July 2016

Download the Complete issue as a PDF (7.5 mb)

Download the Complete issue as a PDF (7.5 mb)

Cover Story


Figure 1. A patient does a leg lift while wearing a BFR cuff. (Photo by Jason Risner, courtesy of Owens Recov-
ery Science.)
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

From the Publisher


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

Editor Message


1Limb-Jordana-nolabel
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

Departments


Orthotic-Devices-for-the-Win-2c
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

7diabetes-iStock_000081434219_Full-copy
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

7running-iStock_95379025_LARGE
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

7LLD-Feature
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

News

In the Moment: Sports Medicine

7ITMsports-iStock_60948340-copy
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

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

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

In the Moment: Diabetes

7ITMdiabetes-iStock_4331993-copy
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

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

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

Market Mechanics

By Emily Delzell


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).

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…

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.

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.

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.

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.

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.

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…

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.

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.

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…

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.

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.

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.

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…

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…

Products


NP-spenco
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.

NP-curamedix
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.

NP-bonapeda
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…

NP-orthozone
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.

NP-aquarollusa
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.

NP-nutramax
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…

NP-ossur
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…

NP-optp
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…

NP-coral
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…

NP-sigvaris
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…

NP-caresox
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.

NP-pro-tec
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.