Sensory feedback research from Colorado appears to challenge the popular belief that barefoot runners tend to adopt a forefoot-strike pattern to avoid the discomfort of landing on an unprotected heel.
Lower Extremity Review
NHL study adds to evidence linking concussion, lower body injury risks
A study of National Hockey League (NHL) injuries adds to the evidence suggesting concussion significantly increases the risk of lower body injury in athletes, and vice-versa.
Forward progress on falls: Studies explore risk factors, intervention
The multiple factors that contribute to the risk of falls in older adults present a complicated clinical puzzle, but researchers are making progress on putting some of those pieces together, as evidenced by several studies presented in late May and early June at the American College of Sports Medicine (ACSM) annual meeting in Denver.
Ankle proprioception in older adults diminishes to level of adolescents
Ankle proprioception peaks in young adulthood, and in elderly individuals—even the healthiest—declines to levels similar to those of adolescents, according to research presented in early June at the American College of Sports Medicine annual meeting in Denver.
Carbon-fiber AFOs help propel patients with PAD while preserving calf muscle
Use of carbon-fiber ankle foot orthoses (AFOs) assists with propulsion in patients with peripheral arterial disease (PAD) without compromising calf muscle integrity, according to research from the University of Montana in Missoula.
Out on a limb: Valuable testimony
A person’s testimony doesn’t always agree with objective evidence—that’s why some defense attorneys won’t allow their clients to take the stand during a trial, even in their own defense. Similarly, as most clinicians know, patient-reported outcomes aren’t always consistent with objective measures of function.
By Jordana Bieze Foster, Editor
ANKLE FOOT ORTHOSES: Efforts to optimize outcomes focus on stiffness, alignment
Given the heterogeneity of many patient populations for whom ankle foot orthoses (AFOs) are indicated, it’s not surprising that AFO experts are at the forefront of the current trend favoring customization of devices to meet individual patient needs. Research presented in May at the 2017 International Society of Prosthetics & Orthotics (ISPO) World Congress in Cape Town, South Africa, illustrated some of the many ways AFO stiffness and alignment can be optimized in the interest of patient-centric care.
NONMECHANICAL EFFECTS: Sleeves showcase softer side of knee pain management
Less may be more when it comes to knee bracing in some patients with knee osteoarthritis (OA) and patellofemoral pain (PFP), according to studies of soft knee braces presented in May at the 2017 ISPO World Congress in Cape Town, South Africa.
DIABETIC FOOTWEAR: Scientific approach to insole design helps reduce pressure
A scientific approach to insole design can help reduce plantar pressures associated with diabetic footwear, in turn reducing the risk of plantar ulcerations, according to research presented in May at the 2017 ISPO World Congress in Cape Town, South Africa.
OSTEOARTHRITIS: Studies explore mechanisms for distal knee OA therapies
Studies presented in May at the 2017 ISPO World Congress in Cape Town, South Africa, added to knee experts’ understanding of the mechanisms underlying distal interventions to reduce pain and joint loading in patients with medial knee osteoarthritis (OA).
INSOLE MODELING: Computer analysis facilitates foot orthosis development
Computer modeling is facilitating advances in insole development for patients with diabetic neuropathy and rheumatoid arthritis, according to data presented in May at the 2017 ISPO World Congress in Cape Town, South Africa.
Study challenging Root concepts reignites debate
The latest paper to challenge biomechanics-based foot orthotic management concepts developed decades ago has revitalized a long-running discussion among foot specialists about how to define normal structure and function and which assessments should be used in prescribing foot orthoses.
By Cary Groner
Minimalist shoes: Risks and benefits for runners
Although there may be benefits to a change in running footwear, there are also risks associated with a switch to minimalist running shoes. Alterations in anatomy, physiology, and biomechanics associated with transitioning to minimalist footwear are likely to be unique to each runner.
By J. Todd Walker, MD; Donna Moxley Scarborough, PT, MS; Eric M. Berkson, MD; and Matthew J. Salzler, MD
Management of painful plantar fat pad atrophy
Aging and a number of medical conditions can lead to atrophy of the fat pads under the heel and forefoot, which often causes considerable pain. Cushioned footwear and orthoses are mainstays of treatment, but research also supports the use of fat grafting in recalcitrant cases.
By Barbara Boughton
Adrenaline GTS 17 Shoe
The Adrenaline GTS 17 from Brooks Sports has been updated with a more streamlined look and softer feel underfoot. The Adrenaline shoe still features a secure, comfortable fit while providing support, and is equipped with a full-length segmented crash pad to accommodate…
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