Category Archives: Feature Article
Altering joint alignment is associated with decreased pain and improved function. Researchers are working to explain the mechanisms underlying these effects, particularly with respect to bracing.
By Yatin Kirane, D.Orth, PhD; Rebecca Zifchock, PhD; and Howard Hillstrom, PhD
When it comes to diabetic foot ulcers, primary healing is only half the battle. Staggeringly high recurrence rates underscore the need for lower extremity practitioners to continue preventive measures long after the coast appears to be clear.
By Cary Groner
Flip-flops might seem to fall under the umbrella of minimalist footwear. But research suggests that walking in flip-flops is far from normal, and that only more structured models can approximate the elusive barefoot-like gait.
By Justin F. Shroyer, PhD, CSCS, NSCA-CPT, and Wendi H. Weimar PhD
It’s not uncommon to encounter undiagnosed PAD in patients who have come in for a seemingly unrelated complaint. Understanding the risk factors, diagnostic techniques and treatment options is key.
By Steven Miller, DPM
A recent study sheds new light on the underlying mechanisms of patellar taping, helps explain some previous contradictory findings, and provides strong evidence for patient specific treatments.
By Frances T. Sheehan, PhD Continue reading
Research suggests that training protocols can reduce the risk of anterior cruciate ligament tear, but epidemiological evidence suggests that in the real world, training doesn’t work as well as it should.
By Barbara Boughton Continue reading
The current approach to gait retraining after incomplete spinal cord injury emphasizes restoration of normal walking patterns rather than compensation, which is changing perceptions about AFOs.
By Preeti M Nair, PT, PhD, and Andrea L Behrman, PT, PhD Continue reading
The medical literature provides a range of evidence on which to base treatment decisions, but the practitioner must interpret and evaluate that evidence in the context of his or her clinical expertise.
By Cordell Atkins, PT, DPT, CWS, CDE, CPed Continue reading
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Assessing device alignment is a key aspect of prosthetic practice, but when it comes to lower extremity orthotics the process is less common. That’s changing, however, as researchers begin to document the effects of alignment on gait biomechanics.
by Cary Groner
Obesity not only increases the risk of knee osteoarthritis but also makes it more difficult to treat, as typical exercise recommendations often are simply not practical. Gait researchers, however, are working to identify new potential therapeutic approaches.
by Elizabeth M. Russell, MS, and Joseph Hamill, PhD
The practitioner’s objective in treating flexible flatfoot is to realign the foot and eliminate pain. Multiple nonsurgical therapeutic options are available, but if those are unsuccessful, surgical interventions can be effective.
by Neal M. Blitz, DPM, FACFAS, and Pawel Hanulewicz, MD
Research has elucidated new information about the disease processes that contribute to Achilles tendinopathy and the relative effectiveness of therapies such as heavy-load eccentric exercise and injections of corticosteroids, dextrose, and other solutions.
by Michael Ryan PhD, CPed(C)
The importance of glycemic control in patients with diabetes is well known. But neurological studies suggest that dyslipidemia is actually a more significant contributor to the development of peripheral neuropathy in the same patient population.
by Andrea M. Vincent, PhD, Lucy M. Hinder, PhD, and Eva L. Feldman, MD, PhD
Top opinion leaders and researchers from across the globe came together in May for the International Society of Prosthetics & Orthotics (ISPO) meeting in Leipzig, Germany, and the International Federation of Podiatrists (FIP) meeting in Amsterdam. This special report covers a range of topics from both events, specifically selected for their relevance to the lower extremity practitioner. By Jordana Bieze Foster
Clinicians who have volunteered their time in Haiti since the January earthquake have helped restore mobility and independence to a new generation of amputees.
By L.W. Barnes
As it turned out, donating a million dollars worth of shoes was the easy part. Then there was the daunting–but rewarding–task of getting the shoes to those who needed them in Haiti.
By Todd Carter
Surgical procedures are often unavoidable in patients with diabetes, and can even help reduce future risk of ulceration. But high postoperative infection rates in this patient population pose additional challenges to practitioners.
by Ryan L. McMillen, DPM, Nicholas J. Lowery, DPM, and Dane K. Wukich, MD
The mechanism by which foot orthoses improve postural control remains uncertain, but research suggests that it may stem from improvements in sensory feedback or changes in center of pressure that in turn affect joint moments.
By Douglas Richie, DPM
Research suggests that more than three-quarters of professional basketball players return to play following microfracture surgery, but may not regain their previous level of athletic performance.
By Nirav H. Amin, MD, Martin J. Morrison III MD, Douglas L. Cerynik, MD, and James Tom, MD.
Call it rose colored glasses, or simply being the eternal optimist. Whatever you call it, historical evidence suggests that certain companies can trace their phenomenal business successes to decisions made during severe recessions.
By Jason Kraus
Long-distance running continues to be a popular recreational pursuit in the U.S. The running boom of the 1970s opened the door for mass participation in road races and marathons, and today there are an estimated 36 million runners in the U.S. Increased participation, however, has led to an increased number of injuries as well. The yearly incidence of running injuries is estimated to be between 37% and 56%.
by Ryan C. Enke, MD
Researchers and practitioners are gradually realizing that peak plantar pressure may not be as useful for predicting and preventing diabetic foot ulcers as previously thought, and are beginning to refocus their attention on plantar shear.
By Metin Yavuz, PhD
Research suggests that a tailored yoga practice can help reduce pain and improve function in patients with knee osteoarthritis. Potential mechanisms include strengthening, improving flexibility, and altering gait biomechanics. by Richa Mishra, MD, and Sharon L. Kolasinski, MD