February 2011

Cover Story


Head Games: Neurocognitive contributors to noncontact injury
Because movement is controlled by the central nervous system, any type of cognitive disturbance can increase an athlete’s risk of injury. An increasing research focus on these neuropsychological variables could determine the future of rehabilitation and injury prevention. By Charles Buz ...

Editor Message


Out on a limb: Kinder cuts
Surgery, for many patients, is the worst clinical outcome they can imagine, something to be adamantly avoided even if the alternative is a life of pain and disability. And that’s probably not surprising. By Jordana Bieze Foster, Editor

Departments


Role of foot orthoses for patellofemoral pain
The key to documenting the effectiveness of foot orthoses for patellofemoral pain syndrome appears to be identifying which specific subgroup of PFPS patients are most likely to benefit. Evidence-based clinical prediction rules offer guidance for optimizing clinical ...
Deformity and diabetes dictate surgical strategy
Offloading devices are the first line of defense in healing and preventing diabetic foot ulcers. But when ulceration-prone areas of the foot are associated with anatomical deformities or biomechanical impairments, surgery may be a more effective option. by ...
Inversion ankle sprains: Seeking optimal support
Maximal protection of multiple ankle ligaments following a sprain requires a taping technique or brace that provides restraint of rotary talocrural and subtalar joint displacements within the transverse plane as well as restraint of inward hindfoot motion within the frontal ...
Quadriceps strength and risk of knee OA
Evidence from the medical literature suggests that quadriceps weakness may be a potentially modifiable risk factor for incident symptomatic and progressive knee osteoarthritis, although its relative significance seems to be a function of patient gender and malalignment. By ...
Exercise related leg pain: More than ‘shin splints’
Indiscriminate use of the popular term “shin splints” has led to confusion about the true complexities of exercise related leg pain in athletes, which can include medial tibial stress syndrome, chronic exertional compartment syndrome, stress fractures, and ...
Lymphedema presents therapeutic challenges
Although lymphedema in the past has often been overlooked or misdiagnosed, a growing number of certified practitioners are using the conservative treatment techniques of manual lymph drainage and complete decongestive therapy to effectively treat lymphedema patients. By Harold ...

News


In the Moment: Footwear

By Jordana Bieze Foster

Analyze this: Kids’ shoes
Findings suggest divergent gait effects The findings of a recent meta-analysis seem likely to fuel the ongoing discussion about the relative biomechanical advantages of footwear relative to barefoot walking or running, but not necessarily in the ways one might expect.
Increase in proximal joint moments does not depend on shoes’ stability
The increased joint moments associated with walking in standard athletic shoes are not affected by the amount of motion control provided by the shoe, according to research from the University of Virginia. Investigators analyzed 68 healthy young adults as they walked ...
Data indicate looser lacing increases pressure time integral under forefoot
When it comes to shoe lacing, looser is not necessarily better for patients with diabetes. Loose laces are associated with higher pressure time integrals under some regions of the foot than comfortably tightened laces, according to research from the Netherlands e-published ...

In the Moment: Tendinopathy

By Jordana Bieze Foster

New frontiers in PTTD
Focus is on ultrasound, hip strength Research presented in February at the Combined Sections Meeting of the American Physical Therapy Association highlighted underappreciated clinical characteristics of posterior tibial tendon disorder that could influence patient management.
Athletes with patellar tendinopathy demonstrate degenerative changes
Patellar tendinopathy in elite volleyball players is associated with degenerative tendon changes visible using ultrasound imaging, according to research from the University of Southern California. The findings, presented in February at the APTA’s ...
Eccentric exercise fails to add benefit for insertional Achilles tendinosis
A multimodal therapy regimen produces positive results in patients with insertional Achilles tendinosis but is not enhanced by the addition of eccentric exercise, according to research from Campbell Clinic Orthopedics in Memphis presented in February at ...

Market Mechanics


PFA updates DMEPOS coding manual
An updated coding manual for foot and ankle devices is now available from the Pedorthic Footcare Association. PFA members can download The January 2011 Updates to Modern Coding for Foot & Ankle DMEPOS  HCPCS ...
CMS issues new codes for Apligraf
The Centers for Medicare & Medicaid Services (CMS) has issued two new procedure codes for skin substitute Apligraf, manufactured by Canton, MA-based Organogenesis.  The Food and Drug Administration has approved ...
MBT study confirms increased ROM
Swiss footwear company Masai Barefoot Technology promotes its shoes’ ability to simulate barefoot walking on an unstable surface. Now research from the U.K. suggests that MBT footwear is actually associated with a range of ...
Endowment targets women’s health
The Foundation for Physical Therapy is proud to announce a new annual fundraising effort by the American Physical Therapy Association’s (APTA) Section on Women’s Health to support research in women’s health physical therapy. “The Endowment for Research Excellence ...
Weil Institute receives ACFAS grant to study MRI of plantar plate injuries
Researchers from the Weil Foot & Ankle Institute in Des Plaines, IL, in January were named the recipients of a Clinical and Scientific Research Grant from the American College of Foot & Ankle Surgeons to study the diagnostic value of ...

Products


Pneusplint Inflate-first Splint
Care2 Medical offers the Pneusplint, a disposable, inflatable air splint that conforms to virtually any extremity fracture. Invented by a 20-year veteran of the firefighting/paramedic industry, the inflate-first splint facilitates a stable and secure fit around any straight or angled ...
BioStride Series Prosthetic Feet
BioQuest Prosthetics introduces the new BioStride Series, featuring the UltraStride, ActiveStride, and NaturalStride feet. Designed for active lifestyle K3 and K4 patients, each BioStride Series foot features a patented mechanical structure that walks naturally and increases mobility. The anterior-facing, ...
Viscolas Modular Orthotic System
Viscolas offers the Viscolas Modular Orthotic System. The custom foot orthotic system includes a regular orthotic insole and an array of specialized, self-adhesive custom orthotic components, including metatarsal pads, longitudinal arch pads, heel wedges, heel lifts, and heel spur cushions. ...
UltraSafeGait Pediatric AFO
Ultraflex Systems announces the availability of the UltraSafeGait Adjustible Dynamic Resonse (ADR) , Pediatric  Ankle/Foot Orthosis (AFO) for children with crouch gait types, equinus gait types, and all of their variants. The pediatric AFO complements UltraFlex’s pediatric line of stretching ...
OrthoPro HyperEx Knee Brace
Ongoing Care Solutions offers the OrthoPro HyperEx knee brace for control of knee hyperextension and genu recurvatum. The light weight, easy to apply OrthoPro HyperEx Knee features a low profile and conforms to leg anatomy, minimizing migration. Along with a ...
CalleX Exfoliating Foot Ointment
Xenna introduces the CalleX exfoliating ointment for dry, cracked feet. The patented topical exfoliating ointment is intended for use by the general and diabetic populations, and engineered to be preservative free. Callex exfoliating ointment thins and softens hardened skin and ...
Alice Alan Luxury Comfort Shoes
Alice Alan, a boutique luxury comfort footwear designer and manufacturer, has debuted a women’s shoe collection that brings together the best of comfort, style and fit.  Alice Alan footwear integrates a full-length, but removable, custom dress-shoe orthotic created in an ...
Dr. Comfort Compression Wear
Great styles, great quality, and great pricing set Dr. Comfort’s new line of compression wear apart from the rest.  Designed with simplicity and style in mind to increase patient compliance, Dr. Comfort’s new Shape-To-Fit line of compression wear combines innovative ...