Category Archives: Feature Article
Research presented at the most recent International Ankle Symposium indicates that rehabilitation for chronic ankle instability is evolving from a one-size-fits-all approach to an increased focus on matching specific interventions to the patients who are most likely to benefit.
By Lori Roniger Continue reading
In this original investigation, researchers analyzed the biomechanical effects of a foot orthosis in patients with flexible flat foot during walking and the extent to which those functional effects are consistent with proposed theories about the device’s mechanism of action.
By Bruce Elliott, PT, DPT, COMT, and Juan Garbalosa, PhD, PT Continue reading
Studies presented at the Patellofemoral Pain Research Retreat in Manchester, UK, illustrate the progress researchers are making toward the ultimate goal of being able to tailor exercise protocols and other interventions to best address the needs of specific patient subgroups.
By Jordana Bieze Foster Continue reading
High degrees of rotational traction associated with athletic footwear can increase the risk of noncontact lower extremity injury following an unexpected neuromuscular perturbation, possibly by increasing biomechanical joint loading at the ankle and knee.
By John W. Wannop, PhD; Ryan Madden, MSc; and Darren J. Stefanyshyn, PhD, PEng Continue reading
Although the medical literature has not yet provided definitive evidence of effectiveness, a number of existing studies suggest that yoga interventions are associated with improved physical and mental health outcomes among adults with knee osteoarthritis.
By Monica R. Maly, PT, PhD Continue reading
Hemostatic activation following a marathon is lower in athletes who run with compression socks than those who run with typical athletic socks, suggesting the garments may help reduce the risk of postexercise clot formation in athletes who travel to events.
By Amanda Zaleski, MS; and Beth Taylor, PhD Continue reading
Researchers at the University of Delaware in Newark are using a new ultrasound-based technique to better understand the effects of rehabilitation on the Achilles tendon, which could help optimize rehab protocols to improve long-term function.
By Cary Groner Continue reading
A meniscal injury gave one practitioner new insight into the patient experience and renewed his belief that healing isn’t just about what happens physically.
By Cary Groner Continue reading
Although milder than the spasticity-induced cases of equinus, limited ankle dorsiflexion in the non-neurological population is increasingly recognized as a source of excessive strain throughout the foot and a factor in the pathogenesis of many foot conditions.
By Nicholas V. DiMassa and Jeffrey M. Whitaker DPM, FACFAS Continue reading
Recent analyses cautiously recommend the short-term adjunctive use of hyperbaric oxygen therapy (HBOT) for diabetic foot ulcer healing under certain conditions, but in the absence of high-quality clinical trials, experts continue to debate the controversial therapy’s benefits.
By Hank Black Continue reading
Using muscle function symmetry as an indicator of patient progress after anterior cruciate ligament (ACL) reconstruction can provide insight about potential targets for intervention to improve movement quality, functional performance, and patient outcomes.
By Christopher Kuenze, PhD, ATC; and Adam Kelly, MS, ATC Continue reading
Given that existing therapies for intermittent claudication are not appropriate for all patients, researchers are working to develop new therapies focused on improving patients’ ability to compensate for a vascular occlusion by expanding collateral artery pathways.
By Steven J. Miller, PhD; A. George Akingba, MD, PhD; and Joseph L. Unthank, PhD Continue reading
A number of amputees, many inspired by the expert care they received after losing a limb, have been motivated to pursue careers in prosthetics, where they can provide patients with a unique and personal perspective. Four of these practitioners shared their stories with.
By P.K. Daniel Continue reading
Multiple studies indicate that poor movement, as assessed using the Functional Movement Screen, and past history of injury are risk factors for future injury, and a recent investigation suggests that risk is…
By MAJ Michael Garrison, PT, DSc, OCS, SCS; and MAJ Richard Westrick, PT, DSc, OCS, SCS Continue reading
Kinematic and kinetic alterations in the lower extremities that researchers have observed during the course of a prolonged run may provide clinically relevant insights into patellofemoral pain and other conditions associated with a gradual onset of symptoms during exercise.
By Lauren Benson, MS; and Kristian O’Connor, PhD Continue reading
Along with technical issues related to muscle weakness, fatigue, and pain, the challenges of managing this heterogeneous population include patients’ emotional response to the idea of needing an orthotic device for a disability they thought they had overcome.
By Larry Hand Continue reading
Preliminary research suggests platelet-rich plasma (PRP) is a safe and effective means of treating hamstring injuries that do not respond to early conservative measures…
By Frank B. Wydra, MD; Ryan R. Fader, MD; Omer Mei-Dan, MD; and Eric C. McCarty, MD Continue reading
The frontal and sagittal plane gait biomechanics associated with progression to total joint replacement in patients with knee osteoarthritis, particularly variables related to sustained loading, may be promising…
By Cheryl Hubley-Kozey, PhD, and Gillian Hatfield, PT, PhD Continue reading
Study findings suggest that increased loading rates and tibial acceleration are associated with an increased risk of sustaining a tibial stress fracture. Interventions directed at reducing these impact…
By CPT Jamie B. Morris, DPT, OCS, CSCS, and LTC Donald L. Goss, PT, PhD, OCS, ATC Continue reading
Given that older women are at increased risk for osteoporosis, an increased incidence of fifth metatarsal fractures with increasing age in women suggests that such injuries could serve as an early point of entry into osteoporosis treatment and fracture prevention.
By David Beck, MD, Justin Kane, MD, and David Pedowitz, MD Continue reading
Research utilizing contrast-enhanced ultrasound suggests that, although cryotherapy effectively decreases the pain associated with exercise-related muscle damage, those symptomatic effects are not associated with decreased blood flow in the affected skeletal muscle.
By Noelle M. Selkow, PhD, ATC, and Susan A. Saliba, PhD, MPT, ATC Continue reading
With evidence-based protocols in hand, practitioners can feel more comfortable clinically integrating surface electromyography (sEMG) assessment, creating more sophisticated sEMG treatment protocols, and demonstrating the effectiveness of interventions.
By Rachelle Bordlee, sDPT, and Christopher Kevin Wong, PT, PhD Continue reading
Patellofemoral pain interventions have increasingly focused on running technique and training approaches—such as utilization of a forefoot strike pattern, a shortened step length, and manipulations to training pace—to reduce patellofemoral joint loading parameters.
By Collin D. Bowersock, BS, and John D. Willson, PT, PhD Continue reading
In recent years, studies have elucidated aspects of the biomechanical effects of posterior tibial tendon dysfunction that may ultimately lead to improvements in treatment. But it isn’t always clear which factors contribute to PTTD and which
develop in response.
By Cary Groner Continue reading
Many US football players have lower than adequate serum vitamin D levels, but questions remain about the potential benefits of proactive treatment with supplementation to address vitamin D deficiency and reduce the risk of fracture in this
By Mark A. Duca, MD; Christina M. Mathyssek, PhD; Jeffrey W. Bost, PA-C; and Joseph C. Maroon, MD Continue reading