February 2016

Download the Complete issue as a PDF (19mb)

Download the Complete issue as a PDF (19mb)

Cover Story


Texting while walking: Gait adaptations and injury implications
Texting while walking: Gait adaptations and injury implications
It’s not surprising that tactile interaction with a smartphone while walking can increase the risk of traumatic injury, but texting while walking also affects gait in ways that may ultimately have long-term effects. By Shalmali Pal

Editor Message


Out on a limb: Arch triumphs
Out on a limb: Arch triumphs
New research from the University of Western Australia will put some extra spring in a runner’s step – but only if he or she is wearing the right kind of footwear. In discussions of running mechanics, we hear a lot about the spring-like properties of the lower extrem­ities, which are significantly dependent on the… By Jordana ...

LER: Pediatrics


LER-Pediatrics-2.16-smFrom the editor: So much depends on the ankles

Several stories in this issue of LER: Pediatrics emphasize the long-term consequences of ankle instability and other problems at this important joint. Compromised ankle function can cause declines in physical activity and put children at risk for obesity, weak bones, and other problems that threaten quality of life.

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Departments


Plantar fasciitis: clinical concerns in cleated sports
Plantar fasciitis: clinical concerns in cleated sports
Cleated sports are associated with a high incidence of lower extremity injuries. American football and soccer are particularly troublesome due to unique risk factors involving footwear design, loading patterns, and sport-specific biomechanics. By Patricia Pande, MClScPT, CSCS, CPed
Active Stance: Patients with at-risk feet need collaborative care
Active Stance: Patients with at-risk feet need collaborative care
In a recent editorial in The Lancet Diabetes-Endocrinology,1 Lipsky and colleagues wrote that diabetic foot disease “…is not a one doctor disease—it demands multidisciplinary care. Furthermore, as a notoriously unglamorous problem, the disease depends on… By Terrence P. Sheehan, MD
Biomechanists explore effect of obesity on falls
Biomechanists explore effect of obesity on falls
Obese patients have an increased risk for falls and fall-related injury, not just because of the loads involved, but also because of the strategies they use to recover from a trip or slip. Findings from a growing body of research will help in developing interventions to minimize that risk. By Hank Black
Dynamic load analysis for injury prevention
Dynamic load analysis for injury prevention
Identifying loading patterns associated with Jones fractures and other common sports-related injuries can assist with the development of custom modifications to footwear, insoles, and training programs to help reduce injury rates and enhance athletic careers. By Yannick Goeb, Nate Wilcox-Fogel, and Kenneth J. Hunt, MD

News

In the Moment: Sports Medicine

Skipping hip surgery: FAI responds to conservative care
Skipping hip surgery: FAI responds to conservative care
A pilot study has found that conservative management of femoroacetabular impingement (FAI) can provide improvements in pain and function equivalent to those usually achieved with surgery. By John C. Hayes
Risk of lower extremity injury increases after athletes return from concussion
Collegiate athletes who sustain a concussion have an increased risk of a lower extremity injury long after returning to play, according to two recent studies that strengthen the case for a brain-sprain connection. By Jordana Bieze Foster
Preventive measures in cross country runners should target ankle kinematics
Ankle kinematics prospectively predict injury risk in collegiate cross country runners, according to prospective research from the University of Memphis in Tennessee. By Jordana Bieze Foster

In the Moment: O&P

Extension correction: AFO design improves PTTD mechanics
Extension correction: AFO design improves PTTD mechanics
When a lamp cord doesn’t quite reach an outlet, you reach for an extension cord. So when a custom ankle foot orthosis (AFO) didn’t quite provide the corrected forefoot abduction desired in patients with post­erior tibial tendon dysfunction (PTTD), researchers from Syracuse, NY, added a lateral extension. By Larry Hand
Study reports improved pain and gait with walker boot after ankle surgery
A walker boot is preferable to two other ankle devices for improving pain and gait after internal fixation for ankle fracture, according to research from the University of Oxford in the UK. By Jordana Bieze Foster
Surgical shoe findings support limits on driving after bunion procedures
Patients should refrain from driving for at least six weeks after bunion surgery due to poor braking response times that are not improved with the use of surgical shoes, according to findings from the Medical University of Innsbruck in Austria. By Larry Hand

Market Mechanics

By Emily Delzell


Products


ToeSnug Buttress Pad
ToeSnug Buttress Pad
Evenup is excited to introduce its new product, the ToeSnug Buttress Pad, for treating hammertoes, hard and soft corns, metatarsalgia, and spreading and overlapping toes. For toes that are contracted and bent, the ToeSnug acts as a bumper above the toes to reduce dorsal pressure from footwear.
Therafirm Ease Microfiber Tights
Therafirm Ease Microfiber Tights
Ease Microfiber Tights by Therafirm, a Knit-Rite brand, are made with high stretch yarns for easy donning. The soft micro­fiber material, knit-in waistband, and smooth toe are designed to ensure all-day comfort; the waistband also resists rolling.
Updated OPTP Catalog
Updated OPTP Catalog
OPTP (Orthopedic Physical Therapy Products) has published the 34th edition of its semi-annual professional catalog. The updated catalog now includes nearly 1000 health and wellness products, many of which are offered exclusively through OPTP…
KX2 Flexible Foot Lift
KX2 Flexible Foot Lift
For those suffering from foot drop, the KX2 Flexible Foot Lift enables a more natural walking or running step while allowing ankle mobility. The device is comfortable, easy to use, lightweight, and adjustable.
Advanced Ortho Aero Walker
Advanced Ortho Aero Walker
The new Aero Walker from Advanced Orthopaedics is an advanced walker boot designed to provide the necessary immobilization and compression while maintaining a comfortable user experience.
GlideWear Shear Protection Socks
GlideWear Shear Protection Socks
New from Tamarack Habilitation Technologies, GlideWear Shear Protection Socks provide targeted protection from friction and shear to help prevent skin breakdown. Featuring dual-layer, low-friction fabric technology, GlideWear is engineered to provide…
Silcare Breathe Prosthetic Liners
Silcare Breathe Prosthetic Liners
New Silcare Breathe prosthetic liners from Endolite feature laser drilled perforations to allow moisture and air to escape, offering improved comfort and control for amputees and reducing the risks of socket movement, loss of connection, and skin damage.
TriZone Knee Brace
TriZone Knee Brace
DonJoy, a DJO Global company, is proud to introduce the TriZone Knee Brace. Featuring compression knit and silicone materials, TriZone is a lightweight, low-profile knee sleeve designed for performance as well as protection from knee pain.
STS XXL Slipper Sock
STS XXL Slipper Sock
The STS Company has developed a new size of its slipper casting sock for those individuals with very large feet who are in need of custom foot orthotic devices. The Extra-Extra Large (XXL) Slipper Sock is designed to create an accurate model of the…
Handler 704 Sani-Grinder
Handler 704 Sani-Grinder
Handler Manufacturing introduces the new and improved model 704 Sani-Grinder, with a 33% larger sanding drum to allow for better contouring and shaping of larger podiatric and orthotic appliances. The 704 Sani-Grinder is an affordable, self-contained device that requires no installation.