March 2011

Cover Story


March LER Issue Flipbook is live!

Check out the latest issue of LER as a digital flipbook. Continue reading

Outcomes after ACL surgery: The importance of graft type

In an attempt to decrease the risk of re-rupture and revision surgery after anterior cruciate ligament reconstruction, practitioners are refining the decision process regarding which procedure is best for which patient.

By Cary Groner Continue reading

Down syndrome and total hip arthroplasty: Opportunities to optimize outcomes

Total hip arthroplasty can markedly improve quality of life in patients with Down syndrome, but the comorbidities and developmental disability associated with the chromosomal abnormality need to be taken into…

By Shalmali Pal Continue reading

Ankle sprain prevention in basketball: Why some high schools are opting out

Despite published evidence that bracing and targeted exercises can prevent ankle injuries in high school basketball players, surprisingly few teams have adopted these practices. Barriers to implementation include a lack of awareness and expertise as well as time and money.

By P.K. Daniel

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CEREBRAL PALSY: Dynamic devices facilitate compliance, outcomes in children with cerebral palsy

Brace wear time, not torque, is key – Dynamic orthoses offer an effective alternative to static devices for management of tip-toe gait and knee flexion contracture in children with cerebral palsy (CP), particularly because the dynamic devices are associated with greater compliance, according to separate studies from Sweden and France.

Continue reading

OSTEOARTHRITIS: Knee braces and wedged insoles both alter gait in patients with knee OA

A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).

Continue reading

SPORTS MEDICINE: Proximal rocker bar on shoe can relieve tension on Achilles tendon in runners

A rocker bar proximally positioned on a running shoe can relieve tension on the Achilles tendon as well as reduce the force required of the calf muscles during walking and slow running, according to research from the Netherlands.

Continue reading

DIABETES: More results support use of foot orthoses to significantly decrease plantar pressures

Swedes also find low ulceration rate – Research from Sweden and Egypt provides more evidence that foot orthoses can significantly decrease plantar pressures in patients with diabetes, theoretically reducing the risk of foot ulcers and lower extremity amputation.

Continue reading

FLAT FOOT: Arch structure in children with talipes planovalgus improves with shoe inserts

Orthotic management of pediatric talipes planovalgus starting at an early age is associated with significant improvement in weightbearing arch structure, according to research from Saga University in Japan.

Continue reading

OFFLOADING: Walkers’ effect on proximal biomechanics varies depending on design characteristics

Tibial inclination appears significant – Orthotic walkers have significant effects on proximal joint mechanics during gait, the extent of which appear to depend on individual device design, according to research from the University of Central Lancashire in the UK.

Continue reading

PEDIATRICS: In hyperpronators, functional scoliosis responds to distal orthotic treatment

What appears to be idiopathic scoliosis may actually be functional scoliosis that can be effectively treated with foot orthoses in children who are hyperpronators, according to research from Chungnam National University in Daejeon, South Korea.

Continue reading

STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

Continue reading

Kickboxing: A creative approach to improving balance in patients with MS

Kickboxing isn’t just for elite martial artists. In fact, preliminary research suggests the kicks, punches, and knee movements associated with the sport can improve balance and mobility in patients with multiple sclerosis. And as an added bonus, it’s also fun.

By Kurt Jackson PT, PhD, GCS, and Kimberly Edginton-Bigelow, PhD

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Upstanding interventions: Falls prevention in O&P

Devices that improve proprioception, balance, and biomechanics can help patients avoid the significant morbidity and mortality associated with falls. But in some cases, a device may actually increase risk. That’s why matching the right intervention to the right patient is essential.

By Cary Groner

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Editor Message


March LER Issue Flipbook is live!

Check out the latest issue of LER as a digital flipbook. Continue reading

Out on a limb: An analgesic assist

When it comes to improving outcomes after anterior cruciate ligament (ACL) recon­struction, lower extrem­­ity practitioners need all the help they can get. Fortunately, a recent study suggests they might be able to get some valuable assistance from their colleagues in anesthesiology.

By Jordana Bieze Foster
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Out on a limb: Rethinking pain

Pain doesn’t always behave the way we think it will. An intervention that relieves pain in the majority of patients might not provide relief for a significant minority. But that might mean we need to change the way we think about pain.

Jordana Bieze Foster, Editor Continue reading

Out on a limb: Taking schools to school

Those responsible for high school athletes—coaches, athletic directors, district superintendents—would like us to believe the safety of those athletes is a priority. Unfortunately, the facts suggest otherwise.

Jordana Bieze Foster, Editor

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CEREBRAL PALSY: Dynamic devices facilitate compliance, outcomes in children with cerebral palsy

Brace wear time, not torque, is key – Dynamic orthoses offer an effective alternative to static devices for management of tip-toe gait and knee flexion contracture in children with cerebral palsy (CP), particularly because the dynamic devices are associated with greater compliance, according to separate studies from Sweden and France.

Continue reading

OSTEOARTHRITIS: Knee braces and wedged insoles both alter gait in patients with knee OA

A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).

Continue reading

SPORTS MEDICINE: Proximal rocker bar on shoe can relieve tension on Achilles tendon in runners

A rocker bar proximally positioned on a running shoe can relieve tension on the Achilles tendon as well as reduce the force required of the calf muscles during walking and slow running, according to research from the Netherlands.

Continue reading

DIABETES: More results support use of foot orthoses to significantly decrease plantar pressures

Swedes also find low ulceration rate – Research from Sweden and Egypt provides more evidence that foot orthoses can significantly decrease plantar pressures in patients with diabetes, theoretically reducing the risk of foot ulcers and lower extremity amputation.

Continue reading

FLAT FOOT: Arch structure in children with talipes planovalgus improves with shoe inserts

Orthotic management of pediatric talipes planovalgus starting at an early age is associated with significant improvement in weightbearing arch structure, according to research from Saga University in Japan.

Continue reading

OFFLOADING: Walkers’ effect on proximal biomechanics varies depending on design characteristics

Tibial inclination appears significant – Orthotic walkers have significant effects on proximal joint mechanics during gait, the extent of which appear to depend on individual device design, according to research from the University of Central Lancashire in the UK.

Continue reading

PEDIATRICS: In hyperpronators, functional scoliosis responds to distal orthotic treatment

What appears to be idiopathic scoliosis may actually be functional scoliosis that can be effectively treated with foot orthoses in children who are hyperpronators, according to research from Chungnam National University in Daejeon, South Korea.

Continue reading

STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

Continue reading

Out on a limb: Well heeled

It’s widely believed that women persist in wearing high-heeled shoes, despite what can be considerable discomfort, for aesthetic reasons. But what if, on some level, we’re attracted to high-heeled shoes because we associate them with social status?

Jordana Bieze Foster, Editor

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Out on a limb: Up in arms at AAOS

Many of us were surprised by how cold it was in San Diego this past February. But nobody got an icier reception at the annual meeting of the American Academy of Orthopaedic Surgeons than Alexandra Soroceanu, MD.

by Jordana Bieze Foster, Editor

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Special: Diabetic Footcare


March LER Issue Flipbook is live!

Check out the latest issue of LER as a digital flipbook. Continue reading

revere Comfort Sandals

Sandals from revere Comfort Shoes, designed and developed in Australia, are now available in the US market. Designed in collaboration with foot health experts, all revere sandals have removable polyurethane footbeds, extra depth to accommodate custom foot orthoses, and a cushioned heel. Continue reading

Apex Spring Collection

Apex introduces its Spring Collection, designed to offer consummate style, superior comfort, and expert construction. Each pair is crafted with high-quality materials and engineered for agility and durability. The new collection includes a hiking boot version of the Ariya for men in… Continue reading

Vionic Contoured Sandals

Vionic’s contoured sandals, according to a recent peer-reviewed study, are comparable in effectiveness to the company’s prefabricated foot orthoses for the short-term treatment of heel pain. The same study also found that Vionic contoured sandals offer more effective relief of heel pain than… Continue reading

Samuel Hubbard Shoes

Lightweight, comfortable, and crafted from high-quality leathers and materials from around the world, Samuel Hubbard shoes are designed for people who move, walk, work, live, and play. The generous design and toe box, silky glove leather lining, and easily removable memory foam insole make… Continue reading

Salco 6 Slingback Sandal

Ideal for pairing with breezy summer dress­es, the new Salco 6 slingback sandal for women has woven its way into Arcopédico’s cork sole collection. The new Salco 6 san­dal features multitone inter­lacing soft nylon knit straps across the vamp along with heel and ankle straps for a secure, comfortable hold. Continue reading

Pilgrim Shoes P3020

This spring Pilgrim Shoes introduces style P3020, a new addition to the company’s men’s and women’s Areni One collections. These shoes come with our signature stretchable leather uppers, combining the aesthetic appeal and durability of leather with the ability to accommodate forefoot deformities. Continue reading

Ped-Lite Oliver

The Oliver, new from Ped-Lite, offers the benefits of a therapeutic shoe without sacrificing the appearance of a traditional boat shoe. Customers will initially notice the Oliver’s all-leather upper with wrap-around lacing that is typical of a classic boat shoe Continue reading

Mephisto Maryse Sandal

The Maryse sandal for women, from the Mobils by Mephisto line of comfort footwear, is a slingback wedge sandal with a polyurethane outsole, velvety leather upper, and three adjustable Velcro straps. Continue reading

Anodyne Sport Collection

Averaging around 7 oz per shoe (less than half a pound), “light is right” when it comes to Anodyne’s sport collection. With 16 different combinations of styles and colors for men and women, the sport collection has something for everyone. Continue reading

Segmental forefoot kinematics could influence risk of ulceration

Diabetes mellitus and peripheral neuropathy are associated with altered movement in individual metatarsal segments that is not always consistent with movement of the forefoot as a whole, according to research from Chicago that may have implications for foot ulcer prevention.

By Katie Bell Continue reading

Foot Dynamics: A clinical approach to quality shoes for an active community

Too often when a person has issues with their feet, they are treated for their symptoms rather than the underlying problem, said Jeffrey Jacobs, BOCPed.

By Kristine Thomas | Photos by Nancy Bateman Continue reading

Delmar Bootery: After 78 years and three generations, it’s still all about the fit and the fix

Chances are, if asked to describe a shoe repair shop, you probably wouldn’t use the words “pretty” or “refined.” But Gail Sundling, owner of the Delmar Bootery, might convince you other­wise.

By Catherine M. Koetters

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Smart insoles: Assessing their clinical potential

Athletes have been quick to embrace smart insoles and the biomechanical data generated by the devices’ embedded sensors. But experts believe smart insoles may also have potential clinical applications for patients with foot health problems, such as diabetic neuropathy.

By Shalmali Pal Continue reading

The importance of obesity in foot pain management

Increasing numbers of studies suggest that a high body mass index can significantly affect foot structure and function, increasing the risk of painful conditions. But questions remain as to how foot health specialists can best address foot pain in their obese and overweight patients.

By Barbara Boughton Continue reading

CEREBRAL PALSY: Dynamic devices facilitate compliance, outcomes in children with cerebral palsy

Brace wear time, not torque, is key – Dynamic orthoses offer an effective alternative to static devices for management of tip-toe gait and knee flexion contracture in children with cerebral palsy (CP), particularly because the dynamic devices are associated with greater compliance, according to separate studies from Sweden and France.

Continue reading

OSTEOARTHRITIS: Knee braces and wedged insoles both alter gait in patients with knee OA

A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).

Continue reading

SPORTS MEDICINE: Proximal rocker bar on shoe can relieve tension on Achilles tendon in runners

A rocker bar proximally positioned on a running shoe can relieve tension on the Achilles tendon as well as reduce the force required of the calf muscles during walking and slow running, according to research from the Netherlands.

Continue reading

DIABETES: More results support use of foot orthoses to significantly decrease plantar pressures

Swedes also find low ulceration rate – Research from Sweden and Egypt provides more evidence that foot orthoses can significantly decrease plantar pressures in patients with diabetes, theoretically reducing the risk of foot ulcers and lower extremity amputation.

Continue reading

FLAT FOOT: Arch structure in children with talipes planovalgus improves with shoe inserts

Orthotic management of pediatric talipes planovalgus starting at an early age is associated with significant improvement in weightbearing arch structure, according to research from Saga University in Japan.

Continue reading

OFFLOADING: Walkers’ effect on proximal biomechanics varies depending on design characteristics

Tibial inclination appears significant – Orthotic walkers have significant effects on proximal joint mechanics during gait, the extent of which appear to depend on individual device design, according to research from the University of Central Lancashire in the UK.

Continue reading

PEDIATRICS: In hyperpronators, functional scoliosis responds to distal orthotic treatment

What appears to be idiopathic scoliosis may actually be functional scoliosis that can be effectively treated with foot orthoses in children who are hyperpronators, according to research from Chungnam National University in Daejeon, South Korea.

Continue reading

STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

Continue reading

FROM THE EDITOR: KEEPING IT REAL

We hear a lot about evidence-based medicine these days. And there are certainly a number of benefits to being able to base treatment decisions on data from high-level published studies. But practitioners who treat diabetic patients know all too well that healthcare in the real world is different from healthcare in the literature.

Jordana Bieze Foster, Editor

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Socks: Getting in shape with new technologies

Socks are often an afterthought for patients with diabetes, but they shouldn’t be. Advances in materials science and new twists on old favorites mean that modern socks conform to feet without the bunching, chafing, slipping, and irritation of the past. Some even promote healing.

By Shalmali Pal

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Insoles: An exercise in compromise

Diabetic feet need pampering and protection from microtrauma, but they also need stability and support. A diabetic insole, representing the ultimate middle ground between sock and shoe, should offer the best of all worlds: cushioning, structure, shock absorption, and durability.

By Shalmali Pal

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Sheer Lace Stockings
Compression stockings: One size definitely does not fit all

Proper selection and sizing of compression hosiery can be confusing, but both are essential for control of edema and management of more serious vascular conditions in patients with diabetes. And then there’s the even more challenging issue of patient compliance.

By Shalmali Pal

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The Therapeutic Shoe Bill: Making sure the benefits add up

Taking full advantage of the TSB means jumping through more than a few bureaucratic hoops, as mandated by the federal government. But it also requires that lower extremity experts build better working relationships with each other and with their diabetic patients.

By Shalmali Pal

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Footwear: Advantages of a whole-patient approach

As important as it is to fit the foot properly within the shoe, that’s only one part of the process. Patients’ comorbidities, personality, and fashion sense all determine the extent to which a pair of footwear can maximize a diabetic patient’s outcomes and minimize complications.

By Shalmali Pal

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Departments


March LER Issue Flipbook is live!

Check out the latest issue of LER as a digital flipbook. Continue reading

Plantar fasciitis: Clinical concerns in basketball

Basketball is associated with a high number of lower extremity injuries, often related to footwear and the unique biomechanics and repetitious motion of the sport. This reflects the evolution of basketball from a refined sport to one of extreme physical contact and leverage. At elite levels of competition, the joint loading that comes with…

By Patricia Pande, MClScPT, CSCS, CPed Continue reading

Running modifications and reducing injury risk

Evidence suggests that no one foot strike style can be expected to decrease injury risk in all runners, and that switching foot strike patterns can have unintended consequences. Using a shorter stride length, however, can be an effective alternative for some runners.

By Elizabeth Boyer, PhD, and Tim Derrick, PhD Continue reading

Strength training: Bone health benefits for men

Men with low bone mass are much less likely than their female counterparts to receive treatment. But research suggests that resistance exercise is a safe and effect­­ive way to improve bone mineral density in men and, in turn, reduce the risk of fracture and related complications

By Pamela S. Hinton, PhD Continue reading

Ankle instability rehab emphasizes individuality

Research presented at the most recent International Ankle Symposium indicates that rehabilitation for chronic ankle instability is evolving from a one-size-fits-all approach to an increased focus on matching specific interventions to the patients who are most likely to benefit.

By Lori Roniger Continue reading

Flexible flat foot: Effects of orthoses during gait

In this original investigation, researchers analyzed the biomechanical effects of a foot orthosis in patients with flexible flat foot during walking and the extent to which those functional effects are consistent with proposed theories about the device’s mechanism of action.

By Bruce Elliott, PT, DPT, COMT, and Juan Garbalosa, PhD, PT Continue reading

Hallux valgus and plantar pressure measurement

Researchers and clinicians have found that plantar pressure assessment can help document the dynamic effects of hallux valgus surgery, postoperative physical therapy, and footwear or orthotic interventions, particularly in cases…

By Hank Black Continue reading

The role of hip strength in ACL rehabilitation

A protocol that includes isolated hip strength­ening exercises during the early stages of postoperative rehabilitation after anterior cruciate ligament reconstruction may provide a platform on which to build in the later stages of rehab and may predict future performance.

By J. Craig Garrison, PhD, PT, ATC, SCS Continue reading

Elastic therapeutic tape: The search for evidence

Athletes swear by it, but quality studies on elastic therapeutic tape are hard to come by, and the literature is littered with conflicting or inconclusive findings about the technique’s efficacy…

By Cary Groner Continue reading

Predicting recurrence after clubfoot treatment

In the search for factors that predict recurrence after use of the Ponseti method for successful treatment of idiopathic clubfoot, conclusive evidence is in short supply. However, the one factor that is…

By Rachel Y. Goldstein, MD, MPH Continue reading

Low back pain and risk of lower extremity injury

Low back pain is associated with kinematic and kinetic alterations that can increase the risk of lower extremity injury, parti­cularly in the presence of fatigue. New research suggests…

By Ram Haddas, PhD Continue reading

Active Stance: Developing the sustainable knee in an age of early TKA

To sustain is to endure. Knee osteoarthritis (OA) is a considerable worldwide health concern, as it greatly impacts an individual’s quality of life, general health, and societal role participation.

By John Nyland, DPT, SCS, EdD, ATC, CSCS, FACSM, David N.M. Caborn, MD, and Roland Jakob, MD

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Functional tests to predict lower extremity injury risk

Adding four functional tests to the preparticipation physical evaluations performed in student athletes may allow clinicians to identify individuals at risk for lower extremity musculoskeletal injury and implement preventive interventions to maximize safe­ty in sports participation.

By Alexis Meister, BS, ATC; Dustin Grooms, MEd, ATC, CSCS; Cambrie Starkel, MS; and James Onate, PhD, ATC, FNATA Continue reading

Bariatric surgery: Effects on patient gait and function

Existing data suggest bariatric surgery-induced weight loss can lead to rapid improvements in gait and physical function. The surgery may also help to address factors associated with knee osteoarthritis, which itself can affect mobility and function in obese patients.

By Andrew W. Froehle, PhD, Neal Dollin, MS, Richard T. Laughlin, MD, Donovan D. Teel II, MD, Richard J. Sherwood, PhD, and Dana L. Duren, PhD

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Influence of stride length on mechanics of pitching

Because power in baseball pitchers is generated from the feet through the core to the throwing arm, the study of stride length and its impact on pitching performance may help define an optimum technique that better protects pitchers from upper extremity injuries.

By Ryan L. Crotin, PhD, and Dan K. Ramsey, PhD

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The ideal running shoe: An elusive, evolving concept

The body of research that has evaluated running shoe prescription and injury suggests the most important factors to consider when selecting a running shoe are that it fits the foot perfectly and that the midsole is comfortable and appropriate for the individual athlete’s running style.

By Thomas C. Michaud, DC

Continue reading

CEREBRAL PALSY: Dynamic devices facilitate compliance, outcomes in children with cerebral palsy

Brace wear time, not torque, is key – Dynamic orthoses offer an effective alternative to static devices for management of tip-toe gait and knee flexion contracture in children with cerebral palsy (CP), particularly because the dynamic devices are associated with greater compliance, according to separate studies from Sweden and France.

Continue reading

OSTEOARTHRITIS: Knee braces and wedged insoles both alter gait in patients with knee OA

A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).

Continue reading

SPORTS MEDICINE: Proximal rocker bar on shoe can relieve tension on Achilles tendon in runners

A rocker bar proximally positioned on a running shoe can relieve tension on the Achilles tendon as well as reduce the force required of the calf muscles during walking and slow running, according to research from the Netherlands.

Continue reading

DIABETES: More results support use of foot orthoses to significantly decrease plantar pressures

Swedes also find low ulceration rate – Research from Sweden and Egypt provides more evidence that foot orthoses can significantly decrease plantar pressures in patients with diabetes, theoretically reducing the risk of foot ulcers and lower extremity amputation.

Continue reading

FLAT FOOT: Arch structure in children with talipes planovalgus improves with shoe inserts

Orthotic management of pediatric talipes planovalgus starting at an early age is associated with significant improvement in weightbearing arch structure, according to research from Saga University in Japan.

Continue reading

OFFLOADING: Walkers’ effect on proximal biomechanics varies depending on design characteristics

Tibial inclination appears significant – Orthotic walkers have significant effects on proximal joint mechanics during gait, the extent of which appear to depend on individual device design, according to research from the University of Central Lancashire in the UK.

Continue reading

PEDIATRICS: In hyperpronators, functional scoliosis responds to distal orthotic treatment

What appears to be idiopathic scoliosis may actually be functional scoliosis that can be effectively treated with foot orthoses in children who are hyperpronators, according to research from Chungnam National University in Daejeon, South Korea.

Continue reading

STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

Continue reading

Active Stance: Rethinking the concept of excessive pronation

Anterior knee pain is one of the most common injuries affecting runners, accounting for 25% of all running injuries.1 The etiology of anterior knee pain is multifactorial in nature,2 but one of the most commonly cited biomechanical risk factors is excessive rearfoot pronation.

By Pedro Rodrigues, MS, PT, PhD, Trampas TenBroek, PhD, and Joseph Hamill, PhD

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Foot ulcer experts weigh use of hyperbaric oxygen

Two February publications sum up the polarizing nature of hyperbaric oxygen therapy (HBOT) for treating recalcitrant diabetic foot ulcers. A meta-analysis supported use of HBOT, while a large cohort study found a lack of effectiveness in community-care settings.

By Larry Hand

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Exercise helps reduce claudication symptoms

Research suggests that exercise therapy can help reverse the ambulatory impairments associated with lower extremity pain in patients with peripheral arterial disease. The next step is to determine the methods of exercise therapy most likely to result in optimal outcomes.

By Ana I. Casanegra, MD, Omar L. Esponda, MD, and Andrew W. Gardner, PhD

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The role of varus thrust in knee osteoarthritis

Varus thrust is a characteristic of dynamic alignment that has been shown to be predictive of medial tibiofemoral structural progression. Treatments aimed at minimizing varus thrust may reduce structural progression and symptoms related to knee osteoarthritis.

By Grace Hsiao-Wei Lo, MD, MSc

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Foot orthoses and injury prevention in football

Team practitioners at the United States Naval Academy designed an orthotic intervention to prevent turf toe and Lisfranc sprains in football linemen and gained valuable insights about how players’ preferences and predispositions can affect compliance.

By CAPT Jeff Fair, EdD, ATC, LAT; CAPT David Keblish, MD; and LCDR Anthony Rabaiotti, DPM

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Effect of foot function on landing mechanics

Malalignment or dysfunction of the foot can increase the risk of landing-related trauma such as ACL injury, but the biomechanical effects of foot orthoses and bracing may decrease that risk.

By Douglas Powell, PhD, and Nicholas J. Hanson, MS

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Unstable shoe designs: Functional implications

Use of unstable footwear to strengthen the typically underused small muscles of the foot and ankle can help improve posture and gait,  potentially decreasing pain and risk of injury.

By Scott Landry, PhD

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VASCULAR VIEWPOINT: Compression therapy and the DVT epidemic

Despite established indications, compression therapy is widely underutilized in all settings of  venous thromboembolism due to a substantial education gap among practitioners.

By Marlin W. Schul, MD, MBA, RVT

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Plantar loads influence knee osteoarthritis risk

Research suggests that redirecting ground reaction forces relative to the knee joint’s rotational center can be achieved by repositioning the foot through a number of different mechanisms.

By Roy H. Lidtke, DPM, CPed

Continue reading

Bunion research focuses on patient quality of life

The effect of hallux valgus on a patient’s quality of life starts with a frustrating inability to find fashionable shoes that fit—but evidence suggests it doesn’t end there.

By Larry Hand Continue reading

Biomechanical precepts define 21st century yoga

Evidence-based standardization of yoga postures will improve outcomes and acceptance. Downward facing dog offers an opportunity to illustrate the underlying alignment precepts.

By Ginger Garner, MPT, ATC

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Nutritional management of diabetic neuropathy

Most practitioners are aware that controlling glucose levels through diet is one way to manage symptoms of peripheral neuropathy. What’s less widely known is that there is also evidence to support the use of nutritional supplements in the same patient population.

By David Shofler, DPM and Jonathan Labovitz, DPM, FACFAS

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News


In the Moment: Footcare

By Jordana Bieze Foster

Benefits of balance: YBT is associated with history of injury

Deficits in single-leg balance may contribute to the high rate of injuries among endurance athletes, but hip strength may not, according to two studies presented in February at the American Physical Therapy Association’s annual Combined Sections Meeting in Anaheim, CA.

By P.K. Daniel Continue reading

Test for lower extremity asymmetry identifies risk in recreational runners

Asymmetrical lower extremity neuromuscular control is predictive of repetitive stress injury in recreational runners, according to findings presented at the Combined Sections Meeting of the American Physical Therapy Association in February in Anaheim.

By P.K. Daniel Continue reading

Clinically useful 2D measurements predict patellofemoral joint force

Researchers from East Carolina University (ECU) in Greenville, NC, have identified 2D lower extremity kinematic measurements that accurately predict patellofemoral joint (PFJ) force during running and can be used clinically to identify runners at risk of injury.

By P.K. Daniel Continue reading

PFOA prognostication: Sagittal plane factors predict worsening

Sagittal plane mechanics and forces during gait in patients with patellofemoral osteoarthritis (PFOA) can help identify those who are likely to experience worsening pain or cartilage degeneration, according to research presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association in Anaheim, CA.

By Jordana Bieze Foster Continue reading

Years after Achilles tear, injured limb demonstrates elevated knee loading

A history of Achilles tendon rupture is associated with elevated knee loading during hopping and running, suggesting an increased risk of knee osteoarthritis and other overuse knee pathologies, according to research from East Carolina University in Greenville, NC.

By Jordana Bieze Foster Continue reading

Clinical single-leg hop tests can help estimate risk of OA after ACL injury

Performance on single-leg hop tests a few weeks after anterior cruciate ligament (ACL) injury can predict the risk of radiographic knee osteoarthritis (OA) five years later, according to research from the University of Delaware in Newark.

By Jordana Bieze Foster Continue reading

Double bonus: AFOs improve dual-task gait in two ways

Wearing ankle foot orthoses (AFOs) is associated with both physical and cognitive performance during dual-task gait in children with myelomeningocele, according to research presented in… Continue reading

Plantar flexion resistance alters knee flexion, foot strike in stroke patients

Increasing the plantar flexion resistance of an ankle foot orthosis (AFO) reduces knee hyperextension and changes foot strike pattern during gait in chronic stroke patients, according to research presented in… Continue reading

More restrictive orthotic devices boost balance over time in children with CP

Balance improves over time in children with cerebral palsy (CP) who switch from a dorsiflexion-free orthotic device to a more restrictive one, according to research from Northwestern University’s Feinberg School of Medicine in Chicago. Continue reading

CEREBRAL PALSY: Dynamic devices facilitate compliance, outcomes in children with cerebral palsy

Brace wear time, not torque, is key – Dynamic orthoses offer an effective alternative to static devices for management of tip-toe gait and knee flexion contracture in children with cerebral palsy (CP), particularly because the dynamic devices are associated with greater compliance, according to separate studies from Sweden and France.

Continue reading

OSTEOARTHRITIS: Knee braces and wedged insoles both alter gait in patients with knee OA

A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).

Continue reading

SPORTS MEDICINE: Proximal rocker bar on shoe can relieve tension on Achilles tendon in runners

A rocker bar proximally positioned on a running shoe can relieve tension on the Achilles tendon as well as reduce the force required of the calf muscles during walking and slow running, according to research from the Netherlands.

Continue reading

DIABETES: More results support use of foot orthoses to significantly decrease plantar pressures

Swedes also find low ulceration rate – Research from Sweden and Egypt provides more evidence that foot orthoses can significantly decrease plantar pressures in patients with diabetes, theoretically reducing the risk of foot ulcers and lower extremity amputation.

Continue reading

FLAT FOOT: Arch structure in children with talipes planovalgus improves with shoe inserts

Orthotic management of pediatric talipes planovalgus starting at an early age is associated with significant improvement in weightbearing arch structure, according to research from Saga University in Japan.

Continue reading

OFFLOADING: Walkers’ effect on proximal biomechanics varies depending on design characteristics

Tibial inclination appears significant – Orthotic walkers have significant effects on proximal joint mechanics during gait, the extent of which appear to depend on individual device design, according to research from the University of Central Lancashire in the UK.

Continue reading

PEDIATRICS: In hyperpronators, functional scoliosis responds to distal orthotic treatment

What appears to be idiopathic scoliosis may actually be functional scoliosis that can be effectively treated with foot orthoses in children who are hyperpronators, according to research from Chungnam National University in Daejeon, South Korea.

Continue reading

STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

Continue reading

Positives for Ponseti

Gait study compares clubfoot care
Children with clubfoot treated with the Ponseti casting method have less pain and better function five to 10 years later than those treated surgically, according to gait analysis research from Baltimore that provides evidence to help justify the growing popularity of conservative clubfoot care.

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Mortality data favor transmetatarsal amputation in patients with diabetes

Transmetatarsal amputations offer lower mortality rates and time to failure than other distal alternatives to transtibial amputation in patients with diabetes, according to research from the University of Rochester in New York. Investigators retrospectively reviewed records of 83 patients who … Continue reading

Preferred plantar fasciitis treatment changes with duration of symptoms

Foot and ankle surgeons favor stretching for a patient with four months of plantar fasciitis symptoms but turn to less conservative treatments if the pain continues for four months, according to survey results presented in February at the AAOS meeting. … Continue reading

In the Moment: Sports Medicine

By Jordana Bieze Foster

Benefits of balance: YBT is associated with history of injury

Deficits in single-leg balance may contribute to the high rate of injuries among endurance athletes, but hip strength may not, according to two studies presented in February at the American Physical Therapy Association’s annual Combined Sections Meeting in Anaheim, CA.

By P.K. Daniel Continue reading

Test for lower extremity asymmetry identifies risk in recreational runners

Asymmetrical lower extremity neuromuscular control is predictive of repetitive stress injury in recreational runners, according to findings presented at the Combined Sections Meeting of the American Physical Therapy Association in February in Anaheim.

By P.K. Daniel Continue reading

Clinically useful 2D measurements predict patellofemoral joint force

Researchers from East Carolina University (ECU) in Greenville, NC, have identified 2D lower extremity kinematic measurements that accurately predict patellofemoral joint (PFJ) force during running and can be used clinically to identify runners at risk of injury.

By P.K. Daniel Continue reading

PFOA prognostication: Sagittal plane factors predict worsening

Sagittal plane mechanics and forces during gait in patients with patellofemoral osteoarthritis (PFOA) can help identify those who are likely to experience worsening pain or cartilage degeneration, according to research presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association in Anaheim, CA.

By Jordana Bieze Foster Continue reading

Years after Achilles tear, injured limb demonstrates elevated knee loading

A history of Achilles tendon rupture is associated with elevated knee loading during hopping and running, suggesting an increased risk of knee osteoarthritis and other overuse knee pathologies, according to research from East Carolina University in Greenville, NC.

By Jordana Bieze Foster Continue reading

Clinical single-leg hop tests can help estimate risk of OA after ACL injury

Performance on single-leg hop tests a few weeks after anterior cruciate ligament (ACL) injury can predict the risk of radiographic knee osteoarthritis (OA) five years later, according to research from the University of Delaware in Newark.

By Jordana Bieze Foster Continue reading

Retraining gains: In-field cadence cues reduce impacts

In-field gait retraining, which cues a modest increase in step rate, can help address biomechanical risk factors associated with tibial stress fracture in runners, according to research from East Carolina University in Greenville, NC. Continue reading

Study finds triceps surae injury rate associated with age in soccer players

Older elite male soccer players sustain significantly more triceps surae injuries than do their younger counterparts, and could benefit from targeted training to prevent such injuries… Continue reading

Most baseball players return from ACL reconstruction, but play in fewer games

Nearly all Major League Baseball position players who undergo anterior cruciate ligament (ACL) reconstruction return to play at least 30 games, but those who do return play in fewer games… Continue reading

Walking the walk: Overground training boosts poststroke gait

Chronic stroke patients who can walk independently but retain gait deficits experience greater gains in both walking speed and quality with an overground walking intervention than with body-weight supported treadmill training (BWSTT), according to results of a pilot study epublished by Clinical Rehabilitation in February.

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Survey suggests need for simplified AFO-footwear combination tuning

Orthotists report time and a lack of access to 3D motion analysis as barriers to tuning ankle foot orthosis–footwear combinations (AFO-FC), findings that demonstrate a need for better instruction and simplification of the practice, according to investigators who conducted a survey of UK clinicians.

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Home-based exercise after hip fracture improves functional mobility, activity

A home exercise program produced modest improvements in physical function in patients who had already completed standard rehabilitation after hip fracture, according to a study published on February 19 in the Journal of the American Medical Association.

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Fear fallout: Studies explore effects on ACL outcomes

The best time to address fear of reinjury in athletes after anterior cruciate ligament (ACL) reconstruction may be between three and six months after surgery, according to research from the University of Florida presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association in Las Vegas.

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Postural sway complexity may reveal evidence of concussion weeks later

Postural sway complexity can differentiate healthy young athletes from those who are still experiencing symptoms more than six weeks after suffering a concussion, while the standard sideline test for postconcussion postural stability cannot, according to research from Cincinnati Children’s Hospital presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association.

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Forefoot-strike running, shorter steps both decrease patellofemoral loads

Shortening step length and switching foot strike pattern both effectively decrease patello­femoral joint loading during running, according to research from East Carolina University in Greenville, NC, presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association.

Continue reading

CEREBRAL PALSY: Dynamic devices facilitate compliance, outcomes in children with cerebral palsy

Brace wear time, not torque, is key – Dynamic orthoses offer an effective alternative to static devices for management of tip-toe gait and knee flexion contracture in children with cerebral palsy (CP), particularly because the dynamic devices are associated with greater compliance, according to separate studies from Sweden and France.

Continue reading

OSTEOARTHRITIS: Knee braces and wedged insoles both alter gait in patients with knee OA

A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).

Continue reading

SPORTS MEDICINE: Proximal rocker bar on shoe can relieve tension on Achilles tendon in runners

A rocker bar proximally positioned on a running shoe can relieve tension on the Achilles tendon as well as reduce the force required of the calf muscles during walking and slow running, according to research from the Netherlands.

Continue reading

DIABETES: More results support use of foot orthoses to significantly decrease plantar pressures

Swedes also find low ulceration rate – Research from Sweden and Egypt provides more evidence that foot orthoses can significantly decrease plantar pressures in patients with diabetes, theoretically reducing the risk of foot ulcers and lower extremity amputation.

Continue reading

FLAT FOOT: Arch structure in children with talipes planovalgus improves with shoe inserts

Orthotic management of pediatric talipes planovalgus starting at an early age is associated with significant improvement in weightbearing arch structure, according to research from Saga University in Japan.

Continue reading

OFFLOADING: Walkers’ effect on proximal biomechanics varies depending on design characteristics

Tibial inclination appears significant – Orthotic walkers have significant effects on proximal joint mechanics during gait, the extent of which appear to depend on individual device design, according to research from the University of Central Lancashire in the UK.

Continue reading

PEDIATRICS: In hyperpronators, functional scoliosis responds to distal orthotic treatment

What appears to be idiopathic scoliosis may actually be functional scoliosis that can be effectively treated with foot orthoses in children who are hyperpronators, according to research from Chungnam National University in Daejeon, South Korea.

Continue reading

STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

Continue reading

Bad breaks: Fifth met fractures can curtail NFL careers

Jones and proximal diaphyseal fifth meta­tarsal fractures are common among football players and may shorten their athletic careers, according to a February study that found players with fractures were significantly more likely than players without the injuries to have played in fewer than 10 National Football League (NFL) games. Continue reading

Even gradual transition to minimalist running leads to signs of stress in feet

Investigators at Brigham Young University in Provo, UT, reported that runners who transitioned from traditional running shoes to zero-drop shoes meant to mimic barefoot running had evidence of bone marrow edema, a marker for stress on the foot, after gradual transition from conventional to minimalist shoes.

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Girls, football players face highest risk of knee injury in high school athletics

The highest knee injury rates in US high school sports are associated with football, followed by girl’s soccer and gymnastics, according to an epidemiological study from The Ohio State University in Columbus and Colorado State University in Aurora.

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Can hip IR predict FAI?

Physical exam could be used to screen
Physical exam findings including hip range of motion can be used to help screen athletes for femoroacteabular impingement even before symptoms occur, according to research presented in February at the annual meeting of the American Academy of Orthopaedic Surgeons.

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Meta-analysis underscores benefits of early motion after Achilles rupture

A Canadian meta-analysis presented at the AAOS meeting confirms that early mobilization after Achilles tendon rupture essentially negates the difference in re-rupture rate between operative and nonoperative treatments. Most meta-analyses of operative vs nonoperative management of Achilles rupture, including a … Continue reading

Limited ROM after ACL reconstruction linked to radiographic osteoarthritis

Radiographic evidence of osteoarthritis five years after anterior cruciate ligament reconstruction is significantly more likely in patients with limited range of motion—even by just a few degrees—in the operated knee, according to research presented at the AAOS meeting. Investigators from … Continue reading

Market Mechanics


DJO brace addresses lateral knee OA

Research on Vista, CA-based DJO Global’s varus unloader brace published in February suggests the device may improve abnormal knee joint mechanics associated with the development and progression of lateral knee osteoarthritis (OA) after anterior cruciate ligament reconstruction (ACLR). Continue reading

Flexion releases data for new OA injectable

Burlington, MA-based Flexion Therapeutics in February released phase 3 data for its lead product candidate Zilretta, a novel nonopioid injectable for knee osteoarthritis (OA). Continue reading

M.J. Markell to sell Quikiks Hands-Free shoes

New York, NY-based Quikiks Hands-Free Shoes in February signed its first US distribution agreement within the O&P industry with M.J. Markell Shoe Company. Continue reading

Medicare adopts HSS joint surveys

Investigators from the Manhattan, NY-based Hospital for Special Surgery on February 29 epublished data in Clinical Orthopaedics and Related Research validating two new shortened questionnaires that will reduce time spent collecting patient-reported outcome data for hip and knee replacement surgeries. Continue reading

OHI funds $120K podiatric ed grant

Ronkonkoma, NY-based OHI (Orthotic Holdings Inc.) and the American College of Foot & Ankle Orthopedics & Medicine (ACFAOM) on February 10 announced a joint educational partnership to support the podiatric profession and advise on the impact of shifts in the healthcare industry. Continue reading

AOPA calls for O&P pilot grant RFPs

The Alexandria, VA-based American Orthotic & Prosthetic Association (AOPA) in late February invited requests for proposals (RFPs) for 2016 O&P research grants. This year AOPA will fund up to four pilot grants for up to $15,000 each. Continue reading

ProtoKinetics launches gait screen at CSM

Havertown, PA-based Proto­Kinetics launched its Movement Analysis Software (PKMAS) Primary Gait Screen on February 17 at the Combined Sections Meeting of the American Physical Therapy Association in Anaheim, CA. Continue reading

APTA names outcomes registry panel

The Alexandria, VA-based American Physical Therapy Association (APTA) on February 10 announced the members of a Scientific Advisory Panel to oversee its Physical Therapy Outcomes Registry. Continue reading

Justin Blair, ING finalize distribution deal

Chicago-based Justin Blair in February completed an exclusive distribution agreement with Hickory, NC-based ING Source, manufacturer of the Foot Gym and orthopedic compression products, including the Orthosleeve. Continue reading

Fitness pros join fight against chronic disease

The American College of Sports Medicine (ACSM), Medical Fitness Association (MFA), and American Council on Exercise (ACE) on February 23 announced a major new effort called the Exercise is Medicine (EIM) Solution at National Press Club in Washington DC. The effort is part of the ongoing EIM global initiative the ACSM launched in 2008. Continue reading

ConforMis introduces knee system

Bedford, MA-based ConforMis undertook the full commercial launch of its customized posterior-stabilized (PS) knee replacement system on March 2 at the American Academy of Orthopaedic Surgeons annual meeting in Orlando, FL. Continue reading

AAOS supports local playground build

The American Academy of Orthopaedic Surgeons (AAOS) on March 1 joined the City of Kissimmee, FL, Central Avenue Elementary School, local residents, and organizers from Community Vision and KaBoom! to build a new community playground at Central Avenue Elementary. Continue reading

ABC gives $100K for pedorthic research

The American Board for Certification on Orthotics, Prosthetics, and Pedorthics (BOC) in December gave the Pedorthic Foundation $100,000. Continue reading

Ottobock opens orthotic business unit

Austin, TX-based Ottobock’s customers in January began getting support from the company’s new business unit and sales organization dedicated to orthotics. Continue reading

OHI expands lower extremity offerings with Apex foot health division purchase

Ronkonkoma, NY-based Orthotic Holdings Inc (OHI) has purchased Aetrex Worldwide’s Apex Foot Health & Wellness division, the companies reported on March 3. The new entity will be known as… Continue reading

Olympic marathoner’s family sues Vibram

The family of Olympic mara­thon runner Abebe Bikila in February filed a lawsuit in Tacoma, WA, federal court seek­ing up to $15 million in damages from minimalist foot­wear maker Vibram for… Continue reading

AOPA invites O&P research proposals

The American Orthotic & Prosthetic Association (AOPA) on February 27 unveiled its slate of 2015 RFPs (request for proposals), inviting O&P research project submissions. Continue reading

BOC is OPAF Silver Sponsor for 5th year

The Orthotic & Prosthetic Activities Foundation (OPAF) announced in February that the Board of Certification/Accreditation (BOC) is for the fifth consecutive year a Silver Level Sponsor with a… Continue reading

Tenex minimally invasive fasciotomy system eases plantar fasciitis pain

Data presented at the Society of Interventional Radiology annual meeting in March in Atlanta show percutaneous ultrasonic fasciotomy using Tenex Health’s technology relieves plantar fasciitis pain. Continue reading

Olympian opens Algeos Innovation Suite

Olympic heptathlete Kelly Sotherton on February 24 officially opened Algeos’s £50,000 ($74,000) state-of-the-art medical technology center at Birmingham Metropolitan College’s Matthew Boulton Campus in the UK. Continue reading

Sols offers direct-to-consumer insoles

New York City-based Sols announced in late February that it has secured $11.1 million in a Series B funding round to boost its consumer product pipeline. Continue reading

JCSMS poster pick shows good results for percutaneous fibular fracture repair

The coauthor of the Joint Commission on Sports Medicine and Science’s (JCSMS) pick for Graduate Student Fellow Poster presented his work on February 21 at the JCSMS annual meeting in Memphis, TN, showing good results for… Continue reading

Becker Orthopedic consolidates ops

Becker Orthopedic announced in February that it is consolidating operations at Albany, OR-based Becker Oregon with Becker Orthopedic’s main central fabrication services at the company’s headquarters in Troy, MI. Continue reading

Spenco 2nd Skin sales on the rise

Waco, TX-based Spenco reported in early March that sales of its 2nd Skin first aid products have climbed steadily over the last two years, rising 9% in 2013 and 11% in 2014. Continue reading

AlterG partners with PT provider network

Fremont, CA-based AlterG reported on February 25 its new partnership with the national Physical Therapy Provider Network (PTPN), based in Calabasas, CA. Continue reading

Hewett to head Mayo sports med research

Sports medicine expert Timothy E. Hewett, PhD, will join the Mayo Clinic on July 1 as director of sports medicine research and biomechanics. Continue reading

UK unis to host international PFP events

The University of Manchester and the University of Central Lancaster in the UK announced in February plans to host two international events on patello­femoral pain this September. Continue reading

NATA gives first youth sports safety awards

The National Athletic Trainers’ Association on March 2 presented its inaugural Youth Sports Safety Ambassador Award to three recipients at the annual Youth Sports Safety Summit in Irvine, TX. Continue reading

Triton device debuts at Hanger event

Birmingham, AL-based Hanger on February 3 debuted its Triton smart ankle at the annual Hanger Education Fair and National Meeting in Las Vegas, where practitioners fit two amputee patients with the microprocessor-controlled prosthetic ankle-feet. Continue reading

Tamarack owner-founder Carlson ends
 run as CEO, succeeded by Hofmeister

Joe Hofmeister took on a new role February 17 as CEO of Tamarack Habilitation Technologies, replacing company owner and founder J. Martin “Marty” Carlson, MS, CPO, FAAOP, who will maintain an active role at the Blaine, MN-based company as chief engineer.

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Educational videos detail Heelift boots

Evanston, IL-based DM Systems launched a series of educational videos in February featuring its offloading boots for prevention or treatment of heel pressure ulcers.

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Integra wedges debut at ACFAS event

Plainsboro, NJ-based Integra LifeSciences Holdings Corporation introduced its Titanium Bone Wedges for internal fixation of bone fractures or osteotomies in the foot and ankle at the American College of Foot and Ankle Surgeons (ACFAS) 72nd Annual Scientific Conference, held February 27-March 2 in Orlando, FL.

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BOC wins Stevie for high-tech service

The Owings Mills, MD-based Board of Certification/Accreditation (BOC) won for Best Use of Technology in Customer Service at the 2014 Stevie Awards for Sales & Customer Service banquet held February 21 in Las Vegas.

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OrthoCarolina partners in sports facility

Franklin, TN-based D1 Sports Holdings announced in February a partnership with OrthoCarolina, an orthopedic care provider with multiple locations in North Carolina and South Carolina, Carolina Panthers wide receiver Steve Smith, and two other National Football League athletes to open a D1 Sports Training facility in Matthews, a suburb of Charlotte, NC.

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Early results support cell therapy for OA

Researchers from the Cellular Biomedicine Group presented data on February 18 at the Stem Cell Summit in New York City supporting safety and efficacy of the company’s cell-based therapy for patients with knee osteoarthritis (OA).

Continue reading

Ellipse updates limb-lengthening system

The US Food and Drug Administration gave Irvine, CA-based Ellipse Technologies clearance in February to market the latest generation of its adjustable intramedullary nail system for limb lengthening of the femur or tibia.

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Chiefs’ head AT elected PFATS president

Members of the Professional Football Athletic Trainers Society (PFATS) on February 19 elected  Kansas City Chiefs head athletic trainer Rick Burkholder, ATC, president of the professional organization, which represents National Football League (NFL) trainers.

Continue reading

CEREBRAL PALSY: Dynamic devices facilitate compliance, outcomes in children with cerebral palsy

Brace wear time, not torque, is key – Dynamic orthoses offer an effective alternative to static devices for management of tip-toe gait and knee flexion contracture in children with cerebral palsy (CP), particularly because the dynamic devices are associated with greater compliance, according to separate studies from Sweden and France.

Continue reading

OSTEOARTHRITIS: Knee braces and wedged insoles both alter gait in patients with knee OA

A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).

Continue reading

SPORTS MEDICINE: Proximal rocker bar on shoe can relieve tension on Achilles tendon in runners

A rocker bar proximally positioned on a running shoe can relieve tension on the Achilles tendon as well as reduce the force required of the calf muscles during walking and slow running, according to research from the Netherlands.

Continue reading

DIABETES: More results support use of foot orthoses to significantly decrease plantar pressures

Swedes also find low ulceration rate – Research from Sweden and Egypt provides more evidence that foot orthoses can significantly decrease plantar pressures in patients with diabetes, theoretically reducing the risk of foot ulcers and lower extremity amputation.

Continue reading

FLAT FOOT: Arch structure in children with talipes planovalgus improves with shoe inserts

Orthotic management of pediatric talipes planovalgus starting at an early age is associated with significant improvement in weightbearing arch structure, according to research from Saga University in Japan.

Continue reading

OFFLOADING: Walkers’ effect on proximal biomechanics varies depending on design characteristics

Tibial inclination appears significant – Orthotic walkers have significant effects on proximal joint mechanics during gait, the extent of which appear to depend on individual device design, according to research from the University of Central Lancashire in the UK.

Continue reading

PEDIATRICS: In hyperpronators, functional scoliosis responds to distal orthotic treatment

What appears to be idiopathic scoliosis may actually be functional scoliosis that can be effectively treated with foot orthoses in children who are hyperpronators, according to research from Chungnam National University in Daejeon, South Korea.

Continue reading

STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

Continue reading

Pistorius’s next court date set for June

Oscar Pistorius, the 26-year-old South African double amputee and Olympic and Paralympic sprinter, is free on bail and awaiting his next court hearing on June 4 on a charge of premeditated murder. Pistorius maintains that the fatal February 14 shooting … Continue reading

Florida aims for amputation prevention

The state of Florida is funding the Diabetic Amputation Prevention Project (DAPP) at Barry University’s School of Podiatric Medicine in Miami Shores. The project will provide preventive care for people with high-risk diabetic feet, and its leaders hope to save … Continue reading

ComfortFit owner appears in HBO biopic

Tom Calagna, founder, co-owner, and president of Roselle, NJ-based ComfortFit Labs, will appear in a small role in a new HBO movie, “Phil Spector,” written and directed by playwright and filmmaker David Mamet. The movie focuses on the relationship between … Continue reading

AP adds definition of athletic trainer

The addition of an athletic trainer definition to the upcoming edition of the Associated Press (AP) stylebook will school reporters in the field’s nomenclature, differentiating athletic trainers from personal trainers, and improve on how the profession is referenced in print … Continue reading

Delcam takes orthotic forum to Atlanta

UK CAD-CAM developer Delcam will host its 2013 Orthotics Technology Forum in the US this year. The event is set for May 29-31 at the Georgia Institute of Technology in Atlanta. The forum will feature current and emerging equipment, software, … Continue reading

OPAF welcomes returning sponsors

Troy, MI-based Becker Orthopedic and the Board of Certification/Accreditation (BOC) are returning as Orthotic and Pros­thetic Activities Foundation (OPAF) bronze-level sponsors, according to OPAF, which noted that both companies have been sponsors for many years. “OPAF appreciates all of our … Continue reading

Game Ready releases amputee cold wrap

Concord, CA-based Game Ready debuted its Amputee Wrap line in February with a below-knee wrap that delivers cold therapy and is designed specifically for traumatic amputees. The wrap is designed to be used in the immediate postoperative period to speed … Continue reading

WillowWood wins VA innovation contract

The US Department of Veterans Affairs (VA) announced in February that Mt. Sterling, OH-based WillowWood, in partnership with The Ohio State University in Columbus and The University of Akron, have secured a new contract to develop a more comfortable and … Continue reading

ABC releases orthotic fitters survey

The American Board for Certification in Orthotics, Prosthetics & Pedorthics announced in February the release of its 2010 Practice Analysis of ABC Credentialed Orthotic Fitters. ABC last conducted a practice analysis study of the orthotic fitter profession in 2004 and … Continue reading

DJO Global announces its new name

Medical device company DJO Incorporated announced in February a name change to DJO Global, Inc., in recognition of the successful completion of key milestones related to the integration of the operational and commercial activities of its global businesses since the … Continue reading

Vicon motion capture technology helps design shoes for skateboarders

The use of Vicon’s motion capture technology to help design skateboarding footwear was featured in February during National Engineers Week as an application that could inspire students to consider engineering careers and fields of study. The Sole Technology Institute is … Continue reading

Alpha Orthotics posts bunion eBook

Alpha Orthotics, distributor of the hinged Bunion Aid splint, in February released its latest patient education eBook, “When the foot hits the ground from toe to heel: Bunion self-treatment products.” This complimentary eBook provides an overview of non-invasive bunion treatments … Continue reading

Allard launches nonprofit foundation

Rockaway, NJ-based Allard USA has formed a non-profit organization, the Dralla Foundation, to address quality of life issues not only for wearers of its devices, but for all individuals with physical challenges. Expanding on the company’s philosophy of providing “support … Continue reading

Game Ready cryotherapy device outperforms ice after ACL surgery

Use of the Game Ready compressive cryotherapy device after anterior cruciate ligament reconstruction is associated with more pain relief and less use of narcotic drugs than ice alone, according to research presented in February at the annual meeting of the … Continue reading

Products


Zotefoams Evazote EV30 Foam

Zotefoams has responded to medical industry customer request by adding Healthcare Pink to the available colors in its Evazote EV30 foam. Plastazote polyethylene foam has been available for many years in Healthcare Pink, which is the most requested color for … Continue reading

Ring Lock Knee 
Joint 1402-B

The design of the Modular Ring Lock Knee Joint, model 1402-B, is intended to minimize size and weight without compromising strength or durability. Universal coronal and sagittal contours… Continue reading

Compression Hose In Larger Sizes

Based on requests from patients and physicians, Sigvaris has introduced six new calf-length sizes and two new thigh-high sizes to its Select Comfort line of compression hosiery to accommodate patients with larger legs (calf circumferences up to 24 inches, and thigh circumferences up to 32 inches). Continue reading

Becker Compact
 Ankle Joint

Becker Orthopedic introduces the Compact Double Action Ankle Joint (Model 725) for orthotic devices. The low-profile, lightweight ankle joint comes fully assembled and is designed specifically for use with thermoplastics.

Continue reading

Exercise Plan Software

PhysioTools software makes creating exercise programs quick and easy. Select exercises, customize the text, and then email or print the resulting handout. The new app can be used to send exercise plans to a smartphone or tablet. Each exercise includes clearly written instructions, color photographs and… Continue reading

ComfortLast
 Insoles

Powerstep’s ComfortLast Cushioning Insoles combine shock-absorbing gel technology and slow-recovery foam for maximum comfort. Full-length, total contact ComfortLast insoles are intended for patients with plantar fasciitis, heel pain…

Continue reading

Custom Molded Diabetic Insert

Levy & Rappel announces the release of the Levy-Diabetic insole, a custom molded product that is machine-milled for added efficiency and cost savings that are passed on to the practitioner. The Levy-Diabetic custom molded full contact diabetic inserts are 100% … Continue reading

Nomad Lite Outdoor Shoe

In response to customer demand, Spenco is unveiling a lightweight performance version of its Nomad Moc, the company’s most rugged outdoor shoe. Offered in an expanded color palette, the Nomad Lite features a combination of water-resistant fabric and lightweight, water-resistant nu­buck leather, soft shell fabric and… Continue reading

FootBufferPro

Gurnick Podiatry Supply offers the FootBufferPro for everyday foot hygiene and foot comfort, particularly for patients with such dermatologic issues as tinea pedis, hyperhydrosis, bromhidrosis, and onychomycosis. Designed for use in the shower or tub, the FootBufferPro is a double-sided … Continue reading

Offloading Hawk C-Brace

Ward Medical Innovations offers the patented Hawk (Heightened Above Weight Keeper) C-Brace. The Hawk C-Brace is an orthopedic brace designed to off-load the entire foot and ankle, facilitating ulcer healing in patients with diabetes. Worn on the lower leg, the … Continue reading

Apex T2000 
Footwear

Apex Foot Health & Wellness, a division of Aetrex Worldwide, announces the launch of the Apex T2000. This new addition to the Stretchables Collection is designed to limit stress in the areas of the foot that are most susceptible to pain.

Continue reading

Retro-Style
Summer Sandals

Arcopedico USA is introducing Retro-Style Summer Sandals for 2015. Ellie is a 60s-inspired peep-toe design featuring a metallic leather upper and an adjustable Velcro ankle-strap closure for a secure fit… Continue reading

The Knead Myofascial Tool

The Knead is a multi-adaptable soft tissue mobilization tool for myofascial release that can be used to treat post-op rehabilitation, post injury rehabilitation, injury prevention, muscle tightness and shortening, and post-exercise soreness. Using The Knead can help to restore normal … Continue reading

SlenderFit Orthotics

Powerstep introduces SlenderFit Fashion Orthotics, new sulcus-length orthoses specifically designed for use in women’s fashion footwear to help relieve foot pain and discomfort. The S (or cobra) shape cradles the heel and provides arch support. The built-in metatarsal cushion with … Continue reading

AlterG
Bionic Leg

AlterG offers the AlterG Bionic Leg, a robotic assistive device that is activated by patient-
initiated movement, with benefits for both the therapist and patient. The Bionic Leg is… Continue reading

Sigvaris Zurich Collection

Sigvaris introduces its most luxurious line of graduated compression socks made from natural fibers. The Zurich Collection features two exclusive socks crafted from some of the world’s finest materials and designed to relieve tired…

Continue reading

ComfortFit
 Custom Shoes

ComfortFit Orthotic Labs has added custom shoes to its growing line of foot care products. The company now offers four styles of custom shoes for men: the Hiker chukka boot, the Work Force high-top boot, the Casual Dress low-top oxford…

Continue reading

SuperFlex Ankle Foot Orthosis

New York OMC introduces SuperFlex, a new flexible, molded, integrated ankle foot orthosis designed to promote dynamic biomechanical function. Continue reading

ALPS EZ Flex Liner

ALPS new EZ Flex Liner is designed to provide greater elasticity over the patella while limiting the vertical stretch posteriorly. An anterior fabric with unlimited stretch reduces pressure on the knee, while a posterior fabric with 80% less vertical stretch … Continue reading

Coral Mag Fizz Supplement

Coral Mag Fizz is a beverage enhancer designed to boost the body’s ability to perform and recover by utilizing magnesium and potassium, an essential mineral duo reported to help relieve muscle cramps by improving muscle and nerve function and regulating the body’s water balance. Continue reading

ACTitouch Compression

Tactile Medical (formerly Tactile Systems Technology) has launched ACTitouch Adaptive Compression Therapy, which combines intermittent and sustained compression in one device to heal chronic venous leg ulcers.

Continue reading

DIABETES: More results support use of foot orthoses to significantly decrease plantar pressures

Swedes also find low ulceration rate – Research from Sweden and Egypt provides more evidence that foot orthoses can significantly decrease plantar pressures in patients with diabetes, theoretically reducing the risk of foot ulcers and lower extremity amputation.

Continue reading

Thermoflux Material

UCO International introduces Thermoflux, the newest in the company’s line of quality reinforcement materials. Reinforcement materials are popular for their ability to serve as the framework for foot orthoses by adding strength without adding thickness. Thermoflux is a lightweight, fibrous … Continue reading

StabiloGen Eco
Knee Brace

Bort-Swiss Orthopedic Supply offers the new StabiloGen Eco (114 520J)—a knitted knee brace designed to prevent knee pain and provide patellar stabilization. The knee brace is engineered to… Continue reading

Ottobock 
Harmony E2

Ottobock announces the Harmony E2 electronic vacuum pump option for the Harmony Volume Management System. Connected to the prosthesis by a four-hole adapter plate, the E2 can be easily removed for charging, weight reduction…

Continue reading

Gait Plate for Intoeing

Nolaro 24 offers the new littlesteps Gait Plate for kids, semirigid prefabricated orthoses that limit in-toeing gait caused by rotational deformities of the lower limb while simultaneously addressing overpronation, which is often associated with in-toeing. A semirigid shell extends laterally … Continue reading

Ottobock 6Y87 
Skeo 3D TF Liner

Ottobock announces the newest member of the Skeo liner family, the 6Y87 Skeo 3D TF for transfemoral amputees. Skeo 3D liners feature ASG (Anatomy Specific Geometry) technology… Continue reading

OrthoModel
Software Updates

Delcam announces the 2014 R3 version of its OrthoModel software for the design of custom orthotic insoles. The software includes an updated user interface and the ability to display multiple… Continue reading

Activity Specific Running Sock

Thorlos, an originator of activity specific socks, introduces the Thorlos 84N Runner sock. The sock is specifically designed for the serious runner, especially the runner in pain, providing maximum pad protection with minimal weight. The Thorlon acrylic pad technology under … Continue reading

Improved Conformity Control

South West Orthopedic Designs unveils its ICC (improved conformity control) technology for gauntlets and ankle foot orthoses (AFOs). The ICC system utilizes innovations in nyglass/carbon fiber/resin laminations to facilitate a variety of flexible to rigid support options for foot and … Continue reading

Morton’s Extension Modification

ComfortFit Labs now offers a rigid carbon Morton’s Extension option for any of the company’s graphlite composite orthotic devices. Thinner and lighter than the company’s other orthotic shells, the graphlite composite shells are designed for semiactive to active patients needing … Continue reading

Memopur 20/50 Insole

The Memopur 20/50 insole is a new Euro International product made exclusively in Germany and constructed from reinforced Memopur, an open-cell polyurethane foam, that was developed solely for the fabrication of orthotic insoles. This material provides a 96% rebound rate, … Continue reading

HiFi Prosthetic Interface

biodesigns now offers the High-Fidelity (HiFi) Interface System with OsseoSync Technology for lower extremity amputees. The HiFi Interface is designed to offer the benefits of osseointegration without the surgery that would attach the prosthesis directly to the residual limb. The … Continue reading

Silifoam Hook Fastening Material

WBC Industries, a materials supplier to the orthotic and prosthetic professions, offers the new Silifoam Hook material as a specialty hook-channeled alternative for O&P device fastening needs. The hook-channeled, soft coated foam material is designed for close to the skin … Continue reading

Tru-Ice Cold Therapy

Health Enterprises introduces new Tru-Ice cold therapy for sprains, strains, arthritis, tendinitis, and plantar fasciitis. Tru-Ice provides cold therapy in five to seven minutes, one-third the time of an ice bag, to help reduce swelling and relieve pain. The ergonomic, reusable … Continue reading

OFFLOADING: Walkers’ effect on proximal biomechanics varies depending on design characteristics

Tibial inclination appears significant – Orthotic walkers have significant effects on proximal joint mechanics during gait, the extent of which appear to depend on individual device design, according to research from the University of Central Lancashire in the UK.

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Pool Aqua Stretch Band

StrechCordz introduces a new exercise and training stretch-band: the Pool Aqua Band. The Pool Aqua Band was developed with input from Ann Anthony, a certified aquatic trainer and inventor of Hydro-Pilates. It features exercise tubing with a cuff attached to … Continue reading

Aircast
Bunion Aid

New from Aircast, a DJO Global company, is the Bunion Aid. The product is a three-in-one aid that provides the benefits of a daytime device and a night splint for bunion pain relief… Continue reading

OrthoticSelector Software

Delcam has added a new program to software options for the design and manufacture of custom orthotic insoles. OrthoticSelector provides a lower-cost solution for practitioners and laboratories by allowing them to identify, from a library of existing designs, the prefabricated … Continue reading

OSTEOARTHRITIS: Knee braces and wedged insoles both alter gait in patients with knee OA

A Taiwanese study offers more evidence that offloading knee braces and wedged foot orthoses are both associated with significant biomechanical improvements in patients with knee osteoarthritis (OA).

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STROKE: Eight weeks of early AFO use significantly enhances benefits of stroke rehabilitation

Functional balance test scores rise – Use of an ankle foot orthosis (AFO) within six weeks of stroke results in better balance outcomes and earlier independent ambulation than if AFO use is delayed, according to research from the Netherlands.

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PediFix 
FungaFiles

The PediFix Footcare Company introduces FungaFiles for treating warts and fungal nails. FungaFiles are the first disposable debridement files for patient use between office visits. Disposing of the files after use helps prevent reinfection…

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Bio-Kil Socks

St. Justine introduces antibacterial socks to help relieve the itchy, annoying symptoms of fungal infection or athlete’s foot. Bio-Kil Anti-Bacteria Socks feature the Bio-Kil biocide formula—which is designed to target bacteria, fungi, molds, and viruses—integrated in a sock material made … Continue reading

Strap Pilates Book, 2nd Ed

A second edition of Stretch Out Strap Pilates Essentials has been published by OPTP and certified Stott Pilates instructor Angela Kneale. The book shows participants how to enhance Pilates movements by effectively using the Stretch Out Strap, a tool that features multiple loops for deep, personalized self-stretching. Continue reading

PEDIATRICS: In hyperpronators, functional scoliosis responds to distal orthotic treatment

What appears to be idiopathic scoliosis may actually be functional scoliosis that can be effectively treated with foot orthoses in children who are hyperpronators, according to research from Chungnam National University in Daejeon, South Korea.

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Therapeutic Plus
Diabetic Insoles

Barefoot Science has introduced Therapeutic Plus insoles for patients with diabetes. The 3D two-tone mesh top layer, designed for enhanced durability and adaptability, is also… Continue reading

Mephisto Maryse Sandal

New to the Mobils by Mephisto line of comfort footwear is the Maryse sandal for women, a slingback wedge sandal with a polyurethane outsole, nubuck upper, and three adjustable Velcro straps. A key feature of all Mobils footwear is the all-over soft padding—cushioning between the lining and the soft leather upper that… Continue reading

Home Heart Beats
AFO Assist

The Original AFO Assist from Home Heart Beats is a lower body dressing aid used by stroke survivors, patients with multiple sclerosis or cerebral palsy, and other physically challenged… Continue reading

pedCAT
X-ray Views

An update for the CurveBeam pedCAT weight-bearing CT (computed tomography) imaging system introduces a feature that could eliminate the need for plain radiographs of the foot and ankle. Continue reading

SPORTS MEDICINE: Proximal rocker bar on shoe can relieve tension on Achilles tendon in runners

A rocker bar proximally positioned on a running shoe can relieve tension on the Achilles tendon as well as reduce the force required of the calf muscles during walking and slow running, according to research from the Netherlands.

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3D Flat Premium
Compression

Pro-Tec Athletics has introduced its 3D Flat Premium Compression collection of supports for the ankle, knee, and calf. The 3D flat stitching facilitates 3D shaping of the fabric, which allows… Continue reading

Reformulated Relief Cream

Relief topical analgesic from Corganics has a new and improved formulation, with more menthol than in the original (3% vs 2.5%) for increased effectiveness and an improved preservative system designed to ensure a three-year shelf life. The analgesic cream features a synergistic blend of essential oils… Continue reading

Custom O&P Artwork

Global Tattoo Orthotic Prosthetic Innovations (GTOPI) offers Airbrushed Prosthetic Ink Technology, a unique way for O&P device users to express themselves with color and art. High quality art work is applied to braces and prosthetic sockets using a process similar … Continue reading

College Park Sidekicks

Introducing College Park’s Sidekicks, the first multi-axial stubbie feet for foreshortened prostheses. Used in pairs, the feet encourage muscle activity to assist bilateral transfemoral amputees with rehabilitation, especially when the goal is a transition to microprocessor knees. Continue reading

FLAT FOOT: Arch structure in children with talipes planovalgus improves with shoe inserts

Orthotic management of pediatric talipes planovalgus starting at an early age is associated with significant improvement in weightbearing arch structure, according to research from Saga University in Japan.

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Schwartz Carbon Fiber AFO

New from Spinal Solutions is the Schwartz Dynamic Carbon Fiber Ankle Foot Orthosis. This floor-reaction AFO was developed in conjunction with Nathan Schwartz, DPM, a board certified surgeon and podiatrist. By making the traditional “in-shoe” device an integral part of … Continue reading

Rebound Dual Knee Brace

Össur has launched the Rebound Dual, a malleable, comfortable knee brace for people with ligament issues, including ligament instabilities, and knee osteoarthritis. The Rebound Dual brace is suitable for people who participate in low-to-high impact activities, including sliding sports. Continue reading

Small Cuff for Bioness L300

Bioness has received 510(k) clearance from the US Food and Drug Administration to market a smaller leg cuff for use with its L300 Foot Drop System, which uses neuromodulation technology to treat foot drop. The leg cuff, wrapped just below … Continue reading

Bunionette Bootie

New from Bunion Bootie, a comfortable and practical treatment option is available for patients with tailor’s bunions (otherwise known as bunionettes). The Bunionette Bootie soothes and restores feet by helping to separate and support the first and fifth toes, which in turn can improve standing balance and dynamic stability. Continue reading

Sharp Shape Scanning Package

The newest addition to the AOMS (Automated Orthotic Manufacturing System) family of products from Sharp Shape is the TOT (Transformation of Technology) package, designed to lower practitioner scanner costs. Continue reading

Dr. Comfort
Exos Inserts

Dr. Comfort has expanded its custom functional insert line to include Exos advanced technology—a thermoformable material that allows practitioners to make adjustments quickly… Continue reading

Slip-resistant Z-Coil Footwear

For all-day comfort on the job, even on wet, slippery floors, Z-Coil now offers new slip-resistant versions of its two most popular footwear styles: the Freedom athletic shoe and the Z-Walker lace-up Oxford. The outsoles of both the Freedom SR … Continue reading

Signature Series Sockets

The new Signature Series of APOPPS (Adjustable PostOperative Preparatory Prosthetic System) sockets features combined sizing for better inventory management. Rather than seven sizes, the new series includes four sizes: #1416, #1618, #1821, and #2124. The new Signature Series sockets are … Continue reading

CEREBRAL PALSY: Dynamic devices facilitate compliance, outcomes in children with cerebral palsy

Brace wear time, not torque, is key – Dynamic orthoses offer an effective alternative to static devices for management of tip-toe gait and knee flexion contracture in children with cerebral palsy (CP), particularly because the dynamic devices are associated with greater compliance, according to separate studies from Sweden and France.

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