Category Archives: Editor Memo

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

February 2018

Strengthening the Interprofessional Approach to Fall Prevention

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

November 2017

Out on a limb: Low tech, high value

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

October 2017

Out on a limb: Strength of purpose

Everyone has days when we just go through the motions—at our jobs, in social situations, at the gym—and tell ourselves it isn’t a big deal. But as clinicians you know that when patients just go through the motions of complying with prescribed treatments, their…

By Jordana Bieze Foster, Editor Continue reading

September 2017

Out on a limb: Of opioids and outcomes

Recent efforts to reduce utilization of opioid pain medications for lower extremity joint injuries and surgical rehabilitation have mostly focused on reducing the risk of addiction. But there’s another important reason to be concerned about the use of opioids in these patients—and other popular pain medications as well.

By Jordana Bieze Foster, Editor Continue reading

August 2017

Out on a Limb: Seeking a safer preseason

Anyone watching the injuries accumulate during the most recent National Football League (NFL) preseason might be en­couraged by the league’s  plans to shorten the pre­season from four weeks to three. But the medical literature suggests a much better way to reduce the incidence of preseason injuries.

Jordana Bieze Foster, Editor Continue reading

July 2017

Out on a limb: Back to the evidence

The farther you go up the kinetic chain, the more some things about evidence-based medicine stay the same. The spine differs in many ways from most of the lower extrem­ity segments of the kinetic chain. Obvious differences include the shape and function of the bony structures, the complex roles of the adjacent muscles, and how the spine responds to the demands of movement.

By Jordana Bieze Foster, Editor Continue reading

June 2017

Out on a limb: Valuable testimony

A person’s testimony doesn’t always agree with objective evidence—that’s why some defense attorneys won’t allow their clients to take the stand during a trial, even in their own defense. Similarly, as most clinicians know, patient-reported outcomes aren’t always consistent with objective measures of function.

By Jordana Bieze Foster, Editor Continue reading

May 2017

Out on a limb: Healing arts

Healthcare practitioners and artists wouldn’t seem to have much in common, other than perhaps an appreciation of anatomy. But a new book has made me think the two professions also share an appreciation of people.

By Jordana Bieze Foster, Editor Continue reading

April 2017

Out on a limb: Workload roulette in the NFL

A recent study reported that National Football League (NFL) running backs with more than 300 carries in a season are not more likely to miss time with an injury the following season than those with consider­ably fewer carries. For fantasy football players, this is great news. But for sports medicine experts, it’s a reminder that injury risk rarely can be boiled down to a single parameter.

Jordana Bieze Foster, Editor Continue reading

March 2017

Out on a limb: In search of symmetry

Researchers and clinicians who work with unilateral lower limb amputees are increasingly exploring the effects of prosthetic devices on gait asymmetries and joint loading. What’s less well known is that prostheses designed for use above the waist can also have positive effects on gait.

By Jordana Bieze Foster, Editor Continue reading

February 2017

Out on a limb: Her head’s in the game

It’s more difficult to assess the effects of head impacts in female lacrosse players than in their male counter­parts. But it’s no less important, particularly with regard to lower extremity injury prevention.

By Jordana Bieze Foster, Editor Continue reading