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Special Editorial Supplements
- UP THE CHAIN: How lower extremity care can improve spinal health
- CONFERENCE COVERAGE: 2017 ISPO World Congress
- CONFERENCE COVERAGE: 2017 IOC World Conference
- CONFERENCE COVERAGE: 2015 ISPO World Congress
- CONFERENCE COVERAGE: Ortho Technology Forum 2015
- Orthotic management of CMT: Dynamic solutions for active lifestyles
- CONFERENCE COVERAGE: Orthotics Technology Forum 2014
- ATHLETES AND INJURIES: The global question of prevention
- CONFERENCE COVERAGE: Orthotics Technology Forum 2013
- SPECIAL SECTION: Teachings from the East
- CONFERENCE COVERAGE: International Clubfoot Symposium
- CONFERENCE COVERAGE: Orthotics Technology Forum 2012
- STEPS AHEAD: Advances in foot and ankle biomechanics
- CONFERENCE COVERAGE: Custom Orthotic Insoles Technology Forum
- DEFENSIVE GAME PLAN: Global insights on sports injury prevention
- Recent Advances in Orthotic Therapy
Category Archives: Home Feature
When preventive measures have been exhausted, various surgical approaches can be employed to provide each diabetic patient with a functional, biomechanically sound foot that is free of infection, while minimizing the risk of future lower limb complications.
By Gabriel V. Gambardella, DPM, and Peter A. Blume, DPM, FACFAS
Significant progress has been made in quantifying gait impairment in patients with multiple sclerosis, but clinician-friendly assessment techniques that are sensitive to mild levels of impairment are needed to facilitate early intervention and in turn improve patient outcomes.
By Douglas A. Wajda and Jacob J. Sosnoff, PhD
Researchers have established that elevated levels of glycated hemoglobin in patients with diabetes are associated with poor outcomes after foot and ankle surgery. Now the challenge is to identify an “acceptable” glycated hemoglobin level below which the benefits of surgery outweigh the risk of complications.
By Naohiro Shibuya, DPM, MS, FACFAS, Jon M. Humphers, DPM, and Daniel C. Jupiter, PhD
I can’t recall exactly when the bunion on my left foot started causing discomfort, but it was probably when I was about 40. I waited some time to get a referral to a podiatrist, and when I finally saw one, life with two kids and a full-time job stalled my pursuit of treatment for another three and half years.
By Karen Bakar
Military populations experience high rates of disability related to post-traumatic osteoarthritis (PTOA), which does not always originate from combat injury. But military researchers are also uniquely positioned to explore therapeutic options to minimize the effect of PTOA.
By Jessica C. Rivera, MD, Joseph C. Wenke, PhD, James R. Ficke, MD, and Anthony E. Johnson, MD
Variables related to iliotibial band strain appear to be important risk factors for development of iliotibial band syndrome (ITBS) in runners, a finding that is beginning to change the way researchers assess the effectiveness of gait retraining interventions to treat or prevent ITBS.
By Stacey Meardon, PT, PhD, ATC, CSCS, and Ross H. Miller, PhD
Kicking is a whole-body movement that is responsive to a wide range of constraints related to the task, the environment, and the athlete. Preliminary research also suggests that balance control in the support leg plays a key role in athletes’ kicking performance.
By David I. Anderson, PhD, and Ben Sidaway, PT, PhD
The ability to achieve a 90° squat appears to have important functional implications for patients rehabilitating from total knee arthroplasty. However, detecting impairment may require more rigorous methods than conventional sit-to-stand testing.
By Mark D. Rossi, PhD, PT, CSCS, and Denis Brunt, EdD, PT
Learned disuse of the affected limb can lead to weight-bearing asymmetries in patients with stroke-related hemiparesis. Compelled body-weight shift therapy, using shoe inserts to force loading of the affected limb, can help patients achieve a more symmetrical gait.
By Alexander S. Aruin, PhD
Although the technique is still in its infancy, early research suggests gait retraining can be used to address medial collapse, primarily in runners with patellofemoral pain (PFP) syndrome, and to reduce impact loading in runners with PFP or tibial stress fracture.
By Ashlin Miller, BS, and Richard W. Willy, PhD, PT, OCS
Practitioners and researchers are redefining rocking and rolling as key components of gait, and designing ankle foot orthoses and other orthotic and prosthetic devices to specifically address impairments in the way certain patients rock and roll.
By Cary Groner
Documenting how shock propagates through the leg and is attenuated by the soft tissues appears to be a critical step toward advancing practitioners’ and researchers’ understanding of lower extremity injury mechanisms related to running and landing activities.
By Timothy A. Burkhart, PhD, EIT, Alison Schinkel-Ivy, MHK, and David M. Andrews, PhD Continue reading
Given the limitations of pharmacotherapy options for treating painful diabetic peripheral neuropathy, practitioners are also considering the merits of cognitive therapy, orthotic management, and combination therapies to relieve patients’ pain.
By Larry Hand
Studies of the kinematic variables associated with medial tibial stress syndrome suggest possible targets for prevention and intervention, including the use of foot orthoses.
By Janice K. Loudon, PT, PhD, SCS, ATC, and Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS
Ankle foot orthoses can help compensate for muscle weakness and accommodate related structural deformities in patients with Charcot-Marie-Tooth disease, but practitioners are constantly looking for ways to improve suboptimal compliance rates.
By Cary Groner
Researchers have identified gait alterations in patients with diabetic peripheral neuropathy but also in diabetic patients with normal sensation, raising questions about the extent to which factors other than neuropathy might also be affecting gait.
By Cary Groner
Balance testing is already recommended for concussion assessment in athletes, but research suggests the connections between concussion and neuromuscular variables are even more complex, and the opportunities for intervention more numerous.
By Brent Harper, PT, DPT, DSc, OCS, FAAOMPT
Artificial turf technology has advanced significantly, and some research suggests newer surfaces are as safe as grass, if not safer. But in other reports, including a high-profile NFL study, turf has been associated with higher rates of lower extremity injury.
By P.K. Daniel
Video gaming technology is finding its way into clinical practice, and research supports its effectiveness for improving balance, strength, and function. But studies also suggest some patient populations may be more responsive to exer-gaming than others.
By Samantha Rosenblum
US orthopedic surgeons perform more than 25,000 microfractures annually, making the procedure the most common marrow-stimulating technique used for repair of the cartilage defects that often affect active individuals.1 Although microfracture is a single-stage, low-cost intervention that requires only surgical time and common surgical tools, it requires…
By Emily Delzell
The literature on preschool-aged and older children with Down syndrome tends to be consistent with conventional understanding of orthotic principles, but in very young children clinical decision-making about orthoses must also encompass neuromotor implications.
By Julia Looper, PT, PhD
Pittsburgh researchers found that patients with diabetes have higher complication rates than nondiabetic patients following open surgical management of ankle fractures, but also that the rate of major complications in the diabetic patients was relatively low.
By Robert W. Mendicino, DPM, FACFAS; Alan R. Catanzariti, DPM, FACFAS; Brian Dix, DPM; and Phillip Richardson, DPM Continue reading
Bone bruises are commonly associated with anterior cruciate ligament (ACL) tears, but researchers are only beginning to understand the potential clinical significance of these chondral lesions with regard to knee osteoarthritis (OA) and preventing ACL injury recurrence.
By Cary Groner
The medical literature suggests that changes in bone density and other bone characteristics after stroke persist after patients have regained ambulatorystatus. Whether ankle foot orthoses have a shielding effect on bone remodeling, however, remains unclear.
By Kyle Sherk, MS, CPO
Kickboxing isn’t just for elite martial artists. In fact, preliminary research suggests the kicks, punches, and knee movements associated with the sport can improve balance and mobility in patients with multiple sclerosis. And as an added bonus, it’s also fun.
By Kurt Jackson PT, PhD, GCS, and Kimberly Edginton-Bigelow, PhD