March 2016

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Download the Complete issue as a PDF (8.4mb)

Cover Story


Outcomes after ACL surgery: The importance of graft type
Outcomes after ACL surgery: The importance of graft type
In an attempt to decrease the risk of re-rupture and revision surgery after anterior cruciate ligament reconstruction, practitioners are refining the decision process regarding which procedure is best for which patient. By Cary Groner

Editor Message


Out on a limb: An analgesic assist
Out on a limb: An analgesic assist
When it comes to improving outcomes after anterior cruciate ligament (ACL) recon­struction, lower extrem­­ity practitioners need all the help they can get. Fortunately, a recent study suggests they might be able to get some valuable assistance from their colleagues in anesthesiology. By Jordana Bieze Foster

LER: Foot Health


From the editor: Get smart about smart insoles

New technologies, especially those with the potential to allow patients to manage their own health, can leave practitioners wondering about their job security. But smart insoles aren’t going to put any clinicians out of work any time soon.

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Departments


Plantar fasciitis: Clinical concerns in basketball
Plantar fasciitis: Clinical concerns in basketball
Basketball is associated with a high number of lower extremity injuries, often related to footwear and the unique biomechanics and repetitious motion of the sport. This reflects the evolution of basketball from a refined sport to one of extreme physical contact and leverage. At elite levels of competition, the joint loading that comes with… By Patricia Pande, ...
Running modifications and reducing injury risk
Running modifications and reducing injury risk
Evidence suggests that no one foot strike style can be expected to decrease injury risk in all runners, and that switching foot strike patterns can have unintended consequences. Using a shorter stride length, however, can be an effective alternative for some runners. By Elizabeth Boyer, PhD, and Tim Derrick, PhD
Strength training: Bone health benefits for men
Strength training: Bone health benefits for men
Men with low bone mass are much less likely than their female counterparts to receive treatment. But research suggests that resistance exercise is a safe and effect­­ive way to improve bone mineral density in men and, in turn, reduce the risk of fracture and related complications By Pamela S. Hinton, PhD
Ankle instability rehab emphasizes individuality
Ankle instability rehab emphasizes individuality
Research presented at the most recent International Ankle Symposium indicates that rehabilitation for chronic ankle instability is evolving from a one-size-fits-all approach to an increased focus on matching specific interventions to the patients who are most likely to benefit. By Lori Roniger
Flexible flat foot: Effects of orthoses during gait
Flexible flat foot: Effects of orthoses during gait
In this original investigation, researchers analyzed the biomechanical effects of a foot orthosis in patients with flexible flat foot during walking and the extent to which those functional effects are consistent with proposed theories about the device’s mechanism of action. By Bruce Elliott, PT, DPT, COMT, and Juan Garbalosa, PhD, PT

News

In the Moment: Running

Benefits of balance: YBT is associated with history of injury
Benefits of balance: YBT is associated with history of injury
Deficits in single-leg balance may contribute to the high rate of injuries among endurance athletes, but hip strength may not, according to two studies presented in February at the American Physical Therapy Association’s annual Combined Sections Meeting in Anaheim, CA. By P.K. Daniel
Test for lower extremity asymmetry identifies risk in recreational runners
Asymmetrical lower extremity neuromuscular control is predictive of repetitive stress injury in recreational runners, according to findings presented at the Combined Sections Meeting of the American Physical Therapy Association in February in Anaheim. By P.K. Daniel
Clinically useful 2D measurements predict patellofemoral joint force
Researchers from East Carolina University (ECU) in Greenville, NC, have identified 2D lower extremity kinematic measurements that accurately predict patellofemoral joint (PFJ) force during running and can be used clinically to identify runners at risk of injury. By P.K. Daniel

In the Moment: OA

PFOA prognostication: Sagittal plane factors predict worsening
PFOA prognostication: Sagittal plane factors predict worsening
Sagittal plane mechanics and forces during gait in patients with patellofemoral osteoarthritis (PFOA) can help identify those who are likely to experience worsening pain or cartilage degeneration, according to research presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association in Anaheim, CA. By Jordana Bieze Foster
Years after Achilles tear, injured limb demonstrates elevated knee loading
A history of Achilles tendon rupture is associated with elevated knee loading during hopping and running, suggesting an increased risk of knee osteoarthritis and other overuse knee pathologies, according to research from East Carolina University in Greenville, NC. By Jordana Bieze Foster
Clinical single-leg hop tests can help estimate risk of OA after ACL injury
Performance on single-leg hop tests a few weeks after anterior cruciate ligament (ACL) injury can predict the risk of radiographic knee osteoarthritis (OA) five years later, according to research from the University of Delaware in Newark. By Jordana Bieze Foster

Market Mechanics

By Emily Delzell


Products


SuperFlex Ankle Foot Orthosis
SuperFlex Ankle Foot Orthosis
New York OMC introduces SuperFlex, a new flexible, molded, integrated ankle foot orthosis designed to promote dynamic biomechanical function.
College Park Sidekicks
College Park Sidekicks
Introducing College Park’s Sidekicks, the first multi-axial stubbie feet for foreshortened prostheses. Used in pairs, the feet encourage muscle activity to assist bilateral transfemoral amputees with rehabilitation, especially when the goal is a transition to microprocessor knees.
Rebound Dual Knee Brace
Rebound Dual Knee Brace
Össur has launched the Rebound Dual, a malleable, comfortable knee brace for people with ligament issues, including ligament instabilities, and knee osteoarthritis. The Rebound Dual brace is suitable for people who participate in low-to-high impact activities, including sliding sports.
Mephisto Maryse Sandal
Mephisto Maryse Sandal
New to the Mobils by Mephisto line of comfort footwear is the Maryse sandal for women, a slingback wedge sandal with a polyurethane outsole, nubuck upper, and three adjustable Velcro straps. A key feature of all Mobils footwear is the all-over soft padding—cushioning between the lining and the soft leather upper that…
Exercise Plan Software
Exercise Plan Software
PhysioTools software makes creating exercise programs quick and easy. Select exercises, customize the text, and then email or print the resulting handout. The new app can be used to send exercise plans to a smartphone or tablet. Each exercise includes clearly written instructions, color photographs and…
Reformulated Relief Cream
Reformulated Relief Cream
Relief topical analgesic from Corganics has a new and improved formulation, with more menthol than in the original (3% vs 2.5%) for increased effectiveness and an improved preservative system designed to ensure a three-year shelf life. The analgesic cream features a synergistic blend of essential oils…
Nomad Lite Outdoor Shoe
Nomad Lite Outdoor Shoe
In response to customer demand, Spenco is unveiling a lightweight performance version of its Nomad Moc, the company’s most rugged outdoor shoe. Offered in an expanded color palette, the Nomad Lite features a combination of water-resistant fabric and lightweight, water-resistant nu­buck leather, soft shell fabric and…
Strap Pilates Book, 2nd Ed
Strap Pilates Book, 2nd Ed
A second edition of Stretch Out Strap Pilates Essentials has been published by OPTP and certified Stott Pilates instructor Angela Kneale. The book shows participants how to enhance Pilates movements by effectively using the Stretch Out Strap, a tool that features multiple loops for deep, personalized self-stretching.
Coral Mag Fizz Supplement
Coral Mag Fizz Supplement
Coral Mag Fizz is a beverage enhancer designed to boost the body’s ability to perform and recover by utilizing magnesium and potassium, an essential mineral duo reported to help relieve muscle cramps by improving muscle and nerve function and regulating the body’s water balance.
Bunionette Bootie
Bunionette Bootie
New from Bunion Bootie, a comfortable and practical treatment option is available for patients with tailor’s bunions (otherwise known as bunionettes). The Bunionette Bootie soothes and restores feet by helping to separate and support the first and fifth toes, which in turn can improve standing balance and dynamic stability.