October 2022

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Cover Story


lerEXPO Conversations: Load Resolution in Runners II – Vibration’s Role

In Part I, we looked at some of the great paradigms of injury prevention that have underpinned the running shoe industry for more than 40 years: overpronation/motion control and cushioning. Did these paradigms stand up to scientific scrutiny? The evidence would appear to be no. So, where else should we be looking?

By Simon Bartold

Guest Perspective


The High Cost of Physical Inactivity

In its Global Status Report on Physical Activity 2022, the World Health Organization (WHO) offers its first assessment on the progress made in implementing the 20 policy recommendations outlined in its Global Action Plan on Physical Activity 2018-2030: More Active People...

By Cedric X. Bryant, PhD, FASCM

Features


A Scoping Review of Heel Fat Pad Syndrome

Clinical commentaries and expert opinions have suggested that aging, injury, repetitive or prolonged overloading (eg, endurance runners), overweight, improper footwear, steroid injection, and comorbidities (eg, diabetes, rheumatic diseases) may negatively impact the structure and function of the heel fat pad.

By Alison H. Chang, Steven Zartov Rasmussen, Asger Emil Jensen, Thomas Sørensen, and Michael Skovdal Rathleff

International Exercise Recommendations in Older Adults (ICFSR): Expert Consensus Guidelines

The human aging process is universal, ubiquitous, and inevitable. Every physiological function is being continuously diminished. Aging and a sedentary lifestyle are associated with declines in muscle function and cardiorespiratory fitness, resulting in an impaired capacity to perform daily activities and maintain independent functioning.

Lower Extremity Injuries Involving The United States Rail Transportation System

Thousands of people have United States (US) rail transportation industry jobs, and millions travel by US rail each year. Injuries may occur to employees, passengers, and others who may interact with the rail transportation system. The objective of this study was to characterize lower extremity injuries involving the rail transportation system.

By Mathias B. Forrester, BS

ShortTakes From the Literature


Dynamic Ultrasound Accurately Quantifies Severity of Medial Knee Injury

The purpose of this cadaveric study was to quantify the severity of medial knee injuries based on medial compartment gapping as measured by stress ultrasonography. Methods: In 8 cadaveric knees, the distance between the medial tibial and...

Functional Benefits, Safety of PR-Fampridine in Multiple Sclerosis

MOBILE and ENHANCE were similarly designed randomized trials of walking impaired adults with relapsing-remitting or progressive multiple sclerosis (MS) who received placebo or 10 mg prolonged-release (PR)-fampridine twice daily for 24 weeks. Both studies showed sustained and clinically...

Exercise Recommendations to Counteract Iatrogenic Disease

Exercise to counteract the undesirable side effects of standard medical care is gaining increasing attention in the literature. For example, exercise would include resistance training for patients receiving corticosteroid treatment to counteract the associated proximal myopathy and osteopenia not fully...

Nail Psoriasis and Older Adults

Psoriasis is known to involve the nails in nearly 90% of affected patients and can cause significant changes to the nails including pitting, onycholysis, subungual hyperkeratosis, discoloration, and onchomycosis. Like other autoimmune diseases, treatment for nail psoriasis (NP) must be customized to...

Adult Obesity Rates Continue to Climb

Nineteen states and 2 territories* have at least 35% of residents with adult obesity–more than doubling the number of states with a high obesity prevalence since 2018–according to data from the Centers for Disease Control and Prevention (CDC).

TUG Test Results Can Inform Prevention RX in Frail Elderly

As older people become frail, they tend to fall more easily. Moreover, women have a higher rate of falls than men. However, effective strategies to avoid elderly women falling are lacking. The Timed Up and Go (TUG) test is a well-known indicator of falling tendency. This study clarifies the motor elements related to the...

Recommendations for Targeted Strength Training in Rheumatoid Arthritis

A recently published scoping review of strength training recommendations for patients with rheumatoid arthritis included numerous suggestions for encouraging patients. Of note for LER readers...

Meniscal Tears and Return to Sport Rate

Meniscal injuries represent the most common pathology affecting the knee, often limiting return to sporting activities secondary to pain and disability. In meniscal deficient patients, meniscal allograft transplantation (MAT) procedure may be considered.

Wound Care Update


The Utility of Pentoxifylline to Treat a Chronic Venous Leg Ulcer: A Case Report

The relationship between calf-pump insufficiency and ulceration has long been established.1 The accompanying venous hypertension is associated with histologic and hemodynamic alterations in capillary and lymphatic microcirculation that result in pathophysiologic changes in the tissues.

By Windy Cole, DPM, CWSP

Industry News & Updates


Solution to Prosthetic Socks Management

Veterans and other people with lower limb amputations who wear prostheses often experience fluctuations in residual limb volume. They adjust for the resulting changes in fit and comfort of their prosthetic sockets throughout the day using prosthetic socks of varying thickness.

“Growing Shoes” Get a Facelift

What started as a post-university trip to see the world has turned into a 10-year (and going strong) endeavor that has distributed over 350,000 pairs of expandable shoes to children living in poverty in over 100 countries around the world.

UArizona Granted $3.4m to Study Rapid Knee Deterioration

Researchers at the University of Arizona (UArizona) Arthritis Center are undertaking a study that seeks to identify determinants of rapid knee deterioration thanks to a $3.4 million grant from the National Institutes of Health (NIH). C. Kent Kwoh, MD, director of the...

Water-Based Gel for Dressing Diabetic Wounds

Chronic wounds in people with diabetes are the leading cause of nontraumatic lower limb amputation because existing treatments cannot overcome the obstacles to healing, such as chronic inflammation, abnormal skin cell functions and delayed growth of new blood vessels.

AFO/KAFO Documentation Checklist Published

CGS, the Jurisdiction B and C Durable Medical Equipment Medicare Administrative Contractor, created an Ankle-Foot/Knee-Ankle-Foot (AF/KAFO) Orthosis Documentation Checklist to help suppliers confirm they have all required documentation.

Researchers Developing Magnet-Based Prosthetic Control System

Massachusetts Institute of Technology (MIT) researchers have developed a sophisticated way to monitor and measure muscle movements using magnets, which they hope will make it easier for people with amputations to control their prostheses in a way that more closely mimics natural limb movement.

The Last Word


SPRINTING TECHNIQUE & HAMSTRING STRAIN INJURIES
The five clusters of components of sprinting technique believed to be risk factors for HSIs in order of most to least important were: training prescription, neuromuscular and tendon properties, kinematics parameters/technical drills, kinetics parameters and hip mechanics.

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