Lower Extremity Review
Diabetic foot ulcers pose life-threatening risks to patients with diabetes. Offloading of high pressure areas of the foot is key to successful treatment. We review various methods here.
By James McGuire, DPM, PT, LPed, FAPWHc, and Tyler Coye, BA
Functional rehabilitation training protocols typically consist of stability and postural control exercises aimed at recovering from the proprioceptive defect that occurs after an ankle injury and preventing recurrent sprains by improving stabilometric results.
By Audris Tien, DPM, Jarrod Shapiro, DPM, FACFAS, FACFAOM, Jonathan Labovitz, DPM, FACFAS, CHCQM
Equinus is the primary mechanical cause of acquired non-traumatic foot and ankle pathology—plantar fasciitis, AT, and MSS—in running sports. The three most common lower-extremity overuse injuries among those who participate in running-related sports such as basketball have all been linked to the…
By Patrick A. DeHeer, DPM, FACFAS, FASPS, FFPM RCPS (Glasg)
How many practice trials are needed to achieve functional performance in static and dynamic balance and hopping tests among those with chronic ankle instability (CAI)? That was the question Jordan Read, a student at the University of North Texas Health Science Center, Fort Worth, Texas, and colleagues looked to answer in his poster, Recommended Number of Trials for Balance and Hopping Tests between Male and Female CAI.1
Chronic ankle instability (CAI) is a common issue in the athletic population. Although there are many prophylactic taping methods used to prevent repetitive ankle sprains, the effects of these taping methods in dynamic postural control are not clearly understood.
In the poster, Altered Movement Neuromechanics during Jump Landing and Cutting in Patients with Chronic Ankle Instability,3 Hyunsoo Kim, assistant professor of the Department of Kinesiology, West Chester University, West Chester, PA, and colleagues looked at altered movement pattern in patients with CAI to examine biomechanical factors for CAI.
Even though there have been numerous studies regarding prophylactic ankle taping, the way to control the increased mechanical laxity associated with their condition during dynamic activity is not clear. To investigate the effects of traditional tape (TT), fibular repositioning tape (FRT), and kinesiology tape (KT) on joint angles of the lower extremity, Songah Chae, a student in the Department of Movement Sciences at the University of Idaho, Moscow, ID, led a research team on the study, Influence of Prophylactic Ankle Tapes on Lower Extremity Kinematics during Stop-jump in Chronic Ankle Instability.4
Looking to identify specific movement strategies and describe lower extremity stiffness of the subgroups of patients with CAI compared to an uninjured control group, J. Ty Hopkins, PhD, professor of human performance research center at Brigham Young University, Provo, UT, examined 200 CAI participants (109 male) and 100 controls (54 male).
Definitions are important because words can make the difference between understanding and misunderstanding. I prefer a simple definition of footwear: that which covers the foot. This definition does not say it is a top covering of the foot—just a covering of the foot. In the definition of something as fundamental as footwear, I believe that less is more.
By Joseph M. Mozena
High relapse rate from preseason injuries presents significant challenge for athletes and sports teams. Hamstring strain injuries are among the most common in sports, often leading to recurring problems or future injury. Marcus Elliott, director of P3 Applied Sports Science and a former muscle-injury specialist for the National Football League’s New England Patriots, conducted…
By Keith Loria
Too much? Or not enough? New biofeedback tools help patients with lower-limb fracture in their struggle to understand how much weight to bear on an injured limb. Clinicians whose patients have a lower-limb fracture are faced with a paradox: whether or not to instruct them to place weight on the healing fracture.
By Jill R. Dorson
Osteoarthritis is among the leading causes of disability in the United States, costing billions of dollars each year in lost work hours, treatments, and doctor visits, and leaving people sidelined from day-to-day activities. That problem is mirrored and amplified in the military, a unique segment of the population that relies heavily on physical fitness and ability.
By Nicole Wetsman
End-stage arthritis of the ankle joint affects more than 50,000 people in the US. When conservative treatments do not provide enough relief, surgical options should be considered. Patient selection is key when choosing between ankle arthrodesis (fusion) and total ankle arthroplasty (replacement).
By Vicki Foerster, MD, MSc
New from Elite Orthopaedics is the Fracture Sock, designed to reduce skin irritation while wearing an ankle walker. The latex-free fracture sock is composed of 100% synthetic knit for superior moisture absorption. An improved cross stitch provides better compression, which helps reduce the risk of friction and lessens the risk of sock bunching. The product’s overall knit quality creates a comfortable barrier for the patient’s skin.
Sharon Diaz will step down as president and chief executive officer of Samuel Merritt University (SMU) in Oakland, CA, by January 2019. In 2002, Diaz was instrumental in bringing about the merger of SMU and the California College of Podiatric Medicine, now called the California School of Podiatric Medicine. Diaz was the first president of SMU and has been a leader in education for 45 years.
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