Category Archives: Feature Article

Featured Issue Article

July 2018

From the Literature: Diet, osteoporosis, and hip fracture

Osteoporosis reduces bone mass, weakening the overall microarchitectural structure of bone tissue and leaving individuals susceptible to fractures from falls, or in severe cases, hard sneezes. That postmenopausal women are at increased risk for osteoporosis and the fractures it causes, has been known for some time.

By Janice Radak Continue reading

July 2018

Incorrectly fitted footwear, foot pain and foot disorders

This narrative review, excerpted here, sought to determine the prevalence of incorrectly fitted footwear and to examine its association with foot pain and foot disorders across 18 studies involving 3,205 patients.

By Andrew K. Buldt and Hylton B. Menz Continue reading

July 2018

The rise of the crossover: A chronicle of cars and prosthetic feet

The so-called crossover foot is emerging as an attractive option in lower-extremity prosthetics, just as crossovers found their way into the automotive market: because they offer utility.

By Phil Stevens, MEd, CPO, FAAOP Continue reading

June 2018

Ankle-foot orthoses and functional electrical stimulation for foot drop in MS: Pluses, minuses, progress

Assistive ambulation devices for the ankle can bolster walking speed and safety and lessen the risk of injury to the joint. But which of 2 technologies is best for your patient?

By Hank Black Continue reading

June 2018

EXPERT OPINION: Advances and alternatives in diabetic ulcer offloading

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 Continue reading

June 2018

Management of acute ankle sprains: To immobilize or not?

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 Continue reading

June 2018

Overuse Injuries in Elite Basketball Players

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) Continue reading

May 2018

Hamstring: Trends in preventing and treating hamstring-strain injuries

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 Continue reading

May 2018

Biofeedback aids in resolving the paradox of weight-bearing

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 Continue reading

May 2018

The lower limb and knee account for >75% of musculoskeletal injuries in today’s military.

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 Continue reading

May 2018

AA vs TAA: Update on ankle arthroplasty

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 Continue reading

April 2018

Making the most of resistance training in the management of knee osteoarthritis

Most physical therapists maintain that resistance training is beneficial to patients with knee osteoarthritis, but evidence from trials that have been designed with consistency is lacking. Experts discuss how to create an effective regimen given this information vacuum.

By Jill R. Dorson Continue reading

April 2018

Gait therapy in osteoarthritis of the hip: An assessment

Although clinicians and researchers have been gathering data for the use of gait therapy in patients with knee OA for some time, its use in hip OA is less far along, but shows promise. Does correcting for gait abnormalities have a role in the treatment of hip osteoarthritis (OA)?

By Nicole Wetsman Continue reading

April 2018

Does athletes’ divided attention affect mechanics associated with ACL injury?

We might be falling short in our efforts to prevent ACL injury by allowing athletes to focus on how they are moving during screening. Almost 8 million athletes participate in high school sports each year in the United States, and an additional 490,000 compete at the intercollegiate level.

By Sarah Marie Tighe, SPT, and Thomas Gus Almonroeder, PT, DPT, PhD Continue reading

April 2018

The future is now— Implications of 3D technology for orthoses

2018 is shaping up as a breakthrough year for 3D printing in orthoses, as the industry moves from promise to reality. Experts agree: Three-dimensional printing will deliver custom clinical products, designed for individual patients at an affordable price.

By Keith Loria Continue reading

March 2018

The effect of footwear on the management of pain caused by disorders of the knee joint

Clinical studies have demonstrated that properly fitted footwear may alleviate knee pain resulting from osteoarthritis or other joint disease processes, while the wrong shoe can exacerbate the condition. How can practitioners help patients with knee pain make the distinction?

By Keith Loria Continue reading

March 2018

Function meets fashion in modern therapeutic devices

Unattractive therapeutic devices do not benefit patients if they won’t wear them. Leading practitioners discuss how, over the past decade, manufacturers have made significant strides in turning the solely functional into the truly fabulous.

By Jill R. Dorson Continue reading

March 2018

Is it the foot— or the footwear? Considerations for protecting a diabetic foot

In diabetes, assessing the mechanical properties of the patient’s soft tissues and the properties of footwear and orthoses comes before drafting a management plan.

By Nachiappan Chockalingam, PhD Continue reading

March 2018

The effect of sensory stimulation on movement accuracy

The author explores the sensory aspects of the foot, and footwear, on patient movement accuracy, joint stabilization, and perception of pain. An integrative approach to the dynamics of human movement is discussed.

By Emily Splichal, DPM Continue reading

February 2018

Implications of asymmetry in the treatment of injured athletes

Given that many uninjured, successful athletes have some degree of asymmetry, how do clinicians interpret asymmetry in athletes recovering from injury?

By Cary Groner Continue reading

February 2018

Patient comfort vs diabetic wound healing: confronting nonadherence associated with removeable offloading devices

Patient adherence to consistent use of removeable offloading and immobilization devices is central to promote healing and prevent infection in diabetic foot ulcers, yet the tradeoff of removability easily compromises adherence. Choosing and customizing the right device is key.

By Barbara Boughton Continue reading

February 2018

Do specialty shoes boost weightlifting performance?

Sport-specific shoes may protect athletes from injury or enhance their performance. Do specialty weightlifting shoes offer these same benefits? What effect do the shoes have on posture, rearfoot force production, ankle range of motion, the ability to bend the knee deeply,  and other para­meters? Research is mixed.

By Jill R. Dorson Continue reading

January 2018

The effect of copper- impregnated socks on tinea pedis in football players

In a study of collegiate football players, who are at high risk of tinea pedis due to their training environment, copper-impregnated socks were associated with a high rate of tinea pedis symptom resolution and a low rate of new cases—supporting claims of the socks’ antifungal potential.

By Gary M. Rothenberg, DPM, CDE, CWS Continue reading

January 2018

Saying ‘PTTD’ is misleading: It’s time for a new lexicon to distinguish pathologies

The author applies his experience designing ankle foot orthoses to propose that, instead of using diagnostic language to describe medial column ligamentous failure, practitioners learn a new, descriptive language to understand the nature of a patient’s pathology.

By Ian Engelman, MS, CPO Continue reading

January 2018

Promoting postsurgical weight loss and activity to address joint pain

Strategies to help patients lose weight and become active after surgery need to be individualized, multifaceted, and re­inforced long-term. Many people who suffer from chronic joint pain are unable to exercise; as a result of this inactivity, they gain weight, which…

By Keith Loria Continue reading