September 2011

Cover Story


Keeping O&P compliance in check

A recent paper suggests that a checklist system can help practitioners educate caregivers about orthotic device use in children with CP, which could improve compliance. But experts differ as to whether such checklists make sense in the complex world of O&P devices.

By Larry Hand

Editor Message


Out on a limb: Jock talk
Much of sports talk radio is essentially a forum for negativity. Even in Boston, where sports fans have been ridiculously spoiled by local teams’ successes in the last decade, talk show hosts and callers spend hours bemoaning athletes’ failures and ...

Departments


Practice Tactics: How brand development can benefit your practice

Some of us remember the days when there was virtually no need for marketing healthcare practices. All that was required was hard work, well-developed skills, and a shingle out front. Word of mouth was the primary method for growing practices, and any overt messaging was considered unethical. In fact, there were regulations specifically preventing physicians from advertising themselves. It was a simpler time with far less competition for patients and ...

Strategies for rehab after Achilles tendon surgery

At the Palo Alto Foundation Medical Group, rehabilitation following operative repair of Achilles tendon ruptures is based on three key evidence-based criteria for return to activity and selective use of an anti-gravity treadmill to accelerate that return.

By Amol Saxena, DPM, FACFAS

A patient-first approach to critical limb ischemia

Outcomes of revascularization in pa­tients with lower extremity  critical limb ischemia should be defined according to patient goals and functional criteria rather than more traditional, physician-oriented variables such as limb salvage and graft patency.

By Ginger L. Manos, MD, John W. York, MD, FACS, and Brent L. Johnson, MS

OA after ankle fracture: Surgery’s complex role

In the surgical management of ankle fractures, post-traumatic arthritis is the outcome that practitioners and patients would most like to avoid. But given the sensitivity of joint cartilage to even the slightest malalignment or pressure shift, that can be easier said than done.

By Cary Groner

Effects of load carriage on amputee ambulation

Amputees lack the lower extremity muscles responsible for maintaining kinematic stability under increasing load carriage conditions, and would benefit from a more versatile prosthetic foot design that could adapt dynam­ically to changing loads.

By Kurt Collier, CP

Factors affecting athletes’ perception of movement

In sports, the concept of “affordance perception” can mean sensing an op­po­nent’s next move, which has implica­tions not just for performance but also for reducing injury risk.  An understanding of affordance perception also can improve the effectiveness of training.

By Julie A. Weast-Knapp, MA, and Kevin Shockley, PhD

News


In the Moment: O&P

By Emily Delzell

OA braces: Buying time
Long-term compliance data raise issues A study published in the August issue of Orthopedics found that although un­loader braces effectively relieve pain and improve function in patients with unicompartmental knee osteoarthritis, many patients stop wearing the devices after a few years ...
Orthotic clubfoot outcomes depend on complexity, not socioeconomics
The critical factor affecting compliance with the orthotic aspect of Ponseti clubfoot therapy—and its success—appears to be complexity of the therapy, not parents’ education and income levels, according to research published in the September issue of the Journal of Pediatric ...
Patients feel both electrical stimulation and AFOs have a place in stroke rehab
Although patients with drop foot show an overall preference for functional electrical stimulation over ankle foot orthoses, individuals familiar with both therapies recognize the benefits and drawbacks of the two modalities, according to research published in the September issue of ...

In the Moment: Sports medicine

By Jordana Bieze Foster

Control issues
Shoe effects on tibial rotation vary Research from the U.K. published this month suggests that motion control running shoe technology can help decrease tibial internal rotation during running, theoretically decreasing the risk of proximal symptoms such as those associated with iliotibial ...
A decade later, athletes maintain benefits of training for groin pain
The positive effects of a training program on adductor-related groin pain are still evident up to 12 years later, according to a Danish study. Researchers from Copenhagen University Hospital in Amager, Denmark, assessed the long-term effects of training eight to 12 ...
Whole body vibration training fails to improve jumping performance
Two recent studies cast doubt on the merits of whole body vibration training, as either a replacement or an adjunct to conventional training, for improving jump performance. Researchers from Springfield College in Massachusetts found that WBV training and conventional strength training ...

In the Moment: Gait

By Emily Delzell

Pregnancy and falls
Risks involve mechanics, not just chance Pregnancy changes gait and balance, and in ways that increase the risk of falling in certain women. Research suggests falls aren’t caused by environmental differences and that exercise confers a protective effect, according to investigators ...
Patients with diabetes exhibit gait deficits before neuropathy develops
Type 2 diabetes results in less efficient gait mechanics well before patients develop frank neuropathy and other threats to mobility, according to research in the August issue of Gait & Posture. Investigators for the Baltimore Longitudinal Study of Aging, an observational ...
Study links rate of 6MWT progress to function following hip fracture
Among patients who sustain a hip fracture, those who can improve 6-meter-walking time by more than one second a day achieve greater functional independence than those who improve more slowly, according to research from the Beit Rivka Geriatric Rehabilitation Center ...

Market Mechanics


Mixed martial arts fighter wins right to compete wearing prosthetic limb
In August, the Georgia Athletic and Entertainment Commission awarded Shea Taylor, a 28-year-old transtibial amputee who wears an Össur prosthetic foot, an amateur mixed martial arts license. The MMA license clears the way for him to compete in a September ...
Delcam launches workflow software, announces dates for technology forum
Fort Myers, FL-based CAD-CAM developer Delcam announced in August the upcoming launch of its workflow management product, OrderManager, at the 2011 American Orthotic & Prosthetic Association National Assembly, held in Las Vegas, September 19-22. OrderManager software helps practitioners and orthotic laboratories ...
National Pedorthic Services opens new locations in Milwaukee, St. Louis
National Pedorthic Services announced in August the opening of two new facilities, one in Milwaukee and one in St. Louis, MO. Both locations feature state-of-the-art equipment and fixtures and are located in shopping plazas that offer easy-access parking. NPS specializes in care ...
Awards for young O&P researchers will debut at AOPA national assembly
The American Orthotic & Prosthetic Association was scheduled to announce the inaugural winners of two new awards recognizing outstanding O&P research at its 2011 National Assembly on September 19-22 in Las Vegas. Undergraduate and graduate students in O&P programs and ...
ASOP promotion features home study course on fracture casting and bracing
The American Society of Orthopedic Professionals/American Association of Orthotic Fitters is offering a limited-time deal on its CD version of the Manual of Fracture Casting and Bracing, by Augusto Sarmiento, MD, and the accompanying 100-question exam. The CD manual covers steps ...
South Asian diabetic foot conference will feature international experts
The Indian Uttar Pradesh Madhumeh Association is sponsoring the Diabetes Update for Clinicians (DUFC) conference to help advance clinician education in South Asia, where there are no colleges of podiatric medicine and few opportunities for structured training in foot care. ...
Langer Biomechanics offers fall seminars, free workshops
Ronkonkoma, NY-based Langer Biomechanics announced new educational offerings for practitioners specializing in lower extremity healthcare with its Comprehensive Orthopedic Man­agement of Lower Extremity Ailments (COMLEA) seminar series and the debut of the no-cost After Hours Ankle Foot Orthoses Workshop program. The ...
FDA clears DynaNail for ankle fusion
Atlanta, GA-based medical device company MedShape Solutions announced in August that it has received 510(k) market clearance from the Food and Drug Administration for its DynaNail, an intramedullary fusion nail intended for tibiotalocalcaneal arthrodesis procedures. The DynaNail incorporates a shape memory ...
Annual symposium on ACL injuries relocates to Ohio State University
The Ohio State University Sports Medicine and Cincinnati Children’s Sports Medicine Biodynamics Center will host the 9th Annual ACL Workshop on October 22 in a new location: the OSU campus in Columbus, OH. The symposium offers laboratory and clinic-based risk screening ...
R&B inks deal with Roadrunnerfoot
Tampa, FL-based R&B Medical Distributors, an importer and distributor of O&P components that opened its doors in January, announced in August an exclusive distribution partnership with Roadrunnerfoot Engineering, based in Milan, Italy. Roadrunnerfoot produces and sells carbon fiber feet, orthoses, prosthetic ...

Products


Waterproof CastShield
CastCoverZ has launched the CastShield, a waterproof solution for showering and bathing for patients needing to protect casts, prosthetics, and bandages. Designed as an easy-on, easy-off alternative to plastic trash bags and sponge baths, the CastShield is engineered to prevent ...
ARANZ Medical Wound Assessment
ARANZ Medical’s wound management technology now includes two new wound assessment products: the SilhouetteStar, a new compact, lightweight 3D camera, and its partnering software, SilhouetteConnect for wound imaging, measurement, and documentation. SilhouetteConnect software controls the camera and manages wound assessment ...
Polymem Wound Dressing
Maxibrace is now a reseller of Polymem Wound Care Dressings manufactured by Ferris Mfg. Corp., made to roll onto a toe or finger right out of the package. The product embeds everything needed for wound care in the dressing, which ...
Genium Prosthetic Knee
Otto Bock HealthCare announces the launch of the Genium Bionic Prosthetic System. The prosthetic knee utilizes sophisticated software along with a complex sensor system, including a gyroscope and an accelerometer, to turn multiple environmental inputs into natural, intuitive motion. This ...
Pre-Cut Kinesio Tape
Kinesio offers a range of pre-cut taping applications that can be customized to meet practitioners’ individual needs. The pre-cut products consist of strips of Kinesio Tex Tape that have been shaped and sized for specific body parts, but can be ...
HeelSafe DVT Hose
DM Systems has added HeelSafe DVT Hose to its line of ulcer prevention products. The latex-free hose have a window design that relieves heel and Achilles tendon pressure and allows for easy visualization and palpation of the heel. Ankle-to-knee compression ratings ...
Pro-Tec Gel Ankle Support
Pro-Tec Athletics offers the Pro-Tec Gel-Force Ankle Support. The ankle support provides compression and moderate stability to the ankle. The product features a breathable, soft fabric with four-way stretch, which applies even, comfortable compression throughout the brace. Two thick oval ...
Kiddythotics in Seven Sizes
ProLab Orthotics’ pathology-specific prefabricated Kiddythotics are designed to correct function in hypermobile pediatric flexible flatfoot deformity. The evidence-based design of the Kiddythotics incorporates a deep heel cup, medial flange, medial heel skive, and a rearfoot post into the rigid polypropylene ...
Comfort Products AFO Liner Socks
Comfort Products’ AFO Liner Sock is pulled up over the calf and accommodates individuals from foot to knee, allowing patients to roll the sock over the top of an ankle foot orthosis, which helps the sock stay up. The AFO ...
Dr. Comfort Ortho Sandals
Dr. Comfort’s new Ortho Sandals pair comfort with biomechanical innovation. A built-in orthosis supports the patient’s natural arch, reduces pronation, and helps relieve symptoms of plantar fasciitis. A dual-density midsole encourages healthy foot motion by reducing shock to heels and ...
New Options Groin/Hamstring Stabilizer
New Options Sports introduces the JPL Groin/Hamstring Stabilizer. The stabilizer’s hip spica design increases hip stability while minimizing migration issues. The brace includes two individual 6-inch linear elastic straps sewn in at appropriate angles to support the groin musculature and ...
Portable BiowavePro
Biowave has added the portable BiowavePro to its collection of neuromodulation pain therapy devices. In physical therapy settings, BiowavePro is used during exercise, stretching, and active and passive range-of-motion therapy to manage pain and facilitate motion. For lower extremities, BiowavePro ...