may help determine response to Ponseti treatment

Children with idiopathic clubfoot who have relapses after treatment with the Ponseti method demonstrate different soft tissue abnormalities than children whose clubfoot is permanently corrected, according to research published in the August issue of the Journal of Bone & Joint Surgery.

By Erin Boutwell Continue reading

Study questions utility of adult balance test in concussed kids

With head trauma becoming increasingly worrisome in sports these days, a significant concern is whether the same protocols for clearing an athlete to return to sports should be used in both adults and children. Research from Cincinnati Children’s Hospital Medical Center suggests that the…

By Chris Klingenberg Continue reading

Shoe flexibility influences gait characteristics in early walkers

A recent study published in the winter issue of Pediatric Physical Therapy found that children just learning to walk may have altered gait characteristics when wearing flexible shoes.

By Erin Boutwell Continue reading

Treating and preventing ankle sprains in children

High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore whether clinical approaches designed for adults will also be effective in their younger counterparts.

By P.K. Daniel Continue reading

Cerebral palsy and knee pain: management tips

Knee pain is common in children with CP, but given the many health challenges facing this patient population, knee symptoms may not be given high priority. Proper diagnosis and treatment of knee pain, however, can be key to maximizing a childʼs mobility and quality of life.

By Shalmali Pal Continue reading

Ponseti method surpasses surgery for long-term clubfoot outcomes

But both groups fall short of controls – Children treated for clubfoot with the Ponseti method have less pain and fewer gait impairments as adults than those treated with surgery, according to research from Shriners Hospital for Children in Chicago.

By Samantha Rosenblum

Continue reading

Ankle dorsiflexion patterns vary in Charcot-Marie-Tooth disease

Data support case-by-case approach – Gait patterns can vary significantly among young patients with Charcot-Marie-Tooth disease (CMT), and pathomechanics can vary even between limbs in one child, according to a recent study published in Gait & Posture.

By Larry Hand

Continue reading

Ankle weights improve walking in children with Down syndrome

Load may help engage plantar flexors – Adding an ankle load during treadmill walking significantly improves gait kinetics in children with Down syndrome (DS), possibly due to greater contributions from the ankle plantar flexors, according to a study from Georgia State University in Atlanta.

By Larry Hand

Continue reading

In youth athletes, repair after meniscal injury poses challenge

Obesity, gender affect tear complexity – Adolescents and children suffer more complex meniscus injuries that are often less repairable than previously reported, according to a study published in the December 2013 issue of the American Journal of Sports Medicine (AJSM).

By P.K. Daniel

Continue reading

Platelet-rich progress: Data support PRP use for heel pain

Two studies published early this year found platelet-rich plasma (PRP) injection improved pain and function in patients with chronic severe plantar fasci­itis who hadn’t responded to conservative treatments.

Continue reading

Neuromuscular training in young girls boosts skills, may reduce future risks

Researchers reported in February that integrative neuromuscular training (INT) enhances motor skills in girls, improving fitness and offering potential protection from development of risk factors for anterior cruciate ligament tears and other musculoskeletal injuries.

Continue reading

Soccer players have strength deficits upon returning from hamstring injury

Researchers from Qatar reported in February that soccer players who sustain a hamstring injury are likely to have isokinetic strength deficits when they return to play, but the effect of those deficits on reinjury rates is unknown.

Continue reading

New flatfoot data rekindle debate over role of obesity

Australian researchers found no correlation between body mass index and prevalence of pediatric flatfoot, but used a different methodology than previous studies that reached an opposite conclusion. The conflicting results have revitalized the ongoing debate on this topic.

By Cary Groner

Continue reading

Strength training improves function in children with CP

Research suggests strength training can improve gait and function in children with cerebral palsy. But to be successful, experts say, the training needs to be part of a multifaceted rehabilitation program that accounts for more than the physical limitations imposed by the disease.

By Shalmali Pal

Continue reading

Fear factors: ACL-reinjury concerns sideline athletes

A lack of confidence and fear of reinjury after anterior cruciate ligament (ACL) reconstruction is keeping some athletes from returning to play, according to several abstracts presented last month at the American Physical Therapy Association’s 2013 Combined Sections Meeting (CSM) in San Diego.

Continue reading

Study confirms neuromotor alterations in runners with Achilles tendinopathy

A recent study done at the University of Melbourne in Australia supports the theory that, in runners with Achilles tendinopathy (AT), altered neuromotor recruitment patterns of the triceps surae create differential intratendinous loads that lead to pathology.

Continue reading

Soccer simulation data show benefits of ankle supports change over time

Ankle bracing and taping have a limited ability to restrict ankle range of motion (ROM) and improve proprioceptive capability under soccer-specific conditions, according to a small study e-published by the Journal of Sport Rehabilitation in January.

Continue reading

Off balance: Instant total contact casts create instability

Instant total contact casts (iTCCs), which add length and weight to the involved leg, perturb balance in healthy individuals and could increase fall risks in the already–balanced challenged population of individuals with diabetic peripheral neuropathy.

Continue reading

Ulcer location influences healing times, from shortest at toes to longest at heel

A study e-published February 7 by Diabetes/Metabolism Research and Reviews found that time to diabetic foot ulcer healing was dependent on location, increasing progressively from toe to midfoot to heel, but did not differ between plantar and nonplantar ulcers.

Continue reading

Diabetes, cognitive deficits impair gait in older adults, but neuropathy does not

Type 2 diabetes affects gait parameters in older adults, and impaired cognition further reduces performance, according to investigators from Ghent University in Belgium who studied 101 patients living in community and residential care settings.

Continue reading

In the Moment: O&P

Amputees fight another day: Better care increases return-to-duty rates

U.S. military personnel serving in Iraq and Afghanistan are no less likely to suffer an injury requiring amputation than their counterparts who served in previous conflicts, but such an injury is far less likely to keep today’s soldiers from returning to duty.

Plus:
• Balance, more than foot positioning, may affect amputee stair ambulation
• Time to stabilization fails to detect effect of ankle brace on stability

Continue reading

In the Moment: Neuromuscular

CP: Means sap strength data:Subgroup analysis may be key to gait link

Gait researchers’ frustrations in demonstrating benefits of strength training in children with cerebral palsy can be traced to the heterogeneity of the study population, according to a National Institutes of Health study that offers some insight as to which patients are most likely respond.

Plus:
• Treadmill outperforms outdoor walking for stroke rehabilitation
• Ankle weakness, not instability, explains reduced speed after TBI

Continue reading

In the Moment: Sports Medicine

Walk this way: Heels first: Rearfoot strike pattern uses less energy

Forefoot strike patterns, particularly those of the barefoot variety, have generated a lot of buzz in running circles lately. But a University of Utah study suggests that rearfoot strike patterns have advantages as well.

Plus:
• Shoe-surface combination with lowest risk of ACL injury pairs cleats with grass
• Gender affects response to eccentric training for Achilles tendinopathy

Continue reading

Market Mechanics


Viamet antifungal appears effective, safe

Research Triangle Park, NC-based Viamet Pharmaceuticals in January reported positive results from its Phase 2b randomized controlled trial of VT-1161 for onychomycosis of the large toenail. VT-1161 is a novel, once-weekly, oral antifungal drug. Continue reading

McGirt joins Össur’s knee OA campaign

Foothill Ranch, CA-based Össur in February launched a public education campaign on knee osteoarthritis (OA) featuring professional golfer William McGirt. Continue reading

Birkenstock brings vegan sandals to US

Novato, CA-based Birkenstock USA in January introduced vegan footwear, previously available only in Europe, to US markets. Continue reading

Apligraf alters genomics of chronic wounds

Science Translational Medicine on January 4 epublished randomized clinical trial results showing Organogenesis’s bioengineered living-cell wound-healing therapy demonstrated a significant change in the genomic profile of treated nonhealing venous leg ulcers (VLUs) compared with standard care. Continue reading

Hanger prosthetist teaches AFO design

A prosthetist from Austin, TX-based Hanger in January volunteered his knowledge to a Missouri middle school project that had students designing cardboard and foam ankle brace prototypes that could be used by patients with spastic hemiplegia. Continue reading

ACFAS installs 2017 officers and board

The Chicago-based American College of Foot and Ankle Surgeons (ACFAS) in February installed its 2017-2018 officers and board of directors during the national surgical society’s 75th Annual Scientific Conference in Las Vegas. Continue reading

GE Healthcare, NBA call for proposals

Chicago-based GE Healthcare and the National Basketball Association (NBA) in January announced four newly selected research initiatives and issued a call for a third round of research proposals focused on bone stress injuries for the organizations’ Orthopedics and Sports Medicine Collaboration. Continue reading

OPAF announces 2017 board, sponsor

The Charlotte, NC-based Orthotic & Prosthetic Activities Foundation (OPAF) in January welcomed two new board members for fiscal year 2017. Continue reading

NYSPMA draws 2K for podiatric event

Two members of the New York State Podiatric Medical Association (NYSPMA) Foundation were recognized in January for outstanding achievements at NY17, the group’s Podiatric Clinical Conference and Exhibition. Continue reading

AOPA celebrates its 100th anniversary

The Washington, DC-based Amer­ican Orthotic & Prosthetic Association (AOPA) in February unveiled a commemorative website, AOPA100.org, as part of the association’s yearlong celebration of its 100th anniversary. The website features AOPA’s history, an interactive timeline, photo gallery, personal stories from AOPA members, and AOPA’s plans for the future. Continue reading

2020 global brace mkt estimated at $4.3B

The global orthopedic brace market is expected to reach $4.3 billion by 2020, at a CAGR (compound annual growth rate) of 5% from 2015 to 2020, according to data published in January by Frampton, UK-based BioPortfolio Reports. Continue reading

Avex raises $7.6M for Footbeat launch

Grand Junction, CO-based Avex announced in January that it has secured $7.6 million in Series A financing to fund its Q1 launch of Footbeat, an insole designed to increase circulation through cyclic pressure applied to the arch of the foot. Continue reading

Bone Index device gets FDA clearance

Kupio, Finland-based Bone Index in January received 510(k) clearance from the US Food and Drug Administration for its second-generation point-of-care device for osteoporosis diagnosis. Continue reading

Multiple jumpers increase risk for ‘trampoline ankle’

Large forces can cause severe fractures: Multiple trampoline jumpers are a primary cause of “trampoline ankle,” according to a recent Canadian study, which also noted that, when two individuals are bouncing out of sync, they generate kinetic energy forces that produce a high-impact effect that can cause serious growth-plate injuries in children.

By P.K. Daniel Continue reading

Improving foot posture, balance in CMT may aid ankle stability

Early care advised for FAI prevention: Functional ankle instability (FAI) is a common problem in children and adolescents with Charcot-Marie-Tooth disease (CMT), according to Australian research that advises further study of interventions that target balance and normalize foot structure to evaluate whether they can help improve ankle stability in this population.

By Katie Bell Continue reading

Dynamic warm-up with balance, plyo work leads to safer landings

Helps protect ACL in both genders: A one-time neuromuscular training intervention designed to prevent anterior cruciate ligament (ACL) injury is more effective than a traditional warm-up for improving landing technique in youth athletes, according to a study that could help convince coaches and athletes to embrace such training programs.

By Chris Klingenberg  Continue reading

Mobility-enhancing care in CP helps strengthen bones

Cerebral palsy (CP) can decrease mobility, which is key to quality living. Children with CP and compromised mobility are at risk for low bone mineral density and fragility fractures, but physical therapy programs and orthoses can help kids be more active to build stronger bones.

By Hank Black Continue reading

Keeping kids in braces can prevent clubfoot relapse

More than a third of Ponseti-corrected clubfeet relapse and require additional treatment. Making a complete initial correction, ensuring optimal brace comfort, and  encouraging parental buy-in to bracing  over the long term reduces brace nonadherence, a major cause of recurrence.

By Barbara Boughton Continue reading

Foot and ankle surgeons name officers and board of directors at annual meeting

The American College of Foot and Ankle Surgeons (ACFAS) on February 12 installed its 2016-2017 board of directors at the organization’s 74th Annual Scientific Conference in Austin, TX. Continue reading

Guidelines address diabetic foot ulcer care

The American Podiatric Medical Association and the Society for Vascular Medicine in February published in the Journal of Vascular Surgery new recommendations for five key aspects of diabetic foot ulcer (DFU) care. Continue reading

Spenco acquires Canadian distributor

Spenco announced in January its acquisition of a Canadian distributor, Spenco Canada. Spenco Canada, which operated independently for more than 20 years, is now under the umbrella of Spenco’s North American headquarters in Waco, TX, as a wholly owned subsidiary. Continue reading

Study supports Vionic sandal for heel pain

A contoured sandal made by San Francisco, CA-based Vionic is as effective for relieving heel pain symptoms as an in-shoe orthosis with a similar footbed and more effective than a flat sandal, according to an Australian randomized controlled trial. Continue reading

NY Orthopedic Manufacturing opens

Vadim Yatsunsky and Sergey Prokhorov, former general manager and production manager, respectively, of Brooklyn, NY-based American Orthopedic Manufacturing Corporation, have opened an orthopedic laboratory in the Bronx, NY. Continue reading

STS revamps website, adds e-ordering

Mill Valley, CA-based STS in January launched its new website at stssox.com. The casting sock manufacturer’s online site offers detailed product information, including educational videos and a chart to match each STS product to its recommended clinical applications. Continue reading

BOC announces slate of 2016 leaders

The Owings Mills, MD-based Board of Certification/Accreditation (BOC) on January 14 announced its 2016 board of directors, chair, and executive committee. Continue reading

CSUDH unveils O&P education center

California State University, Dominguez Hills (CSUDH) on January 14 celebrated the ribbon cutting for its new Orthotics and Prosthetics Education Center in Los Alamitos. Continue reading

Össur, Ottobock fund neural device study

Duderstadt, Germany-based Ottobock and Össur, headquartered in Reykjavik, Iceland, announced in late January that the two companies have endowed a research trust with $1 million to further development of neural-controlled prosthetic devices. Continue reading

Students invent smart mat for diabetes

Jackson State University (JSU) in Mississippi reported in December that a group of its graduate engineering students have designed a “smart mat” that gauges foot temperature in people with diabetes. Data from the mat could give caregivers and physicians early warning of infection. Continue reading

Triennial podiatry congress scheduled

The International Federation of Podiatrists and the Canadian Podiatric Medical Association have scheduled the World Congress of Podiatry for May 26-28 in Montreal, Canada. The global congress occurs once every three years and is expected to draw about 1200 attendees. Continue reading

Thuasne Group acquires Quinn Medical

The Thuasne Group announced in late January that it has acquired Quinn Medical, a specialized spinal bracing company based in San Clemente, CA. The purchase increases Thuasne’s investment in the US market and diversifies the portfolio of orthopedic products available through its European subsidiaries and global network of medical device distributors. Continue reading

medi USA expands national sales force

Whitsett, NC-based medi USA announced in January a national expansion of its sales force. The changes will better serve its customer base, increasing its reach and frequency to foster increased market share growth, according to a company release. Continue reading

OTWorld will meet in Leipzig in May

The German Association of Orthopaedic Technology plans to hold the OTWorld International Trade Show and World Congress May 3-6 in Leipzig. Continue reading

Trial finds Pluristem product safe, improves post-THA muscle strength

A phase I/II trial of Pluristem Therapeutics’ expanded placental cell product for treatment of muscle injury after total hip arthroplasty (THA) found significant improvements in maximal voluntary muscle contraction force six months postsurgery in both operated and nonoperated gluteal muscle. Continue reading

Sigvaris partners with wound-care expert

Compression garment manufacturer Sigvaris in January partnered with physical therapist and wound care and lymphedema management expert Robyn Bjork, MPT, CWS, WCC, CLT-LANA, CLWT, to help support innovation for patients with lymphedema, chronic venous insuffi­ciency, and venous ulcers. Continue reading

13th DFCon event scheduled for March

The 13th Diabetic Foot Global Conference (DFcon) 2015 is scheduled for March 19-21 at the Loews Hollywood Hotel in Los Angeles. Continue reading

Hanger revamps peer support program

Birmingham, AL-based Hanger Clinic in early 2015 changed the name of its Amputee Empowerment Partners Peer Support Program to the AMPOWER program (empoweringamputees.org). Continue reading

PT foundation awards $2.5M COE grant

The Alexandria, VA-based Foundation for Physical Therapy announced February 5 that it has awarded Brown University in Providence, RI, $2.5 million to establish the Center on Health Services Training and Research (CoHSTAR) over the next five years. Continue reading

Arcopedico donates 2200 pairs of shoes

Sparks, NV-based Arcopedico USA reported on February 3 that it has gifted more than 2200 pairs of its Portuguese-made comfort footwear to young women in villages throughout Haiti. Continue reading

Koven, LEAP collaborate to save limbs

The Preventive Foot Care Centers of America, a managed care podiatry network administered by the Las Vegas-based Lower Extremity Amputation Prevention (LEAP) Alliance, announced on January 22 a collaborative amputation prevention effort with Koven Tech­nology, based in St. Louis, MO. Continue reading

BOC reaccredited, elects 2015 board

The Board of Certification/Accreditation (BOC) reported February 11 that the National Commission for Certifying Agencies has reaccredited its pedorthist certification program for ano­ther five-year period. Approximately 275 professionals are currently certified as BOC pedorthists (BOCPDs). Continue reading

PFA welcomes Meanwell memorial fund gifts

The Pedorthic Footcare Association (PFA) invites its members to contribute to a memorial fund for the family of Bill Meanwell, CPed, a longtime PFA member and pedorthist who died on November 14, 2014, in Broken Arrow, OK. Continue reading

Ottobock awards $1000 photo contest prize

Ottobock North America has named Carlos Gonzalez of San Francisco, CA, winner of its 2014 C-Leg Heroes photo contest grand prize. Continue reading

FDA clears MedShape’s bone-sparing plate

Atlanta-based MedShape noted on February 2 that the US Food and Drug Administration has given 510(k) clearance to its 3D-printed FastForward Bone Tether Plate, a primary component of the company’s FastForward Bunion Correction System. Continue reading

Altra introduces smart running shoe

Orem, UT-based Altra introduced its Halo running shoe with an integrated gait-detecting sensor in January at the 2015 International Consumer Electronic Show in Las Vegas. Continue reading

Soft tissues may help determine response to Ponseti treatment

Children with idiopathic clubfoot who have relapses after treatment with the Ponseti method demonstrate different soft tissue abnormalities than children whose clubfoot is permanently corrected, according to research published in the August issue of the Journal of Bone & Joint Surgery.

By Erin Boutwell Continue reading

Study questions utility of adult balance test in concussed kids

With head trauma becoming increasingly worrisome in sports these days, a significant concern is whether the same protocols for clearing an athlete to return to sports should be used in both adults and children. Research from Cincinnati Children’s Hospital Medical Center suggests that the…

By Chris Klingenberg Continue reading

Shoe flexibility influences gait characteristics in early walkers

A recent study published in the winter issue of Pediatric Physical Therapy found that children just learning to walk may have altered gait characteristics when wearing flexible shoes.

By Erin Boutwell Continue reading

Treating and preventing ankle sprains in children

High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore whether clinical approaches designed for adults will also be effective in their younger counterparts.

By P.K. Daniel Continue reading

Cerebral palsy and knee pain: management tips

Knee pain is common in children with CP, but given the many health challenges facing this patient population, knee symptoms may not be given high priority. Proper diagnosis and treatment of knee pain, however, can be key to maximizing a childʼs mobility and quality of life.

By Shalmali Pal Continue reading

Ponseti method surpasses surgery for long-term clubfoot outcomes

But both groups fall short of controls – Children treated for clubfoot with the Ponseti method have less pain and fewer gait impairments as adults than those treated with surgery, according to research from Shriners Hospital for Children in Chicago.

By Samantha Rosenblum

Continue reading

Ankle dorsiflexion patterns vary in Charcot-Marie-Tooth disease

Data support case-by-case approach – Gait patterns can vary significantly among young patients with Charcot-Marie-Tooth disease (CMT), and pathomechanics can vary even between limbs in one child, according to a recent study published in Gait & Posture.

By Larry Hand

Continue reading

Ankle weights improve walking in children with Down syndrome

Load may help engage plantar flexors – Adding an ankle load during treadmill walking significantly improves gait kinetics in children with Down syndrome (DS), possibly due to greater contributions from the ankle plantar flexors, according to a study from Georgia State University in Atlanta.

By Larry Hand

Continue reading

In youth athletes, repair after meniscal injury poses challenge

Obesity, gender affect tear complexity – Adolescents and children suffer more complex meniscus injuries that are often less repairable than previously reported, according to a study published in the December 2013 issue of the American Journal of Sports Medicine (AJSM).

By P.K. Daniel

Continue reading

High error rates compel PDAC contractor to continue widespread claims review

Based on the high error rates found in its most recent quarterly review, Noridian Healthcare Solutions, Medicare’s durable medical equipment pricing, data analysis, and coding (PDAC) contractor, announced in January that it will continue its prepayment widespread review of claims for therapeutic…

Continue reading

FDA approves US trial of Celution System

The US Food and Drug Administration (FDA) granted San Diego-based Cytori Therapeutics an IDE (investigational device exemption) in January, allowing the company to begin a prospective safety and feasibility trial of its system for bedside extraction, processing, and reinfusion of autologous adipose-derived…

Continue reading

Liventa, Cryoport ally for direct delivery

Philadelphia-based Liventa Bioscience and Cryoport, based in Lake Forest, CA, partnered in February to deliver Liventa’s cell-based biologics tissue forms directly to orthopedic care providers using Cryoport’s purpose-built cold chain logistics solutions, which extend the shelf life of live tissue cells.

Continue reading

PT group raises $3M for research center

The Foundation for Physical Therapy announced January 24 that it has reached its goal of raising $3 million to fund a Center of Excellence for training physical therapists in health services research. The mission of the Center of Excellence for Health Services/Health Policy…

Continue reading

AMA names Wrobel to work group

The American Podiatric Medical Association (APMA) announced in January that the American Medical Association (AMA) has selected APMA nominee James Wrobel, DPM, to serve on the AMA’s Endocrine Clinical Work Group, part of its Physician Consortium for Performance Improvement (AMA–PCPI).

Continue reading

Orpyx wearable sensor enters US market

Orpyx Medical Technologies, a supplier of wearable sensor-based technologies headquartered in Calgary, Canada, in January launched its flagship product, the SurroSense Rx System, into the US market. The system, which collects plantar pressure data through…

Continue reading

Study of cell therapy for muscle injury meets primary safety, efficacy endpoints

Pluristem Therapeutics, a developer of placenta-based cell therapies based in Haifa, Israel, released on January 21 positive results from its phase I/II safety and efficacy trial of its PLX-PAD (placental expanded) cells for treatment of muscle injury. PLX-PAD cells, which release therapeutic proteins…

Continue reading

Bulls’ Tedeschi is NBATA Trainer of the Year

The National Basketball Athletic Trainers Association (NBATA) awarded Chicago Bulls Head Athletic Trainer Fred Tedeschi, ATC, with its 2012-2013 Joe O’Toole Athletic Trainer of the Year honor at the January 27 faceoff between the Bulls and the Minnesota Timberwolves.

Continue reading

ACSM taps new editor for flagship journal

L. Bruce Gladden, PhD, FACSM, began his tenure on January 1 as editor-in-chief of Medicine & Science in Sports & Exercise, the flagship journal of the American College of Sports Medicine. Gladden is professor in the School of Kinesiology and Humana-Germany-Sherman Distinguished Professor in Education at Auburn University in Alabama.

Continue reading

Orthofeet partners with diabetes educators

Northvale, NJ-based Orthofeet joined with the American Association of Diabetes Educators (AADE) in January to begin a grassroots effort to bring foot health education to patients with diabetes in key US markets. The Orthofeet team will partner with the AADE network…

Continue reading

Apis plans Hands-on-Foot seminar

Therapeutic footwear supplier Apis, based in South El Monte, CA, is sponsoring a “Hands-on-Foot Seminar” in Columbus, OH, on March 24. Rich Rusche, CO, CPed, will lead the seminar, which will focus on management of the neuropathic limb and offer 9.75 CEUs (continuing education units).

Continue reading

Lamey Wellehan celebrates centennial

Auburn, ME-based shoe seller Lamey Wellehan, which has six retail locations in the state, will mark the 100th anniversary of the opening of its first store on March 17, St. Patrick’s Day, in Lewiston. The company will celebrate its centennial with a yearlong schedule of events, including door prizes, vendor days, and sales.

Continue reading

2014 Paralympian is Ottobock ambassador

Ottobock in February named international snowboarding cham­pi­on Keith Gabel of Ogden, UT, its newest Ottobock Ambassador. In this role, Ogden, a below knee amputee, will serve as role model for individuals with disabilities and showcase the technology he uses in daily life and in competition.

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Congress adds $10M for O&P research

The American Orthotic & Prosthetic Association (AOPA) lobbied successfully to secure funds for O&P outcomes research as part of the 2014 congressional appropriations package, the organization announced in January. Congress accepted a proposal by Sen. Dick Durbin (D-IL)…

Continue reading

New flatfoot data rekindle debate over role of obesity

Australian researchers found no correlation between body mass index and prevalence of pediatric flatfoot, but used a different methodology than previous studies that reached an opposite conclusion. The conflicting results have revitalized the ongoing debate on this topic.

By Cary Groner

Continue reading

Strength training improves function in children with CP

Research suggests strength training can improve gait and function in children with cerebral palsy. But to be successful, experts say, the training needs to be part of a multifaceted rehabilitation program that accounts for more than the physical limitations imposed by the disease.

By Shalmali Pal

Continue reading

Physical therapist touched many lives, made significant contributions to field

David Pariser, PT, PhD, 52, of Crestwood, KY, died unexpectedly on January 14 at Audubon Hospital in Louisville. Pariser, who was 52, is survived by his wife, Gina Pariser, PT, PhD, and their twin daughters Ada and Kayla Pariser. Pariser … Continue reading

ACFAS installs new officers, board of directors at its annual conference

The American College of Foot and Ankle Surgeons (ACFAS) installed its 2013-2014 board of directors on February 12 at its 71st Annual Scientific Conference in Las Vegas. Jordan P. Grossman, DPM, FACFAS, is the 62nd president of ACFAS. Grossman practices … Continue reading

Implant firm offers surgical skills courses

Center Valley, PA-based Aesculap Implant Systems and the associated Aesculap Academy are offering three surgical skills courses for US-based orthopedic surgeons that address recent advancements in knee and hip replacement. Each course is led by an experienced surgeon and features … Continue reading

Allard is OPAF’s first 2013 silver sponsor

The Orthotic & Prosthetic Assistance Fund (OPAF) and The First Clinics, which offer adaptive recreational sports programs, announced last month that Rockaway, NJ-based Allard USA is its first silver-level sponsor for 2013. This is Allard’s third consecutive year as an … Continue reading

Medical food benefits patients with DPN

An American Journal of Medicine study published this month suggests that nutritional management of diabetic peripheral neuropathy (DPN) with L-methylfolate, methylcobalamin, and pyridoxal 5′-phosphate, a prescription medical food sold commercially as Metanx, improves total symptoms and health-related quality of life. … Continue reading

High-tech materials group wins contract to develop advanced prosthetics for vets

A new $4.4 million contract with the US Department of Veterans Affairs (VA) will support the High-Performance Materials Institute (HPMI) at Florida State University in Tallahassee in a major effort to develop the next generation of prosthetic limbs for military … Continue reading

BOC introduces DME certification

This month the Board of Certification/Accreditation (BOC) began offering a new certification for durable medical equipment (DME) professionals, the Certified DME Specialist (CDME). This role involves equipment delivery, set up, and patient education. CDMEs handle basic repairs and troubleshooting of … Continue reading

DJO Global continues research support

Vista, CA-based DJO Global renewed its membership in January in the Foundation for Physical Therapy’s Partners in Research program, donating $25,000 to support the foundation’s mission of providing doctoral scholarships, fellowships, and research grants to emerging physical therapist researchers. This … Continue reading

Spenco’s sandal sales skyrocket

Waco, TX-based Spenco Medical Corporation earned the number-one spot on the fastest-growing brand list in the Leisure Trends Group’s 2012 Outdoor RetailTrak report, released in January. Spenco’s sandal lines were recognized for accelerated growth in the outdoor sandal category, yielding … Continue reading

Fundraising begins for diabetes hospital

Kshitij Shankhdhar, MD, a diabetologist from Lucknow, India, is working with the Uttar Pradesh Madhumeh Association (UPMA) to help establish a charitable diabetes hospital in India and is seeking donations to support the project. (Madhumeh is a Hindi word for … Continue reading

New software facilitates orthosis design

UK-based CAD-CAM giant Delcam launched the new version of OrthoModel, its design software for custom orthotic insoles, at the annual meeting of the Academy of Orthotists & Prosthetists, held this month in Orlando, FL. The software has developments specifically for … Continue reading

Market Mechanics

• Lower-extremity companies dig deep to help earthquake victims in Haiti
• JMS honors injured soldiers’ spirit
• Delcam debuts orthotic website
• Otto Bock backs Paralympic exhibit

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Products


Dr. Harvey’s Herbal Motion

Dr. Harvey’s Herbal Motion is a new cream developed by New York orthopedic surgeon Harvey Manes, MD, to help soothe aches and pains with all natural ingredients as an alternative to anti-inflammatory drugs and chemical-based creams. The formula includes capsaicin… Continue reading

PDE Orthosis From Fabtech

Fabtech Systems offers the new PDE (posterior dynamic element) Orthosis, an advanced below-knee composite orthosis utilizing the PDE modular composite spring system for a range of orthotic applications including ankle and calf weakness. Continue reading

Abeo Biomechanical Footwear

Abeo biomechanical footwear promotes comfort, mobility, and overall health and wellness, along with classic footwear designs. Product lines include B.I.O.system (stands for built-in orthotics) sandals and shoes, AeroSystem athletic performance footwear… Continue reading

Support the Foot Quick Tape

New from Support the Foot is Quick Tape, a one-piece foot tape that offers a convenient alternative to low Dye taping. Clinicians can now ditch the scissors, adhesive spray, and different sizes of tape for one easy and efficient Quick Tape application. Continue reading

STS Trans-Tibial Molding Sock

The STS Company has announced the addition of a new molding sock to its family of casting materials. The Trans-Tibial sock, developed as a part of a postoperative rigid dressing system introduced recently in Australia, is suited for obtaining a negative… Continue reading

Tetra-Flex Clip-Free Bandage

Tetra announces the Tetra-Flex CF (clip free) Woven Elastic Bandage. Tetra-Flex CF is a premium weave of Spandex and selected long-staple cotton providing maximum compression and durability, and its new self-closure system now makes it easy to apply and… Continue reading

SPIO Lower Body Orthosis

The SPIO Lower Body Orthosis is designed to assist with gait and stability in pediatric patients with spastic diplegia, hypotonia, Down syndrome, ataxia, autism, and sensory processing disorder, as well as other diagnoses. The specially milled fabric is lightweight… Continue reading

Anti-embolism Stockings

Sigvaris offers a new generation of anti-embolism stockings to help prevent deep venous thrombosis and provide the benefits of graduated compression for patients transitioning from recovery to early rehabilitation. Available in calf-length and… Continue reading

Travel Shoes for Spring & Summer

Arcopedico USA introduces new fun and flirty travel shoes for Spring/Summer 2017, designed to be packable, lightweight, breathable, and circulation-supporting. The new Stripe shoe is a ballerina-style slip-on with a sculpted satin/cotton upper in a… Continue reading

Catalyst-Propel Knee OA Brace

Designed to reduce the pain of knee osteoarthritis and increase stability, the Catalyst-Propel OA prioritizes patient comfort to help maximize compliance and outcomes. The Catalyst-Propel OA’s defining features are its dual Q-hinges, which enable adjustment of overall… Continue reading

VibraCool Wearable Pain Therapy

VibraCool is a wearable pain therapy device that provides simple, serious relief for iliotibial band pain, plantar fasciitis, osteoarthritis, and other painful tendinitis conditions and injuries. VibraCool’s Cool-Pulse technology leverages the physiologic pain… Continue reading

MD Orthopaedics ADM Brace

MD Orthopaedics introduces the Abduction Dorsiflexion Mechanism (ADM), a new generation of foot abduction bracing for babies and children with clubfoot and other conditions that result in equinovarus or supination. The ADM enables new bracing strategies… Continue reading

Multiple jumpers increase risk for ‘trampoline ankle’

Large forces can cause severe fractures: Multiple trampoline jumpers are a primary cause of “trampoline ankle,” according to a recent Canadian study, which also noted that, when two individuals are bouncing out of sync, they generate kinetic energy forces that produce a high-impact effect that can cause serious growth-plate injuries in children.

By P.K. Daniel Continue reading

Improving foot posture, balance in CMT may aid ankle stability

Early care advised for FAI prevention: Functional ankle instability (FAI) is a common problem in children and adolescents with Charcot-Marie-Tooth disease (CMT), according to Australian research that advises further study of interventions that target balance and normalize foot structure to evaluate whether they can help improve ankle stability in this population.

By Katie Bell Continue reading

Dynamic warm-up with balance, plyo work leads to safer landings

Helps protect ACL in both genders: A one-time neuromuscular training intervention designed to prevent anterior cruciate ligament (ACL) injury is more effective than a traditional warm-up for improving landing technique in youth athletes, according to a study that could help convince coaches and athletes to embrace such training programs.

By Chris Klingenberg  Continue reading

Mobility-enhancing care in CP helps strengthen bones

Cerebral palsy (CP) can decrease mobility, which is key to quality living. Children with CP and compromised mobility are at risk for low bone mineral density and fragility fractures, but physical therapy programs and orthoses can help kids be more active to build stronger bones.

By Hank Black Continue reading

Keeping kids in braces can prevent clubfoot relapse

More than a third of Ponseti-corrected clubfeet relapse and require additional treatment. Making a complete initial correction, ensuring optimal brace comfort, and  encouraging parental buy-in to bracing  over the long term reduces brace nonadherence, a major cause of recurrence.

By Barbara Boughton Continue reading

Magnetic Slide Release Buckles

WBC Industries introduces Magnetic Slide Release Buckles to improve donning and doffing of lower extremity devices for children and patients with dexterity issues. The buckle is easily fastened with the help of an internal magnet by bringing the two ends of the buckle close to each other. Continue reading

Therafirm Ease Microfiber Tights

Ease Microfiber Tights by Therafirm, a Knit-Rite brand, are made with high stretch yarns for easy donning. The soft micro­fiber material, knit-in waistband, and smooth toe are designed to ensure all-day comfort; the waistband also resists rolling. Continue reading

Arcopedico Summer Shoes

Arcopedico USA introduces new collections for summer 2016. Alice is a loafer in solid-tone suede with a hand-stitched vamp, cushioned insole, metal-free twin arch supports, and a lightweight polyurethane outsole. Continue reading

STS XXL Slipper Sock

The STS Company has developed a new size of its slipper casting sock for those individuals with very large feet who are in need of custom foot orthotic devices. The Extra-Extra Large (XXL) Slipper Sock is designed to create an accurate model of the… Continue reading

ToeSnug Buttress Pad

Evenup is excited to introduce its new product, the ToeSnug Buttress Pad, for treating hammertoes, hard and soft corns, metatarsalgia, and spreading and overlapping toes. For toes that are contracted and bent, the ToeSnug acts as a bumper above the toes to reduce dorsal pressure from footwear. Continue reading

Advanced Ortho Aero Walker

The new Aero Walker from Advanced Orthopaedics is an advanced walker boot designed to provide the necessary immobilization and compression while maintaining a comfortable user experience. Continue reading

Handler 704 Sani-Grinder

Handler Manufacturing introduces the new and improved model 704 Sani-Grinder, with a 33% larger sanding drum to allow for better contouring and shaping of larger podiatric and orthotic appliances. The 704 Sani-Grinder is an affordable, self-contained device that requires no installation. Continue reading

KX2 Flexible Foot Lift

For those suffering from foot drop, the KX2 Flexible Foot Lift enables a more natural walking or running step while allowing ankle mobility. The device is comfortable, easy to use, lightweight, and adjustable. Continue reading

Silcare Breathe Prosthetic Liners

New Silcare Breathe prosthetic liners from Endolite feature laser drilled perforations to allow moisture and air to escape, offering improved comfort and control for amputees and reducing the risks of socket movement, loss of connection, and skin damage. Continue reading

Updated OPTP Catalog

OPTP (Orthopedic Physical Therapy Products) has published the 34th edition of its semi-annual professional catalog. The updated catalog now includes nearly 1000 health and wellness products, many of which are offered exclusively through OPTP… Continue reading

TriZone Knee Brace

DonJoy, a DJO Global company, is proud to introduce the TriZone Knee Brace. Featuring compression knit and silicone materials, TriZone is a lightweight, low-profile knee sleeve designed for performance as well as protection from knee pain. Continue reading

GlideWear Shear Protection Socks

New from Tamarack Habilitation Technologies, GlideWear Shear Protection Socks provide targeted protection from friction and shear to help prevent skin breakdown. Featuring dual-layer, low-friction fabric technology, GlideWear is engineered to provide… Continue reading

Sigvaris Merino
 Wool Socks

Sigvaris is pleased to announce that its All Season Merino Wool Socks are joining the Sigvaris Medical collection, designed for men and women who wear 20-30 mmHg medical graduated compression socks every day. Continue reading

Tommie Copper 
Compression Gear

Tommie Copper’s recovery line of compression products includes multiple colored sleeves, apparel, and accessories such as shorts and tights for all the pain points of the body, designed to be comfortably worn all day and throughout the night. Continue reading

Sonostics
 HeartPartner

Sonostics develops and markets “pacemakers for the second heart”—the soleus muscle—to provide nonpharm­- aco­logic relief from unexplained fatigue, swollen feet and ankles, muscle/joint pain, cold hands/feet, dizziness, brain… Continue reading

Vicon 
Nexus 2

Nexus 2 is the newest version of Vicon’s data capture software for sports, rehabilitation, gait analysis, and biomechanical research. New major updates address speed, methodology, and accuracy challenges faced by both clinicians and… Continue reading

Fascia Therapy 
Book and Tools

Eric Franklin’s new book, Fascia Release and Balance, educates the reader on how connective tissues integrate the body’s components and facilitate all movements. This knowledge is reinforced by Franklin Method ball-rolling and imagery… Continue reading

‘Garden Stretches’
 Patient Education

Stretching Inc. presents stretching as a simple, gentle activity that can be done by anyone, anywhere, at any time. “Garden Stretches” provides detailed instructions and illustrations of stretches to do before, during, and after gardening to help… Continue reading

Squid Cold
 Compression

Squid, a dynamic cold compression system, combines sequential compression with cold therapy. The cold compression directs edema away from the extremities and toward the heart, promoting venous return and increasing local circulation. Continue reading

Rocktape
 RockGuards II

Rocktape now offers RockGuards II, designed to protect the shins of the wearer during physical activity such as rope climbs, CrossFit, dead lifts, and cleans and snatches. Continue reading

Armor1 Ankle
 Roll Guard

The new Armor1 Ankle Roll Guard is designed to prevent ankle sprains by cushioning the ankle during an inversion, or “roll.” Unlike a brace, the Armor1 Ankle Roll Guard… Continue reading

Orthotimer Wear
Time Monitor

Pro-Tech Orthopedics is the exclusive North American distributor of the Orthotimer, an electronic monitoring system that documents the wear time of orthopedic devices for outpatients. The heart of the Orthotimer system is a small microsensor… Continue reading

PF Sock
Night Splint

The PF Sock is a specialist-designed night splint that is intended to provide an optimum stretch of the plantar fascia and speed recovery. The PF Sock is designed to hold the ankle joint in a neutral position while dorsiflexing the toes—a combination that can… Continue reading

Offloading Pulseboot

Pulseboot footwear is designed to improve diabetic foot ulcer healing, reduce limb loss, and help lesions stay healed. Pulseboot offloads pressure using an advanced material (D3O) and contoured insole design. A discreet rigid offloader controls unwanted foot motion… Continue reading

Koven, LEAP collaborate to save limbs

The Preventive Foot Care Centers of America, a managed care podiatry network administered by the Las Vegas-based Lower Extremity Amputation Prevention (LEAP) Alliance, announced on January 22 a collaborative amputation prevention effort with Koven Tech­nology, based in St. Louis, MO. Continue reading

Soft tissues may help determine response to Ponseti treatment

Children with idiopathic clubfoot who have relapses after treatment with the Ponseti method demonstrate different soft tissue abnormalities than children whose clubfoot is permanently corrected, according to research published in the August issue of the Journal of Bone & Joint Surgery.

By Erin Boutwell Continue reading

Study questions utility of adult balance test in concussed kids

With head trauma becoming increasingly worrisome in sports these days, a significant concern is whether the same protocols for clearing an athlete to return to sports should be used in both adults and children. Research from Cincinnati Children’s Hospital Medical Center suggests that the…

By Chris Klingenberg Continue reading

Shoe flexibility influences gait characteristics in early walkers

A recent study published in the winter issue of Pediatric Physical Therapy found that children just learning to walk may have altered gait characteristics when wearing flexible shoes.

By Erin Boutwell Continue reading

Treating and preventing ankle sprains in children

High rates of chronic ankle instability in children suggest a need for better prevention and treatment of ankle sprains in young patients, but researchers are just starting to explore whether clinical approaches designed for adults will also be effective in their younger counterparts.

By P.K. Daniel Continue reading

Cerebral palsy and knee pain: management tips

Knee pain is common in children with CP, but given the many health challenges facing this patient population, knee symptoms may not be given high priority. Proper diagnosis and treatment of knee pain, however, can be key to maximizing a childʼs mobility and quality of life.

By Shalmali Pal Continue reading

Ponseti method surpasses surgery for long-term clubfoot outcomes

But both groups fall short of controls – Children treated for clubfoot with the Ponseti method have less pain and fewer gait impairments as adults than those treated with surgery, according to research from Shriners Hospital for Children in Chicago.

By Samantha Rosenblum

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Ankle dorsiflexion patterns vary in Charcot-Marie-Tooth disease

Data support case-by-case approach – Gait patterns can vary significantly among young patients with Charcot-Marie-Tooth disease (CMT), and pathomechanics can vary even between limbs in one child, according to a recent study published in Gait & Posture.

By Larry Hand

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Ankle weights improve walking in children with Down syndrome

Load may help engage plantar flexors – Adding an ankle load during treadmill walking significantly improves gait kinetics in children with Down syndrome (DS), possibly due to greater contributions from the ankle plantar flexors, according to a study from Georgia State University in Atlanta.

By Larry Hand

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In youth athletes, repair after meniscal injury poses challenge

Obesity, gender affect tear complexity – Adolescents and children suffer more complex meniscus injuries that are often less repairable than previously reported, according to a study published in the December 2013 issue of the American Journal of Sports Medicine (AJSM).

By P.K. Daniel

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MVI Footcare Catalog

MVI Footcare, a division of Med-Vet International, is pleased to announce that its new product catalog is now available to the foot and ankle healthcare community. Built on the foundation of Med-Vet International’s 30 years of experience in the medical community, the MVI Footcare catalog is dedicated to the foot and ankle healthcare professional.

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FuseForce Fixation System – Solana Surgical

Solana Surgical announces the launch of the FuseForce SuperElastic Fixation System, an implant system for fusing the small joints in the foot and ankle. The FuseForce System is a complete, sterile kit containing superelastic nitinol (memory metal) staples and all the instruments required for implantation.

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Sole Supports EVA Orthotics

Sole Supports now offers new EVA (ethylene vinyl acetate) Orthotics. Constructed using Sole Supports’ newly designed optical calibration process, the EVA Orthotics are an alternative to more rigid plastic devices and are suitable for geriatric patients or patients with diabetes. The softer material combines compression with flexion…

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Tru-Mold Advanced CROW

The new Advanced CROW (Charcot restraint orthotic walker) from Tru-Mold Shoes combines the comfort and mobility features of a custom-molded boot with the healing characteristics and offloading of a traditional CROW device. A TM Pressure Relief System provides recesses on the insert and removable base material…

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AdaptaStep from Propét

Propét introduces the Adapta­Step recovery shoe, under its Propét Preferred therapeutic foot care line. AdaptaStep is designed to help alleviate fluid build up, speed healing, and promote a quicker return to normal gait. The Variable Flex Technology system features removable inserts in the forefoot to allow for…

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Rocktape Active-Recovery

Rocktape’s Active-Recovery series of athletic tapes is available in more than 55 designs and colors, including Tattoo, Pink Camouflage, Biohazard, Argyle, U.K. Flag, Pink Skull, and Tiger. Rocktape kinesiology tape works by lifting the skin away from the soft tissue underneath, which allows more blood to move into an injured area to accelerate healing and recovery.

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Dr Jill’s Orthotics

Dr. Jill’s Foot Pads now offers Dr. Jill’s Orthotics—customizable, ready-to-dispense foot orthoses. Designed by a podiatrist, the thin, lightweight, durable devices come with a lifetime guarantee that they will never break, crack, or bottom out.

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WalkOn Reaction AFO

Ottobock announces the launch of the WalkOn Reaction AFO. Fabricated from a prepreg advanced carbon composite, the Reaction is lightweight, low profile, and extremely tough. It is designed for patients with weak dorsiflexion, poststroke impairment, traumatic brain injury, multiple sclerosis, neuromuscular atrophy, peroneal paralysis, and partial foot amputation.

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OPTP Star Roller

OPTP introduces its newest star, the new Star Roller, designed for therapeutic self-massage, relaxation techniques, body alignment, and core strengthening exercises. Designed and patented by a physical therapist, it features deep ridges running the length of the foam roller, alternately compressing and releasing tense or rigid…

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Aetrex Petals and Stretchables

Aetrex Worldwide offers two new lines of shoes: Apex Petals and Apex Stretchables. Apex Petals offers fashion-forward styles designed to provide maximum comfort and protection. The lightweight shoes have removable double depth insoles and slip-resistant soles made from injected EVA (ethylene vinyl acetate).

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ClotrimazOil Antifungal

The PediFix Footcare Company announces the first antifungal with the broad-spectrum killing power of clotrimazole, in an exclusive essential oils carrier formula. ClotrimazOil is an alternative to tolnaftate and unde­- cylenic acid. Clotrimazole kills six types of fungi, yeasts, and molds that traditional antifungals don’t.

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BRD Sport Achilles Brace

The BRD Sport Achilles Ankle brace is designed to provide reliable relief of pain due to Achilles tendinitis, achillobursitis, or post-traumatic irritation. Three-dimensional knitting offers a four-way stretch to improve fit and comfort. An anatomically contoured silicone tendon pad aids with increased joint stabilization and recovery.

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New flatfoot data rekindle debate over role of obesity

Australian researchers found no correlation between body mass index and prevalence of pediatric flatfoot, but used a different methodology than previous studies that reached an opposite conclusion. The conflicting results have revitalized the ongoing debate on this topic.

By Cary Groner

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Strength training improves function in children with CP

Research suggests strength training can improve gait and function in children with cerebral palsy. But to be successful, experts say, the training needs to be part of a multifaceted rehabilitation program that accounts for more than the physical limitations imposed by the disease.

By Shalmali Pal

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SACH+ Prosthetic Foot

Ottobock announces the SACH+prosthetic foot, a new generation of the traditional SACH (Solid Ankle Cushion Heel) foot. The new SACH+ foot is designed for users at mobility levels K1 and K2, with a durable, robust design featuring a glass-fiber-reinforced contoured … Continue reading

RecoveryPump Muscle Therapy

The RecoveryPump delivers medical grade compression to help reduce fatigue, soreness, and inflammation. Intermittent pneumatic compression works with the body to increase blood circulation and achieve in one to two hours the muscle recovery that would take the body 12 … Continue reading

Femoral Traction Splint

Rescue Essentials offers the STS Slishman Traction Splint, a fully adjustable traction splint for patients with suspected femoral fractures. The light, compact splint is designed to apply femoral traction to relieve pain and reduce hemorrhage and the possibility of further … Continue reading

Nu Wave Nail Products

MVI Footcare, a division of Med-Vet International, is the exclusive national distributor of Nu Wave Antibacterial and Antifungal Nail Enamel. Used at home or taken to a nail salon, the Nu Wave products facilitate nail care that may also establish … Continue reading

Prefabricated KAFO System

Anatomical Concepts offers a new multifunctional prefabricated knee-ankle foot orthosis (KAFO) system for functional or fracture applications in the rehabilitation or orthopedic settings. The KAFO system consists of the Pentagon knee orthosis and the Rapo AFO. The Pentagon is a … Continue reading

Hersco Partial Foot Prosthesis

Hersco offers the new DLA (durable, lightweight, antimicrobial) Partial Foot Prosthesis (PFP). The DLA PFP combines a thin dynamic-carbon ankle foot orthosis (AFO) and a slightly dorsiflexed socket-type foot orthotic device with toe-filler to assist with rehabilitation after partial foot … Continue reading

Cold Snap Footwear

Spenco Medical Corporation offers the Cold Snap, a winterized edition of its popular Siesta Total Support Footwear line. The winter slip-on features a thicker tread for colder conditions and fleece trim for a warmer appearance. Like the Siesta, the Cold … Continue reading

Deluxe Lace Up Ankle Brace

Elite Orthopaedics introduces the Deluxe Lace Up Ankle Brace for patients of podiatrists, foot and ankle surgeons, orthotists, and licensed physicians. The new brace features an easy-to-use lace up system and an elastic cuff at the top of the device … Continue reading

Clearflex Liner Material

Allied Plastic Supply offers Clearflex, a soft inner liner material that can be thermo-formed and heat-gun molded, has good clarity, and bonds well to itself. Held in place in an ankle foot orthosis (AFO) using a small piece of self-adhesive … Continue reading

Modular OrthoticMe

Insightful Products introduces OrthoticMe, a modular foot orthotic device that is fully customizable. OrthoticMe consists of several components that attach to the main sole using Velcro. Each piece is layered, which lets practitioners dial in the optimum amount of corrective … Continue reading

ScanCast 3D Foot Scanner

Arizona AFO offers a new custom configured, cost-effective 3D laser imaging technology to replace traditional plaster casting. The ScanCast 3D combines two high speed imaging chips and two imaging lasers in a unified, precalibrated scanning mechanism that scans the foot … Continue reading

Diaped Twin-Tip

Algeos USA announces the launch of Diaped Twin-Tip, a dual combination diagnostic device for testing the essential protective functions of thermal (warm/cold) discrimination and sensory perception in the feet of patients with diabetes. The Diaped Twin Tip is made from … Continue reading

Entegra SV Knee

Hosmer introduces a smaller version of the Entegra Knee, the Entegra SV Knee. The Entegra SV Knee has hydraulic swing phase control and is constructed with durable, lightweight aluminum alloy. Its compact design is perfect for smaller patients and cases … Continue reading

Sher Half-Sole Inserts

Sroufe Healthcare introduces the Sher Comfort Series of Half-Sole Inserts to support the foot and help relieve pain caused by foot conditions such as plantar fasciitis, weak or fallen arches, and aching, geriatric, or fatigued feet. Anatomically formed with a … Continue reading

J-Gel Pressure Relief

JMS Plastic Supply introduces J-Gel for use wherever pressure relief and shear reduction is required. J-Gel is a low-durometer, high performance polyurethane gel with an adhesive backing that can be easily applied to any foot orthotic, brace or footwear product … Continue reading

Gersh Day Splint

The Gersh Day Splint is designed for daytime use in the treatment of plantar fasciitis. Other indications include Achilles tendinitis, posterior tibial tendinitis, peroneal tendinitis, extensor tendinitis, and drop foot. The splint provides a passive continual gentle stretch, to reduce … Continue reading

Orthofeet Tie-Less Shoes

Orthofeet is adding more great looking models to its Tie-Less shoes collection, which allows users to wear regular lace-up shoes without needing to tie them. The modification of laces with hook-and-loop straps offers an easy way of fastening without tying, … Continue reading

SpiderTech Kinesiology Tape

SpiderTech kinesiology tape from Nucap Medical is now available in the United States, in pre-cut and roll formats. SpiderTech includes 12 pre-cut, pre-designed, pre-packaged therapy solutions. The SpiderTech is easy to use for more efficient application, expanding clinical skill sets … Continue reading

iQube 3D Scanner

CAD-CAM software supplier Delcam introduces iQube, a versatile tool that allows users to scan what they want, when they want and how they want. Whether scanning a foot, a cast or a foam box impression, iQube can produce a high … Continue reading

TurboSonic Vibration Therapy

TurboSonic USA introduces its TurboSonic sonic vibration therapy system, the industry’s first major advancement to whole body vibration (WBV) therapy since its introduction by Russian cosmonauts in the 1970s. TurboSonic uses a speaker system with a new magnetic circuit in- … Continue reading