Category Archives: Issues

Current Issue Articles

June 2018

Children’s 3R67 Prosthetic Knee

Ottobock HealthCare’s 3R67 prosthetic knee joint is the first everyday prosthesis with hydraulic swing phase control specifically for children. Children have different prosthetic needs than adults — and the cutting-edge technology of the new 3R67 prosthetic knee joint meets the everyday demands of… Continue reading

June 2018

Low-Cost Prosthetic Foot Mimics Natural Walking

Massachusetts Institute of Technology (MIT) engineers have developed a simple, low-cost, passive prosthetic foot that can be tailored to an individual. Given a user’s body weight and size, the researchers can tune the shape and stiffness of the prosthesis, such that the user’s walk is similar to an able-bodied gait. Continue reading

June 2018

Ankle-foot orthoses and functional electrical stimulation for foot drop in MS: Pluses, minuses, progress

Assistive ambulation devices for the ankle can bolster walking speed and safety and lessen the risk of injury to the joint. But which of 2 technologies is best for your patient?

By Hank Black Continue reading

June 2018

EXPERT OPINION: Advances and alternatives in diabetic ulcer offloading

Diabetic foot ulcers pose life-threatening risks to patients with diabetes. Offloading of high pressure areas of the foot is key to successful treatment. We review various methods here.

By James McGuire, DPM, PT, LPed, FAPWHc, and Tyler Coye, BA Continue reading

June 2018

Management of acute ankle sprains: To immobilize or not?

Functional rehabilitation training protocols typically consist of stability and postural control exercises aimed at recovering from the proprioceptive defect that occurs after an ankle injury and preventing recurrent sprains by improving stabilometric results.

By Audris Tien, DPM, Jarrod Shapiro, DPM, FACFAS, FACFAOM, Jonathan Labovitz, DPM, FACFAS, CHCQM Continue reading

June 2018

Overuse Injuries in Elite Basketball Players

Equinus is the primary mechanical cause of acquired non-traumatic foot and ankle pathology—plantar fasciitis, AT, and MSS—in running sports. The three most common lower-extremity overuse injuries among those who participate in running-related sports such as basketball have all been linked to the…

By Patrick A. DeHeer, DPM, FACFAS, FASPS, FFPM RCPS (Glasg) Continue reading

June 2018

Gender Matters in Achieving Functional Performance

How many practice trials are needed to achieve functional performance in static and dynamic balance and hopping tests among those with chronic ankle instability (CAI)? That was the question Jordan Read, a student at the University of North Texas Health Science Center, Fort Worth, Texas, and colleagues looked to answer in his poster, Recommended Number of Trials for Balance and Hopping Tests between Male and Female CAI.1 Continue reading

June 2018

The Effects of TT, FRT, and KT on Joint Angles and YBT Performance

Chronic ankle instability (CAI) is a common issue in the athletic population. Although there are many prophylactic taping methods used to prevent repetitive ankle sprains, the effects of these taping methods in dynamic postural control are not clearly understood. Continue reading

June 2018

The Effect of CAI on Landing/Cutting Lower-Extremity Kinematics, EMG, and GRF

In the poster, Altered Movement Neuromechanics during Jump Landing and Cutting in Patients with Chronic Ankle Instability,3 Hyunsoo Kim, assistant professor of the Department of Kinesiology, West Chester University, West Chester, PA, and colleagues looked at altered movement pattern in patients with CAI to examine biomechanical factors for CAI. Continue reading

June 2018

Influence of TT, FRT, and KT on Joint Angles of Lower Extremity

Even though there have been numerous studies regarding prophylactic ankle taping, the way to control the increased mechanical laxity associated with their condition during dynamic activity is not clear. To investigate the effects of traditional tape (TT), fibular repositioning tape (FRT), and kinesiology tape (KT) on joint angles of the lower extremity, Songah Chae, a student in the Department of Movement Sciences at the University of Idaho, Moscow, ID, led a research team on the study, Influence of Prophylactic Ankle Tapes on Lower Extremity Kinematics during Stop-jump in Chronic Ankle Instability.4 Continue reading

June 2018

Identifying CAI Through Specific Movement Patterns

Looking to identify specific movement strategies and describe lower extremity stiffness of the subgroups of patients with CAI compared to an uninjured control group, J. Ty Hopkins, PhD, professor of human performance research center at Brigham Young University, Provo, UT, examined 200 CAI participants (109 male) and 100 controls (54 male). 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

Hamstring: Trends in preventing and treating hamstring-strain injuries

High relapse rate from preseason injuries presents significant challenge for athletes and sports teams. Hamstring strain injuries are among the most common in sports, often leading to recurring problems or future injury. Marcus Elliott, director of P3 Applied Sports Science and a former muscle-injury specialist for the National Football League’s New England Patriots, conducted…

By Keith Loria Continue reading

May 2018

Biofeedback aids in resolving the paradox of weight-bearing

Too much? Or not enough? New biofeedback tools help patients with lower-limb fracture in their struggle to understand how much weight to bear on an injured limb. Clinicians whose patients have a lower-limb fracture are faced with a paradox: whether or not to instruct them to place weight on the healing fracture.

By Jill R. Dorson Continue reading

May 2018

The lower limb and knee account for >75% of musculoskeletal injuries in today’s military.

Osteoarthritis is among the leading causes of disability in the United States, costing billions of dollars each year in lost work hours, treatments, and doctor visits, and leaving people sidelined from day-to-day activities. That problem is mirrored and amplified in the military, a unique segment of the population that relies heavily on physical fitness and ability.

By Nicole Wetsman Continue reading

May 2018

AA vs TAA: Update on ankle arthroplasty

End-stage arthritis of the ankle joint affects more than 50,000 people in the US. When conservative treatments do not provide enough relief, surgical options should be considered. Patient selection is key when choosing between ankle arthrodesis (fusion) and total ankle arthroplasty (replacement).

By Vicki Foerster, MD, MSc Continue reading

May 2018

Fracture Sock to Reduce Irritation

New from Elite Orthopaedics is the Fracture Sock, designed to reduce skin irritation while wearing an ankle walker. The latex-free fracture sock is composed of 100% synthetic knit for superior moisture absorption. An improved cross stitch provides better compression, which helps reduce the risk of friction and lessens the risk of sock bunching. The product’s overall knit quality creates a comfortable barrier for the patient’s skin. Continue reading

May 2018

SMU President Sharon Diaz announces retirement

Sharon Diaz will step down as president and chief executive officer of Samuel Merritt University (SMU) in Oakland, CA, by January 2019. In 2002, Diaz was instrumental in bringing about the merger of SMU and the California College of Podiatric Medicine, now called the California School of Podiatric Medicine. Diaz was the first president of SMU and has been a leader in education for 45 years. Continue reading

May 2018

Iowa governor signs the Physical Therapy Licensure Compact

Iowa Governor Kim Reynolds signed into law April 4, 2018 the Physical Therapy Licensure Compact (House File 2425). The compact is an agreement between member states to improve access to physical therapy services by increasing the ability of physical therapists to work in multiple states. Continue reading

May 2018

APMA Registry Ready for MIPS 2018 Reporting Year

The American Podiatric Medicine Association (APMA) registry is accepting 2018 Merit-based Incentive Payment System (MIPS) reporting data from MIPS eligible practitioners. The 2018 performance period score will impact 2020 Medicare payments, with a positive, neutral, or negative payment adjustment. Continue reading

May 2018

Heel Pain Orthotic Device

Heel pain affects over 25% of the adult population and 20% of the pediatric population. Heel Defender is a patented heel orthotic device for off-loading the painful heel in both adults and children. Heel Defender is designed to remove the impact force from the heel, allowing for comfortable walking and standing while heel pain is being treated. Continue reading

May 2018

Podiatry Care May Lead to Reduced Hospitalizations and Opioid Prescription, Study Shows

A New York State Podiatric Medical Association (NYSPMA) survey, initiated in late 2017, has found that expanding podiatry’s role in health care may lead to reduced hospitalizations, long-term health care costs, and opioid prescription in 4 target groups: diabetes, obesity, substance abuse/back pain, and fall prevention. Improvement in health care in these conditions aligns with New York’s Delivery System Reform Incentive Payment program health goals. Continue reading

May 2018

Advisory Book for Parents of Child Athletes Pneumatic Walker

#HeySportsParents is a new advisory book written by Sharkie Zartman and Dr. Robert Weil. The book is intended for parents with children playing sports. The first segment of the book (Sports Parenting 101) covers the basics of parenting a young athlete, including the perks and pitfalls of youth sports, how to choose the right program, how to feed a young athlete, what a parent’s role should be, how to coach one’s own child, how to navigate the college recruiting process, and stress management. Continue reading

May 2018

PT Referral Rates Nearly Halved Between 2003 and 2014

A study recently published in the April issue of Journal of General Internal Medicine has found that primary care physician referrals to physical therapists for musculoskeletal conditions declined by nearly half over a 12-year period, while referrals to specialists during that time increased by a similar rate. Continue reading

May 2018

Pro Select Full Shell Pneumatic Walker

The Pro Select Full Shell Air Walker from Elite Orthopaedics, Inc. features a full circumference shell design that provides controlled immobilization of the lower leg, ankle, and foot. A breathable insole, featuring patent-pending technology, allows for air to circulate to prevent the accumulation of heat during patient usage. Small perforations work to prevent humidity and help heat escape. Continue reading