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Cover Story


Lymphatic Immunopathy and Its Importance in Chronic Wound Healing

Untreated lymphedema can play a significant role in chronic wounds. Manual Lymph Drainage (MLD), performed by a Certified Lymphedema Therapist (CLT) is standard of care for the management of lymphedema of all types, not just advanced disease.

By James McGuire, DPM; Avnee Jiten Patel, BS; and Ron Michael Adduru, BSN

Letter to the Editor


What Are You Looking For?

A large part of 3D printing orthotics is to leverage different aspects of the additive process, without necessarily altering the type and style of orthotics practitioners are looking for. Perhaps another reason why 3D printing remains on the “ever-receding horizon” is because of the way segmental stiffness, for one example, has been applied.

By Brandon Maggen

Latest Articles


Hamstring Strain Injury Rehabilitation–Part II*

Impaired performance and reinjury rates are high for this common injury. This narrative review discusses the causes and mechanisms of hamstring strain injury and current clinical concepts related to the rehabilitation process, with the aim of helping practitioners improve athletes’ outcomes.

By Jack T. Hickey, PhD, AEP; David A. Opar, PhD; Leigh J. Weiss, DPT, PT, ATC; and Bryan C. Heiderscheit, PhD, PT

Recovery and Regeneration Strategies for Foot Performance Part 3

In the first article of this series, I introduced the concepts of recovery and regeneration as well as terminological and methodological differences; in the second article, I discussed the main aspects related to the 3 levels of foot recovery (Functional, Structural, and Sensory).

By Antonio Robustelli, MSc, CSCS

Clinical Perspective On Sitting: How to Improve Sitting Posture of Individuals with Disabilities and Others

It is well understood that the feet are the foundation of the body when standing. But even in a seated position, the feet play a foundational role in the body’s support, balance, and posture. Think about what a chair does: Galen Cranz, PhD, an architect and Alexander Technique (a system of body-mind postural education) practitioner…

By Dalia Zwick, PT, PhD

The Future of Bike Fit (Part 2) – Interview of the Bike Fit Machine Manufacturers and Bike Fit Education Content Creators

In the September 2021 issue of Lower Extremity Review, Happy Freedman wrote an article titled “The Future of Bike Fit,” in which several bike fitters were asked their opinions about the future of bike fitting. But what about the opinions of the bike fitting machine manufacturers and the bike fitting educational course creators?

By Rick Schultz, DBA

Departments

SELF-MYOFASCIAL RELEASE, REMOTE HAMSTRING STRETCHING EFFECTS, AND MYOFASCIAL CHAINS

Classic anatomy textbooks describe the hamstring muscles from a traditional mechanistic view as being isolated from the adjacent structures. However, recent research has changed this perspective, proposing a connective tissue link between the active components of the movement system to form an extensive network of myofascial chains…

ORTHOTICS AND PROSTHETICS OUTCOMES RESEARCH PROGRAM (OPORP)

The focus of this research should be on outcomes-based best practices through analysis of the merits of clinical options currently available, not on the development or improvement of new and existing technology. Applications must address at least one of the FY22 Strategic Goals.

FIBER NOT THE SOURCE OF BLISTERS IN WET SOCKS

Socks are of fundamental importance in reducing friction and in controlling the temperature and humidity of the foot, thus preventing the appearance of blisters. However, the influence of sock fibers (synthetic vs. natural) on blistering during long-distance hiking has received little research attention.

PILATES EFFECTIVE AT IMPROVING POSTURE IN YOUNG CHILDREN

In a recently released study from Turkey, the authors sought to investigate the effects of Pilates exercises on posture and physical fitness parameters. They assigned 66 school children (5-6 years) to Pilates or control groups. The Pilates intervention consisted of twice-a-week sessions for…

PRE-CLINICAL DRUG STUDY SHOWS PROMISE IN PARKINSONIAN DISORDER

A new study in the Journal of Parkinson’s Disease describes a study evaluating the efficacy of ATH434 in genetically altered mice that develop manifestations of Multiple System Atrophy (MSA). The study was led by David I. Finkelstein, PhD, Head of Parkinson’s Disease Laboratory at the Florey Institute of Neuroscience and…

SHOCK-ABSORBING FLOORING GETS MIXED REVIEWS

Falls and fall-related injuries are a major problem for older adults in both hospitals and care homes. Shock-absorbing flooring (such as carpet, sports floors, or specially designed floors) provides a more cushioned surface and is one potential solution to help reduce the impact forces from a fall.

PLANTAR PRESSURES IN HIKING BOOTS

The purpose of this study was to investigate the influence of heel-to-toe drop (heel drop) modifications of a hiking shoe on plantar pressure distribution and perceived comfort before and after walking. Data of 3 shoe conditions with a low (11 mm), medium (16 mm), and high (21 mm) heel drop were obtained of 12 healthy male…

1ST COVID-19 BREATHALYZER TEST GETS FDA OK

The US Food and Drug Administration issued an emergency use authorization (EUA) for the first COVID-19 diagnostic test that detects chemical compounds in breath samples associated with a SARS-CoV-2 infection. The test can be performed in environments where the patient specimen is both collected and analyzed, such as…

NEW PREVENTION OF VTE CONSENSUS STATEMENT RELEASED

The first ever international consensus statement with recommendations for the prevention of venous thromboembolism (VTE) after orthopedic surgeries has been published in the Journal of Bone and Joint Surgery. Developed by 600 experts from…

MORE SLEEP = LESS CALORIC INTAKE

In a randomized clinical trial of 80 adults (51.3% male; mean age 29.8 yrs; mean BMI, 28.1) with habitual sleep less than 6.5 hours per night, those randomized to a 2-week sleep extension intervention significantly reduced their daily energy intake by approximately 270 kcal compared with the control group.

LONGER FASCICLE LENGTH MAY CAUSE DEFICIT IN NON-SURGICAL HEALING OF ACHILLES

Achilles tendon rupture appears to alter stiffness and length of the tendon. These alterations may affect the function of tendon in force transmission and in energy storage and recovery. We studied the mechanical properties of the Achilles’ tendon post-rupture and their association with function.

MASTER OF SCIENCE IN O&P COMING TO SALUS UNIVERSITY

Salus University, Elkins Park, PA, will be launching a new master’s program in Orthotics and Prosthetics (O&P), which will be housed within the College of Health Sciences, Education and Rehabilitation. The university is seeking accreditation by the National Commission on Orthotic and Prosthetic Education (NCOPE).

AOPA NATIONAL ASSEMBLY, SEPTEMBER 28 – OCTOBER 1

The 105th annual National Assembly of the American Orthotic & Prosthetic Association (AOPA) will be held September 28 – October 1, 2022, at the Henry B. Gonzalez Convention Center in San Antonio, TX. New for 2022 is a 2-day education track on orthotic and prosthetic digital care, a 2-day education…

WORLD’S LARGEST COLLECTION OF GAIT ANALYSIS DATA OF HEALTHY INDIVIDUALS PUBLISHED

Biomechanical gait analysis can be a helpful tool when it comes to diagnosing gait problems and subsequently treating them. However, “until now there has been a worldwide lack of reference data for healthy persons,” said Fabian Horst, PhD, of Johannes Gutenberg University Mainz (JGU), Germany.

INTACT KNEE TEACHES PROSTHESIS TO ACT MORE REALISTICALLY

The intuitive process of walking is difficult to imitate in a natural, comfortable way for people who use robotic prostheses and exoskeletons. Toward this end, to better teach a prosthetic knee to act as naturally as possible, research collaboration based at Arizona State University (ASU) and North Carolina State University…

HYBRID ASSISTIVE LIMB (HAL) IMPROVES GAIT IN ALS PATIENTS

Amyotrophic lateral sclerosis (ALS) is a fatal progressive neurodegenerative disease that presents with various symptoms, such as muscle weakness, dysphagia, dysarthria, and respiratory failure, leading to death in 3–5 years. As ALS remains incurable, patient care including rehabilitation is important for maintaining…

IDF DIABETES ATLAS 2021 AVAILABLE FOR DOWNLOAD

The International Diabetes Federation (IDF) Diabetes Atlas 10th edition is available for download. This publication provides detailed information on the estimated and projected prevalence of diabetes, globally, by region, country, and territory, for 2021, 2030, and 2045. It draws attention to the growing impact of…

AIN’T JUST IMAGINATION! EFFECTS OF MOTOR IMAGERY TRAINING ON STRENGTH AND POWER PERFORMANCE OF ATHLETES DURING DETRAINING

This study aimed to investigate the effects of motor imagery (MI) training on strength and power performances of professional athletes during a period of detraining caused by the COVID-19 outbreak.

 

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