January 2015

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Cover Story


With Healogram telehealth technology, wound surface area is automatically calcu- lated using a disposable calibration sticker and computer vision techniques. (All images courtesy of Healogram.)
Telemedicine: Bringing diabetic foot care to the small screen

Many experts believe that comprehensive acceptance of telemedicine for preven­tion and monitoring of diabetic wounds and other lower extremity care is right around the corner.

By Hank Black

Editor Message


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Out on a limb: Muscling in on diabetes

There are already plenty of good reasons for indivi­duals with diabetes to exercise. But here’s one more: Strengthening the intrinsic foot muscles just might reverse the development of diabetic peripheral neuropathy (DPN) even before it becomes clinically apparent.

Jordana Bieze Foster, Editor

Departments


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Sensory-targeted ankle rehabilitation strategies

Current treatments for chronic ankle instability (CAI) may be ineffective in reducing its development and recurrence. To help address this issue, the authors have proposed a new treatment paradigm based on …

By Patrick O. McKeon, PhD, ATC, CSCS, and Erik A. Wikstrom, PhD, ATC, FACSM

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Knee OA as a long-term consequence of injury

A knee injury can have painful and disabling long-term repercussions, such as the early onset of knee osteoarthritis (OA) or accelerated knee OA. Injury prevention and effective interventions may help …

By Jeffrey B. Driban, PhD, ATC, CSCS; Brian Pietrosimone, PhD, ATC; Nicole M. Cattano, PhD, ATC; Matthew S. Harkey, MS, ATC; and Brittney A. Luc, MS, ATC

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Implications of reduced stride length in running

Decreasing stride length during running has been shown to result in biomechanical changes that are associated with reduced loading of biological tissues and, by extension, also may reduce the …

By Melissa A. Thompson, PhD, and Kristine M. Hoffman, DPM

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Clinical utility of the FMS and its component tasks

Although some research has found that using the composite score for the seven component tasks of the Functional Movement Screen is a reliable way to predict risk of injury in athletes, other studies …

By Erin Hartigan, PT, DPT, OCS, PhD, ATC; Nicole Chimera, PhD, ATC, CSCS; and Sarah Lamberton, NSCA-CPT

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Effects of unstable shoes: Many questions remain

Current research suggests that relatively small but statistically significant changes are associated in the short term with the use of unstable shoes. However, it is unclear if those changes are clinically meaningful, or whether long-term use would yield greater or diminished results.

By Jacob Gardner, PhD

News


In the Moment: Falls

By P.K. Daniel

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Breaking bad: Ankle fracture study highlights mortality

Is ankle fracture in the elderly the new hip fracture? Hip fractures in older adults have often been linked to high mortality rates, and a recent study suggests the same may be true of ankle fractures, given that some of the same variables are at play.

Home-based walking program boosts mobility but does not alter rate of falls

While walking is a popular form of exercise among the elderly that improves mobility, a home-based walking program does not curb the risk of falling, according to an Australian study.

Rate of torque development in the hip differentiates fallers from nonfallers

Rate of torque development (RTD) in the hip extensor muscles is an outcome that could be key to identifying patients at risk for falling, according to a study epublished in December 2014 by Aging Clinical & Experimental Research.

Market Mechanics

By Emily Delzell


Brace demand grows while market for knee arthroplasty remains static

With only 10.5% of US patients with knee osteoarthritis opting for surgery in 2013, a percentage that has not increased in 10 years, medical device manufacturers are working to meet the clear demand for solutions that delay unwanted surgery, according to a November report from London, UK-based GlobalData.

Longtime pedorthist Bill Meanwell dies

Bill Meanwell, CPed, died on November 14, 2014, in Broken Arrow, OK. He was 63. A longtime pedorthist, most recently in private practice as owner of Corethotics in Tulsa, OK, Meanwell also taught at the Oklahoma State University Institute of Technology in …

Össur opens women’s leadership effort

Foothill Ranch, CA-based Össur in November launched its Össur Women’s Leadership Initiative, a program to encourage greater diversity and inclusiveness in the O&P field.

Playground build to open AAOS meeting

The American Academy of Orthopaedic Surgeons (AAOS) will kick off its 2015 Annual Meeting on March 24 in Las Vegas with a one-day build of a playground designed with input from children from the local church community program Palabra Viva Las Vegas.

BiOM gets $6M for bionic development

Bedford, MA-based bionics company BiOM announced in December 2014 that it had recently raised $6 million from Dutch and US venture firms, bringing its total funding to $48 million, according to the Boston Business Journal (BBJ).

Delcam expands technology forums

Birmingham, UK-based Delcam announced in December that its popular technology forum will expand its scope in 2015 to include orthopedics. The change is reflected in the event’s new name, the Ortho Technology Forum (OTF), which reflects the …

IDEO study calls for military participants with post-trauma foot, ankle weakness

The Major Extremity Trauma Research Consortium (METRC) on January 2 called for participants for a Department of Defense-funded study examining the benefits of an integrated orthosis and rehabilitation program that incorporates the Intrepid Dynamic Exoskeletal Orthosis (IDEO) and the Return to Run …

DJO Global donates $25K for PT center

Alexandria, VA-based DJO Global reported December 30 that it has donated $25,000 to the Foundation for Physical Therapy’s planned Center of Excellence (COE).

USATF honors Team Spenco runner Gray

USA Track & Field (USATF) recognized elite mountain runner and Spenco-sponsored athlete Joseph Gray with its “Mountain Runner of the Year” title on December 4 during its annual meeting in Anaheim, CA.

Brenau U pre-accredited for DPT program

The Alexandria, VA-based Commission on Accreditation in Physical Therapy Education announced on December 11 that it has granted candidacy for accreditation to Brenau University’s doctoral degree program, which is recruiting candidates for the class that begins in May 2015.

Freedom Innovations, Parker collaborate

Irvine, CA-based lower extremity device manufacturer Freedom Innovations and Cleveland, OH-based motion control technology company Parker Hannifin Corporation announced on December 9 that the companies have completed a minority equity investment agreement.

Amputee Coalition, AAOS offer new tool

The Manassas, VA-based Amputee Coalition and the American Academy of Orthotists and Prosthetists (AAOP) in November released a new tool designed to help amputees and their families and caregivers ask the right questions …

Ruelle recognized for diabetic wound care

The National Alliance of Wound Care and Ostomy (NAWCO) honored Anna Ruelle, DPM, WCC, in November at its 11th annual Wild on Wounds Conference for her efforts in promoting diabetes education, volunteering her time to the treatment …

Products


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Thicker Orthoflex

Allied O&P Supply’s new thicker gauge Orthoflex material is now available in transparent and black. Orthoflex is a flexible, formable thermoplastic material designed for below-knee and above-knee socket liners…

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UV Shoe Sanitizer

For patients with athlete’s foot, onychomycosis, shoe odor, diabetic skin issues, or other dermatological concerns, as well as for those wanting to prevent these conditions, PediFix offers a new UV (ultraviolet) shoe sanitizer…

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Sols Foot Orthoses

Sols introduces a new system designed to simplify and enhance the orthotic prescription process and enable practitioners to focus on patient care. Sols’ certified providers receive an iPad equipped with an app to capture images of patients’ feet easily and accurately without the need for paperwork …

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Delcam Shoe Software

Delcam Crispin has launched Engineer Ortho, a new version of its Engineer Pro software specifically for the manufacture of orthopedic footwear. One key tool in Engineer Ortho is the multipoint function that …

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Ottobock 3R60=VC Vacuum Knee Joint

Ottobock announces the 3R60=VC Vacuum Knee Joint for transfemoral amputees. The joint is based on the mechanical principle of the 3R60 EBS (ergonomically balanced stride), with the new feature being …

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Pedors High-Top

Pedors Shoes has reintroduced the Pedors High-Top, available in an XXW width from a children’s size 1 up to a men’s size 15. The Pedors High-Top is an all-weather boot that features a dorsal stretch panel and …

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Freedom Plié 3 Submersible Knee

Freedom Innovations has officially launched its new Plié 3 Microprocessor Controlled (MPC) Knee. The strong construction of the new knee—which adjusts to walking, running, uneven terrain, and occasional water exposure …

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Remedy Pro Offloading Shoe

DJO Global’s ProCare product line now includes the Remedy Pro Offloading Shoe, designed to reduce forefoot pressure and speed healing. The Remedy Pro is indicated for forefoot trauma, postsurgical healing …

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NCV Custom Foot Orthoses

Combining 50 years of experience with high quality and a desire to meet the needs of today’s healthcare professionals, Northwest Podiatric Laboratory introduces NCV custom foot orthoses. This all-new material …

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Transfemoral Infinite Socket

The Infinite Socket from LIM Innovations is a custom, modular, dynamic transfemoral socket engineered to empower both clinician and user. The adaptable socket allows wearers to adjust the fit during day-to-day activities and in response to volume change over long periods of time …

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Spenco Fall Footwear Line

Spenco announces the launch of its new Fall Footwear Line. Featuring chic leather styles in an ultra-supportive footwear design, the new fall line includes more traditional, everyday styles for men and women…