Category Archives: Archives

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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July 2011

Anterior stiffness differentiates chronic ankle instability from ‘potential copers’

Anterior stiffness may be a key differentiator between people who develop chronic instability following an ankle sprain and those who recover fully, according to research presented in June at the annual meeting of the National Athletic Trainers Association. Investigators from … Continue reading

July 2011

Shear associated with heel height could increase shoe-related risks

Posterolateral shear stress increases with heel height and could play a key role in high-heeled shoe-related foot disorders, according to a study in the June issue of the Journal of Biomechanics. Investigators from Hong Kong Polytechnic University used in-shoe triaxial … Continue reading

July 2011

Inexpensive intervention reduces falls in older adults with severe foot pain

A multifaceted fall-prevention program introduced in a group of community dwelling older adults reduced falls by 36% compared with a control group, according to a June British Medical Journal study. Investigators at La Trobe University in Bundoora, Australia, randomized 305 … Continue reading

July 2011

Delcam opens orthotic demo center, updates design/manufacture software

Fort Myers, FL-based Delcam’s new demonstration center in Windsor, Ontario, will allow the company’s application engineers to reproduce client problems to find quick solutions, provide a venue for demonstrating applications of its digital technology, which covers a range of products … Continue reading

July 2011

JMS Plastics Supply broadens scope with Orthofeet insoles, shoes, socks

On July 1 Neptune, NJ-based JMS Plastics Supply began selling Orthofeet’s therapeutic shoes, diabetic insoles, and therapeutic socks. Orthofeet’s shoes and orthotics are approved by Medicare and meet the requirements of the Therapeutic Shoe Bill. The shoe line is appropriate … Continue reading

July 2011

Medco to carry Progressive Health Innovation’s Ankle Foot maXimizer

Progressive Health Innovations, the Port Moody, B.C.-based manufacturer of the Ankle Foot maXimizer (AFX), has reached a distribution agreement with Medco Sports Medicine, a division of Patterson Medical and the largest supplier of medical products to athletic trainers in the … Continue reading

July 2011

Art de Cure event raises $25,000 for American Diabetes Association

Art de Cure’s Albany, NY, board members presenteda $25,000 check to the American Diabetes Association (ADA) on June 3 at the Tour de Cure VIP Awards Dinner. The money was raised at a benefit held in the Art de Cure … Continue reading

July 2011

Ballet dancers say Muscle Angel massagers keep them on their toes

Boston Ballet Company dancers and physical therapists recently endorsed the hand-held massagers from Muscle Angels, part of Brookline, MA-based Norbis Innovations. Kelsey Hellebuyck, corps de ballet member, said she uses two Muscle Angels to work both sides of her body … Continue reading

July 2011

Shavelson gets patent for foot typing system, foot-type specific orthotics

Dennis Shavelson, DPM, recently received a U.S. patent for his Functional Foot Typing (FFT) method, FFT Pre-Orthotic Padding system, and Foot Centring orthotics. Shavelson’s FFT system identifies four possible types for both the rearfoot and the forefoot: rigid, stable, flexible, … Continue reading