ACL match injuries sustained in Germany’s first women’s league during the 2016-2017 to 2022- 2023 seasons were prospectively analysed. A high proportion of 80% of ACL injuries occurred during horizontal movements such as sprinting, stopping, change- of-direction manoeuvres and lunging.
Lower Extremity Review
Males/Females Experience Pain Through Different Mechanisms
Pain—and how well pain treatments work—differs between the sexes. Females are more likely to experience chronic pain than males. Studies have also shown that opioid painkillers are less effective in females. Several systems inside the body contribute to the perception of pain and the response to pain treatments. One of the most important is called the endogenous opioid system. Opioid-based medications work by tapping into this system.
Study Shows Older Sprinters Lose Force Generating Capacity
Both longitudinal and cross-sectional studies have demonstrated that muscle mass, strength and power are lost with ageing. Although longitudinal studies have shown changes in muscle morphology and function in sedentary, healthy active, and endurance-trained older people, less is known about such age-related changes in sprint athletes. It has been proposed that active older people may…
A Rare Case of Bilateral Xanthomatosis of the Achilles Tendon
Xanthomatosis is an atypical pseudotumor of connective tissue characterized by the accumulation of lipid-laden histiocytes, often manifesting as encapsulated yellowish masses. It is commonly associated with familial hypercholesterolemia (FH). This case report aims to present a rare instance of bilateral xanthomatosis affecting the Achilles tendons in a 42-year-old male, which…
Does Kinesio Tape Negatively Affect Treatment of Plantar Fasciitis
Radial extracorporeal shock wave therapy (r-ESWT) is accepted as one of the most effective treatment modalities for plantar fasciitis (PF). Also, kinesio taping (KT) application is effective for the treatment of PF. However, there is not enough evidence about the effectiveness of the combination of these 2 modalities in the treatment of PF.
HIIT Appears to Temper Metabolic Syndrome in 8-year Study
Metabolic syndrome (MetS) is a set of 5 cardiometabolic risk factors including obesity and Type 2 diabetes, that typically worsen with age. One exercise-training program is effective at improving those factors in middle-aged individuals with MetS. This study determined the effectiveness of a periodized exercise training program for individuals with MetS after a follow-up period of 8 years.
Association of Vit D with Sarcopenic Obesity Risk
Sarcopenic obesity (SO), a relatively new category of obesity and a high-risk geriatric syndrome in the elderly, is associated with numerous adverse health consequences such as frailty, falls, disability, and increased morbidity and mortality. This study, done by researchers in China using longitudinal data from the UK Biobank cohort (N=46,535), examined the…
Low-Intensity Focused Ultrasound for Pain Relief in DPN?
In an interesting, but small, study out of China, researchers evaluated the efficacy of low-intensity focused ultrasound (LIFU) in alleviating pain in patients with painful diabetic peripheral neuropathy (PDPN). Fifty participants were randomized to either LIFU or placebo therapy for 7 days . Compared to placebo therapy, patients in the LIFU group (n = 25) demonstrated significantly lower…
Associations Between Female Sex Hormones and Skeletal Muscle Aging
This study highlights the significant role of circulating sex hormones in the aging process of female skeletal muscles. Prior research has primarily focused on distinct age groups, often comparing only young versus old, or pre-menopausal versus post-menopausal women, thereby neglecting the transitional phase from high to low oestrogen levels.
Plantar Pressure As Tool For Assessing Risk of Scoliosis
Idiopathic scoliosis (IS) caused by an unknown etiology is prevalent in primary and secondary school students. Early detection and prevention are challenging because of the limited knowledge about controllable risk factors and imbalances in body mechanics. These authors examined the potential causative factors of IS and its correlation with foot mechanics among 7–14 year-ol…
Non-Unions of the Hind Foot
Hind foot non-unions are a complex orthopedic challenge that clinicians face, particularly due to the unique anatomy and weight-bearing responsibilities of this part of the foot. Non-unions occur when a fracture fails to heal nine months after injury or shows no radiographic improvement over a consecutive 3-month period. This condition is not only painful but can also severely impact mobility and quality of life.
By Zeeshan Husain, DPM, FACFAS, FASPS
CAGA 101: The 12 Dirty Truths of Foot Mechanics
Dirty Truth #3: What We Can’t See Is Key. In the last 2 installments, we talked about our problematic foot anatomy and what happens to the structure during weight bearing and activity. Much like how a mousetrap precisely captures its target, analyzed computer-aided gait analysis (CAGA) reports accurately “mousetrap” and track the unseeable, providing valuable insights and objective data.
By Jay Segel, DPM; Sally Crawford, MS
How Biomechanics Helped Me Run My 1st Half Marathon at Age 60
With a focus on muscle activation, range of motion, and neuromotor training, this 60-year-old went from not being a runner to a half marathon in just a few months. I have never been a runner. The furthest I had ever run was the 7.5-mile Bay to Breakers race across San Francisco, 40 years ago while in college. A few years ago, I started running 1 mile per week to maintain my health for my family, my fitness, and for myself.
By Christopher K. Wong, PT, PhD
Civilian Lower Extremity Injuries Resulting from Fires in the United States
Background: In 2023, an estimated 13,350 civilian fire injuries were reported in the United States (US). The objective of this study was to characterize civilian lower extremity injuries resulting from fires in the US. Methods: Data were obtained from the National Fire Incident Reporting System (NFIRS), which collects information on incidents to which fire departments respond in the US. Cases were civilian lower extremity injuries resulting from fires reported to NFIRS during 2014-2023. The distribution of cases was determined for patient characteristics, type of injury, and circumstances of injury.
By Mathias B. Forrester, BS
Machine Learning Combined with Explainable Artificial Intelligence Facilitate Accurate Balance Ability Classification
Using computerized posturographic parameters provides a highly quantitative and objective measure without ceiling or floor effect as a classifier or predictor of falls. The balance control problem is one of the major contributing factors to falls and may change with aging, medication, or acute illness. Computerized posturography obtained in standing conditions has been applied to classify fall risk for older adults or disease groups.
By Huey-Wen Liang, Rasoul Ameri, Shahab Band, Hsin-Shui Chen, Sung-Yu Ho, Bilal Zaidan, Kai-Chieh Chang, and Arthur Chang
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