May 2011

Cover Story


BATTLES OF ACHILLES: The operative vs nonoperative treatment debate
Early mobilization techniques have revolutionized both surgical and nonsurgical management of Achilles ruptures, but the resulting improved outcomes have ignited a heated discussion among practitioners as to which approach is best. by Cary Groner

Editor Message


Out on a limb: Genes vs dreams
Genetic testing would seem to be just what the doctor ordered for sports injury prevention. But the world of sports is far from ready for genetic testing. Given the preliminary nature of data presented in April at the ...

Special Report


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DEFENSIVE GAME PLAN: Global insights on sports injury prevention

Multinational all-star teams of sports medicine experts convened in Monaco in April for the World Conference on Prevention of Illness & Injury in Sport, now under the direction of the International Olympic Committee. LER’s exclusive coverage of this event details progress toward prevention of lower extremity injuries in basketball, soccer, volleyball, running, and ice hockey.

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Lace-up ankle braces reduce risk of sprain in basketball players regardless of history
Findings contrast with prior studies Lace-up ankle braces can significantly reduce the risk of ankle sprain in high school basketball players, even those with no history of injury, according to findings from Wisconsin that challenge current evidence-based thinking about prophylactic ankle ...
Postural stability decreases with taping but not bracing in Gaelic football study
Athletes concerned about dynamic postural stability, such as those with a history of ankle sprain, may be better off with ankle bracing than taping, according to an Irish study presented in Monaco in April. In a study of 15 male Gaelic ...
Data support use of multimodal approach for decreasing incidence of groin injuries
Specific mechanisms remain unclear Multimodal warm-up exercise programs appear to have benefits for reducing the incidence of groin injuries in athletes, but researchers are working to identify which specific training components have the greatest effect. Almost an afterthought at the 2008 sports ...
Screening has benefit, but Philippon calls for more action to save hips in hockey
His research group has identified three physical exam findings that can effectively screen for risk of femoral acetabular impingement in adolescent hockey players, but the world’s most famous hip surgeon thinks more drastic preventive measures may be warranted much earlier ...
Volleyball findings link training volume to symptoms of patellar tendinopathy
Jumping ability not implicated Hard work can make up for a lack of natural talent in sports, but research from Norway suggests that may not be true when it comes to the risk of patellar tendinopathy (jumper’s knee) in young volleyball ...
Soccer, basketball athletes demonstrate differences in plantar pressure patterns
Dynamic plantar pressure distributions vary between soccer and basketball players in ways that may have implications for preventing injuries related to repetitive loading, according to research from Spain presented in Monaco in April. Investigators from Catholic University San Antonio in Murcia, ...
Hamstring trial confirms effectiveness of eccentric strengthening exercises
Efforts focus on soccer players Norway and Denmark are traditionally rivals in soccer. But an increasingly popular Norwegian eccentric strength training technique for preventing hamstring injuries recently got a big assist from Danish researchers. An open cluster randomized controlled trial of 50 ...
Kinetic testing variables fail to predict which novice runners will stay healthy
Kinetic variables, including impact peaks, do not predict risk of running related lower extremity injury in novice runners, according to research from the Netherlands. Investigators from University Medical Center Groningen prospectively analyzed kinetics in 181 novice recreational runners (mean BMI of ...
Tibial internal rotation emerges as theme in debate over mechanism of ACL rupture
Valgus may play supporting role The usual luminaries were on hand in Monaco to exchange familiar barbs over the relative contributions of knee valgus and knee flexion to anterior cruciate ligament injury, but much of the new research being presented suggests ...
Researchers make early progress toward understanding genetics of sports injuries
Genetics may be the final frontier of sports injury prevention, and researchers are only beginning to explore it. But investigators from South Africa are slowly making progress in identifying specific gene variants associated with risk of anterior cruciate ligament injury ...

Departments


Consider mental health in patients with diabetes
Many lower extremity practitioners are not aware of the risks of distress, depression, and cognitive impairment in patients with diabetes. But screening for mental health issues and adjusting patient management accordingly can significantly improve diabetic foot care ...
Effects of knee bracing on patellofemoral pain
Research suggests that different bracing designs may have different mechanisms of action for relief of patellofemoral pain syndrome, which is consistent with the heterogeneous nature of the condition and underscores the need to understand each design’s function ...
Prefab-custom orthoses debate mellows with age
Not so long ago, the effectiveness of prefabricated foot orthoses relative to their custom brethren was a bitterly divisive topic. But the vitriol has dissipated over time, as practitioners have turned their focus to the appropriate selective ...
Osseous implications of ACL reconstruction
The loss of bone integrity that accompanies ACL injury persists after reconstructive surgery, even with aggressive rehabilitation. Improved interventions may help decrease patients’ risk for low bone mineral density and osteoarthrosis. By John Nyland DPT, SCS, EdD, ATC, ...
Platelet-rich plasma: More than a last resort?
Findings from studies of PRP can be conflicting and confusing, but lower extremity practitioners remain cautiously optimistic about the trendy treatment’s clinical potential to accelerate healing of soft tissues, bone, and diabetic wounds. by Cary Groner

News


In the Moment: O&P

By Jordana Bieze Foster

OA bracing: Spin class
Rotation may be key to pain relief Research from the Hospital for Special Surgery  in New York City confirms that the kinetic effects of osteoarthritis knee bracing are in fact related to bracing’s effects on knee pain—but not in the way ...
Dorsiflexed AFO alignment improves gait variables in post-stroke patients
An ankle foot orthosis that orients the ankle in slight dorsiflexion may help improve knee flexion during gait and reduce the risk of heel ulcers in post-stroke patients, according to research from Marquette University in Milwaukee. Investigators performed gait analysis on ...
Forefoot plantar pressures respond to rocker bottom diabetic footwear
A Mayo Clinic study confirms previously reported offloading effects of a rocker bottom shoe design in patients with diabetic neuropathy and suggests that a plastazote insole may increase that benefit. Researchers analyzed dynamic plantar pressures in 15 subjects with diabetic peripheral ...

Market Mechanics


Orthopadie + Reha-Technik congress issues call for abstract submissions
The Orthopadie + Reha-Technik international O&P congress has issued a call for papers for its May 2012 meeting in Leipzig, Germany. Technicians, engineers, therapists, and physicians are invited to submit abstracts by September 30. Abstracts may be submitted in German or ...
VQ Orthocare announces discount program for former NFL athletes
Rehab device provider VQ OrthoCare, creator of the BioniCare Knee System, has announced the BioniCare discount program for National Football League Players Association (NFPLA) former player members and their families. Irvine, CA-based VQ OrthoCare initiated this discount program to expand non-invasive, ...
Flexcin survey of arthritis sufferers reveals uneven levels of support
A national online survey of arthritis sufferers conducted by Fort Myers, FL-based supplement manufacturer Flexcin International suggests that women feel they receive less support than their spouses and that co-workers offer more support than family. The survey, conducted in April, received ...
Scandinavian entrepreneur launches CSUS to focus on American business
Scandinavian orthopedic bracing entrepreneur Peter Allard has launched a new company, CSUS, to focus on business opportunities in the Americas. Allard acquired Camp Scandinavia in 2006 from his father Bertil and has maintained it as a family-owned company while expanding globally. ...

Products


Urban Comfort Diabetic Shoes
Patient compliance in diabetic shoes starts with providing your patients the styles they’ll want to wear.  The four new men’s dress styles in the Urban Comfort Collection bring timeless classic style and fashion to Dr. Comfort’s men’s line.  New styles ...
Ever-Safe Sock Line
Ever-Safe, a women-owned business established in January 2010, seeks to provide workers with medical and safety apparel featuring anti-microbial and fluid-resistant properties. Made in the USA, the Ever-Safe socks have been tested for eight months on people who are on ...
Sher Orthotic Foam Block
Sroufe Healthcare Products introduces the new Sher Orthotic Foam Block. Sher Orthotic Foam Blocks are pre-skived, pre-laminated sheets of foam materials that can be heated to quickly and easily fabricate a pair of custom foot orthotics. The thickness of the ...
EverSheer Compression Hose
The fashionable EverSheer medical compression stocking product line from SIGVARIS is now available in a medically measured 15-20mmHg compression level.  The EverSheer line of compression stockings combines breathability and moisture management with consistent sheerness from ankle to thigh. EverSheer products ...
Mycocide NS Antifungal
Woodward Laboratories offers the newly repackaged Mycocide NS antifungal product. The Mycocide Clinical NS kit features an aseptic dropper-tip applicator that delivers the medical strength fungus-killing formula directly to the infection site without the risk of exposing the area to ...
Volara 4E Foam Material
Allied Plastic Supply offers Volara 4E, a 23 Durometer, cross-linked, closed cell, heat moldable polyethylene foam material. The grindable, auto-adhesive foam is designed to be utilized as padding and cushioning in splints, casts, and lower extremity orthotic devices. The foam ...
Short Stretch Bandages
Ambra Le Roy Medical Products offers the Gentle Band short stretch bandages. Gentle Band bandages are designed to work as a wrap for treatment of lower extremity edema, lymphedema, diabetic foot ulcers, venous insufficiencies, and deep vein thrombosis. By exerting ...
Custom Orthotic Station
Kano Labs officially releases the KanoPrint direct form custom orthotic station, an on-the-spot custom corrective thermoforming system for in-office use that obviates casting and non-reimbursed dispensing appointments. The KanoPrint station is a platform equipped with two high-resistance silicone pads, filled ...
Aquatic Exercise DVD Set
SwimEx offers a new “Comprehensive Aquatic Exercise DVD Set.” The four disc DVD set is designed to provide all the information needed for clinical use of a SwimEx pool, including the science and technology of why and how it works. ...
Comf-Orthotic Cushion Insoles
New from Hapad, Comf-Orthotic Extra Cushioning Full Length Insoles are tri-laminate replacement insoles engineered for sensitive and insensitive feet. The new full-length insoles are modeled after the company’s Comf-Orthotic Sports Replacement Insole, except the top layer has been replaced with ...
BioSoft Diabetic Socks
BioSoft diabetic socks from Orthofeet are functionally engineered to maximize comfort and protection. Very loose knit construction and non-constricting welts facilitate blood flow. The dual tone design with white soles enables easy detection of wounds. Inverse toe-linking provides a virtually ...
RebelLock OTS Specialty Brace
Townsend Design offers the new RebelLock OTS Specialty Bracing Solution, a lightweight option for patients who need stability and functionality to control significant instabilities. The product comes in standard off the shelf sizes from XS to XL and can be ...