Category Archives: Editor Memo

February 2021

Guest Perspective: The Global Impact of COVID-19 on Humanitarian Efforts

Christian was 2 years old when The FOOT Foundation met him 6 years ago. Born without legs in rural Guatemala, our humanitarian team fitted him with his first artificial limbs. We have seen him several times since, upgrading his bilateral above knee prostheses as he grows.

By Dino Scanio, MPH, CO, LO Continue reading

November 2020

Editorial Appreciation: 2020: The Year That Was!

Some years it’s hard to say good-bye…and then there’s 2020. We’re sure we’re not the only ones happy to see it in the rearview mirror. But to just drive away is to ignore the words of Socrates, who rightfully said…

By Janice T. Radak, Editor, and Rich Dubin, Publisher Continue reading

June 2020

What If the Ankle Is More Than a Class 2 Lever?

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

May 2020

COVID-19: Highlights of Responses—Clinical, Economic, Regulatory

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

April 2020

Unique Times, Unique Opportunities

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

March 2020

#1: Why Biomechanics Matter— What Are the Clinical and Athletics Ramifications

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

February 2020

Guest Editorial: Understanding Pronation

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

January 2020

Going Boldly Into 2020…and Beyond

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

October 2019

With Heartfelt Thanks and Appreciation

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

September 2019

Understanding Sensitivity and Specificity of Screening Tools for Early Detection of DFUs

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

August 2019

Force and Pressure: Understanding Differences and Purposes

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

July 2019

The Wounded Warrior Workforce Enhancement Act: A Win-Win for Patients and the Profession

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

May 2019

Addressing Gender Matters On the Field, In the Locker Room…Everywhere

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

April 2019

An Introduction to Physical Literacy

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

Continue reading

March 2019

We Are The Heart of National Biomechanics Day

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

February 2019

3 Can Be Better Than 6 When It Comes to Weber B Fractures

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

January 2019

Orthotic and Prosthetic Innovation: Tempering Enthusiasm with Caution

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

November 2018

Patellofemoral Pain: An Ongoing Orthopedic Enigma

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

September 2018

The DFU Dilemma: Is the Total Contact Cast a True “Gold Standard”?

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

August 2018

Falls Prevention among Older Adults: It Takes a Village

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

July 2018

Guest Editorial: Youth Overuse Injuries and What Clinicians, Parents and Coaches Can Do

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

June 2018

Footniche: A new paradigm for thinking about foot care

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

May 2018

In a perfect world, no one would need health insurance

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

April 2018

When considering amputation, consider the whole patient

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

March 2018

Navigating disruption in the foot orthotics landscape—Are you ready?

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