Category Archives: Archives

August 2020

ÖSSUR INTRODUCES BALANCE FOOT PROSTHESES

Össur has introduced 2 prosthetic feet for less-active people with lower limb loss. Balance Foot S is a lightweight, waterproof, comfortable fiberglass prosthetic foot featuring a wide sole blade, innovative high-performance foam base that spans the length of the foot, and a unique cushioning foam heel, all to facilitate smooth rollover and sit-to-stand movements, as well as to enhance the user’s perception of stability. Continue reading

August 2020

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

This 2-part series examines the current state of peripheral artery disease. This article focuses on disease burden, risk factors, and clinical presentation. Part 2, which will appear next month, will examine current recommendations for diagnosis and treatment.

By Aisha Cobbs, PhD Continue reading

August 2020

Diagnostic Accuracy of PADnet Xpress® in the Detection of Peripheral Artery Disease

With existing knowledge, much of the cardiovascular risk burden of peripheral artery disease (PAD) is preventable. PAD is a common atherosclerotic syndrome that is estimated to affect 12.5 million Americans and 237 million people worldwide.1 One in five Americans over the age of 65 has PAD.2 Based on national treatment patterns, more than half of all patients with PAD do not know they have it.

By Sue Duval, PhD Continue reading

July 2020

How Well Did You Read This Issue?

Test your knowledge of information from this issue of Lower Extremity Review and the world in general with our new crossword puzzle feature.

July 2020

Young Children Can Benefit From Articulating Knee Prosthesis

Children using new flexible knee prosthetic, which costs the same as the traditional stiff prosthetic, do not show adaptations in gait kinematics. A new study shows that young children with limb loss will use and benefit from prosthetic knee flexion and extension, if it is available to them. The study counters the current standard of care that uses a…

By Dave Shelles Continue reading

July 2020

Wound Care Update Theragnostic Imaging: Beyond Standard Photographs

Implementation of these new, highly sophisticated devices can help prevent, diagnose, treat, and monitor wound progress. As a medical director in a wound care clinic and the director of wound research for a podiatric medical school, I’ve seen a lot wound imaging in my time. Recently, I have seen some new and exciting imaging innovations enter the wound care space that…

By Windy Cole, DPM Continue reading

July 2020

Functional Ankle Instability Prevalence and Associated Risk Factors in Male Football Players

Reported incidence rates for ankle sprains range from 15% to 45%. This study looked at self-reported ankle instability in regional European football players and found that age and injury repetition as well as exposure time and position on the field were associated with instability rates, suggesting the need for specific prevention strategies.

By A. Cruz, R. Oliveira, A.G. Silva

Continue reading

July 2020

A Review of Nonsurgical Treatment of Hypertrophic Scars

Managing patients with hypertrophic scars can be challenging, with a variety of conservative treatment options suggested in the medical literature. This review summarizes conservative treatment options for hypertrophic scars, focusing on the mechanisms of action, risks, complications, and efficacy of various options.

By Laura-Ashley O’Connell, DPM; Adrienne Estes, DPM, MS, AACFAS, FAPWHc; and David Shofler, DPM, MSHS Continue reading

July 2020

DorsiFLEX: Physical Therapy Device for the Treatment and Prevention of Plantar Fasciitis, and More

Jim Cooper, a world-class runner during the 1980s and early 1990s, developed bilateral plantar fasciitis late in his running career. He sought help from a physical therapist, he says, and was given stretching exercises to do—wall leans, heel drops, and pulling on his toes with a towel—none of which seemed to help. Continue reading

July 2020

How Right Now: Tools to Help with Coping

How Right Now is an initiative to address people’s feelings of grief, loss, and worry during the COVID-19 pandemic. Overall, it aims to increase people’s ability to adapt and be resilient during this time. The How Right Now initiative is funded by the CDC Foundation. How Right Now has four primary audiences, which include: adults over 65 and their caregivers; people with pre-existing physical and… Continue reading

July 2020

Expanded Telehealth Increases Cybersecurity Risks

While our understanding of why COVID-19 affects different individuals so dramatically remains vexing, clinicians at Montefiore Medical Center in the Bronx, New York, put together an observational study to determine whether early treatment with glucocorticoids is associated with reduced mortality or the need for… Continue reading

July 2020

C-Reactive Protein Test May Aid in Treatment Decisions

While our understanding of why COVID-19 affects different individuals so dramatically remains vexing, clinicians at Montefiore Medical Center in the Bronx, New York, put together an observational study to determine whether early treatment with glucocorticoids is associated with reduced mortality or the need for… Continue reading

July 2020

COVID-19, Athletic Trainers, and Social Determinants of Health

COVID-19 has created a unique situation where demand for traditional athletic training services for those in athletic endeavors has decreased.  At the same time, the need for best practices in interprofessional collaboration, upstream primary care triage, and return to activity guidance amidst a healthcare crisis are in high demand.  Innovation and redefining of historical practices are creating new opportunities for the…

By David Gallegos, MA, ATC, Cert. MDT Continue reading

July 2020

Getting Off 1 Bus Stop Earlier = 50+ Days in Life Expectancy

In early 2019, Dublin’s Department of Health wanted to encourage public transport riders to improve their activity levels by alighting 1 stop earlier and walking to their destination. To gain the public’s attention, they decided to relate the additional steps to the potential increase in life-expectancy (calculated at a population level). Continue reading

July 2020

Compression Stockings Effective in Diabetes & PAD; Aid Sport Activity Performance

Two new studies show the effectiveness of compression stockings (CS) in the settings of diabetes and peripheral arterial disease (PAD) as well as in sport performance. The first, from Friedrich-Alexander-Universitat Erlangen-Nurnberg in Germany and published in BMJ Open Diabetes Research & Care, looked at… Continue reading

July 2020

Not Just for Kids! Virtual Reality Training Improves Balance in Older Adults

Falls are common among adults over age 65 with 30% reporting at least 1 fall in 2014 in the United States. Falls can cause life-threatening injuries leading to emergency department visits, hospitalizations, and even death. The good news is that exercise-based falls prevention programs have been proven… Continue reading

July 2020

Predicting Return-to-Play After Calf Muscle Strain Injury

In a study of 149 calf muscle strain injuries (CMSI) among 123 Australian Football League players, researchers from the La Trobe Sport and Exercise Medicine Research Center sought to determine whether clinical and radiological factors can be predictive of both return to play and/or re-injury. Continue reading

July 2020

Skateboarding Survey: 70% Suffer Lower Extremity Injuries

In a web-based survey of 197 Spanish skateboarders (mean age 24.4 years; 89.3% male) researchers from the University A Coruña in Spain sought to better understand the practice habits and injuries of skateboarders. Continue reading

July 2020

Cooling Insoles Offer New Approach to Diabetic Foot Ulcer Prevention

Adults who suffer from pain due to diabetic peripheral neuropathy of the feet now have another treatment option: QUTENZA (capsaicin) 8% patch has received extended-label approval by the US Food and Drug Administration (FDA). The FDA originally approved the pain management patch in 2009 for… Continue reading

July 2020

Orphengesic Forte, New Opioid-free Pain Med, Approved for Musculoskeletal Pain

Galt Pharmaceuticals, Atlanta, GA, announced that the US Food & Drug Administration has issued a new drug approval for Orphengesic Forte, a non-opioid, non-controlled, non-addictive prescription pain medication. Orphengesic Forte is indicated for the relief of mild to moderate pain of acute musculoskeletal disorders, paired with rest, physical therapy, and other measures. Continue reading

July 2020

Abbott’s Personalized Chronic Pain Therapy App Approved by FDA

Abbott, Abbott Park, IL, has received approval to use its iOS-compatible St. Jude Medical Patient Controller Application, which is available for download from the Apple store. This app is for people living with chronic pain and neurologic disorders who are treated by Abbott neuromodulation devices including… Continue reading

July 2020

Honda Walking Assist Device Studied in Hemiplegic Stroke Patients, Children with CP

The Honda Walking Assist Device (HWAD) powered exoskeleton consists of a lumbar frame with motors on both sides to transfer force to the legs via thigh frames. This training device supports walking, based on the inverted pendulum model. Honda has been conducting research on the device since 1999. Continue reading

July 2020

SMART KNEE BANDAGE FOR ARTHROSIS PATIENTS

A multidisciplinary team of researchers and industry partners have collaborated on the development of a sensor-equipped prototype smart knee bandage that uses self-learning algorithms to estimate strain. Dubbed “Anthrokinemat,” this smart bandage was designed to support arthrosis patients in determining the right amount of daily exercise. Continue reading

July 2020

PRO-POINT MYOFASCIAL RELEASE TOOL

OPTP has unveiled its exclusive new Pro-Point Myofascial Release Tool. This portable self-massage tool measures 3″ in diameter and 2-1/8″ high. It is described as ideal for applying targeted, sustained pressure to help relieve tension and release trigger points throughout the body. Continue reading

July 2020

ZENTOES ANKLE COMPRESSION SOCK SLEEVES FOR SUPPORTING ACHING ANKLES

ZenToes’ Ankle Compression Sock Sleeves are designed to support the arch, heel, joint, and top of the foot to provide pain-relieving pressure that improves circulation and blood flow. These compression ankle sock sleeves can be worn to help relieve… Continue reading