Category Archives: Archives

September 2020

Improving Diabetes Care Management Processes and Referrals To Podiatry in Primary Care 

Diabetes mellitus (DM) can lead to long-term complications including limb amputations. Annually in the US about 73,000 nontraumatic lower limb amputations are performed and > 60% occur among persons with DM. Veterans have a high number of risk factors and are especially vulnerable. One in 4 veterans has DM, compared to 1 in 6 in the general population.

By Lynn Soban, PhD, MPH, RN Continue reading

September 2020

Expert Opinion: Quantification of Arch Height in a Foot Orthotic: Defining A Standardized Methodology

Science and quantification are long overdue in the orthotic work that we do on a daily basis. The process of capturing the anatomical arch, creating a positive model, and managing arch fill has been solely a decision of those trained in the art.

By Ian Engelman Continue reading

September 2020

Expanding Our Understanding of Chronic Ankle Instability

Research is showing that it’s not “just an ankle sprain,” but rather the first step on a perilous journey to physical instability and lower quality of life. The clinical presentation of chronic ankle instability (CAI) has been defined as the perceived or subjective instability with feelings of giving way, pain, and recurrent sprains. Continue reading

September 2020

Overlooked Arch In The Foot Is Key To Its Evolution And Function

A long-overlooked part of the human foot is key to how the foot works, how it evolved, and how we walk and run, according to a Yale-led team of researchers. The discovery upends nearly a century of conventional thinking about the human foot and could open new avenues to explore in evolutionary biology as well as guide new designs for robotic and prosthetic feet, said the study team.

By William Weir Continue reading

September 2020

Gait Biofeedback and Impairment-based Rehabilitation

In a study that debuted at the National Athletic Trainers Association virtual meeting and was subsequently published later, a multidisciplinary team of clinicians sought to analyze the effects of visual gait biofeedback along with impairment-based rehabilitation on gait biomechanics in a group of patients with chronic ankle instability (CAI). Continue reading

September 2020

An Update on Peripheral Artery Disease (PAD): Part II

This 2-part series examines the current state of peripheral artery disease. Part 1, which appeared in the August issue, focused on disease burden, risk factors, and clinical presentation. This article reviews diagnostic tools and current management recommendations.

By Aisha Cobbs, PhD Continue reading

September 2020

A CUSTOM AFO MADE TO FIT YOUR PATIENT’S NEEDS

Lightweight, durable, and stable, the Ottobock custom carbon ankle foot orthosis (CCAFO) provides dynamic support during even the most demanding activities. The CCAFO is fully customized to your patient’s height, weight, and activity level, with a molded-to-you inner boot and adjustable foot and calf straps. Continue reading

September 2020

FIRST-EVER RESEARCH NETWORK TACKLES DFU COMPLICATIONS

Six research institutions are launching the first-ever multicenter network to study diabetic foot ulcers (DFUs), which are the leading cause of lower-limb amputations in the United States. The Diabetic Foot Consortium (DFC) aims to lay the foundation for a clinical trial network to test how to improve diabetic wound healing… Continue reading

September 2020

ACTIVATOR MOBILITY AND REHABILITATION POLES

Urban Poling’s evidence-based ACTIVATOR poles were designed by an occupational therapist and gerontologist specifically for rehabilitation and long-term conditions. This patented design enhances strengthening, stability, and off-loading with your clients’ safety in mind. Continue reading

September 2020

STROLLN THERAPEUTIC SHOE BY COYOTE

Strolln by Coyote is a therapeutic mobility shoe that was designed with patented retractable rollers to provide easier toe clearance for patients with foot drop. It is priced appropriately for patients to start using it immediately in therapy. Continue reading

September 2020

UT SOUTHWESTERN SCIENTISTS DEVELOP COOLING INSOLE

A new cooling insole developed by University of Texas Southwestern (UT Southwestern) scientists reduced the foot temperature of patients with diabetic neuropathy by several degrees, diminishing a significant risk factor for diabetic foot ulcers (DFUs). Continue reading

September 2020

KNEEKG: KNEE KINESIOGRAPHY EXAM

KneeKG by Emovi is a novel, regulatory-cleared, in-clinic assessment tool used to conduct a knee kinesiography, which evaluates knee functional deficiencies linked to patients’ symptoms or future orthopedic disease progression. Continue reading

September 2020

ÖSSUR’S PRACTICE MANAGEMENT APP FOR DMEPOS

Össur’s streamlined version of its Empower program provides comprehensive workflow and practice-management solutions for providers of durable medical equipment, prosthetics, orthotics, and supplies and O&P practices. It is now available via an app that is compatible with both Apple- and Android-based smartphones. Continue reading

September 2020

BLUETOOTH-CONNECTED INSOLES FOR RUNNING

Sport Profiler insoles from Digitsole are the first connected insoles for running that allow athletes to improve their performance by adopting a healthy gait. They are designed to analyze and interpret stride technique via multiple biomechanical parameters, prevent the risk of injury, and monitor and improve performance. Continue reading

September 2020

SIMPLE TEST HELPS TO PREDICT, PREVENT FALLS

The “enhanced paper grip test,” validated by researchers from the Centre for Biomechanics and Rehabilitation Technologies (CBRT) at Staffordshire University, England, involves pulling a small card from underneath the participant’s foot while asking them to grip with their big toe (hallux). Continue reading

September 2020

RED WING EXOS LITE LINE

Red Wing’s EXOS Lite is the company’s lightest-ever work boot. Designed for indoor and outdoor medium-duty jobs in warehousing, distribution, construction, light manufacturing, and service environments, key features of the ASTM- and CSA-compliant EXOS Lite models include… Continue reading

September 2020

DOD GRANTS $2M TO STUDY FALL-RELATED HEALTH OUTCOMES IN LOWER-LIMB PROSTHESIS USERS, MPKS

A $2,000,000 grant from the US Department of Defense’s (DoD) Congressionally Directed Medical Research Programs’ Orthotics and Prosthetics Outcomes Research Program has been awarded to a group of institutional collaborators to study fall-related health outcomes in lower-limb prosthesis users, including… Continue reading

September 2020

PRO-TEC ATHLETICS SPIKY MASSAGE BALL

Patients can roll away plantar fasciitis and other foot pain with the newly available Pro-Tec Athletics Spiky Massage Ball. The 3-inch-diameter firm massage ball has a spiky outer layer that offers a stimulating effect. Continue reading

August 2020

Evaluation and Treatment of Osteosarcopenia in Older Adults

Bone loss (osteopenia/osteoporosis) and loss of muscle mass and function (sarcopenia) are two of the most prevalent chronic conditions among aging adults. However, the mention of osteosarcopenia might garner a few puzzled looks. This relatively new term describes a geriatric syndrome in which osteopenia/osteoporosis and sarcopenia overlap in the same individual.

By Aisha Cobbs, PhD Continue reading

August 2020

Office-Based Advanced Wound Care Therapy

As diabetic foot ulcers plague more patients, wound care management—including a host of new technologies—are driving an increase in office visits. Diabetes mellitus is the leading cause for nontraumatic amputation. Since 1980, the number of people with diabetes around the world has nearly quadrupled, from 108 million to nearly 422 million in 2014—and it continues to rise.

By Michael Flores, DPM,  and Marshall G. Solomon, DPM, FACPM, FACFAS, FFPM RCPS (qlas) Continue reading

August 2020

Bike Fitting as a Diagnostic Tool

Like a good medical exam, a medical bike fit starts before the patient ever gets on the bike. Talking with cycling patients before any assessments can facilitate the diagnostic process. Bike fitting is a service that has been offered in bike shops and studios for decades. Bike fitting is also a medical service offered by physicians, physical therapists, chiropractors, and other qualified health care providers.

By Andrea Myers, PT, DPT Continue reading

August 2020

Why Use Exercise

It’s been a tough few weeks for exercise in healthcare, both on social media and in the literature. A recent systematic review1 has shown it provides little to no benefit for acute low back pain. Then a popular blogger called it ‘snake oil’ and a ‘dirty word.’2 And finally, a discussion on twitter questioned my favorite slogan of ‘you can’t go wrong getting strong.’

By Adam Meakins, BSc (Hons), Physiotherapy Continue reading

August 2020

What If We Adopted PPE as a Mindset for Ankle Protection?

Workplace safety, the right to be safe in your workplace and while going about the activities of your work, was certainly a thing before the COVID-19 pandemic struck. However, the pandemic laid bare some of the realities of the workplace that so many of us never even thought about. I’m talking, of course, about Personal Protective Equipment, or PPE.

By Craig J. Hubbard, Inventor/Designer Continue reading

August 2020

Pernio-like Skin Lesions in COVID-19

As the COVID-19 pandemic continues to rage, so-called “COVID toes” continue to be reported around the world. These dermatologic manifestations were catalogued in a recent international registry-based case series, adding to the emerging evidence that pernio-like lesions may be a cutaneous manifestation of COVID-19. Continue reading

August 2020

Collegiate Twirlers Suffer High Rates of Lower Extremity Injuries

Baton twirling, which has been around in some form since military groups first twirled torches and rifles, is evolving into a highly competitive sport, drawing ever larger numbers of youth athletes. Today’s twirling is a unique performance-based sport that emphasizes strength, athleticism, and artistry. It requires fine coordination of fingers, hands, arms, feet, and legs, as well as extraordinary control of the back, stomach, and torso—all so the twirler can control the baton. Continue reading