Lower Extremity Review
There is a need for guidance to help allied healthcare professionals manage an evidence-based treatment plan of usual care for ankle osteoarthritis. International clinical guidelines recommend non-pharmacological interventions such as exercises and weight loss as first-line management for osteoarthritis (OA), regardless of joint site. Whereas several evidenced-based non-surgical management…
By Michael J. Callaghan, Jinal Pravin Gala, and Edward Roddy
Pes planus is also known as flatfoot. It comes from Latin word that means pes as foot and planus as flat or ground level. Here, the medial longitudinal arch of the foot descends, resulting in a lack of spring action and increased stress on the entire foot with each step. It serves as an adaptive support base for the entire body, functions to…
By Pradhyum D. Kolhe , H V Sharath , Siddhi G. Rathi , Deepali S. Patil
This study came as highly needed because it highlighted the benefit of aquatic training in the rehabilitation of Grade 3 acute ankle sprain by showing very promising results.Ankle sprains are the second most common sports injury after knee injuries, with about 85% of them affecting the lateral ankle ligaments, and ankle injuries account for 14% of orthopedic emergency…
By Maryam M. Sadaak, Salwa Fadl AbdElMageed, and Mona Mohamed Ibrahim
Posterior Tibial Tendon Dysfunction (PTTD) is a pervasive condition impacting the foot and ankle, representing a significant challenge in long-term management for both the patient and the healthcare team. This dysfunction occurs when the posterior tibial tendon, a vital structural support for the arch that enables efficient foot function, becomes injured or degraded, either through…
By Roger Marzano, CPO, CPed
People with diabetes suffer from serious micro and macrovascular complications of the disease with negative effects on blood flow and lower extremity sensation. Drug therapy alone might be insufficient to prevent or treat these health problems, and patients may need complementary therapy.
By Ahmad Mahdi Ahmad, Akram Abdel-Aziz, Walaa Anwar Mohamed Khalifa, and Alaa Abulfotouh Mohammed
It is necessary to identify measurement methods that can detect greater ankle dorsiflexion range of motion limitation in patients with foot and ankle injuries. In clinical practice, ankle dorsiflexion range of motion (DROM) is commonly assessed in patients with foot and ankle injuries (eg, fractures, ligament, and tendon injuries).
By Yuta Koshino, Tomoya Takabayashi, Hiroshi Akuzawa, Takeshi Mizota, Shun Numasawa, Takumi Kobayashi, Shintarou Kudo, Yoshiki Hikita, Naoki Akiyoshi, and Mutsuaki Edama
These authors searched PubMed, EMBASE, Cochrane databases, and trials registries for all studies relating to offloading interventions in people with DFU to address 14 clinical question comparisons. Outcomes included ulcers healed, plantar pressure, weight-bearing activity, adherence, new lesions…
By P.A. Lazzarini, D.G. Armstrong, R.T. Crews, C. Gooday, G. Jarl, K. Kirketerp-Moller, V. Viswanathan, and S.A. Bus
The Achilles tendon is the largest and strongest tendon in the human body, connecting the muscles of the gastrosoleus complex to the calcaneus. The Achilles tendon is important to maintain the standing posture, and during walking, running, and jumping.
By Shi-Ming Feng, Nicola Maffulli, Francesco Oliva, Amol Saxena, Yue-Feng Hao, Ying-Hui Hua, Hai-Lin Xu, Xu Tao, Wei Xu, Filippo Migliorini, and Chao Ma
Point of care diagnostic ultrasound can be a useful tool for the evaluation, diagnosis, treatment, and risk identification of patellar tendinopathy. Measurements of the patellar tendon that may be useful include tendon thickness, stiffness, and biomarkers of tendon quality which can provide clinicians with a more …
By Sarah L. Woelfel, MA, LAT, ATC and Adam B. Rosen, PhD, ATC
Move over pickleball! Professional bull riding is a growing sport across the United States and the world. Viewership of the events—topping 30 million at a time—increases weekly. The Professional Bull Riders (PBR, the leading association of riders) signed a 10-year broadcast deal in 2018 with CBS and another in 2023 with Spanish-language Univision.
Tai Chi is an evidence-based fall prevention training for older adults, yet its effective movements remain unclear. Practicing Tai Chi (TC)—exercise that consists of a series of slow movements performed in semi-squat positions with an emphasis on coordination of whole-body movement and mind—is an effective way to prevent falls in older adults.
By Min Mao, PhDc; Vicki S. Mercer, PT, PhD; Fuzhong Li, PhD; Michael T. Gross, PT, PhD, FAPTA; Troy Blackburn, PhD, ATC; and Bing Yu, PhD
To maximize the AFO’s effect on walking energy cost reduction, the AFO’s bending stiffness needs to be individually optimized. The stiffness of a dorsal leaf ankle foot orthosis (AFO) that minimizes walking energy cost in people with plantarflexor weakness varies between individuals. Using predictive simulations, the authors of this article studied the…
By NFJ Waterval, MSC; MM van der Krogt, Dr; K Veerkamp, T Geijtenbeek, PhD; J Harlaar, Dr, IR; F Nollet, MD, PhD; and MA Brehm, PhD
In the words of Plato, “Necessity is the mother of invention”. This is the story of the CastPack™, a novel and innovative cold therapy device designed to alleviate the suffering caused by the placement of casts. In 2020, like many middle-aged weekend warrior athletes, I jumped into a competitive pick-up game of basketball, without warming up or stretching.
By Joseph Hamad
Background: Riding lawn mower injuries are the most common cause of major limb loss in young U.S. children. Our study objective was to investigate the circumstances surrounding pediatric riding lawn mower injuries and to identify potential contributing risk factors and behaviors leading to these events.
By Charles A. Jennissen, Treyton D. Krupp, J. Priyanka Vakkalanka, and Pamela J. Hoogerwerf
A 2018 study from Johns Hopkins Surgery looking at 8 years of data found an average of 6,400 lawn mower injuries per year with an average cost of $37,000 per patient. In an unusually comprehensive analysis of nationwide data, researchers from Johns Hopkins Medicine concluded that the rate of lawn mower injuries persists at close to 6,400 a year, most of them…
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