July 2023

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Cover Story


Welcome To The Reality Of Diabetic Foot Ulceration: A Multidisciplinary Approach To Evaluation and Management Through Computer-Aided Gait Analysis & Custom Diabetic Orthoses
Diabetes mellitus has exploded in its prevalence worldwide, affecting millions with grave consequences, crippling both the patient and the... By Jay Segel, DPM; Sally Crawford, MS; Mark Hopkins, PT, CPO, MBA; Brian Murray, PT; Tracy Winchester; Alexander Lakner, DPM; DeEtta McKnight, RN; Caitlin Hicks, MD, MPH-V; Christopher Abularrage, MD; Sanuja Bose, MD, MPH; Alana Keegan, MD; and Ronald Sherman, DPM, MBA

Expert Opinion


NATA Offers Vital Tips for Back-to-School Safety

With temperatures on the rise and student athletes returning to preseason practice fields this summer, the National Athletic Trainers’ Association (NATA) has released safety tips to ensure parents ask the right questions of schools to ensure best sports safety practices are in place.

From the National Athletic Trainers’ Association

Features


Motor Point Heatmap of the Calf

Mapping muscle motor points in the calf could improve electrode placement for   neuromuscular electrical stimulation and thereby enhance outcomes.

By Elias Schriwer, Robin Juthberg, Johanna Flodin, and Paul W. Ackermann

Thick Shells, Medially Wedged Posts Increase Foot Orthoses Medial Longitudinal Arch Stiffness
A better understanding of how the medial arch stiffness of foot orthoses can be modulated by changing structural factors is necessary to better customize them for patients. By Ana Sofia Tavera Pelaez, Nader Farahpour, Ian B. Griffiths, and Gabriel Moisan
Plantar Pressure and Fall Risk in Older Individuals

Previous studies have confirmed that there is a difference in plantar pressure between falls and non-falls in elderly people, but the relationship between fall risk and foot pressure has not been studied.

By Yifeng Yan, Jianlin Ou, Hanxue Shi, Chenming Sun, Longbin Shen, Zhen Song, Lin Shu, and Zhuoming Chen

ShortTakes From the Literature


Pediatric Arch Pain Linked to Talus-1/-2 Metatarsal Angles
Pain in the flexible flatfoot is a common complaint. When present, it is important to find its exact location and causes. This study aimed to find differences between children with and without medial arch pain and relate them to the reduction of pain following surgical treatment.
Effects of AFO on Static Balance in Foot Drop Patients
Ankle-foot-orthoses (AFOs) play a significant role in gait biomechanics, but researchers from Italy identified a lack in evidence of the effects of AFOs on static balance. They conducted a study that looked at 24 patients (15 males, age 57±14 yrs, BMI 23.4±4.4kg/m2), with...
Injuries Related to Sauna Bathing
Awareness of well-being and health issues have contributed to increased popularity of sauna bathing. However, little is known about potential risks and injuries. The aim of this study was to identify the causes for injuries, the affected body regions, and to define recommendations for prevention.
Relationship Between Vit D Level & Osteoporosis
To achieve bone health in general population, the Institute of Medicine (IOM) guidelines and the Endocrine Society guidelines recommend 50 and 75 nmol/L respectively as sufficient levels of serum 25-hydroxyvitamin D (25(OH)D). Researchers from China wanted to understand if there were positive effects...
Exercise May Decrease Parkinson’s Risk
In a 30-year study of nearly 100,000 females, French researchers found that females who exercised the most had a 25% lower rate of Parkinson’s disease compared to those who exercised the least. While the study does not prove that exercise lowers the risk of developing Parkinson’s disease, it does show an association.
Patellofemoral Joint Geometry and OA
In this cross-sectional study, international researchers compared patellofemoral geometry in individuals with a youth-sport-related intra-articular knee injury to uninjured individuals, and the association between patellofemoral geometry and magnetic resonance imaging (MRI)-defined osteoarthritis...

Highlights from the Endocrine Society Annual Meeting


“Robotic pill” safely delivers injectable osteoporosis drug
A proven and effective medication for osteoporosis, which is currently only available as an injection, can be administered orally using a novel “robotic pill,” according to a study presented in June at ENDO 2023, the Endocrine Society’s annual meeting in Chicago, Ill.
BMI alone may not be a sufficient indicator of metabolic health

Evidence shows that a high proportion of U.S. adults with normal body mass index (BMI) still have obesity which highlights the inadequacy of BMI as the gold standard measure of metabolic health. To better understand drivers for cardio-metabolic disease, new research highlighted the...

Full recovery may be possible among men who use steroids for muscle growth

Full recovery of testosterone production may be possible for men who wish to stop using anabolic-androgenic steroids for muscle growth. Anabolic steroids are used as performance-enhancing drugs by professional and amateur athletes, and by other men to improve appearance.

Reduced bone quality linked to social isolation in mice study

Social isolation may negatively impact bone health according to a new study conducted in mice. “Social isolation is a potent form of psychosocial stress and is a growing public health concern, particularly among older adults,” said lead researcher Rebecca Mountain, PhD, of Maine Health Institute for...

T1DM survey shows struggle to manage disease & exercise
or people with type 1 diabetes (T1DM), managing blood glucose levels before, during and after aerobic exercise is a major struggle. Several major professional organizations have published guidelines and recommendations to address various aspects of...
Aromatase Inhibitors May Limit Effects of Weight Loss Meds

Aromatase inhibitors, some of the most common breast cancer medications, may lessen the effect of weight loss drugs, according to a new study from the Mayo Clinic. The study found that weight loss medications are less...

Industry News & Updates


AI Sensor Monitors Chronic Wounds
A recent invention by a team of researchers from the National University of Singapore (NUS) and A*STAR’s Institute of Materials Research and Engineering, provides a simple, convenient, and effective way of monitoring wound recovery so clinical intervention can be...
3D-printed Insoles Measure Sole Pressure
To optimize their performance, athletes may use custom-made insoles. People with musculoskeletal pain also turn to insoles to combat their discomfort. However, before specialists can accurately fit such insoles, they must first create a pressure profile of the feet.
Advanced Control System May Advance Lower Limb Exoskeleton Experience
A team of researchers from the New Jersey Institute of Technology (NJIT), North Carolina State University, and University of North Carolina at Chapel Hill have developed a new method for controlling lower limb exoskeletons. The novel method developed by the...
Finding the Perfect Fit for a Prosthetic Leg
University of Washington (UW) Professor Joan Sanders, PhD, and her team are creating a new type of transtibial prosthetic leg that automatically adjusts its fit throughout the day. Their latest prototype alters its fit without the need for adjustments to padding or...
Biodegradable Gel Promising for Cartilage Regeneration
A gel that combines both stiffness and toughness is a step forward in the bid to create biodegradable implants for joint injuries, according to new research from the University of British Columbia (UBC).

The Last Word


Training Methods to Improve the Ability to Change of Direction
20 studies were analyzed to examine the effect of specific and non-specific training methods on pro-agility performance. Sprint training, specifically inclined sprint training, was found to have the largest per session training effect: inclined or resisted sprint training methods are...

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