Given the heterogeneity of many patient populations for whom ankle foot orthoses (AFOs) are indicated, it’s not surprising that AFO experts are at the forefront of the current trend favoring customization of devices to meet individual patient needs. Research presented in May at the 2017 International Society of Prosthetics & Orthotics (ISPO) World Congress in Cape Town, South Africa, illustrated some of the many ways AFO stiffness and alignment can be optimized in the interest of patient-centric care.
Lower Extremity Review
NONMECHANICAL EFFECTS: Sleeves showcase softer side of knee pain management
Less may be more when it comes to knee bracing in some patients with knee osteoarthritis (OA) and patellofemoral pain (PFP), according to studies of soft knee braces presented in May at the 2017 ISPO World Congress in Cape Town, South Africa.
DIABETIC FOOTWEAR: Scientific approach to insole design helps reduce pressure
A scientific approach to insole design can help reduce plantar pressures associated with diabetic footwear, in turn reducing the risk of plantar ulcerations, according to research presented in May at the 2017 ISPO World Congress in Cape Town, South Africa.
OSTEOARTHRITIS: Studies explore mechanisms for distal knee OA therapies
Studies presented in May at the 2017 ISPO World Congress in Cape Town, South Africa, added to knee experts’ understanding of the mechanisms underlying distal interventions to reduce pain and joint loading in patients with medial knee osteoarthritis (OA).
INSOLE MODELING: Computer analysis facilitates foot orthosis development
Computer modeling is facilitating advances in insole development for patients with diabetic neuropathy and rheumatoid arthritis, according to data presented in May at the 2017 ISPO World Congress in Cape Town, South Africa.
Study challenging Root concepts reignites debate
The latest paper to challenge biomechanics-based foot orthotic management concepts developed decades ago has revitalized a long-running discussion among foot specialists about how to define normal structure and function and which assessments should be used in prescribing foot orthoses.
By Cary Groner
Minimalist shoes: Risks and benefits for runners
Although there may be benefits to a change in running footwear, there are also risks associated with a switch to minimalist running shoes. Alterations in anatomy, physiology, and biomechanics associated with transitioning to minimalist footwear are likely to be unique to each runner.
By J. Todd Walker, MD; Donna Moxley Scarborough, PT, MS; Eric M. Berkson, MD; and Matthew J. Salzler, MD
Management of painful plantar fat pad atrophy
Aging and a number of medical conditions can lead to atrophy of the fat pads under the heel and forefoot, which often causes considerable pain. Cushioned footwear and orthoses are mainstays of treatment, but research also supports the use of fat grafting in recalcitrant cases.
By Barbara Boughton
Region-specific foot pain doesn’t always match pressures, forces
Gait compensation may play role – The location of foot pain doesn’t always correspond with elevated plantar pressures and abnormal forces, which suggests the availability of region-specific compensatory gait mechanisms may play a role, according to recent research using Framingham Foot Study data.
By Emily Delzell
Samuel Hubbard Free
With the Un-Sneaker collection, Samuel Hubbard set out to make an “everyday shoe” for people with an active lifestyle. With soft upper materials, full glove-leather linings, a one-piece vamp, hidden padded collar, removable memory-foam…
Revere Santa Monica
The Santa Monica for women from revere Comfort Shoes features a stylish V front, a back strap, metal trim detail, and forefoot and rearfoot adjustability to provide a personalized fit. The sandal’s design also features a removable comfort insert, with enough…
Mephisto Jissy
The Jissy from Mephisto is a casual sandal with a stylish profile. Like all Mobils by Mephisto comfort footwear, it features all-over cushioning between the lining and the upper to pillow the feet, along with soft-air technology in the midsole to minimize shock.
Gem Caballo from Vionic
Vionic introduces a new silhouette. The Gem Caballo flat for women features a pointed toe with an envelope vamp detail, along with a removable footbed and stylish uppers made of suede, snake-printed leather, or haircalf.
Drew Tuscany
The Tuscany athleisure shoe for women offers a new, sparkling look from Drew. Tuscany shoes are walking shoes with added depth that can accommodate prescribed foot orthoses.
On Cloudster
The Cloudster, from Swiss footwear company On, features a very stiff flex and a slightly rockered speedboard, which keep the foot in a natural position while minimizing the loaded flex on the foot. A four-way adaptive-fit stretch material across the toe box allows for a natural toe splay.
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