May 2020

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Cover Story


The Utility of External Fixation for Midfoot Charcot Neuroarthropathy
The Utility of External Fixation for Midfoot Charcot Neuroarthropathy
When conservative therapies fail, surgical reconstruction of the foot is often required to restore function, heal ulcerations, and decrease risk of amputation in patients with CN. External fixation remains a reliable method, with plenty of advantages. By P. Tanner Shaffer, DPM, Jonathan Hook, DPM, FACFAS, and Ben Potter, DPM

Editorial Observations


COVID-19: Highlights of Responses—Clinical, Economic, Regulatory
COVID-19: Highlights of Responses—Clinical, Economic, Regulatory
The pandemic caused by COVID-19 (brought on by the severe acute respiratory syndrome coronavirus, SARS-COV-2), has now touched every continent, save Antartica. The World Health Organization (WHO) is now estimating the global death toll will reach 400,000 by mid-June, with no end in sight.

From the COVID-19 Frontlines


Keep Your Business Safe During COVID-19
Keep Your Business Safe During COVID-19
The COVID-19 crisis is creating unprecedented challenges for practitioners and business owners. Organizations are facing new challenges and need to help employees transition back to the physical workplace. A few thoughts on keeping your business safe. By Andrew Rawson

Feature Articles


CRITICAL ANALYSIS: Prefab or Custom: Which Foot Orthosis Is Better for Plantar Heel Pain?
Recent analysis of the podiatric literature concludes that custom foot orthoses aren’t superior to prefab inserts—an account one expert rejects. It’s a matter of who does the custom work, he says. By Stanley Beekman, DPM
Wound Care Update: The Role of Topical Oxygen Therapy in the Treatment of Wounds
When you think back to your early studies in General Biology you may recall memorizing the steps of the Krebs Cycle. It is through this process of aerobic respiration that most living things generate energy. In aerobic organisms, cells utilize oxygen (O2) as a final electron acceptor to synthesize high-energy… By Windy Cole, DPM
Bike Fit Unplugged
This Bike Fit specialist explains his process for fitting the cyclist, not the bike, to address the individual needs of the rider. He provided commentary to LER Editor Janice T. Radak for the photographs taken at a recent bike fitting clinic and displayed in this story. Bike Fit Unplugged is the technique I developed… By Happy ...

From the ATPA Combined Sessions


Pole Walking Offers Health Benefits, Improved Gait Parameters
Pole Walking Offers Health Benefits, Improved Gait Parameters
The use of trekking poles while walking has been around for decades, having originated in Finland as a way for skiers to maintain fitness off season. Since then, pole walking has been capitalized and expanded upon as the health benefits of this total body workout have been recognized, and in recent years has gained in ...
Use of a Wearable Plantar Sensory Neuroprosthesis Improves Fall Risk
Use of a Wearable Plantar Sensory Neuroprosthesis Improves Fall Risk
One of the complications of peripheral neuropathy is a lack of sensation in the feet. This, in turn, can cause difficulties with gait and balance, as well as increased fall risk. As a means of addressing these issues, Lars Oddsson, PhD, developed a neuroprosthesis, called Walkasins, to replace the lost sensation. By Laura Fonda Hochnadel

From the Literature


Starting with gait retraining: an analysis of changes in impact over time
Starting with gait retraining: an analysis of changes in impact over time
The repetitive impact that is experienced upon collision with the ground may be related to running injuries but is modifiable. Lower-impact running can be achieved by receiving biofeedback in response to the peak tibial acceleration, but when are runners adapting to lower-impact running? By the Biomechanics of Human Movement research group of Ghent University
Fragility Fractures, Bone Health Management, and Caregiving
Fragility Fractures, Bone Health Management, and Caregiving
Patients who have fragility fractures may experience a disruption of their responsibilities as caregivers to family members and others who depend on them.  The purpose our study was to examine how caregiving responsibilities were associated with, and possibly impacted by, the fracture experience and the resulting management of bone health. By Joanna Sale, PhD
Does Physical Activity Relate to Motor Development?
Does Physical Activity Relate to Motor Development?
Do certain kinds of physical activity (PA) help children develop motor skills better than others? To find out, researchers from East Carolina University used data from 342 children who had taken part in the 2012 National Youth Fitness Survey to look at specific kinds of PA and motor skill development in preschool-aged children.
Prevalence of Obesity in US Continues Upward Trend
Prevalence of Obesity in US Continues Upward Trend
Nearly 1 out of every 2 US adults will be obese by 2030, and nearly 1 in 4 will be severely obese, according to estimates published in the New England Journal of Medicine. Researchers used 1993-2016 data on 6.3 million US adults who participated in the Behavioral Risk Factor Surveillance System to project the prevalence ...

Industry News & Updates


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