Category Archives: Editor Memo
The realm of orthotics and prosthetics (O&P) is based on gaining leverage for patients and eking out power when strength is not plentiful. A physical therapist will work with a patient over time to gain power through strengthening exercises where the surgeon may be focused on securing a torn ligament or fracture in hours.
By Thomas J. Cutler, CPO, FAAOP Continue reading
The pandemic caused by COVID-19 (brought on by the severe acute respiratory syndrome coronavirus, SARS-COV-2), has now touched every continent, save Antartica. The World Health Organization (WHO) is now estimating the global death toll will reach 400,000 by mid-June, with no end in sight. Continue reading
We are living in an exceptional time. Like you, we’re sheltering in our homes and donning face masks when we venture out. We’re happy to play our part to prevent the spread of the novel coronavirus that leads to COVID-19, but we’ll sure be happier when things return to normal…. But the reality is that there will be a new normal, and we can’t quite see what that looks like just yet.
By Rich Dubin, Publisher, and Janice T. Radak, Editor, LER Continue reading
We all strive for healthy and happy lives, and many of us are fortunate to reach these goals. For these people, living in the physical world is not a challenge but a pleasure. The world does not overwhelm them; rather, it interacts and plays with them in enjoyable ways. To quote Walt Whitman, we “swim with the swimmers, wrestle with the…
By Paul DeVita, PhD Continue reading
As a podiatrist, athlete, coach, and independent running shoe proprietor, I have always had an interest in biomechanics and the impact on lower extremity overuse injuries and conditions. Perhaps the most well-known biomechanical term, pronation, is also the most misunderstood. In his recent article, Benno Nigg et al.
By Mark Mendeszoon, DPM Continue reading
As we enter a new year AND a new decade, it’s important to affirm our foundation and set our sights on new directions. One of LER’s key strengths is the breadth of our multi-disciplinary highly collaborative audience—and we don’t intend to change that.
By Rich Dubin, Publisher Continue reading
As another year draws to a close, the natural inclination is to look ahead and plan for the future. But the beauty of the year’s end also gives us the chance to look back and appreciate the path we have travelled, the lessons we have learned, and the many, many people and organizations who have helped us on that journey.
By Janice T. Radak, Editor, and Rich Dubin, Publisher Continue reading
In his June anniversary issue commentary, Proper Diabetes Care Can Reduce Rising Lower Extremity Amputation Rates (LER July 2019), Mark Hinkes, DPM, responded to the disheartening news that lower extremity amputations are increasing in the United States with a call to action: “I believe that the time has come for the standard of…
By Lynn Soban, PhD, MPH, RN Continue reading
Whenever I talk about foot pressure-mapping technology during my courses or keynote lectures at international conferences, I am always surprised by the volume of misunderstanding that surrounds force and pressure measurements and questions about differences between them.
By Antonio Robustelli, MSc, CSCS Continue reading
Currently, the Veterans’ Administration (VA) serves more than 90,000 Veterans who have lost limbs and performs more than 12,000 amputation surgeries annually. Additionally, although the number of Veterans with significant, chronic limb impairment is unclear, it is unquestionably large.
By Eve Lee, MBA, CAE, Executive Director, American Orthotic and Prosthetic Association Continue reading
For decades, numerous research studies have shown that physical activity and sport play a significant role in positively shaping children’s health and emotional well-being. But, as we learn more about biology and psychology, it becomes clear that gender matters in ways not conceived of when John F. Kennedy became President in 1961 and re-energized the President’s Council on Youth Fitness, predecessor of the more recent President’s Council on Physical Fitness and Sport. Continue reading
Physical literacy is defined as ‘the motivation, confidence, physical competence, knowledge and understanding to value and take responsibility for engagement in physical activities for life.’ The notion of ‘literacy’ within the concept of ‘physical literacy’ arises from the importance of our embodied interaction with the world.
By E.J. Durden-Myers and N. R. Green
The International and American Societies of Biomechanics were founded in 1973 and 1977, respectively. Coincident with the expansion of Biomechanics during the following decades, fitness and health have moved out from under the realm of medicine and are rapidly overtaking the realm of the personal—the personal lifestyle to be more exact (think yoga, yogurt, and yoga pants).
By Paul DeVita, PhD Continue reading
In medical school, we were taught that Weber B ankle fractures required the 6-week cast immobilization protocol. But for many of us, that protocol has felt excessive due to concerns of increased ankle stiffness, decreased ankle strength, and the possibility of a thrombotic event. However, the thought of possible suboptimal healing of the fracture [malunion or nonunion] with less than 6 weeks of immobilization or use of less rigid forms of immobilization provided anxiety to many of us treating physicians.
By Jeffrey R. Baker, DPM, FACFAS Continue reading
My perspective comes from 2 roles: Professional Standards Officer for the Australian Orthotic Prosthetic Association (AOPA) and international lecturer with Human Study e.V., a non-profit organization that delivers and establishes prosthetic and orthotic education in regions and countries where formal and internationally recognized education in this field of medical practice does not exist.
By Louise Puli, BPO, MPH Continue reading
Patellofemoral pain (PFP), also known as anterior knee pain, is one of the most common but complex knee problems to manage. PFP affects approximately 23% of the general population and 29% of adolescents. Moreover, females are twice as likely to develop PFP as males.
By Lori A Bolgla, PT, PhD, MAcc, ATC, and Michelle C Boling, PhD, LAT, ATC Continue reading
In March 2017, McGuire and Sebag wrote: “Early diagnosis and intervention for diabetic foot wounds is essential for the prevention of complications associated with these ulcers. We are all familiar with the term ‘the golden hour’ with respect to the first 60 minutes after the onset of a stroke or cardiac arrest.
By Harry L. Penny, DPM, DABPM, FAPWHc Continue reading
When most people think about September and the start of fall, they think of the beginning of the school year, getting back into routine after the summer, and cool crisp days. At the National Council of Aging (NCOA) when we think about fall, we think about and plan for National Falls Prevention Awareness Day, which is observed around the country on the first day of fall.
By Kathleen Cameron, MPH Continue reading
It’s one of the key issues in youth sports today: an epidemic of overuse and repetitive motion injuries. It affects both lower and upper extremities, across the board, in all sports at all ages. As the world of youth sports has grown dramatically, so have these injury problems.
By Robert A. Weil, DPM Continue reading
Definitions are important because words can make the difference between understanding and misunderstanding. I prefer a simple definition of footwear: that which covers the foot. This definition does not say it is a top covering of the foot—just a covering of the foot. In the definition of something as fundamental as footwear, I believe that less is more.
By Joseph M. Mozena Continue reading
In my podiatric practice, I have found that health insurance can impede patient care, by adding layers of complication and burden to all involved, particularly the patient and the provider. Private-sector insurance companies have profits to make, buildings to build, shareholders to satisfy, and overhead costs to pay. Government-run plans have costs, exclusionary policies, bureaucratic oversight, and a changing landscape as administrations change.
By Jay Segel, DPM Continue reading
It is likely that someone close to you has faced a major health decision. After the choices and medical advice have been considered, a very personal factor came into play, and the words were spoken: “I don’t want to be a burden.” Continue reading
For more than 50 years the custom foot orthotic industry has pretty much stayed the same. Of course, change has occurred, such as the introduction and widespread adoption of digital casting and CAD/CAM production vs hand-poured plaster. Continue reading
Health care professionals who work with older adults are all too familiar with the devastating sequelae of falls, including injury and fear of falling that can lead to activity restriction and further risk of falls. Most worrisome is that death rates from falls have doubled between 2000 and 2014, which highlights the importance of sustaining existing fall prevention efforts, and of building new ones. Continue reading
The use of advanced technologies to provide feedback to patients during rehabilitation is all the rage in lower extremity healthcare. But, as exciting as these new modalities can be, it’s important to remember that low-tech feedback strategies can make hi-tech data even more clinically useful.
Jordana Bieze Foster, Editor Continue reading