Category Archives: Archives

July 2011

Apis Mt. Emey Medical Footwear

Apis’s Mt. Emey Medical Collection shoes are designed for hard-to-fit feet as well as those with more challenging orthotic needs. These shoes offer a variety of closures for adjustability and accommodate mild or severe foot deformities, including those caused by … Continue reading

July 2011

QuikStride-Plus Prefab Insole

FootStride Technology’s custom orthotic lab offers an improved version of its QuikStride prefabricated insole. The insole’s full-length cover provides a shock-absorbing cushion that molds to patients’ feet while its combination of Dri-Lex Eco antimicrobial material and perforated EVA wicks away … Continue reading

July 2011

Pro-Tec Gel-Force Knee Support

Pro-Tec’s Gel-Force Knee Support is designed to alleviate knee pain and provide moderate knee joint stability for patients with patellofemoral pain syndrome, patellar maltracking, chondromalacia, and minor meniscus and ligament tears. It provides patellar compression and offers stability on the medial … Continue reading

July 2011

Direct-milled Polypro Orthotics

Amfit introduces direct-milled polypropylene functional orthotics (FOs). This addition to Amfit’s central fabrication facility allows practitioners to specify and dispense polypro FOs with the same ease as its ethyl vinyl acetate (EVA) functional orthotics. Amfit Polypro FOs offer adjustable rigidity, … Continue reading

July 2011

Hersco Low Profile Ankle Gauntlet

Hersco Ortho Labs introduces the extra low profile Butterfly brace, a lightweight, flexible, custom-made ankle gauntlet designed to fit in almost any shoe. The Butterfly is a slim version of the traditional plastic-in-leather ankle support and is an option for … Continue reading

July 2011

Double Depth From Dr. Comfort

Offering patients appealing styles of diabetic shoes can improve compliance and outcomes. Dr. Comfort’s new Double Depth Collection adds four new style options to its two classic designs; all come in several colors. This collection works for hard-to-fit patients, including … Continue reading

July 2011

Handcrafted Leather Orthotics

ComfortFit Labs’ Classic Leather Collection’s trio of handcrafted orthotics includes the Leather Balancer, Leather Shaffer, and Leather Laminate. The Leather Balancer’s deep heel cup provides rearfoot control and minimizes mediolateral instability. The Leather Shaffer’s medial flange offers firm arch support, … Continue reading

July 2011

New papers revisit, rekindle flexible flatfoot controversy

“Other considerations” spark debate

In January 2010, when LER first covered the controversy, Australian podiatrist and researcher Angela Evans, PhD, had recently published a paper in the Journal of the American Podiatric Medical Association suggesting that children whose feet were flatter than expected, but asymptomatic, should be monitored rather than automatically treated with orthoses.

By Cary Groner

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July 2011

CP experts assess evidence for use of orthotic devices

Despite progress, research gaps remain

The January publication in NeuroRehabili­tation of the recommendations from a consensus conference held in 2008 paints a less-than-perfect picture of the evidence underlying orthotic management of cerebral palsy (CP).

By Larry Hand

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July 2011

ACL injury prevention training focuses on younger athletes

Age-specific protocols are key to success

Training programs aimed at preventing anterior cruciate ligament injuries have been used for many years, but injury rates remain high. Injury prevention experts suggest such programs may be more effective if implemented before children reach the ages associated with highest injury risk and if the programs utilize age-specific protocols.

By Emily Delzell

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July 2011

Not all practitioners embrace soft soles for novice walkers

Barefoot-like isn’t necessarily best

Barefoot is a biomechanics buzzword these days, but not all practitioners believe soft-soled shoes are best for very young children, even if such shoes do approx­imate the barefoot walking experience.

By Shalmali Pal

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July 2011

Charcot-Marie-Tooth patients respond to AFO management

But recognizing device limits is key

Muscle weakness and instability associated with Charcot-Marie-Tooth disease in children can be addressed with ankle foot orthoses, research suggests, but practi­tioners should be aware of the limitations of AFOs in this patient population as well as the ever-present challenge of compliance.

By Shalmali Pal

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July 2011

French study favors Ponseti over compatriots’ technique

Casting simplifies clubfoot management

In a comparative study published in the April/May issue of the Journal of Pediatric Orthopaedics, French researchers found that Ponseti casting compared favorably to French physiotherapy for initial treatment of idiopathic clubfoot.

By Emily Delzell

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July 2011

Early research characterizes gait associated with autism

Results could have clinical implications

Little research has been published about gait patterns in children with autism, but that could be changing. One recently published study, although small, appears to lay the foundation for more focused research and could have clinical implications as well.

By Larry Hand

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July 2011

EXERCISE AND NEUROPATHY: Not mutually exclusive

Exercise is a cornerstone of treatment for diabetes, but for years patients with peripheral neuropathy have been dis­couraged from weight-bearing exercise for fear of further increasing ulceration risks. Now new research is turning that advice on its head.

By Cary Groner

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July 2011

Publisher’s memo: Our second year

Another year has virtually flown by, and I am so happy to share with you LER’s progress as an organization in the past year. Thanks in no small part to you, our readers, we have experienced a lot of exciting accomplishments and achieved some key goals that I had set when I started the magazine.

Richard Dubin, Publisher

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July 2011

Out on a limb: Subtle distinctions

Those investigating alleged improprieties associated with a 2007 study on hip protectors will tell you their efforts are all about ethics. But the way I see it, the more important lesson to be learned from this situation is one of biomechanics, specifically the clinical importance of the subtleties of asymmetry.

Jordana Bieze Foster, Editor

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July 2011

Ankle sprain prevention revisits shoes as solution

In the ongoing battle against inversion ankle sprains in basketball and other sports, high tops are old news. But shoe designers have begun to investigate other ways that shoes might play a role in preventing sprains rather than contributing to the problem.

By Cary Groner

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July 2011

Plantar fasciitis: A new take on custom orthoses

The medical literature generally supports the use of foot orthoses for management of plantar fasciitis symptoms, but evi­dence regarding specific orthotic designs is inconclusive. Early research suggests a temporary custom foot orthosis may be an effective treatment option.

By Caryn Doggett, DPT, Michelle Drake, DPT, and Robert Boyles, PT, DSc, OCS       

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July 2011

Original research: Skill level and balance in golf

Previous research has identified superior balance in professional golfers compared with controls as well as associations between balance and skill level in amateur golfers. This study compared standing balance characteristics between profes­sion­al and highly skilled amateur golfers.

By Robert Donatelli, PT, PhD; Kenji Carp, PT, ATC, OCS; Guido Pagnacco, PhD; and John Adam, ATC      

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July 2011

Prehabilitation for TJA: More than just exercise

New England Baptist Hospital’s multi­disciplinary prehabilitation program is grounded in research suggesting that outcomes after total joint replacement can be positively influenced by preoperative care that includes management of patient expectations as well as exercise.

By Claire E. Robbins, PT, DPT, MS, GCS, James V. Bono, MD, and Carl T. Talmo, MD

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July 2011

Meniscal misadventures

Some surgeries may predict AC lesions
Research presented this month at the annual meeting of the American Ortho­paedic Society for Sports Medicine spelled more bad news for advocates of menis­cectomy, potentially linking the embattled procedure to the development of articular cartilage lesions that can progress to osteoarthritis.

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July 2011

Soccer hamstring injury data suggest need for gender-specific intervention

Gender appears to affect patterns of hamstring injury in soccer, suggesting that different prevention strategies may be in order for male and female players, according to a study presented in June at the National Athletic Trainers Association meeting. Researchers from … Continue reading

July 2011

Low vitamin D levels plague NFL players, possibly increasing risk of muscle injury

A preseason evaluation of the New York Giants football team found that nearly all players suffered from vitamin D insufficiency, a factor that may have contributed to muscle injuries, according to a study presented this month at the AOSSM meeting. … Continue reading

July 2011

A coup for pes cavus

New approach supports orthotic care
In contrast with previous findings based on peak pressure values, an abstract presented at July’s International Society of Biomechanics (ISB) meeting in Brussels used a new method of measuring dynamic plantar pressure distribution to confirm that custom orthoses improve distribution of peak pressure during dynamic foot loading in patients with painful pes cavus.

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