July 2022

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Publisher Memo


13 Years of Making Things Happen!

It is hard to believe that we are celebrating 13 years…that’s right, Lower Extremity Review turns 13 this month and I am so grateful for everyone who has participated in our success. This publication was born out of a belief that this market deserves a unique voice, one that speaks to all corners of it...

By Rich Dubin, Publisher

Editorial Observation


Movement Is Essential

Happy 13th birthday Lower Extremity Review! Like any growing teenager, we’ve been through some changes, but there are plenty more still to come! Just before the pandemic started, we began to identify and understand what LER’s users wanted to learn more about so we could better focus our coverage.

By Janice T. Radak, Editor

Features


Cardiometabolic Benefits of Replacing Sedentary Time with Light Physical Activity

Reduced sedentary time and increased light- and moderate- to vigorous-intensity physical activity had beneficial effects on several cardiometabolic risk markers in adults with metabolic syndrome.

By Taru Garthwaite, Tanja Sjöros, Saara Laine, Henri Vähä-Ypyä, Eliisa Löyttyniemi, Harri Sievänen, Noora Houttu, Kirsi Laitinen, Kari Kalliokoski, Tommi Vasankari, Juhani Knuuti, and Ilkka Heinonen

Physical Activity Guidelines for Americans

Preschool-Aged Children: Preschool-aged children (ages 3 through 5 years) should be physically active throughout the day to enhance growth and development. Adult caregivers of preschool-aged children should encourage active play that includes a variety of activity types. Children and Adolescents: It is important to provide young people opportunities and...

Disrupting Sedentariness With Short Exercise Bouts Improves Insulin/Glucose Metabolism

The health consequences of prolonged sedentary behavior—defined as activities with ≤1.5 metabolic equivalents of energy expenditure in a sitting or reclining posture—include an increased risk for cardiometabolic diseases and all-cause mortality...

By Tobias Engeroff, Eszter Füzeki, Lutz Vogt, and Winfried Banzer; Han C. G. Kemper, Academic Editor

Resistance Training Protects Age-Related Muscle Mass Loss*

The old adage is right: aging is not for sissies. Data shows that age-related losses in skeletal muscle mass, strength, and function weaken physiological resilience leading to increased vulnerability to catastrophic events. Each body may age in response to its unique life events, but every body does age. The Baby Boom generation (those born 1946–1964), benefitted...

Improving Walker Device Safety Keeps Patients Moving Forward

Aluminum frame walkers have been helping people get around since the late 1940’s. Did you ever wonder if they could do more? Inspiration comes to us in many forms. For Tim Visos-Ely, his inspiration came from personal experience with his grandmother. Not quite 10 years ago, Grandma Chris had a series of strokes that left her...

By Laura Fonda Hochnadel

Exercise Program Improves Gait Speed in People with DPN

Diabetic peripheral neuropathy (DPN) is associated with decreased muscle strength and physical activity level, as measured by steps per day and reduced gait speed. Studies suggest that motor and sensory deficits and reduced foot-ankle range of motion...

By Renan L. Monteiro, Jane S. S. P. Ferreira, Érica Q. Silva, Ronaldo H. Cruvinel-Júnior, Jady L. Veríssimo, Sicco A. Bus, and Isabel C. N. Sacco

Best Practice Guide Encourages Stretching Moves for Plantar Fasciitis

Plantar heel pain (PHP) is common and can have a negative impact on physical and mental health. Despite this prevalence, existing guidelines lack clear, high-quality recommendations for treating people with this condition.

By Dylan Morrissey, Matthew Cotchett, Ahmed Said J’Bari, Trevor Prior, Ian B Griffiths, Michael Skovdal Rathleff, Halime Gulle, Bill Vicenzino, Christian J Barton

Returning to Exercise After COVID-19: Guidance for Mid-2022

As the world moves into yet another phase of the COVID-19 pandemic, Australian sports experts in public health, cardiology, sports medicine, pediatrics, and sports training issued revised guidance for returning to sport after infection. They noted that the 2022 Omicron variant of SARs-CoV-2 (the virus that causes COVID-19) continues to evolve in clever ways, making evidence-based guidance difficult.

Guest Perspective


I Agree! Movement Is Essential!

Happy 13th Anniversary LER!! So happy to see the new editorial pillar and can’t wait to see the growing body of evidence that supports the idea behind Movement Is Essential. Humans are made to move – it’s essential, it’s healthy, it’s fun! Restrictions and problems with movement, like pain and discomfort from injuries and certain medical conditions, have always been challenging.

By Robert Weil, DPM

“Small Ball” Can Prevent Falls

Many of us do not have to look far when it comes to the devastation that falls can have, particularly as we age. We all know the stats: The increase in morbidity and mortality after a hip fracture from an errant step. It is no coincidence that the US has the highest incidence of hip fractures. This has only been made worse, no doubt, by the change in habits that has occurred during the pandemic. When my mother was young, she was a graceful equestrian and diver.

By Ben Pearl, DPM

Industry News & Updates


FIT360 Community Reaches 2 million Pairs of Custom Orthotics

Since the day FIT360 started in 2017, the focus has been on providing an open software solution, to allow its user base to create insoles quickly, but always patient focused. The company’s customers around the world are connected and sharing ideas and processes. For example, FIT360’s SLS and Multi-Jet-Fusion users...

Making Robotic Assistive Walking More Natural

A team of graduate students in Caltech’s Advanced Mechanical Bipedal Experimental Robotics Lab (AMBER), led by Professor Aaron Ames, PhD, Bren Professor of Mechanical and Civil Engineering and Control and Dynamical Systems, is developing a new method of generating gaits for robotic assistive devices; their goal is to...

Study Compares Prosthetic Feet and Functional Mobility Across Procedure Codes

Hanger, Inc. announced results of its Outcomes ASsessment and DISsemination II (OASIS II)  study, which evaluates the effectiveness of 10 common prosthetic feet models across L5981 (all lower extremity prostheses, flex-walk system or equal) and L5987 (all lower extremity prosthesis, shank foot system with...

New Knee Rehabilitation Device Patented

Researchers from the Universidad Carlos III de Madrid (UC3M) and the Universidad Complutense de Madrid (UCM) have designed and patented a new device for carrying out knee rehabilitation and strengthening exercises. The proposal involves a physiotherapeutic technical aid system for...

‘Snapping’ Footwear to Help Prevent Diabetic Foot Complications

Researchers in the Department of Mechanical Engineering, Indian Institute of Science (IISc), in collabvoration with the Karnataka Institute of Endocrinology and Research (KIER), have developed a set of self-regulating footwear for persons with diabetes. The footwear—a pair of specially-designed sandals—developed by the IISc-led team is 3D printed and can be customized to an individual’s foot dimensions and...

The Last Word


How Exercise Shapes You, Far beyond the Gym

So often in life, things that you regard as an impediment turn out to be good fortune.
Ruth Bader Ginsburg

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