October 2011

Cover Story


FUTURE SHOCK: Youth sports and osteoarthritis risk

There’s no question that exercise is good for kids. But the trauma asso­ciated with some youth sports can dramatically increase the risk that those kids will develop knee or ankle oste­oarthritis by the time they reach adult­hood. The key next step is to determine what can be done about it.

By Yvonne M. Golightly, PT, PhD, Stephen W. Marshall, PhD, and Dennis J. Caine, PhD

Editor Message


Out on a limb: Arming at-risk kids

Nothing scares parents more than knowing their child is in danger and being powerless to do anything about it. For parents whose children play sports associated with injury risks, every practice and every game might as well be Halloween.

Jordana Bieze Foster, Editor

 

Departments


Vascular Viewpoint: Improving superficial thrombophlebitis care

Superficial thrombophlebitis (STP) is a common and controversial condition largely overshadowed by its big brother, deep vein thrombosis (DVT).1 Frequent reports of concomitant STP and DVT, with or without pulmonary embolus, align the two pathophysiologies closely.

By Marlin W. Schul, MD, MBA, RVT

Rotational mechanics: Bracing’s next frontier

This two-part series explores the role of rotational forces in athletic injuries and the extent to which bracing can help control those forces and, in turn, prevent those injuries. This first installment ex­amines ankle sprains, PTTD, patello­femoral pain, and osteoarthritis.

By Cary Groner

Orthotic management of the pes cavus foot

Published studies on pes cavus are in short supply, making evidence-based orthotic management a challenge. This author proposes a theory of pes cavus etiology based on muscle imbalances and reactions, which may support the concept of early orthotic intervention.

By Paul R. Scherer, DPM

Conference coverage: 2nd PFP research retreat

Two years after their inaugural event, experts on patellofemoral pain syndrome congregated in Belgium to once again dissect and analyze the latest research on the mechanisms underlying PFP and the effectiveness of such interventions as bracing, foot orthoses, and exercise.

By Cary Groner

Better nutrition boosts diabetic foot outcomes

The evidence documenting the role of nutrition in improving wound healing and neuropathy symptoms hasn’t been widely publicized, particularly among lower extremity healthcare practitioners. But getting that information to your diabetic patients could help save their feet.

By Larry Hand

News


In the Moment: Knee OA

By Jordana Bieze Foster

Dynamic duo
Brace-wedge combo maximizes results – Wedged foot orthoses and knee braces have both been shown to relieve knee osteoarthritis symptoms, but research from the University of Western Ontario suggests that the two modalities may be most effective when used in ...
Bracing does not weaken quadriceps in patients with patellofemoral OA
Practitioner concerns that knee bracing leads to muscle atrophy in patients with patellofemoral osteoarthritis (OA) appear to be unfounded, and the opposite may be true, according to research from the University of Manchester in the U.K. In 59 individuals with symptomatic ...
Some individuals report less OA pain while wearing high heels than flats
Knee osteoarthritis patients may not want to throw out their high-heeled shoes just yet. Research from Henry Ford Hospital in Detroit suggests that elevated heels are actually associated with pain relief in some patients with knee OA. The findings are surprising ...

In the Moment: O&P

By Jordana Bieze Foster

AFO strap mapping
Study locates optimal position, angle – When researchers from the Georgia Institute of Technology were trying to determine the ideal position for a dorsal strap to prevent pistoning within an ankle foot orthosis, they approached the problem from multiple angles—literally. ...
Prefabricated foot orthoses improve some balance measures but not all
A study from Northern Illinois University (NIU) mirrors the conflicting evidence regarding foot orthoses and balance, finding that prefabricated orthoses significantly improved some but not all postural control measures in healthy volunteers. Hamid Bateni, PhD, an assistant professor of physical therapy ...
Increases in gait speed with brace use vary in Charcot-Marie-Tooth patients
Patients with Charcot-Marie-Tooth (CMT) disease respond to the same custom ankle foot orthosis (AFO) in very different ways, according to research from the University of Nevada, Las Vegas presented in September at the annual AOPA meeting. Investigators assessed eight CMT patients ...

In the Moment: Sports medicine

By Emily Delzell

Tackling ankle sprains
Braces reduce risk in football players – Research e-published last month by investigators at the University of Wis­consin-Madison suggests prophylac­tic lace-up braces are a cost-effective method of reducing the incidence of ankle sprains in high school football players without increasing ...
Forward twisting falls cause most ACL injuries in carving skiers, data suggest
The forward twisting fall is the dominant mechanism of anterior cruciate ligament (ACL) injury among male and female carving skiers, according to Austrian investigators writing in October’s International Journal of Sports Medicine. Investigators from University Innsbruck retrospectively collected demographic data from ...
Study finds cam-type hip deformity affects high intensity youth athletes
The risk of having an underlying hip deformity, known as cam impingement, is substantially higher among children and adolescents who engage in high intensity sports than in their nonathlete peers, and may increase their risk of future hip osteoarthritis, according ...

Market Mechanics

OHI acquires Arizona AFO, adding third franchise brand to company
On September 23, Markham, Ontario-based Orthotic Holdings, Inc., a leading lower extremity orthotic company, acquired Arizona AFO, which is the third franchise brand under the OHI umbrella, alongside The Orthotic Group, also headquartered in Markham, and Ronkonkoma, NY-based Langer Biomechanics. ...
Reebok settles deceptive advertising suit, will refund $25 million to customers
Canton, MA-based Reebok International settled in September a complaint filed by the U.S. Federal Trade Commission (FTC), agreeing to refund $25 million to customers who bought specialized shoes the company claimed would tone muscles. The $25 million settlement is one ...
SureFit adds XtremityOne software
Coral Springs, FL-based therapeutic footwear company SureFit will distribute PAL Health’s software system for computer-assisted orthotic management of diabetic foot ulcers. The new offering will complement SureFit’s existing lines of diabetic footwear and orthoses. Version 3 of the XtremityOne, a portable, ...
Website for Natural Step shoes debuts
Miami, FL-based Nobile Shoes, distributor of Natural Step shoes, has created a new website, www.naturalstepshoes.com, that highlights its Natural Step line of multidensity rocker soles, which are designed by pedorthists and manufactured in Brazil. Reseller applications and order forms can ...
Quality Outcomes launches charting tool
Fredericksburg, VA-based Quality Outcomes introduces Q-Chart, a simple efficient, Health Insurance Portability and Accountability Act-compliant patient charting tool designed to help smaller O&P and pedorthic practices document patient care and cut down on charting errors that can cost time and ...
ABC publishes accreditation guide
The American Board for Certification in Orthotics, Prosthetics & Pedorthics has added a resource tool. The ABC Facility Accreditation Standards Compliance Guide provides useful easy-to-comprehend resources to guide facility owners through the accreditation process. The no-cost guide is available only to ...
Sanford Health and ACSM establish institute to protect young athletes
Sanford Health and the American College of Sports Medicine (ACSM) have partnered to create the research-based National Youth Sports and Health Safety Institute. More youths are participating in sports then ever before, and the incidence of injuries is rising despite advances ...
Pedorthist announces FootCentric, CME company with philanthropic mission
Chapel Hill, NC-based pedorthist and physical therapist Patricia Pande, PT, MCLSc, CPed, CSCS, has launched FootCentric (www.footcentriconline.com), a continuing education company created by a team of experienced physical therapy and fitness experts dedicated to teaching comprehensive foot treat­­ment to physical ...
ComfortFit offers Richie Brace webinars
Roselle, NJ-based ComfortFit Orthotics Lab is offering no-cost webinars featuring Richie brace inventor Douglas Richie, DPM. The webinars are appropriate for practitioners currently prescribing Richie Braces and those interested in prescribing the devices. Webinar schedule: “Clinical Indications,” a presentation on everyday ...
Diabetes event targets Native Americans
Native Nation Events, a provider of educational conferences and forums to the Native American community, will hold the Native American Diabetes Pandemic Conference: Prevention, Awareness & Programs November 16-17 in Cabazon, CA. On some reservations, more than 50% of the residents ...
Fall PediFix catalog has 24 new items
Brewster, NY-PediFix has released its fall 2011 catalog, featuring two dozen new items. The catalog includes new dermatology products, postoperative FootSplints, GelSmart conservative padding options, and other products. It also includes new over-the-counter products. For a free copy of the ...
DJO Global’s pain management knee
Last month Vista, CA-based DJO Global, a provider of medical devices for musculoskeletal, vascular, and pain management issues, introduced the Empi Active Knee to treat knee pain. The device uses transcutaneous electrical nerve stimulation (TENS), comfortable electrical stimulation, to stop ...

Products


Euro International Wound Care Shoe
Euro International has launched a new holistic wound care shoe, the Pluto. The Pluto is specifically designed to provide forefoot relief and helps protect wearers from injury, infection, and temperature fluctuations while reducing and redistributing pressure. It’s intended for patients ...
Kano Exam Chair
New from Kano Labs is the Sigma Podiatric Examination Chair. The examination chair is engineered to provide both ergonomic and mobility solutions in one unit. The Sigma exam chair has three low-voltage electromechanical engines, surface mounting technology, digital control electronics, ...
Med Spec Phantom Splint
Med Spec has updated its line with the new, lower profile Phantom Dorsal Night Splint. Its reduced medial and lateral aspects enhance patient compliance and reduce contact with the opposing leg during sleep. The adjustable toe strap lifts the hallux ...
Spenco Support Sandals
Spenco Medical has launched several new products in its Total Support Sandal line. The new additions include three different styles—the Yumi, the Kholo, and the Fusion—all designed to provide relief for a variety of foot-related issues, including plantar fasciitis, shin ...
Toe Spacer Plus Bunion Guard
PediFix has collaborated with GelSmart to offer the new Gel Dual-Action Toe Spacer/Bunion Guard. The combination toe spacer and bunion guard cushions and protects the hallux prominence and separates the first and second digits to reduce painful interdigital irritation. The ...
OTC Pediatric Orthotics
Redi-Thotics introduces its over-the-counter (OTC) pediatric orthotic line, the Awesome Kids Orthotic. The orthotic is the first in an upcoming line of OTC kids orthotics that offer low profile rearfoot control for children whose insurance doesn’t cover custom orthotics. A ...
Cascade Dafo Chipmunk
Cascade Dafo has added a new product to its Fast Fit line of prefabricated shoe inserts, which are engineered to control moderate pronation of the pediatric foot. The low-profile Chipmunk combines the internal alignment provided by molded contours with the ...
Simply Jerry Custom Shoes
The new Jerry Miller I.D. Shoes collection, Simply Jerry, includes four styles of custom-molded shoes designed for active patients. The line, which falls outside Therapeutic Shoe Bill eligibility requirements, is appropriate for patients with third-party payer insurance who have with ...
Strutz Foot Cream, Gel Socks
Strutz’s has enlarged its foot care line with the addition of two products designed to help smooth a foot’s rough edges, Sole Angel Gel Socks and Soothing Foot Cream. The gel socks help repair damaged skin and eliminate cracked heels, ...
Adjustable Revolution AFO
American Orthopedics has introduced the Revolution AFO, an easily adjustable ankle foot orthosis that dynamically corrects misalignment in the hindfoot complex. The Revolution’s custom-molded dynamic arch suspension system allows the fitting practitioner or the wearer to easily adjust the amount ...
Össur Proprio Foot
Össur’s redesigned Proprio Foot with EVO (energy vector optimization) features intelligent ankle flexion so patients don’t need to think about each step to avoid tripping and falling. The lifelike ankle movement allows the Proprio Foot to adjust for normal sitting ...
Superfeet Orthotic Sandal
Superfeet’s new FLP Orthotic Sandal combines a functional orthotic with true sandal look. Its deep heel cup supports the heel’s natural fat pad to optimize shock absorption and its high-density hybrid EVA foam top layer increases shock absorption and energy ...