Category Archives: Feature Article
The most common paradigm in bunion surgery relies on one or more metatarsal osteotomies to correct the 1-2 intermetatarsal angle (IMA) and soft tissue balancing to align the first metatarsophalangeal joint (MTPJ), sesamoid apparatus, and hallux. Additionally, the most common approach…
By Paul Dayton, DPM, MS, FACFAS, and Merrell Kauwe, DPM
Roughly 60% of overuse injuries in high school athletes occur in the lower extremities, injuries that are increasing in number as more students participate in sports. Treatment involves rest and correction of biomechanical deficiencies, and should be individualized to each athlete.
By Allison Schroeder; James Onate, PhD, AT, ATC, FNATA; and Thomas Best, MD, PhD Continue reading
The American Physical Therapy Association has updated its 2008 guidelines on the nonsurgical treatment of heel pain with a bolstered evidence base, but lower extremity practitioners continue to debate the clinical merits and most effective applications of certain newer therapies.
By Hank Black Continue reading
Psychological factors are responsible for delayed return to sports after anterior cruciate ligament reconstruction in a significant number of patients despite successful physical rehabilitation, but questions remain as to the most effective ways to address these issues.
By Trevor A. Lentz, PT, SCS, CSCS Continue reading
Early mobilization and weight bearing after Achilles tendon repair is associated with improved patient satisfaction and faster return to work and sports, with no significant increase in rates of tendon rerupture or postoperative wound and nerve complications.
By David P. Taormina, MD, and Nirmal C. Tejwani, MD Continue reading
Researchers and clinicians have found that plantar pressure assessment can help document the dynamic effects of hallux valgus surgery, postoperative physical therapy, and footwear or orthotic interventions, particularly in cases…
By Hank Black Continue reading
A protocol that includes isolated hip strengthening exercises during the early stages of postoperative rehabilitation after anterior cruciate ligament reconstruction may provide a platform on which to build in the later stages of rehab and may predict future performance.
By J. Craig Garrison, PhD, PT, ATC, SCS Continue reading
Athletes swear by it, but quality studies on elastic therapeutic tape are hard to come by, and the literature is littered with conflicting or inconclusive findings about the technique’s efficacy…
By Cary Groner Continue reading
In the search for factors that predict recurrence after use of the Ponseti method for successful treatment of idiopathic clubfoot, conclusive evidence is in short supply. However, the one factor that is…
By Rachel Y. Goldstein, MD, MPH Continue reading
Low back pain is associated with kinematic and kinetic alterations that can increase the risk of lower extremity injury, particularly in the presence of fatigue. New research suggests…
By Ram Haddas, PhD Continue reading
Reported cases of Lyme disease have been rising steadily over the past 30 years, but its diagnosis can be challenging. Left untreated, patients with Lyme disease can go on to develop neurological symptoms, including those that are characteristic of peripheral neuropathy.
By Greg Gargiulo Continue reading
The effectiveness of eccentric training for the prevention and rehabilitation of hamstring strains has been established in the medical literature. The next step is to identify an eccentric hamstring exercise that addresses the limitations of existing…
By Karl F. Orishimo, MS, CSCS, and Takumi Fukunaga, DPT, ATC, CSCS Continue reading
Patient-reported outcomes can be used to monitor health-related quality of life in patients with chronic ankle instability, and lower extremity practitioners can design rehabilitation approaches to specifically target physical impairments that are known to contribute to quality of life.
By Megan N. Houston, PhD, ATC, and Matthew C. Hoch PhD, ATC Continue reading
Systematic reviews and meta-analyses show that bracing for knee osteoarthritis (OA) is associated with significant benefits with regard to pain and function. But links to disease progression remain elusive, and the challenges of patient compliance are becoming even more complicated.
By Larry Hand Continue reading
Research supports eccentric strengthening for treatment of midportion Achilles tendinopathy, but a new study suggests the same approach…
By Lisa H. Jain, DPT, OCS; Kevin J. McCarthy, MD; Michael Williams, PT, OCS; Marie Barron, PT, OCS; Nick Bird, MPT; Brian Blackwell, PT, OCS; G. Andrew Murphy, MD; David R. Richards, MD; Susan Ishikawa, MD; and Margaret Kedia, PhD, DPT Continue reading
Current treatments for chronic ankle instability (CAI) may be ineffective in reducing its development and recurrence. To help address this issue, the authors have proposed a new treatment paradigm based on …
By Patrick O. McKeon, PhD, ATC, CSCS, and Erik A. Wikstrom, PhD, ATC, FACSM Continue reading
A knee injury can have painful and disabling long-term repercussions, such as the early onset of knee osteoarthritis (OA) or accelerated knee OA. Injury prevention and effective interventions may help …
By Jeffrey B. Driban, PhD, ATC, CSCS; Brian Pietrosimone, PhD, ATC; Nicole M. Cattano, PhD, ATC; Matthew S. Harkey, MS, ATC; and Brittney A. Luc, MS, ATC Continue reading
Decreasing stride length during running has been shown to result in biomechanical changes that are associated with reduced loading of biological tissues and, by extension, also may reduce the …
By Melissa A. Thompson, PhD, and Kristine M. Hoffman, DPM Continue reading
Although some research has found that using the composite score for the seven component tasks of the Functional Movement Screen is a reliable way to predict risk of injury in athletes, other studies …
By Erin Hartigan, PT, DPT, OCS, PhD, ATC; Nicole Chimera, PhD, ATC, CSCS; and Sarah Lamberton, NSCA-CPT Continue reading
Current research suggests that relatively small but statistically significant changes are associated in the short term with the use of unstable shoes. However, it is unclear if those changes are clinically meaningful, or whether long-term use would yield greater or diminished results.
By Jacob Gardner, PhD Continue reading
Multiple descriptive studies have demonstrated the clinical benefits of eccentric exercise interventions in patients with Achilles tendinopathy, but researchers have not yet identified the cause-and-effect mechanisms leading to decreased pain or increased function.
By Matthew Crill, MS, MBA, PT Continue reading
A pilot study has demonstrated the feasibility and potential success for employing the Internet to deliver targeted individualized exercise routines for patients with knee osteoarthritis, which may help…
By Alison Brooks, MD; Bryan Heiderscheit, PT, PhD; and John E. Beaulieu, PhD Continue reading
The Y Balance Test (YBT) is a reliable tool and may be used to predict injury risk. However, clear cut-points have not been sufficiently defined, and more research investigating the mechanics and muscle activation strategies used during the YBT is needed.
By Craig A. Smith, DPT, and Meghan Warren, PT, MPH, PhD Continue reading
Patients with diabetes and peripheral neuropathy can benefit from participation in mild to moderate aerobic, resistance, and balance activities. But they must take precautions to ensure exercise is safe as well…
By Steven Morrison, PhD, and Sheri R. Colberg, PhD Continue reading
Findings of an association between hip mobility and patellofemoral pain suggest practitioners may be putting the cart before the horse by implementing strength programs in individuals with PFP without first measuring and addressing deficits in hip extension.
By Sean Roach, PhD, DPT, ATC Continue reading