If the knee loads generated during a golf swing are enough to take down Tiger Woods, should it really be considered a low-impact sport? By Judy A. Blake, BA, Nikolai Steklov, BA, Shantanu Patil, MD, Clifford W. Colwell Jr., MD, and Darryl D. D’Lima, MD, PhD
Lower Extremity Review
Active Stance: A controlled-stress approach to PTTD
Controlled stress would seem to be the ideal environment for orthotic management of PTTD. How could that be accomplished? By Frank Caruso, CO
Whole body vibration: Neuro-rehab applications
It’s popular with professional athletes and Hollywood celebrities. But WBV also has very real clinical potential for patients with neurological disorders. By Kurt Jackson, PT, PhD, GCS and Harold Merriman, PT, PhD, CLT
Effective compression therapy starts with you
Practitioners themselves may be to blame for not ensuring that stockings are fit properly and that patients know how to wear them correctly. By Linda Weber
Diabetes: Offloading difficult wounds. Part 2
The second article in this two-part series addresses preventing recurrence and management of Charcot foot and foot amputations. By Robert J. Snyder, DPM, FACFAS, CWS, and Karen K. Lanier, CPed, LPed
In the Moment: Olympic Sports
Spotlight on skier safety – Injury ‘avalanche’ prompts concerns When the torch is lit to kick off the Winter Olympics in Vancouver next month, the Canadian ski team will be missing no fewer than six of its best Alpine skiers, downed by five anterior cruciate ligament tears and one broken leg. All six were injured between the last week in November and the first week in January. Plus: • Average rehab after hip labral repair could fit in NHL offseason window • ‘Double-push’ cross country skiing outpaces conventional techniques
In the Moment: Foot Care
Kids’ shoes come up short – Study links tight fit to hallux valgus angle Keeping up with the ever-changing footwear needs of growing children can be a challenge for parents, but squeezing kids into too-short shoes may put them at risk for hallux valgus, according to research from the Medical University of Vienna. Plus: • Posted total contact insoles reduce hindfoot valgus in flexible flatfoot • Falls prevention efforts in elderly could start with toe strengthening
In the Moment: O&P
Knee braces activate brain – fMRI confirms proprioceptive effects Functional magnetic resonance imaging research from Belgium demonstrates the effect of lower extremity proprioceptive stimulation on brain activity and confirms that the effect of a knee brace or sleeve extends far beyond local joint biomechanics. Plus: • Ankle foot orthoses improve symmetry, gait in stroke patients with hemiplegia • Abduction bracing in infants with DDH delays learning to walk by three weeks
Market Mechanics
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