July 2009

Cover Story


Blood Flow Restriction Training: The slow-flow movement is fast becoming rehab’s hottest trend

Partially occluding blood flow to the limbs, in com­bin­ation with low-load resistance exercise, appears to facilitate hypertrophy and strength gains in athletes and others while protecting the joints from damaging stresses.

By Cary Groner Continue reading

Complete Feet: Pedorthist’s new venture emphasizes the customer experience

Michael Duvdevani, CPed, thinks of his newest store, Complete Feet, as a carefully thought-out step in the right direction.

By Catherine M. Koetters | Photos by Michael Moore Continue reading

Lamey Wellehan Shoes: Investing in expertise pays off for 101-year-old company

Many foot care professionals would probably confess to a love-hate relationship with the footwear industry. At times, it may feel like the manufacturers of tottering stiletto heels and poorly supported platform shoes are the bane of one’s existence when it comes to…

By Nancy Shohet West Continue reading

Extra bodyweight enhances effects of high heels at knee

Lower heels, BMI may reduce OA risk – Walking in shoes with heels higher than about 1.5 inches causes gait abnormalities that are amplified by extra bodyweight, according to recent research that found high-heeled walking creates significant changes in knee loading similar to…

By Emily Delzell Continue reading

Foot orthoses for heel pain help improve walking activity

Study supports custom device use – In patients with plantar fasciitis, the pain relief associated with custom foot orthoses (CFOs) appears to result in increased walking activity, as well, according to a recently published clinical trial.

By Barbara Boughton Continue reading

DIABETIC FOOTWEAR: Cinematic symposium explores person-centric communication

Cannes is the French city most often associated with cinema. But several hundred kilometers to the north, in Lyon, a pair of short films debuted in June that sent a clear message about the most effective ways for lower extremity practitioners to interact with their patients. Continue reading

AMPUTATION: Patients cite lack of education about partial foot procedures

Patients who have had a partial foot amputation followed by a transtibial amputation on the same limb feel that they were inadequately educated about what the first procedure would involve, according to detailed interviews conducted by researchers at La Trobe University in Melbourne, Australia. Continue reading

PEDIATRICS: CP studies assess potential advantages of flexible AFOs

The flexibility of an ankle foot orthosis (AFO) does not necessarily affect walking economy in children with cerebral palsy (CP), but more flexible AFOs may be particularly beneficial for sports activities in higher-performing children with… Continue reading

DROP FOOT: Benefits of FES after stroke are maintained at 42 weeks

Gait speed improvements associated with 30 weeks of functional electrical stimulation (FES) in poststroke patients are maintained at 42 weeks, according to research presented in June at the 2015 ISPO World Congress. Continue reading

OSTEOARTHRITIS: Orthotic options for knee OA focus on compliance issues

New research presented in June at the 2015 ISPO Congress underscored the potential long-term benefits of valgus knee bracing for relief of medial knee osteoarthritis (OA) symptoms when patient compliance is high, while… Continue reading

PROSTHETICS: Foot strike pattern can affect load in amputee runners too

Foot strike pattern during running affects loading in unilateral lower limb amputees, as it does in able-bodied runners, according to research from the Chinese University of Hong Kong. Continue reading

Improving compliance with diabetic footwear

Convincing patients with diabetes to wear their prescribed footwear presents a challenge, but experts agree that encouraging patient compliance requires lower extremity clinicians to look beyond the disease and gain insight into the person being treated.

By Shalmali Pal Continue reading

Intricacies of metatarsal stress fracture treatment

A growing body of research on metatarsal stress fractures is helping lower extremity practitioners manage both the biomechanical and physiological effects of these frustrating injuries, as well as the expectations of patients who are eager to return to activity.

By Erin Boutwell Continue reading

Driving safety: The effects of lower extremity impairment

The question of when or if it’s safe for patients to drive after surgery or while wearing a lower extremity orthotic device is one practitioners should address. But, in the absence of formal guide­lines, clinicians’ advice is often inconsistent.

By Hank Black Continue reading

Thanks to our manuscript authors!

magazine is only as good as the words that fill its pages, and LER is no exception. As we celebrate our fifth anniversary, we’d like to sincerely thank the many researchers and practitioners who have contributed manuscripts… Continue reading

A special thanks to the advertisers

As we celebrate our 5th anniversary here at LER Magazine, we want to say “thank you” to the advertisers who were a part of this special anniversary issue, and to all of the advertisers who have made these 5 years possible! Continue reading

Pluses and minuses of additive and subtractive approaches

Practitioners and orthotic laboratory owners at the fourth annual Orthotics Technology Forum (OTF) thinking about switching from traditional design and manufacture methods to digital technology got an up-close look…

By Emily Delzell Continue reading

The rise and fall of minimalist footwear

Once thought by some to be the next big thing in running, minimalist footwear has been scrutinized in recent years by researchers and class-action plaintiffs who claim the shoes do not provide the same benefits as barefoot running…

By Cary Groner Continue reading

Documenting CAD-CAM’s clinical relevance

Foot orthoses made with advanced design and manufacturing technologies aren’t just technically impressive—they’re also clinically relevant, according to the results of two studies presented in June by…

By Jordana Bieze Foster Continue reading

Glycemic control and postoperative healing

Researchers have established that elevated levels of glycated hemoglobin in patients with diabetes are associated with poor outcomes after foot and ankle surgery. Now the challenge is to identify an “acceptable” glycated hemoglobin level below which the benefits of surgery outweigh the risk of complications.

By Naohiro Shibuya, DPM, MS, FACFAS, Jon M. Humphers, DPM, and Daniel C. Jupiter, PhD

Continue reading

High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

Practice Tactics: Treatment protocols

Documented care plans can dramatically improve both your bottom line and your patients’ outcomes.
By Jason Kraus

Continue reading

Editor Message


Out on a limb: PFP pathfinding

Patellofemoral pain’s subgroup situation just got a lot more interesting, thanks to study findings presented in June at the annual meeting of the National Athletic Trainers Association in Baltimore, MD.

By Jordana Bieze Foster, Editor Continue reading

Complete Feet: Pedorthist’s new venture emphasizes the customer experience

Michael Duvdevani, CPed, thinks of his newest store, Complete Feet, as a carefully thought-out step in the right direction.

By Catherine M. Koetters | Photos by Michael Moore Continue reading

Lamey Wellehan Shoes: Investing in expertise pays off for 101-year-old company

Many foot care professionals would probably confess to a love-hate relationship with the footwear industry. At times, it may feel like the manufacturers of tottering stiletto heels and poorly supported platform shoes are the bane of one’s existence when it comes to…

By Nancy Shohet West Continue reading

Extra bodyweight enhances effects of high heels at knee

Lower heels, BMI may reduce OA risk – Walking in shoes with heels higher than about 1.5 inches causes gait abnormalities that are amplified by extra bodyweight, according to recent research that found high-heeled walking creates significant changes in knee loading similar to…

By Emily Delzell Continue reading

Foot orthoses for heel pain help improve walking activity

Study supports custom device use – In patients with plantar fasciitis, the pain relief associated with custom foot orthoses (CFOs) appears to result in increased walking activity, as well, according to a recently published clinical trial.

By Barbara Boughton Continue reading

DIABETIC FOOTWEAR: Cinematic symposium explores person-centric communication

Cannes is the French city most often associated with cinema. But several hundred kilometers to the north, in Lyon, a pair of short films debuted in June that sent a clear message about the most effective ways for lower extremity practitioners to interact with their patients. Continue reading

AMPUTATION: Patients cite lack of education about partial foot procedures

Patients who have had a partial foot amputation followed by a transtibial amputation on the same limb feel that they were inadequately educated about what the first procedure would involve, according to detailed interviews conducted by researchers at La Trobe University in Melbourne, Australia. Continue reading

PEDIATRICS: CP studies assess potential advantages of flexible AFOs

The flexibility of an ankle foot orthosis (AFO) does not necessarily affect walking economy in children with cerebral palsy (CP), but more flexible AFOs may be particularly beneficial for sports activities in higher-performing children with… Continue reading

DROP FOOT: Benefits of FES after stroke are maintained at 42 weeks

Gait speed improvements associated with 30 weeks of functional electrical stimulation (FES) in poststroke patients are maintained at 42 weeks, according to research presented in June at the 2015 ISPO World Congress. Continue reading

OSTEOARTHRITIS: Orthotic options for knee OA focus on compliance issues

New research presented in June at the 2015 ISPO Congress underscored the potential long-term benefits of valgus knee bracing for relief of medial knee osteoarthritis (OA) symptoms when patient compliance is high, while… Continue reading

PROSTHETICS: Foot strike pattern can affect load in amputee runners too

Foot strike pattern during running affects loading in unilateral lower limb amputees, as it does in able-bodied runners, according to research from the Chinese University of Hong Kong. Continue reading

Out on a limb: The NBA takes on fatigue

After a season in which too many of its most market­able stars spent too much time in street clothes, the National Basketball Association (NBA) is making a commitment to injury prevention. Interesting, however…

By Jordana Bieze Foster, Editor Continue reading

Improving compliance with diabetic footwear

Convincing patients with diabetes to wear their prescribed footwear presents a challenge, but experts agree that encouraging patient compliance requires lower extremity clinicians to look beyond the disease and gain insight into the person being treated.

By Shalmali Pal Continue reading

Intricacies of metatarsal stress fracture treatment

A growing body of research on metatarsal stress fractures is helping lower extremity practitioners manage both the biomechanical and physiological effects of these frustrating injuries, as well as the expectations of patients who are eager to return to activity.

By Erin Boutwell Continue reading

Thanks to our manuscript authors!

magazine is only as good as the words that fill its pages, and LER is no exception. As we celebrate our fifth anniversary, we’d like to sincerely thank the many researchers and practitioners who have contributed manuscripts… Continue reading

A special thanks to the advertisers

As we celebrate our 5th anniversary here at LER Magazine, we want to say “thank you” to the advertisers who were a part of this special anniversary issue, and to all of the advertisers who have made these 5 years possible! Continue reading

Pluses and minuses of additive and subtractive approaches

Practitioners and orthotic laboratory owners at the fourth annual Orthotics Technology Forum (OTF) thinking about switching from traditional design and manufacture methods to digital technology got an up-close look…

By Emily Delzell Continue reading

Out on a limb: Five-year milestones

In the five years since the launch of Lower Extremity Review, some things about lower extremity healthcare haven’t changed much. Diabetes is still an epidemic. Stem cells are still the next big…

Jordana Bieze Foster, Editor Continue reading

Documenting CAD-CAM’s clinical relevance

Foot orthoses made with advanced design and manufacturing technologies aren’t just technically impressive—they’re also clinically relevant, according to the results of two studies presented in June by…

By Jordana Bieze Foster Continue reading

High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

Out on a limb: Sins of expertness

In journalism, as in much of healthcare, we tend to focus our attention on what is new. But every once in a while we’re reminded that words and ideas published more than a decade ago still have the power to challenge the way we think.

Jordana Bieze Foster, Editor

Continue reading

Out On a Limb

Launch a magazine in this economy? Here’s why we’re not crazy.
by Jordana Bieze Foster

Continue reading

Departments


Rich Dubin, Publisher
Publisher’s memo: Our ears are open

The key to growth is listening! You never know where the next great idea may come from. When we launched LER in 2009, it was because I kept hearing that the market needed something different. I did my best to assemble the best team to deliver the best content for you. Seven years later, LER is…

By Richard Dubin, Publisher Continue reading

Understanding turf toe: The role of foot orthoses

Turf toe is a common injury in football players competing on artificial turf, but it also occurs in soccer and baseball players on natural grass and other playing surfaces. Turf toe is a sprain of the capsule of the first metatarsophalangeal (MTP) joint; increasing grades of injury may include…

By Patricia Pande, MClScPT, CSCS, CPed Continue reading

New healing factors take ulcer care to the next level

Support is growing, in the medical literature and in clinical practice, for the use of skin substitutes and other advanced biologic therapies in chronic diabetic foot ulcers. But researchers and practitioners remain uncertain as to which of these advanced products are best for…

By Hank Black Continue reading

Lower extremity strength and injury risk in runners

Study findings regarding strengthening interventions in runners with patello­femoral pain syndrome have been inconsis­tent, perhaps because specific subgroups are more responsive than others. Preliminary research suggests high school runners may make up…

By Lace Luedke, PT, DPT, PhD, OCS, CSCS Continue reading

Limb length discrepancy: When, how to intervene?

Limb length discrepancies (LLDs) as small as 1.5 cm can significantly affect gait, and some clinicians choose to intervene in cases of even smaller discrepancies. Many LLDs can be addressed orthotically, but surgical techniques are becoming less invasive and more effective.

By Cary Groner Continue reading

Complete Feet: Pedorthist’s new venture emphasizes the customer experience

Michael Duvdevani, CPed, thinks of his newest store, Complete Feet, as a carefully thought-out step in the right direction.

By Catherine M. Koetters | Photos by Michael Moore Continue reading

Lamey Wellehan Shoes: Investing in expertise pays off for 101-year-old company

Many foot care professionals would probably confess to a love-hate relationship with the footwear industry. At times, it may feel like the manufacturers of tottering stiletto heels and poorly supported platform shoes are the bane of one’s existence when it comes to…

By Nancy Shohet West Continue reading

Extra bodyweight enhances effects of high heels at knee

Lower heels, BMI may reduce OA risk – Walking in shoes with heels higher than about 1.5 inches causes gait abnormalities that are amplified by extra bodyweight, according to recent research that found high-heeled walking creates significant changes in knee loading similar to…

By Emily Delzell Continue reading

Foot orthoses for heel pain help improve walking activity

Study supports custom device use – In patients with plantar fasciitis, the pain relief associated with custom foot orthoses (CFOs) appears to result in increased walking activity, as well, according to a recently published clinical trial.

By Barbara Boughton Continue reading

DIABETIC FOOTWEAR: Cinematic symposium explores person-centric communication

Cannes is the French city most often associated with cinema. But several hundred kilometers to the north, in Lyon, a pair of short films debuted in June that sent a clear message about the most effective ways for lower extremity practitioners to interact with their patients. Continue reading

AMPUTATION: Patients cite lack of education about partial foot procedures

Patients who have had a partial foot amputation followed by a transtibial amputation on the same limb feel that they were inadequately educated about what the first procedure would involve, according to detailed interviews conducted by researchers at La Trobe University in Melbourne, Australia. Continue reading

PEDIATRICS: CP studies assess potential advantages of flexible AFOs

The flexibility of an ankle foot orthosis (AFO) does not necessarily affect walking economy in children with cerebral palsy (CP), but more flexible AFOs may be particularly beneficial for sports activities in higher-performing children with… Continue reading

DROP FOOT: Benefits of FES after stroke are maintained at 42 weeks

Gait speed improvements associated with 30 weeks of functional electrical stimulation (FES) in poststroke patients are maintained at 42 weeks, according to research presented in June at the 2015 ISPO World Congress. Continue reading

OSTEOARTHRITIS: Orthotic options for knee OA focus on compliance issues

New research presented in June at the 2015 ISPO Congress underscored the potential long-term benefits of valgus knee bracing for relief of medial knee osteoarthritis (OA) symptoms when patient compliance is high, while… Continue reading

PROSTHETICS: Foot strike pattern can affect load in amputee runners too

Foot strike pattern during running affects loading in unilateral lower limb amputees, as it does in able-bodied runners, according to research from the Chinese University of Hong Kong. Continue reading

Rich Dubin, Publisher
Publisher’s memo: One to grow on

Another year has passed, filled with new and exciting developments for LER. With all the growth that we have experienced in the past year, it was necessary to expand our editorial team with promotions to Emily Delzell and P.K. Daniel, who are now senior editor and associate editor, respectively.

By Richard Dubin Continue reading

Improving compliance with diabetic footwear

Convincing patients with diabetes to wear their prescribed footwear presents a challenge, but experts agree that encouraging patient compliance requires lower extremity clinicians to look beyond the disease and gain insight into the person being treated.

By Shalmali Pal Continue reading

Intricacies of metatarsal stress fracture treatment

A growing body of research on metatarsal stress fractures is helping lower extremity practitioners manage both the biomechanical and physiological effects of these frustrating injuries, as well as the expectations of patients who are eager to return to activity.

By Erin Boutwell Continue reading

Iliotibial band syndrome and running mechanics

The mixed findings of several cross-sectional studies seem to suggest that no specific biomechanical variables are unequivocally associated with iliotibial band syndrome in either men or women, which underscores the importance of assessing each patient individually

By Eric Foch, PhD Continue reading

Diabetic foot conference weighs offloading issues

Offloading was a hot topic at the recent meeting of the International Working Group on the Diabetic Foot in the Netherlands. Diabetic foot experts in attendance discussed new research on offloading strategies and updated the organization’s practice recommendations.

By Cary Groner Continue reading

Role of early rehab stages after ACL reconstruction

Traditionally, anterior cruciate ligament reconstruction outcomes have been assessed preoperatively and several months postoperatively, but new research suggests the early postoperative stages of recovery may also significantly affect self-reported outcomes.

By Caitlin J. Miller, PT, DPT, and Jesse C. Christensen, PT, DPT, SCS Continue reading

Thanks to our manuscript authors!

magazine is only as good as the words that fill its pages, and LER is no exception. As we celebrate our fifth anniversary, we’d like to sincerely thank the many researchers and practitioners who have contributed manuscripts… Continue reading

A special thanks to the advertisers

As we celebrate our 5th anniversary here at LER Magazine, we want to say “thank you” to the advertisers who were a part of this special anniversary issue, and to all of the advertisers who have made these 5 years possible! Continue reading

Pluses and minuses of additive and subtractive approaches

Practitioners and orthotic laboratory owners at the fourth annual Orthotics Technology Forum (OTF) thinking about switching from traditional design and manufacture methods to digital technology got an up-close look…

By Emily Delzell Continue reading

Rich Dubin, Publisher
Publisher’s memo: Rewards of listening

I have been in the lower extremity publishing space for 25 years, and one thing I have realized is that listening is the key to learning.

Richard Dubin, Publisher Continue reading

Documenting CAD-CAM’s clinical relevance

Foot orthoses made with advanced design and manufacturing technologies aren’t just technically impressive—they’re also clinically relevant, according to the results of two studies presented in June by…

By Jordana Bieze Foster Continue reading

Functional movement tests and injury risk in athletes

Efficient, low-cost, field-ready functional movement tests may be useful in preparticipation physicals to identify and provide preventive treatment for individuals with an elevated risk of injury, as well as aiding return-to-sport…

By Kathryn Schwartzkopf-Phifer, PT, DPT, OCS, CSCS, and Kyle Kiesel, PT, PhD, ATC Continue reading

Studies explore statin use for lower limb indications

A growing body of research suggests that statins may help improve not just cardiovascular outcomes but also those associated with lower extremity conditions such as peripheral arterial disease and knee…

By Larry Hand Continue reading

Revisiting the status quo for AFO strap placement

Conventional wisdom says dorsal straps for ankle foot orthoses should be positioned at a certain angle to resist heel rise. Now preliminary research from Georgia Tech is calling that practice into question…

By P.K. Daniel Continue reading

Foot ulceration in patients with rheumatoid arthritis

Research has identified ankle-brachial index, loss of sensation, and deformity as predictors of foot ulceration in patients with rheumatoid arthritis, and also suggests that ulceration influences…

By Jill Firth, PhD, BSc (Hons), and Heidi J Siddle, PhD, MSc, BSc (Hons)
Continue reading

High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

Patient Perspective: Bunionectomy recovery is more than just healing

I can’t recall exactly when the bunion on my left foot started causing discomfort, but it was probably when I was about 40. I waited some time to get a referral to a podiatrist, and when I finally saw one, life with two kids and a full-time job stalled my pursuit of treatment for another three and half years.

By Karen Bakar

Continue reading

Rich Dubin, Publisher
Publisher’s memo: A healthier approach

As we celebrate LER’s fourth anniversary, I feel that I would be remiss if I didn’t take this opportunity to share what I have personally experienced this past year. Last July, my wife decided to go back to school to become a certified health coach. Little did I know then that this would bring profound changes in my life both personally and professionally.

Richard Dubin, Publisher

Continue reading

Post-traumatic OA: Unique implications for the military

Military populations experience high rates of disability related to post-traumatic osteo­arthritis (PTOA), which does not always originate from combat injury. But military researchers are also uniquely posi­tion­ed to explore therapeutic options to minimize the effect of PTOA.

By Jessica C. Rivera, MD, Joseph C. Wenke, PhD, James R. Ficke, MD, and Anthony E. Johnson, MD

Continue reading

A new approach to iliotibial band syndrome in runners

Variables related to iliotibial band strain appear to be important risk factors for development of iliotibial band syndrome (ITBS) in runners, a finding that is beginning to change the way researchers assess the effectiveness of gait retraining interventions to treat or prevent ITBS.

By Stacey Meardon, PT, PhD, ATC, CSCS, and Ross H. Miller, PhD

Continue reading

Kicking biomechanics: Importance of balance

Kicking is a whole-body movement that is responsive to a wide range of constraints related to the task, the environment, and the athlete. Preliminary research also suggests that balance control in the support leg plays a key role in athletes’ kicking performance.

By David I. Anderson, PhD, and Ben Sidaway, PT, PhD

Continue reading

Patellofemoral pain takes turn in spotlight

Welcome to the decade of patellofemoral pain: Exclusive coverage from the first-ever PFPS research retreat.
By Jordana Bieze Foster

Continue reading

Diabetes: Options for Offloading

Removable cast walkers offer alternatives to the total contact cast.
By James McGuire, DPM, PT, CPed

Continue reading

Gait Analysis: The link to clinical outcomes

Gait analysis affects treatment decision-making, patient management and outcomes By Tishya A.L. Wren, PhD, Carole A. Tucker, PT, PhD, PCS, and Robert M. Kay, MD

Continue reading

Treating knee pain from the ground up

Functional foot orthoses can help relieve symptoms
By Paul R. Scherer, DPM

Continue reading

Sports Medicine: An athlete’s oasis in the Middle East

Western-style sports medicine is alive and well in the tiny Gulf nation of Qatar
By Craig R. Bottoni, MD

Continue reading

News


Joint injury’s lifelong impact: Data suggest comorbidity implications

A history of knee or ankle injury is associated with an increased risk of medical issues—and not just those related to joint health—in middle age and later decades of life, according to research presented in June at the annual meeting of the  National Athletic Trainers Association (NATA) in Baltimore, MD.

By Jordana Bieze Foster Continue reading

Specialization, participation volume contribute to youth athlete injury risk

Sport specialization and high volumes of sports participation are significantly associated with the risk of injuries—and overuse injuries in particular—in youth athletes, according to research from the University of Wisconsin-Madison.

By Jordana Bieze Foster Continue reading

Upper body position during landing affects kinetics in basketball players

In basketball players, upper extremity ball handling positions affect lower extremity kinetics during landing and should be considered when designing injury prevention and rehabilitation protocols, according to research from George Mason University in Fairfax, VA.

By Jordana Bieze Foster Continue reading

Analyzing adherence: Balance predicts off-loading device use

Postural instability in patients with diabetic foot ulcers is a strong predictor of poor adherence to off-loading treatment with removable devices, according to a new multicenter study in which off-­loading adherence was, in turn, a strong predictor of wound healing.

By Larry Hand Continue reading

Gait differentiates healthy and diabetic controls from patients with foot ulcers

Gait mechanics in patients with diabetic foot ulcers differ from those of both healthy controls and patients with diabetes who have no history of foot ulcer, according to research from James Cook University in Queensland, Australia.

By Jordana Bieze Foster Continue reading

MRI scan prior to first ray amputation not associated with reamputation risk

Obtaining an initial magnetic resonance imaging (MRI) scan prior to first ray amputation in patients with diabetes is significantly associated with a decrease in mortality rate but not reamputation rate, according to research from Staten Island, NY.

By Jordana Bieze Foster Continue reading

Complete Feet: Pedorthist’s new venture emphasizes the customer experience

Michael Duvdevani, CPed, thinks of his newest store, Complete Feet, as a carefully thought-out step in the right direction.

By Catherine M. Koetters | Photos by Michael Moore Continue reading

Lamey Wellehan Shoes: Investing in expertise pays off for 101-year-old company

Many foot care professionals would probably confess to a love-hate relationship with the footwear industry. At times, it may feel like the manufacturers of tottering stiletto heels and poorly supported platform shoes are the bane of one’s existence when it comes to…

By Nancy Shohet West Continue reading

Extra bodyweight enhances effects of high heels at knee

Lower heels, BMI may reduce OA risk – Walking in shoes with heels higher than about 1.5 inches causes gait abnormalities that are amplified by extra bodyweight, according to recent research that found high-heeled walking creates significant changes in knee loading similar to…

By Emily Delzell Continue reading

Foot orthoses for heel pain help improve walking activity

Study supports custom device use – In patients with plantar fasciitis, the pain relief associated with custom foot orthoses (CFOs) appears to result in increased walking activity, as well, according to a recently published clinical trial.

By Barbara Boughton Continue reading

DIABETIC FOOTWEAR: Cinematic symposium explores person-centric communication

Cannes is the French city most often associated with cinema. But several hundred kilometers to the north, in Lyon, a pair of short films debuted in June that sent a clear message about the most effective ways for lower extremity practitioners to interact with their patients. Continue reading

AMPUTATION: Patients cite lack of education about partial foot procedures

Patients who have had a partial foot amputation followed by a transtibial amputation on the same limb feel that they were inadequately educated about what the first procedure would involve, according to detailed interviews conducted by researchers at La Trobe University in Melbourne, Australia. Continue reading

PEDIATRICS: CP studies assess potential advantages of flexible AFOs

The flexibility of an ankle foot orthosis (AFO) does not necessarily affect walking economy in children with cerebral palsy (CP), but more flexible AFOs may be particularly beneficial for sports activities in higher-performing children with… Continue reading

DROP FOOT: Benefits of FES after stroke are maintained at 42 weeks

Gait speed improvements associated with 30 weeks of functional electrical stimulation (FES) in poststroke patients are maintained at 42 weeks, according to research presented in June at the 2015 ISPO World Congress. Continue reading

OSTEOARTHRITIS: Orthotic options for knee OA focus on compliance issues

New research presented in June at the 2015 ISPO Congress underscored the potential long-term benefits of valgus knee bracing for relief of medial knee osteoarthritis (OA) symptoms when patient compliance is high, while… Continue reading

PROSTHETICS: Foot strike pattern can affect load in amputee runners too

Foot strike pattern during running affects loading in unilateral lower limb amputees, as it does in able-bodied runners, according to research from the Chinese University of Hong Kong. Continue reading

Speed trap: Slowest seniors have increased mortality

Gait speeds less than .6 m/s, a threshold that has been recommended as an indicator of mobility-related health problems, also confer a significantly increased risk of two-year mortality in hospitalized older patients, according to a recent prospective study. Continue reading

In children with CP, gait impairment correlates with daily step activity level

In children with cerebral palsy (CP), gait impairment has a moderate relationship with daily step count and high daily activity levels, according to research from the University of Auckland in Australia. Continue reading

Step width, length variables may help predict fall-related risks in older adults

Step width (SW), step length (SL), and a ratio of the two variables may help predict falls and fall-related injuries in older adults with and without diabetic peripheral neuropathy (DPN), according to research from the University of Michigan in Ann Arbor. Continue reading

Improving compliance with diabetic footwear

Convincing patients with diabetes to wear their prescribed footwear presents a challenge, but experts agree that encouraging patient compliance requires lower extremity clinicians to look beyond the disease and gain insight into the person being treated.

By Shalmali Pal Continue reading

Intricacies of metatarsal stress fracture treatment

A growing body of research on metatarsal stress fractures is helping lower extremity practitioners manage both the biomechanical and physiological effects of these frustrating injuries, as well as the expectations of patients who are eager to return to activity.

By Erin Boutwell Continue reading

Thanks to our manuscript authors!

magazine is only as good as the words that fill its pages, and LER is no exception. As we celebrate our fifth anniversary, we’d like to sincerely thank the many researchers and practitioners who have contributed manuscripts… Continue reading

A special thanks to the advertisers

As we celebrate our 5th anniversary here at LER Magazine, we want to say “thank you” to the advertisers who were a part of this special anniversary issue, and to all of the advertisers who have made these 5 years possible! Continue reading

Pluses and minuses of additive and subtractive approaches

Practitioners and orthotic laboratory owners at the fourth annual Orthotics Technology Forum (OTF) thinking about switching from traditional design and manufacture methods to digital technology got an up-close look…

By Emily Delzell Continue reading

Screening gets specific: Functional testing studies sharpen focus

As evidence accumulates in support of functional movement testing for predicting injury risk, researchers are taking a closer look at how functional screening can be applied to specific athlete populations.

By Jordana Bieze Foster Continue reading

Athletes with hip flexor tightness have reduced gluteus maximus activation

Hip flexor tightness is associated with reduced gluteus maximus activation during an overhead squat, according to findings from the University of North Carolina at Chapel Hill (UNC) that are consistent with…

By Jordana Bieze Foster Continue reading

Hip exercises boost postural control in individuals with ankle instability

Four weeks of hip external rotator and abductor strengthening significantly improves postural control in patients with functional ankle instability (FAI) and may be useful for preventing recurrent instability…

By Jordana Bieze Foster Continue reading

An ill windlass: Neuropathy is associated with impairment

Windlass mechanism impairment is evident in patients with diabetic neuropathy and could contribute to increased plantar pressures and ulceration risk, according to research from the …

By P.K. Daniel Continue reading

Many who consider their feet normal have abnormalities, loss of sensation

Self-reported information about foot health from patients with type 2 diabetes, particularly those with peripheral neuropathy, is not reliable, according to research from the University of Western Australia in Perth.

By P.K. Daniel Continue reading

Depression-like symptoms improve after diabetes distress interventions

Patients with diabetes often struggle with depression-like feelings, but research suggests those symptoms may not need to be treated as a comorbid psychiatric condition.

By P.K. Daniel Continue reading

Documenting CAD-CAM’s clinical relevance

Foot orthoses made with advanced design and manufacturing technologies aren’t just technically impressive—they’re also clinically relevant, according to the results of two studies presented in June by…

By Jordana Bieze Foster Continue reading

High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

Brace relations: Complex effects are not only mechanical

Research presented in late June at the annual National Athletic Trainers Association (NATA) meeting in Las Vegas added to the body of evidence suggesting that the effects of ankle bracing are not solely mechanical, and that even the mechanical effects may be more complicated than they seem.

Continue reading

CAI patients with poorest sensation report more sprains in their history

Decreased plantar cutaneous sensation in patients with chronic ankle instability (CAI) is associated with number of prior ankle sprains, according to research from Old Dominion University in Norfolk, VA.

Continue reading

Balance deficits persist after sprain despite clearance to return to sports

Athletes with a history of severe ankle sprain still demonstrate postural control deficits and report functional impairment even after being medically cleared for full sports participation, according to two studies from A.T. Still University in Mesa, AZ.

Continue reading

Positives for PFP: Benefits of six-week rehab are retained

Six weeks of lower extremity strengthening in runners with patellofemoral pain (PFP) leads to improvements in pain and function that are retained six months later, regardless of whether the rehabilitation focuses on the knee or the hip, according to research presented in late June at the National Athletic Trainers Association (NATA) annual meeting in Las Vegas.

Continue reading

Self-reported function corresponds to bone bruise radiographic severity

Self-reported functional scores in patients with bone bruise lesions associated with anterior cruciate ligament (ACL) injury are consistent with severity classifications based on radiographic presentation, according to findings presented in late June at the NATA meeting.

Continue reading

Knee brace use alters lower extremity muscle activation during jump landing

Wearing a functional knee brace significantly alters activation characteristics in several lower extremity muscles, according to research from the University of Virginia in Charlottesville presented in late June at the NATA meeting.

Continue reading

In the Moment: 0&P

Plus: Oscar Pistorius, Drop foot AFO technology
by Jordana Bieze Foster

Continue reading

OA research: It’s all about the shoes

The next big thing in knee osteoarthritis treatment might be a variable-stiffness shoe
By Jennifer C. Erhart, PhD, Nicholas J. Giori, MD, PhD, and Thomas P. Andriacchi, PhD

Continue reading

In the Moment: Sports Medicine

Plus: Running shoes, Lunges and ligaments
by Jordana Bieze Foster

Continue reading

Market Mechanics


NIDDK funds study of off-loading AFO

Orthotic & Prosthetic Design and the Program in Physical Therapy at the Washington University School of Medicine, both in St. Louis, MO, reported in June that the National Institute of Diabetes and Digestive and Kidney Diseases has awarded university investigators a $185,000 grant to develop an off-loading carbon composite ankle foot orthosis (AFO). Continue reading

Diabetesevent toincludeDFUworkshop

The 9th World Congress on Prevention of Diabetes and Its Complications, scheduled for December 2-4 in Atlanta, GA, will include a separate two-day Diabetic Foot Workshop sponsored by the online Center for Diabetes Education… Continue reading

Medi’s restiffic wrap provides RLS relief

A pilot study published in the July issue of The Journal of the American Osteopathic Association found that medi USA’s newly released device for treating restless leg syndrome (RLS) is associated with significant symptom relief. Continue reading

Study finds need for adaptive apparel

Researchers from the University of Missouri in Columbia reported in June in Disability and Rehabilitation that the lack of adequate accessible apparel keeps people with disabilities from engaging in their communities. Continue reading

Ottobock releases socket technology

Austin, TX-based Ottobock in June released in the US the DVS-Dynamic Vacuum, transtibial socket technology that reduces movement between the limb and socket associated with limb volume fluctuations. Continue reading

Siren Care to market smart diabetes sock

San Francisco-based Siren Care has partnered with Pasindu Lugoda, a PhD student at the University of Nottingham Trent in the UK, and his colleagues in the university’s Advanced Textiles Research Group to bring to market a smart sock to help prevent amputation in people with diabetes. Continue reading

Tekscan taps Podoloff as chief tech officer

Boston-based Tekscan in June announced the appointment of Rob Podoloff, MS, as its new chief technology officer (CTO). Podoloff in the late 1980s was one of the company’s original founders. Continue reading

NATA meeting research highlights mechanical effects of cleats, tape

Studies presented June 25 at the annual meeting of the National Athletic Trainers Association (NATA), held this year in Baltimore, reported on the effectiveness of the Under Armour high-top football cleats for controlling ankle inversion/ eversion and on the… Continue reading

NATA opens injury prevention website

The National Athletic Trainers Association (NATA) in June at its annual meeting in Baltimore announced the launch of a new website, atyourownrisk.org. Continue reading

ISPO reports on disability rehab outreach

The International Society for Prosthetics and Orthotics (ISPO) in March published the final report on its joint program with the US Agency for International Development (USAID) on disability rehabilitation in the developing world. Continue reading

Orthotist-prosthetist Newberry dies

James Newberry Jr, BOCP, BOCO, BOCPD, a practitioner and board member for the Board of Certification/Accreditation (BOC) died June 27. He worked for more than 40 years at Mahnke’s Orthotics Prosthetics in Oakland Park, FL, where he was a practitioner, owner, and, most recently… Continue reading

GlobalData predicts slow joint surgery mkt

London, UK-based GlobalData on June 29 forecasted slow expansion through 2022 for the global hip and knee reconstruction market, which encompasses 39 countries and includes primary, partial, and revision hip and knee replacements, as well as hip resurfacing. Continue reading

West first female sports medical head in NFL

The Washington Redskins on June 15 announced that Robin West, MD, is the team’s new director of sports medicine, which also makes her the first female head team physician in the National Football League. Continue reading

NYSCF opens access to stem cell lines

The New York Stem Cell Foundation (NYSCF) Research Institute and the Charcot-Marie-Tooth Association (CMTA) in June announced the stem cell lines resulting from their collaboration, which began in 2014, are now available to academic and commercial investigators around the world through the NYSCF Repository. Continue reading

Arizona AFO introduces Mezzo brace

Arizona AFO, an OHI company, in late May introduced the Arizona Mezzo ankle foot orthosis (AFO). Developed by the Milwaukee, WI-based Wilson Janisse Group, the Arizona Mezzo was designed to fill the middle ground between… Continue reading

FDA gives Cartiva implant premarket OK

Alpharetta, GA-based Cartiva reported in July that the Food and Drug Administration (FDA) has given premarket approval to its biocompatible cartilage implant designed to treat hallux rigidus. The FDA based its preliminary approval… Continue reading

Complete Feet: Pedorthist’s new venture emphasizes the customer experience

Michael Duvdevani, CPed, thinks of his newest store, Complete Feet, as a carefully thought-out step in the right direction.

By Catherine M. Koetters | Photos by Michael Moore Continue reading

Lamey Wellehan Shoes: Investing in expertise pays off for 101-year-old company

Many foot care professionals would probably confess to a love-hate relationship with the footwear industry. At times, it may feel like the manufacturers of tottering stiletto heels and poorly supported platform shoes are the bane of one’s existence when it comes to…

By Nancy Shohet West Continue reading

Extra bodyweight enhances effects of high heels at knee

Lower heels, BMI may reduce OA risk – Walking in shoes with heels higher than about 1.5 inches causes gait abnormalities that are amplified by extra bodyweight, according to recent research that found high-heeled walking creates significant changes in knee loading similar to…

By Emily Delzell Continue reading

Foot orthoses for heel pain help improve walking activity

Study supports custom device use – In patients with plantar fasciitis, the pain relief associated with custom foot orthoses (CFOs) appears to result in increased walking activity, as well, according to a recently published clinical trial.

By Barbara Boughton Continue reading

NATA inducts its 2015 Hall of Famers

The National Athletic Trainers’ Association (NATA) on June 25 inducted eight individuals into its Hall of Fame at the NATA 66th Clinical Symposia and AT Expo in St. Louis, MO. Continue reading

Therafirm legwear wins retail award

The VGM Group (named for founder Van G. Miller) on June 17 awarded Kansas City, KS-based Therafirm’s new Ease brand compression legwear its Most Innovative Retail Product of 2015 honor at the VGM Heartland Conference in Waterloo, IA. Continue reading

AOPA names business award nominees

The Washington, DC-based American Orthotic & Prosthetic Association (AOPA) announced on June 9 the contenders for the 2015 Hamontree Award. Continue reading

DonJoy launches retail Performance brand

San Diego-based DJO Global on June 10 launched DonJoy Performance for sale to consumers online and in select retailers nationwide. Continue reading

Profoot teams up with NYC FC soccer

Brooklyn, NY-based Profoot hosted a game viewing party on July 7 to celebrate its partnership with the New York City FC, which kicked off its inaugural Major League Soccer season in March. Continue reading

Dralla announces 2015 grant recipients

The Rockaway, NJ-based Dralla Foundation on June 10 announced its 2015 grant recipients, who will use their shares of the $30,000 in awarded funds to hold events and programs for adults and children with physical challenges. Continue reading

ING Source supports pedorthic education

Hickory, NC-based ING Source, which manufactures the OrthoSleeve line of compression products, announced in July a $60,000 donation to The Robert M. Palmer, MD, Institute of Biomechanics (RMPI), based in Elwood, IN. Continue reading

Remington Products is top workplace

Employee engagement research firm WorkplaceDynamics on June 21 named Wadsworth, OH-based Remington Products Company one of Northeast Ohio’s Top Workplaces. Continue reading

Townsend brace alters knee OA loading

A study epublished June 25 by Prosthetics and Orthotics International found that use of a decompressive knee brace from Bakersfield, CA-based Town­send Design significantly reduced detrimental knee adduction moments in people with knee osteoarthritis (OA). Continue reading

Synxsole scores reality show investment

Perth, Australia-based insole company Synxsole scored a $100,000 investment from Australian investor Andrew Banks during the first season of the entrepreneurial reality show Shark Tank Australia, which wrapped up in June. Continue reading

Ottobock introduces K2 bionic knee

Austin, TX-based Ottobock on June 26 introduced its Kenevo microprocessor knee, designed for K2 (low mobility potential) amputees, who often have reduced muscle strength and coordination, putting them at high risk for falls. Continue reading

I Measure U crowdfunds wearable

Auckland, New Zealand-based I Measure U opened an Indiegogo campaign in June to raise funds for a production run of its I Measure U Run (IMU-Run), a wearable sensor to measure and monitor tibial shock and cumulative load for runners. Continue reading

Nepal quake volunteers call for funds

Many of the more than 18,000 individuals injured in the April and May earthquakes that struck Nepal are in need of mobility devices, including prostheses for new amputees, according to the charitable group Handicap International, which now has… Continue reading

NBA commits to player health, wellness

In response to a 2014-2015 season marred by numerous injuries, the National Basketball Association (NBA) has partnered with General Electric Healthcare, whose US offices are in Waukesha, WI, to form a… Continue reading

Vicon adds four unis to customer list

Oxford, UK-based Vicon announced in June the addition of four new research university customers for its motion-capture technology. Continue reading

Delcam 2015 OTFs have record attendance

More than 250 delegates attended two regional Ortho Technology Forums (OTF) in Canada and Australia, hosted by Birmingham, UK-based Delcam. Continue reading

Spenco sponsors ultra-marathoner

Waco, TX-based Spenco announced on June 11 its sponsorship of ultra-marathoner Roy Wiegand, who runs in Spenco insoles and raises awareness and money for a number of charities. Continue reading

DIABETIC FOOTWEAR: Cinematic symposium explores person-centric communication

Cannes is the French city most often associated with cinema. But several hundred kilometers to the north, in Lyon, a pair of short films debuted in June that sent a clear message about the most effective ways for lower extremity practitioners to interact with their patients. Continue reading

AMPUTATION: Patients cite lack of education about partial foot procedures

Patients who have had a partial foot amputation followed by a transtibial amputation on the same limb feel that they were inadequately educated about what the first procedure would involve, according to detailed interviews conducted by researchers at La Trobe University in Melbourne, Australia. Continue reading

PEDIATRICS: CP studies assess potential advantages of flexible AFOs

The flexibility of an ankle foot orthosis (AFO) does not necessarily affect walking economy in children with cerebral palsy (CP), but more flexible AFOs may be particularly beneficial for sports activities in higher-performing children with… Continue reading

DROP FOOT: Benefits of FES after stroke are maintained at 42 weeks

Gait speed improvements associated with 30 weeks of functional electrical stimulation (FES) in poststroke patients are maintained at 42 weeks, according to research presented in June at the 2015 ISPO World Congress. Continue reading

OSTEOARTHRITIS: Orthotic options for knee OA focus on compliance issues

New research presented in June at the 2015 ISPO Congress underscored the potential long-term benefits of valgus knee bracing for relief of medial knee osteoarthritis (OA) symptoms when patient compliance is high, while… Continue reading

PROSTHETICS: Foot strike pattern can affect load in amputee runners too

Foot strike pattern during running affects loading in unilateral lower limb amputees, as it does in able-bodied runners, according to research from the Chinese University of Hong Kong. Continue reading

Improving compliance with diabetic footwear

Convincing patients with diabetes to wear their prescribed footwear presents a challenge, but experts agree that encouraging patient compliance requires lower extremity clinicians to look beyond the disease and gain insight into the person being treated.

By Shalmali Pal Continue reading

Intricacies of metatarsal stress fracture treatment

A growing body of research on metatarsal stress fractures is helping lower extremity practitioners manage both the biomechanical and physiological effects of these frustrating injuries, as well as the expectations of patients who are eager to return to activity.

By Erin Boutwell Continue reading

Thanks to our manuscript authors!

magazine is only as good as the words that fill its pages, and LER is no exception. As we celebrate our fifth anniversary, we’d like to sincerely thank the many researchers and practitioners who have contributed manuscripts… Continue reading

A special thanks to the advertisers

As we celebrate our 5th anniversary here at LER Magazine, we want to say “thank you” to the advertisers who were a part of this special anniversary issue, and to all of the advertisers who have made these 5 years possible! Continue reading

Pluses and minuses of additive and subtractive approaches

Practitioners and orthotic laboratory owners at the fourth annual Orthotics Technology Forum (OTF) thinking about switching from traditional design and manufacture methods to digital technology got an up-close look…

By Emily Delzell Continue reading

Michigan passes direct PT access law

Michigan Gov Rick Snyder signed legislation on July 1 that will allow state residents to go directly to a physical therapist (PT) for evaluation and treatment without physician referral. Continue reading

OHI acquires Australian Orthotic Group

Ronkonkoma, NY-based Orthotic Holdings, Inc (OHI), announced in June its acquisition of the Australian Orthotic Group (AOG,) an orthotic distributorship serving the Australian and New Zealand… Continue reading

Mountain running champ joins Spenco

Waco, TX-based Spenco in June signed elite mountain runner Joseph Gray as its newest brand ambassador. On July 6 Gray successfully defended his USA Track & Field Mountain Running … Continue reading

Ferber authors biomechanics text

Reed Ferber, PhD, ATC, associate professor of kinesiology at the University of Calgary and director of the Running Injury Clinic in Calgary, Canada, has authored a textbook that focuses on running… Continue reading

Streifeneder opens new US sales office

Tampa, FL-based Euro International, which has been operating as Streifeneder USA since December 2013, in June became the exclusive North American office of Streifeneder ortho.production, a manufacturer… Continue reading

Ottobock offers amputee fitness app

Minneapolis, MN-based Ottobock released a fitness app in June designed by physical and occupational therapists to support lower limb prosthesis users with a self-managed workout regimen. Continue reading

Justin Blair, Aetrex form partnership

Teaneck, NJ-based Aetrex Worldwide, a global distributor of comfort and wellness footwear products, and Justin Blair & Company, a manufacturer and supplier of shoe supplies and foot care products headquartered in Chicago… Continue reading

Stable Step purchases Archmolds

West Chester, OH-based Stable Step in May inked a deal to buy Archmolds, and will add the San Diego-based company’s heat moldable insoles to its Powerstep orthotic and support products. Continue reading

Documenting CAD-CAM’s clinical relevance

Foot orthoses made with advanced design and manufacturing technologies aren’t just technically impressive—they’re also clinically relevant, according to the results of two studies presented in June by…

By Jordana Bieze Foster Continue reading

High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

NATA’s ankle sprain guidelines focus on best practices, assessment, prevention

The National Athletic Trainers’ Association (NATA) released a position statement on the management and prevention of ankle sprains on June 27 at its 64th Annual Meeting and Clinical Symposia in Las Vegas. The NATA’s position statement offers best practices supported … Continue reading

Partners to advance pressure mapping

Minneapolis-based Ottobock inked a partnership in late June with PatienTech/Vista Medical, a distributor of pressure sensing technology in Winnipeg, Canada, that gives Ottobock exclusive distribution rights to Vista Medical’s BodiTrak Smart Fabric pressure mapping system. BodiTrak uses advanced electronic sensors … Continue reading

Volunteers fit children’s feet in record time

Shoe donations from Chapel Hill, NC-based FootCentric, New Balance, headquartered in Brighton, MA, and Teaneck, NJ-based Aetrex Worldwide enabled an army of volunteer social workers, teachers, physical therapists, physical therapy students, pedorthists, and school health counselors to fit 166 children … Continue reading

Collaboration targets sports performance

Athletes’ Performance, which provides performance training and physical therapy to elite and professional athletes at five major facilities around the US, announced in June that it will partner with the Mayo Clinic to advance sports medicine care and research. The … Continue reading

Foundation launches health initiative

The Foundation for Physical Therapy launched the public phase of its campaign to establish a center of excellence in health services at its annual gala, held in late June at the American Physical Therapy Association’s (APTA) Conference and Exposition in … Continue reading

Adidas adds “blades” for energy return

The Adidas Springblade, which will hit store shelves August 1, is designed to increase energy return and propel runners forward with its 16 plastic “blades,” strips of polymer that make up the shoe’s foamless midsole. The blades, which are individually … Continue reading

Mr. Edge writes book on skating injuries

Anatomy of a Figure Skating Injury, published on July 3, addresses the current information gap about causes of injury and strategies for prevention in figure skaters. The book’s author is John Harmata, president of Arena Sports & Consulting Services/ Geppetto’s … Continue reading

Book helps patients prevent amputation

The advice and interventions that have helped decrease amputation rates by 40% in Nashville veterans are now detailed in a book targeted at patients with diabetes and the practitioners who treat them.

Continue reading

GAITRite-CIR names Ross award winner

Evan T. Cohen, PT, MA, NCS, received the first Ellen C. Ross memorial award, established by GAITRite-CIR Systems to honor the former professor and director of Post-Professional Physical Therapy Education…

Continue reading

Studies show DJO products improve mechanics, ease patellofemoral pain

Research presented at the International Patellofemoral Research Retreat supports the use of two DonJoy Orthopedics products, the SERF femoral strap and the Tru-Pull Advance knee brace.

Continue reading

Products


OPTP Posture Brick

OPTP has added the Posture Brick to its line of fitness and therapy products. Posture Bricks can be used for yoga or Pilates, or in clinical settings focused on positioning, posture, and therapeutic exercise. Posture Bricks are made from closed-cell, heat-molded EVA… Continue reading

Spenco Slides and Sandals

Spenco Medical Corporation’s new line of sandals and slides is characterized by summery stripes, bright colors, and a new width option. New to the Spenco footwear line are the Breeze open-toe slides and sandals for men and women and the Montauk closed-toe slide for women. Continue reading

EcoPure Coral Powder

EcoPure Coral Powder is derived from coral that is harvested “above-sea” to help protect the ocean. This powder, featured in the Coral Complex3 supplement from Coral, is also available on its own. EcoPure powder offers 350 mg of bio­available coral calcium per serving… Continue reading

Pro-Tec Athletics PF Sleeve

New from Pro-Tec Athletics is the PF Sleeve, a low-profile, comfortable option for treating plantar fasciitis. The PF Sleeve features an open-toe design and advanced stitching designed to provide targeted stabilization for the arch, heel, and Achilles tendon. Continue reading

Össur Rebound Hip Brace

Össur has launched Rebound Hip, a comfortable, lightweight postoperative brace for patients recovering from hip arthro­scopy, gluteus medius repair, or hamstring repair surgery. The universal belt fits hip circumferences up to 48″, and an optional belt extender… Continue reading

Microfiber Shades In New Colors

Sigvaris North America is putting its best foot forward this summer with the launch of several additions to the Microfiber Shades line of graduated compression stockings. Designed to give people a fun, new way to wear compression every day, the Microfiber Shades line is now… Continue reading

Thermal Ankle Brace

Orthozone introduces its Thermoskin Thermal Ankle Brace, designed to provide heat therapy and light compression to help increase circulation. Features of the brace include a pull-on design, antislip sole, and two removable side stabilizers for ankle support. Continue reading

Diabetic Light Compression Sock

The Caresox Diabetic Light Compression sock is designed to provide maximum comfort for patients with diabetes. Manu­factured in Italy, the quick-drying Silver DryStat fibers are antifungal, antibacterial, and odor resistant. Continue reading

Aquaroll System

The Aquaroll System from AquarollUSA is designed to enhance treatment of the foot, ankle, and other extremities. The Aquaroll bead hydromassage system combines 30,000 glass beads and water in motion to create a standing wave. Continue reading

Bonapeda Offloading Insole

Bonapeda Enterprises offers the new FORS-15 offloading insole, which is designed to provide gentle, consistent, and durable offloading of selected areas of the foot without edge effects. The insole’s construction features 15-mm thick multilayered Poron, a stable fabric midlayer… Continue reading

CuraMedix OrthoPulse Ultra

The OrthoPulse Ultra from Cura­Medix is an acoustic pressure wave device that combines EPAT (Extracorporeal Pulse Activation Technology), innovation, and performance to help physicians eliminate their patients’ musculoskeletal pain. Continue reading

Vegetarian Cosamin Verde

The newest member of the Cosamin brand family, Cosamin Verde, is a dietary supplement formulated to help support joint health. Cosamin Verde’s vegetarian formula contains shellfish-free glucosamine hydrochloride, avocado/soybean unsaponifiables (ASU) powder… Continue reading

Complete Feet: Pedorthist’s new venture emphasizes the customer experience

Michael Duvdevani, CPed, thinks of his newest store, Complete Feet, as a carefully thought-out step in the right direction.

By Catherine M. Koetters | Photos by Michael Moore Continue reading

Lamey Wellehan Shoes: Investing in expertise pays off for 101-year-old company

Many foot care professionals would probably confess to a love-hate relationship with the footwear industry. At times, it may feel like the manufacturers of tottering stiletto heels and poorly supported platform shoes are the bane of one’s existence when it comes to…

By Nancy Shohet West Continue reading

Extra bodyweight enhances effects of high heels at knee

Lower heels, BMI may reduce OA risk – Walking in shoes with heels higher than about 1.5 inches causes gait abnormalities that are amplified by extra bodyweight, according to recent research that found high-heeled walking creates significant changes in knee loading similar to…

By Emily Delzell Continue reading

Foot orthoses for heel pain help improve walking activity

Study supports custom device use – In patients with plantar fasciitis, the pain relief associated with custom foot orthoses (CFOs) appears to result in increased walking activity, as well, according to a recently published clinical trial.

By Barbara Boughton Continue reading

Arcopédico Leina

Arcopédico USA debuts three new colors—grey, camel, and purple—this summer for the top-selling Leina collection of sporty Mary Jane walking slides. Featuring a wide, nonrestrictive form and a stay-on elastic band for a secure fit, these shoes are ideal for misshapen feet. Continue reading

Mobils Ergonomic by Mephisto

The Mobils Ergonomic Collection by Mephisto is designed to ensure a healthy, natural walk. Three advanced technological comfort features highlight this brand. All-over soft padding between the lining and the natural leather upper cushions the entire foot. Continue reading

Vionic Cozy Juniper

For fall 2015, Vionic brings its trusted Orthaheel orthotic technology to a new, premium cozy women’s house slipper. The Cozy Juniper is a luxurious option for the patient/consumer who desires structural security for her feet along with the pampering of a house slipper. Continue reading

Dr. Comfort Ruk and Riley

Dr. Comfort is proud to feature two new fashionable shoes that allow customers to feel great: the Ruk and the Riley. The Ruk is a classic dress style shoe for men that is versatile enough to pair with jeans or trousers. It comes with a suede upper material in a rust color or full-grain… Continue reading

Ped Lite Valerie

Ped Lite’s newest women’s casual shoe, the Valerie, offers a fashion-forward interpretation of the typical diabetic shoe. Available in black with an all-leather upper, the Valerie looks like a slip-on shoe but has a Medicare-approved adjustable closure that makes it functional as well as stylish. Continue reading

Apex Boss Runner

The Apex Boss Runner is a biomechanically designed, straight lasted, motion control running shoe. The shoe features a molded external heel counter extended on the medial side for rearfoot stability, Carboplast footbridge for torsional stability… Continue reading

Aircast AirHeel with Stabilizers

Now available from DJO Global is the Aircast AirHeel with Stabilizers, designed to improve patient compliance by providing active relief of plantar fasciitis, Achilles tendinitis, and other heel pain symptoms. Interconnected aircells under the arch and at the back of… Continue reading

Drew Antwerp for Women

Drew Shoe introduces the Antwerp for women, with a stretch fabric upper and a Velcro closure. Designed for those with common foot ailments, this slip-on walking shoe features Drew’s Proprietary Plus fitting system, which includes two removable… Continue reading

Diabetic Foot Cream

Myfootshop.com introduces Diabetic Foot Cream, an all-natural, multipurpose cream intended to address the unique skin care needs of patients with diabetes, including dry skin, superficial cellulitis, and bacterial and fungal infections. Continue reading

Hook & Loop Strap Kits

WBC Industries introduces PVC Hook & Loop Strap Kits for use on ankle foot orthoses and knee ankle foot orthoses for adults and children. Each kit comes with a strap, chafe, pad, and matching rivets and is available in 14 different colors. Continue reading

Kano Sigma-4 Exam Chair

The modern, sleek Sigma-4 exam chair from Kano Labs features four independent, low-voltage motors. Like other Sigma exam chairs, the Sigma-4 has a 360° locking ring swivel base, digital control electronics, surface mounting technology, and computerized testing of the automated… Continue reading

KLM Uniflex 4 Foot Orthosis

KLM Laboratories, a provider of orthotic devices since 1973, offers a new addition to the Uniflex family of functional orthotic devices, the Uniflex 4. The Uniflex 4 foot orthosis comes standard with a gray simulated leather top cover and a semirigid polypropylene shell and rearfoot… Continue reading

Branier Shoes, Boa Closures

Branier Orthopedic, through a collaboration with Click Medical, is now offering the Boa closure system for its custom-molded shoe lines. Adjustable with the use of a single hand, Boa’s mechanical reel system works to draw a steel cable through a series of easy-glide nylon guides. Continue reading

Arcopedico High-tops

Arcopedico USA is debuting knit high-top sneaker styles as additions to its top-selling knit shoe collections. Shocks 5 sneaker-style high-tops feature a lace-up front, outer-side logo details, SanSmell fabric lining, cushioned footbed, and flexible heel strap. Continue reading

Ped-Lite Materials

Ped-Lite is proud to announce its new line of fabrication materials to complement its existing product lines of custom and prefabricated diabetic inserts and diabetic shoes. The Ped-Lite line of fabrication materials includes closed-cell foam sheets, two- and three-layer laminates… Continue reading

Electronic Tuning Fork

O’Brien Medical announces the commercial release of its premier product, the ETF128 electronic tuning fork. The medical-grade ETF128 transforms the most valuable features of a conventional 128-Hz tuning fork into a modern electrical configuration with four vibration amplitude… Continue reading

Elite Adjustable Night Splint

Now available from Elite Ortho­paedics is the Premier Adjustable Night Splint for patients with plantar fasciitis, Achilles tendinitis, and other lower extremity overuse injuries. It features an angled shell to keep the foot in a dorsiflexed position, which can be easily adjusted using… Continue reading

Lems Shoes Primal2

Lems Shoes are designed to mirror the natural shape of the human foot, with a toe box that allows for maximum room for the toes to wiggle and spread. The Primal2 is a lightweight (6.9 oz), flexible, breathable, flat shoe that is assembled using no-sew construction, which… Continue reading

DIABETIC FOOTWEAR: Cinematic symposium explores person-centric communication

Cannes is the French city most often associated with cinema. But several hundred kilometers to the north, in Lyon, a pair of short films debuted in June that sent a clear message about the most effective ways for lower extremity practitioners to interact with their patients. Continue reading

AMPUTATION: Patients cite lack of education about partial foot procedures

Patients who have had a partial foot amputation followed by a transtibial amputation on the same limb feel that they were inadequately educated about what the first procedure would involve, according to detailed interviews conducted by researchers at La Trobe University in Melbourne, Australia. Continue reading

PEDIATRICS: CP studies assess potential advantages of flexible AFOs

The flexibility of an ankle foot orthosis (AFO) does not necessarily affect walking economy in children with cerebral palsy (CP), but more flexible AFOs may be particularly beneficial for sports activities in higher-performing children with… Continue reading

DROP FOOT: Benefits of FES after stroke are maintained at 42 weeks

Gait speed improvements associated with 30 weeks of functional electrical stimulation (FES) in poststroke patients are maintained at 42 weeks, according to research presented in June at the 2015 ISPO World Congress. Continue reading

OSTEOARTHRITIS: Orthotic options for knee OA focus on compliance issues

New research presented in June at the 2015 ISPO Congress underscored the potential long-term benefits of valgus knee bracing for relief of medial knee osteoarthritis (OA) symptoms when patient compliance is high, while… Continue reading

PROSTHETICS: Foot strike pattern can affect load in amputee runners too

Foot strike pattern during running affects loading in unilateral lower limb amputees, as it does in able-bodied runners, according to research from the Chinese University of Hong Kong. Continue reading

Improving compliance with diabetic footwear

Convincing patients with diabetes to wear their prescribed footwear presents a challenge, but experts agree that encouraging patient compliance requires lower extremity clinicians to look beyond the disease and gain insight into the person being treated.

By Shalmali Pal Continue reading

Intricacies of metatarsal stress fracture treatment

A growing body of research on metatarsal stress fractures is helping lower extremity practitioners manage both the biomechanical and physiological effects of these frustrating injuries, as well as the expectations of patients who are eager to return to activity.

By Erin Boutwell Continue reading

Thanks to our manuscript authors!

magazine is only as good as the words that fill its pages, and LER is no exception. As we celebrate our fifth anniversary, we’d like to sincerely thank the many researchers and practitioners who have contributed manuscripts… Continue reading

A special thanks to the advertisers

As we celebrate our 5th anniversary here at LER Magazine, we want to say “thank you” to the advertisers who were a part of this special anniversary issue, and to all of the advertisers who have made these 5 years possible! Continue reading

Pluses and minuses of additive and subtractive approaches

Practitioners and orthotic laboratory owners at the fourth annual Orthotics Technology Forum (OTF) thinking about switching from traditional design and manufacture methods to digital technology got an up-close look…

By Emily Delzell Continue reading

SmartTemp Liner

WillowWood’s Alpha SmartTemp Liner brings temperature control to prosthetic liners with Outlast, a heat management technology that was developed for NASA. The product is designed to absorb heat… Continue reading

pHast Legs for DOMS

Rocktape’s new pHast Legs is a new product designed to keep an athlete’s pH levels in balance, reducing the incidence and severity of delayed onset muscle soreness (DOMS) and recovery time. During exercise… Continue reading

Ped Lite Penny Loafer

Ped Lite is proud to introduce the Scott, an adjustable penny loafer specifically designed for patients with diabetes. With a roomy 6/16″ of extra depth, the Scott loafer is designed to be both stylish and affordable… Continue reading

Niagara Custom AFOs

Niagara Brace announces a new line of custom thermoplastic ankle foot orthoses (AFOs). These braces are made from a cast or computer scan using 3D imaging and CAD-CAM technology, with a standard… Continue reading

Neolon with Silpure

JMS Plastics Supply introduces its Neolon top cover, which incorporates Silpure into neoprene. Neolon with Silpure provides antimicrobial protection against bacteria, mold, mildew, and fungus using… Continue reading

Leg Health iPad App

Sigvaris introduces a new iPad app for practitioners who advise patients about their leg health. The app helps explain the circulatory system and leg health conditions to patients in an illustrative way that is… Continue reading

Innowalk Mobility Device

Thanks to a new partnership agreement between Ottobock and Norway-based company Made for Movement, Ottobock has exclusive distribution rights in North America for the Innowalk, a motorized… Continue reading

Comfortable Klogs

Klogs for men and women are designed to mimic the comfort of walking barefoot. A range of individuals—including teachers, chefs, medical providers, outdoor enthusiasts, and senior citizens—can benefit from… Continue reading

Documenting CAD-CAM’s clinical relevance

Foot orthoses made with advanced design and manufacturing technologies aren’t just technically impressive—they’re also clinically relevant, according to the results of two studies presented in June by…

By Jordana Bieze Foster Continue reading

Gel Pediatric Suspension Sleeve

Silipos’ Gel Pediatric Suspension Sleeve is designed to work with pediatric below-knee sockets as well as pediatric and adult upper extremity sockets. The sleeve is fully lined with medical grade mineral oil gel to maximize comfort and skin protection. The … Continue reading

High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

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3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

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Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

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WalkJoy Gait Restoration

Worn discreetly and comfortably below the knee, the compact, lightweight WalkJoy product aids in the restoration of gait and balance in patients with peripheral neuropathy. Its advanced telemetry provides precise information about a patient’s walking dynamics and activates vibrotactors upon … Continue reading

SureStep Sandals

SureStep Sandals are designed with custom features for children who wear orthotic devices. A flexible sole allows for intrinsic movement, while the added height and longer straps provide the support necessary to be worn with an orthotic device. A special … Continue reading

SportFit Flex Orthosis

ComfortFit Labs has added a new orthotic device to its SportFit collection. The SportFit Flex is similar to the company’s SportFit device, but is designed for patients who cannot tolerate a semirigid shell. This new device is listed in the … Continue reading

Plantar F3 Foot Roller

Swede-O has launched the Plantar F3 Foot Roller, designed to relieve heel and foot pain in three ways: stretching, cold therapy, and heat therapy. The design of the Plantar F3 has three distinct contact surfaces to isolate the plantar fascia … Continue reading

Peapod Pediatric Orthotics

Peapod Pediatric Orthotics (by Podotech, available from Algeos USA) offer a versatile, cost-effective alternative to custom foot orthoses for clinicians with pediatric patients. The Peapod Dinky is a medium density ethylene vinyl acetate (EVA) device, with a deep heel cup … Continue reading

Paperless Clinic Software

Kiwi Software Solutions has developed a web-based program that allows medical orthotic providers to run a paperless clinic. Kiwi software can be used on a tablet device to replace a clipboard for clinical note taking, and can also be used … Continue reading

Ovation Hybrid Night Splint

Ovation Medical introduces the Ovation Hybrid Night Splint to provide the convenience of the company’s Dorsal Night Splint and the structured support and adjustability of the original Posterior Night Splint. The shell design of the Hybrid positions the foot securely … Continue reading

Orthotronic C-Brace

Ottobock announces the debut of the C-Brace orthotronic mobility system for patients with neurological conditions affecting the lower limbs. The orthotronic system, which combines electronic and me­ch- an­ical technologies, helps the wearer to descend stairs, change speeds, and walk with … Continue reading

Compression Hosiery

Sigvaris announces the launch of its medical-grade compression level Allure product line. The Allure sheer medical compression hosiery line, featuring a diamond-dot pattern, has the look and soft feel of designer fashion hosiery with the health benefits of medical compression … Continue reading

Compression Anklet in Black

PediFix introduces its Pedi-Smart Black Compression Anklet. This medical-grade product provides graduated Grade III (30-40 mm Hg) compression from the metatarsals to the calf, which helps increase venous activity, minimizes swelling, eases pain, and speeds healing, especially after injury or … Continue reading

BRD Plantar Fasciitis Brace

BRD Sport is now offering a Plantar Fasciitis Brace to relieve acute arch and heel pain. Three-dimensional knitting offers a four-way stretch, and anatomically contoured silicone pads on the medial and lateral sides give support and intermittent massage to help … Continue reading

Patriot AFO

The Patriot AFO is available in a firm, semi rigid, or flexible reinforcement material to provide the correct amount of support and stability. A full interface lining cushions and protects skin integrity.

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SoleTech Night Splint

The SoleTech® Night Splint is available in three universal sizes(S, M, and L) to fit most patients and is indicated for Plantar Fasciitis, Achilles Tendonitis and other lower extremity overuse injuries.

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ProLab’s P3 Functional Prefab

ProLab has been a leader in orthotic therapy since 1989, offering high-quality orthotic products including: custom Pathology Specific™ foot orthoses, custom Stabilizer Gauntlet AFOs, custom Functional AFOs, and the new P3 Kiddythotic Prefabs.

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Swede-O OA Brace

The Swede-O OA Knee Brace is designed specifically for patients with unicompartmental osteoarthritis. The Swede-O OA Knee Brace is the first OA knee brace that provides the necessary unloading of the patient’s knee for pain relief and corrects gait abnormalities associated with OA.

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