Category Archives: Archives

December 2010

Out on a limb: Shop and learn

The J. Peterman Company is probably best known as the erstwhile employer of Elaine Benes on “Seinfeld.” But the company and its distinctive catalogs made a lasting impression on me when I first came across them years earlier.

Jordana Bieze Foster, Editor

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December 2010

Therapeutic shoe benefit: It’s complicated

An increasing number of patients with diabetes are taking advantage of a Medicare benefit for therapeutic shoes, but more could make use of the preventive measure to avoid further complications and possible amputation, practitioners say. Posing an obstacle, however, are the increased paperwork demands and looming fee cuts to physicians by the Centers for Medicare and Medicaid Services (CMS).

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December 2010

Diabetic socks: More than meets the toe

With so much emphasis placed on proper diabetic footwear, especially for those who suffer from peripheral neuropathy, patients with diabetes may not realize how crucial the size, fit, fiber, and construction of socks also are. Since socks are an integral part of treatment, the following do’s and don’ts may help practitioners educate patients about proper sock selection and wear.

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December 2010

New materials drive fabrication techniques

When a new material comes on the scene, industry experts say that training and common-sense techniques go a long way toward understanding how best to handle it—whether the issue is safety or the durability of the finished device.

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December 2010

The right fit matters, shoe studies suggest

Children’s feet grow so irregularly and so fast.  As every parent can attest, their children seem to outgrow sneakers and maryjanes in lightspeed. But this headache isn’t the only problem. According to two recent European studies, children’s ill-fitting shoes can pose a health dilemma as well.

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December 2010

The inside story on liner choices

Selecting the right prosthetic liner for an amputee patient is a complex problem that clinicians grapple with daily. They find themselves constantly weighing trade-offs between liner features. Cushioning and comfort inevitably must be balanced with durability. More cushioning decreases how long the liner will maintain its shape and protective properties before deteriorating.

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December 2010

Standardized system for PMDs wins nod

The explosive growth in research and clinical applications for plantar pressure measurement devices (PMDs) has led to efforts to standardize protocols so that data can be more easily interpreted and compared by scientists and clinicians.

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December 2010

Breakdown ahead? Time to replace insoles

Despite research suggesting diabetic foot orthoses may need replacing only once a year, practitioners say there are a number of clinical reasons why an individual patient might need new insoles more often.

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December 2010

Gait speed in AFOs: Results may vary

Numerous studies, and significant clinical experience, suggest that ankle foot orthoses help increase gait speed in post-stroke patients with hemiplegia or drop foot. Not all research supports this conclusion, however…

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December 2010

Jury is out on proprioception-OA link

Despite the awareness among researchers that patients with knee osteoarthritis (OA) have impaired proprioception, the clinical implications of these deficits remain unresolved. Some scientific evidence indicates that impaired proprioception is linked to increased pain in knee OA, but whether impaired proprioceptive acuity results in progression of the disease remains uncertain.

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December 2010

No final stretch in plantar fasciitis debate

The extent to which stretching and strengthening exercises successfully address plantar fasciitis continues to be a matter of debate among practitioners. Variables known to be associated with the condition include obesity, reduced ankle dorsiflexion, and work-related weight-bearing.

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December 2010

AFO choices for PTTD grow clearer

Posterior tibial tendon dysfunction (PTTD) continues to bedevil clinicians treating patients for whom a conservative, nonsurgical approach is indicated. Although extensive research has supported treatment with AFOs, few controlled trials have been conducted, and the choice between articulated and solid designs has largely remained a matter of individual preference.

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December 2010

Good to go? Testing key after TKA

Recent published studies suggest that patient-reported outcomes after total knee arthroplasty (TKA) don’t actually reflect performance on functional tests. So, although patients may be reporting significant improvement in their ability to walk, climb stairs, and function overall, their Timed Up and Go Test results may actually tell a different story.

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December 2010

New twists on ankle sprain prevention

Athletes, coaches, and trainers have long known that ankle sprains—the most common athletic injury—seem more likely as games wear on and players become tired. Only recently, however, have researchers begun to quantify how fatigue affects biomechanics and what those changes may imply for injury risk and prevention.

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December 2010

Stress fracture factors guide orthotic choices

Stress fractures are generally thought to occur due to a multitude of factors. These include age and activity level (those under age 24 experience most such injuries, probably during high-intensity athletics and military service); gender (women are at higher risk, partly as a result of endocrine issues); and training (or overtraining) while wearing inadequate footwear.

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December 2010

Likely link in patellofemoral conditions

ike other common multifactorial conditions, patellofemoral pain syndrome (PFPS) can be frustrating to treat. Contributing factors may include overuse, malalignment, muscular dysfunction, microtrauma, or a combination; multimodal treatment regimens are popular for relieving immediate symptoms.

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December 2010

CAD-CAM’s features help win O&P converts

Shane Coltrain, CPO, knows computer-aided design and computer-aided manufacturing (CAD-CAM) as well as anyone in his field. That’s because he’s been using it for about eight years, gaining experience with the tool every day while so many of his industry colleagues remain resistant to make the technological leap.

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November 2010

Performance Socks

Sole announces the release of its redesigned Performance Socks. Lightweight Sport and Dual Layer socks are offered in no-show, ankle, and crew lengths in either black or white. A blend of Tactel, Coolmax and Lycra fabrics provides a soft, comfortable … Continue reading

November 2010

Symes Little Feet

Prosthetic technology company TRS has introduced a Symes version of its Little Feet product line. Little Feet are designed for infants and children and come in sizes 10, 11, 12, and 13 cm long; they are available in three skin … Continue reading

November 2010

Heelift Soft Foam AFO Boot

DM Systems offers the new Heelift AFO for limited weightbearing. The Heelift AFO features a semi-rigid polypropylene brace, which is positioned to provide safe ankle and foot support. Customizable foam pads elevate the heel and protect of the Achilles tendon; … Continue reading

November 2010

Darco Web Ankle Brace

Darco International introduces the Web Ankle Brace. The ankle brace is a true convertible brace that can transform from an acute brace to a full support product with a simple adjustment, eliminating the need for multiple braces. The brace is … Continue reading

November 2010

Topical BioMedics Topricin Foot Cream

Topical BioMedics offers all natural Topricin Foot Therapy Cream in two new smaller sizes. Originally offered in an 8 oz bottle, the pain relief healing cream that’s specially formulated to target foot and ankle pain is also now available in … Continue reading

November 2010

Thermoskin Plantar FXT Ultra

Swede-O has announced its launch of the Thermoskin Plantar FXT Ultra for the nighttime treatment of plantar fasciitis. The Plantar FXT Ultra holds the foot at approximately 90° so the plantar fascia is in a stretched position where it may … Continue reading

November 2010

Polhemus G4 Motion Tracker

Motion technology company Polhemus  has unveiled the G4, a 6-degree-of-freedom motion tracker that boasts wireless communication and  AC electromagnetic technology, and fits in your pocket. Designed for applications including biomechanical and sports performance analysis, G4 touts the power of larger, more … Continue reading

November 2010

Deertracks Shoes

Pilgrim Shoes offers the Deertracks line of shoes, made in the USA. Added shaft height allows for better fitting of any kind of orthotics or braces, while a wide shaft opening allows easy on/off. Thick, breathable, shock-absorbing insoles are designed … Continue reading