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Cover Story

A Case for Hypochlorous Acid Solution as a Replacement for NSS in Wound Hygiene: A Review

Given its lack of efficaciousness in decreasing bioburden, normal sterile saline may not be the best solution for this important task. Chronic hard-to-heal wounds pose a significant burden on both patients and the health care system. Chronic wounds, whether pressure, arterial, venous, or wounds from multiple causes…

By James McGuire DPM, LPT, LPed, FAPWHc; Madeline Hobbs, BA, and Yunkyung Jessica Ho, BA


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Special Features

Is Weight Loss or Physical Activity More Important for Preventing Type 2 Diabetes?

By Sheri Colberg, PhD

Ever since the U.S. Diabetes Prevention Program (DPP) multicenter trial was completed nearly 2 decades ago,1 we have known that it is possible to prevent, or at least delay, prediabetes (an insulin resistant state) from progressing into full-blown type 2 diabetes. Why? In the study, diabetes risk was reduced by 58% in the “intensive lifestyle” (ILS) participant group and by 31% in the metformin (an oral glucose-lowering medication) participants compared to no intervention (“placebo” group). For participants who were 60 years or older, lifestyle changes worked much better to prevent diabetes than taking metformin.1,2

As an exercise physiologist, what I have always disagreed with about the DPP trial is its greater emphasis on weight loss than on physical activity. Admittedly, ILS consisted of a goal of losing 7%  of body weight (only 14 pounds if you weight 200) by following a low-calorie, low-fat, high-fiber diet and doing at least 150 minutes per week of a moderate physical activity (like brisk walking). In a follow-up report,2  for every kilogram (2.2 pounds) of weight loss, type 2 diabetes risk was reduced by 16%.

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Meeting Highlights from NATA

About NATA: Athletic trainers are health care professionals who specialize in the prevention, diagnosis, treatment and rehabilitation of injuries and sport-related illnesses. They prevent and treat chronic musculoskeletal injuries from sports, physical and occupational activity, and provide immediate care for acute injuries. Athletic trainers offer a continuum of care that is unparalleled in health care. The National Athletic Trainers’ Association represents and supports more than 40,000 members of the athletic training profession. Visit nata.org for more information.

Risk of Prolonged Opioid Use in Older Patients After Hip Fracture Surgery

There is a notable risk of prolonged opioid use in older patient populations following musculoskeletal injury according to a new study presented at the 2021 Annual Meeting of the American Academy of Orthopaedic Surgeons. While numerous studies have analyzed opioid dependence in younger patient cohorts, relatively few…

Opioids Overprescribed to Children, Adolescents for Common Orthopaedic Procedures

While pain control is an important component of orthopaedic surgery postoperative care, the practice of overprescribing opioid medications has become a contributing factor to the misuse of narcotics in the United States. A new study presented at the 2021 AAOS Annual Meeting analyzed opioid prescribing behaviors…

Effects of COVID-19 on Youth Athletes Differs by Sport, Age

When single sport youth athletes have their routine disrupted, as occurred during the COVID-19 pandemic, they may be at greater risk for depression, demonstrating the need for increased education and research in mental health for adolescent athletes. The results of a new survey, “Sidelined due to COVID-19…

Feed Your Body, Heal Your Wound

Macronutrients have been shown to play a vital role in wound healing. Proper nutrition is something that every wound care clinician should discuss with their patients. Caloric needs increase during wound healing and it is estimated that patients should consume 30-35kcal/kg daily. Recent reporting details daily…

By Windy Cole. DPM, CWSP, FAPWH

ACSM Releases Consensus Statement on Anabolic-Androgenic Steroid Use

The American College of Sports Medicine has updated its 1987 consensus statement on the use of anabolic-androgenic steroid (AAS) use, synthesizing more than 30 years of research on the topic.1 The College acknowledged that lawful and ethical therapeutic use of AAS is a mainstream treatment for several clinical…

AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee

The American Academy of Orthopaedic Surgeons (AAOS) issued an update to the Clinical Practice Guideline (CPG) for Management of Osteoarthritis of the Knee (Non-Arthroplasty), which replaces the 2nd edition released from 2013. This 3rd edition of the CPG provides updates to 19 of the 29 evidence-based…

Isometric Exercise During Immobilization Reduces Return-to-play Time After Las

Researchers from Japan reported that immobilization reduces symptoms after lateral ankle sprain (LAS) but may worsen the range of motion (ROM) of the ankle and delay return to play (RTP). They sought to understand the correlation between ankle ROM and time to RTP following immobilization for LAS and studied…


Industry News & Updates

Implantable Magnets May Improve Prosthetic Control

Researchers at the Massachusetts Institute of Technology’s (MIT’s) Media Lab have developed a new strategy, called magnetomicrometry (MM), that they believe could improve control of prosthetic limbs. The strategy is based on the idea that if sensors could measure what muscles in the residual limb are doing, those…

A New, Inexpensive Way to Heal Chronic Wounds

A Michigan State University (MSU) researcher is leading an international team of scientists to develop a low-cost, practical biopolymer dressing that helps heal chronic wounds such as diabetic foot ulcers (DFUs).

O&P Assistant Program Offered in MI

A new Orthotist and Prosthetist Assistant Studies (OPA) specialization is being offered within the Bachelor of Science in Exercise Science (EXS) degree program in the Department of Human Movement Science at Oakland University, Rochester, MI. This is one of the first OPA programs to be launched in the U.S., and…

Researchers Develop Low-Cost Method to Help Prevent DFUs

Millions of people with diabetes are at risk of developing diabetic foot ulcers (DFUs), which often lead to amputations and other health complications. Now, scientists from the Staffordshire University Centre for Biomechanics and Rehabilitation Technologies (CRBT) in England have developed a new method to…

AI Algorithm Trained to Recognize DVT

Researchers at Oxford University, Imperial College, and the University of Sheffield collaborated with English tech company ThinkSono to train a machine learning artificial intelligence (AI) algorithm (AutoDVT) to distinguish patients who had deep vein thrombosis (DVT) from those without DVT.

The Last Word

Return To Training In The Covid-19 Era

The physiological effects of face masks during exercise. Source: https://ylmsportscience.com/2021/03/10/return-to-training-in-the-covid-19-era-the-physiological-effects-of-face-masks-during-exercise/

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