This study aimed to identify changes in the architecture and performance of the peri-ankle muscles in patients with chronic ankle instability (CAI) and investigate the relationship between them. Inclusion criteria for the study included: (1) age ≥18 years or older; (2) previous history of ≥1 severe ankle sprain that caused pain, swelling, limited weight bearing, or complete immobility for ≥3 days…
Lower Extremity Review
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Vibrating Insole Therapy for Sensory Peripheral Neuropathy
Sensory peripheral neuropathy is a common complication of diabetes mellitus and the biggest risk factor for diabetic foot ulcers. There is currently no available treatment that can reverse sensory loss in the diabetic population. The application of mechanical noise has been shown to improve vibration perception threshold or plantar sensation (through stochastic resonance) in the short term…
Factors Influencing Wound Healing in Diabetic Foot Patients
Diabetic foot is defined as a foot affected by ulceration that is associated with neuropathy and/or peripheral arterial disease of the lower limb in a patient with diabetes. These authors focused on nutrition as a source of healing and examined the correlation between various trace elements and wound healing in patients with diabetic foot ulcers.
By Sang Heon Lee, Sung Hwan Kim, Kyung Bum Kim, Ho Sung Kim, and Young Koo Lee
lerEXPO Conversations: Facts, Fictions, Fallacies of the Lapidus Bunionectomy
The Lapidus bunionectomy, named after American orthopedic surgeon Paul Lapidus, has emerged as a highly popular surgical approach to correcting severe cases of hallux valgus, the deformity commonly known as a bunion. This procedure involves fusing the first tarsometatarsal joint to realign and stabilize the metatarsal bone, aiming to correct the deformity at its root and ideally prevent recurrence.
By Patrick DeHeer, DPM FACFAS, FFPM RCPS (Glasg)
Varicose Veins of the Lower Extremities: A Primer Part I
Varicose veins (VVs)—those bulging, twisted blood vessels typically seen on the legs—are more than an esthetic issue. They can be painful and affect patients’ quality of life; left untreated, they can lead to life-threatening chronic venous insufficiency and venous ulcers. And when seen or mentioned, will always warrant a clinician’s attention.
By Angela Kelley, PA-C, MSM
Comparing Aquatic-based and Land-based Exercises for Balance
Aquatic-based exercises are used as an alternative to land-based exercises for older adults who have lower levels of physical activity or neuromuscular disorders that impact their balance function. Balance plays a crucial role in the daily activities of older adults. Aquatic-based exercises (AE) are widely conducted as an alternative to…
By Ying Deng, Zheng Tang, Zhengting Yang, Qi Chai, Wenting Lu, Yunshi Cai, Yiting Luo, and Yongzhao Zhou
A Case Report: Hypertonia of the Big Toe Revealing Parkinson’s Disease
Despite being less commonly discussed than other motor symptoms, such as tremors and bradykinesia, hypertonia of the hallux holds diagnostic and prognostic significance in Parkinson’s disease (PD). This motor anomaly is dissected within the context of the broader clinical spectrum of PD symptoms…
By Houssam Mahla, Abdelilah Rhoul, Mohammed Gartit, Souhail Yachaoui, Ahmed Amine EL Oumri
AOPA Announces 2024 Howard R. Thranhardt Award Recipients
The American Orthotic and Prosthetic Association (AOPA) announced the recipients of the 2024 Howard R. Thranhardt Award are Andreas Kannenberg, MD (GER), PhD; Shane Wurdeman, PhD, CP, FAAOP (D); Tyler Klenow, MSPO, MBA, CPO, FAAOP; and Russell Lundstrom, MS. The award, established in 1996 by a gift from J.E. Hanger in memory of Howard R. Thranhardt, CP, has become..
Robotic Hip Exoskeleton Promising for Stroke Patients
Stroke survivors often experience walking asymmetry, where 1 step is shorter than the other. Now, new research from the University of Massachusetts (UMass) Amherst pushes forward the bounds of stroke recovery with a unique, portable robotic hip exoskeleton. Their work reveals that the robotic hip exoskeleton has the potential to effectively train individuals to modify their…
Hanger Announces Acquisition of O&P Insight
Hanger, Inc., Austin, TX, announced that it has entered into an agreement to acquire orthotics and prosthetics (O&P) consulting firm O&P Insight, Las Vegas, NV. “O&P Insight is uniquely focused on helping O&P businesses run profitable and compliant business operations, and brings an incredible amount of credibility, talent, and value,” said Pete Stoy, Hanger’s CEO.
Electronic Sock Detects Unhealthy Walking Style
An electronic sock that detects an unhealthy walking style linked with diabetes and poor circulation shows promise for preventing foot ulcers and amputation. “Patients with diabetes tend to put pressure on the metatarsal area of the foot, rather than the heel,” said researcher Ki Hong Lee, PhD, of Chonnam National University Hospital, Gwangju, Republic of Korea. “This way of walking encourages ulcers…
Bone Health Technologies Granted 5th Patent for Low Bone Density Treatment
Medtech innovator Bone Health Technologies (BHT), Redwood City, CA, recently announced the company has been awarded a 5th patent for Osteoboost—the 1st and only US Food & Drug Administration–cleared prescription medical device to treat osteopenia. The patent, titled ‘Wearable Apparatus for the Treatment or Prevention of Osteopenia and Osteoporosis…
Universal Controller Could Push Robotic Prostheses, Exoskeletons into Real-World Use
Researchers are working on real-life robotic assistance that could protect workers from painful injuries and help stroke patients regain their mobility. So far, they have required extensive calibration and context-specific tuning, which keeps them largely limited to research labs. Mechanical engineers at Georgia Institute of Technology may be on the verge of changing that, allowing exoskeleton…
Researchers Find Better Way to Detect When Older Adults Fall at Home
New research from Binghamton University, State University of New York, aims to cut reaction times with a human action recognition (HAR) algorithm that uses local computing power to analyze sensor data and detect abnormal movements without transmitting to a processing center offsite. Professor Yu Chen, PhD, and PhD student Han Sun from the Thomas J. Watson College…
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