Investigators from Shaanxi Normal University in China studied the impact of increasing backpack load on the gait of adolescents during stair descent. Sixteen healthy male students (age = 12.9 ± 0.6 years) were required to descend the stairs in 4 loaded conditions. The kinematic, kinetic, and EMG data were collected synchronously and gait parameters, especially indicators of balance control, were analyzed.
Lower Extremity Review
Low Annual Revision Rate in Ankle Distraction for Ankle Osteoarthritis
Ankle osteoarthritis severely impacts patients’ mental and physical quality of life. Besides total ankle replacement and ankle arthrodesis, ankle distraction has been shown to be a promising alternative. The primary aim of this systematic literature review and meta-analysis was to determine the annual revision rates (ARRs) after ankle distraction.
Cranberry Extract Improves Runners’ Speed
Competitive athletes are always looking for an extra edge to help improve performance. According to a new study by Concordia researchers published in the journal Physical Activity and Nutrition, they can find one in the common cranberry. Cranberries have the highest polyphenol and antioxidant capacity among fruits and vegetables and may protect against exercise-induced free radical production, consequently improving performance.
Changes in Foot Posture in Children with CP
Researchers from the Department of Orthopaedics at the Nemours Children’s Hospital Delaware (Wilmington, DE) wanted to understand the change in dynamic foot posture in children with cerebral palsy. They were able to track 33 children (54 limbs) who completed 16.9 evaluations from an initial age of 2.9 (±0.7) yrs to 18.6 (±1.7) yrs. They found that early valgus foot…
Pickleball’s Fast Growth and Game Pace Present Clinical Challenge
April is National Pickleball Month! And why shouldn’t it be? The sport has exploded in popularity over the past decade or so—up more than 51% since August 2022 and 223% in 3 years! According to the 2023 Association of Pickleball Professionals Pickleball Participation Research, there are 48.3 million adult players in the United States…
By Robert Weil, DPM
AI Chatbots Provide Inconsistent Accuracy for Musculoskeletal Health Information
With the growing popularity of large language model (LLM) chatbots, a type of artificial intelligence (AI) used by ChatGPT, Google Bard ,and BingAI, it is important to outline the accuracy of musculoskeletal health information they provide. Three new studies presented at the 2024 Annual Meeting of the American Academy of Orthopaedic Surgeons ( AAOS ) analyzed the validity of the information chatbots gave…
Increased Fracture Risk for Older Pickleball Players
Pickleball has become one of the fastest-growing sports in America, and with its increased popularity, the number of associated injuries has also risen. A new study presented at the 2024 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), “Trends in Pickleball- Related Fractures in the United States: An Analysis of the 2002-2022 National Electronic Injury…
Sports Injuries in 65 and Older Projected to Grow by 123% by 2040
According to new data presented at the 2024 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), sports injuries in seniors have increased significantly from 55,684 in 2012 to 93,221 in 2021 in the United States with significant differences in the types of activities and injuries. The study, “Orthopaedic Sports Injuries in an Aging Population…
Robotic Assistance in Cementless TKA Does Not Improve 2-Yr Revision Rates
As the use of robotic assistance in total knee arthroplasty (TKA) has grown, there has been limited research looking at whether it improved the risk of revision. New data showed that revision rates were similar in conventional and robotic-assisted cementless TKA at 2 years post-operatively. Presented at the 2024 Annual Meeting of the American Academy of Orthopaedic Surgeons (AAOS), the study…
Younger Age of Primary ACL Injury, Decreased Time to Return to Sport Significantly Increases Risk of Secondary ACL Injury in Adolescent Athletes
In adolescent athletes who underwent anterior cruciate ligament reconstruction (ACLR), the younger the athlete at the time of primary ACLR and an earlier return to sport (RTS) were significantly associated with an increased rate of secondary ACL injuries, according to a new study presented at the 2024 Annual Meeting of the American Academy of Orthopaedic Surgeons…
Balance and Strength Exercises Can Help Reduce Falls in Older Adults
Fall prevention is of importance for maintaining independency of daily living, well-being, and quality of life in older adults and given demographic trends, an urgent economic challenge for the healthcare system. Falls are a serious health concern and a major cause of…
By Tim Wiedenmann, Steffen Held, Ludwig Rappelt, Martin Grauduszus, Sofie Spickermann, and Lars Donath
A Step Short: Why We Need More Research on Prefabricated Carbon Composite Ankle-Foot-Orthoses
Many patients with gait abnormalities utilize lower limb orthoses to provide support, correction, and enhance function of the lower extremity. A variety of design options from joint level(s) to material selection are available and must be…
By Lindi Mitsou, MSPO, CPO; Nicholas Carr, BS; Jordan Dunn, BS; Jayne Kernodle, BS; Yelizaveta Kozlov, BS; Jillian Picard-Busky, ATC, LAT; Abigail Riley, BS; and Alex Wright, BS, NREMT
Comparing 5 Methods for Evaluating Ankle–Foot-Orthosis Stiffness
Ankle–foot orthoses (AFOs) are external braces used to support or augment the ankle joint during activities of daily living. A wide variety of custom and commercial AFOs are available to accommodate each AFO user’s individual needs. Differences among AFOs are largely driven by their geometry and mechanical properties.
By Benjamin R. Shuman, Deema Totah, Deanna H. Gates, Fan Gao, Andrew J. Ries, and Elizabeth Russell Esposito
Young Children’s Footwear: Taxonomy
Footwear is a global business, with small and large companies co-existing, often purporting design differences or mechanical properties as their ‘edge’ within a competitive market. There is little consistency between commercial grade footwear brands for…
By Cylie M. Williams, Stewart C. Morrison, Kade Paterson, Katherine Gobbi, Sam Burton, Matthew Hill, Emma Harber, and Helen Banwell
Book Excerpt: Treating Injury Involves Gathering the History + Patient’s Perspective
There are so many types of injuries, but we have to start putting together a good picture of what happened and can it be prevented in the future. You can actually have a positive impact on all the different types of injuries, at least in the rehabilitation, by knowing the most you can.
By Richard Blake, DPM
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