Category Archives: Clinical News
February 2020
One Claudication Question May Be Quick Screen for PAD
Peripheral Arterial Disease (PAD) affects more than 200 million adults around the world. If identified early, PAD is highly treatable and may prevent patients from suffering major adverce cardiac events (MACE) and major adverse limb events (MALE). The most important criterion for definition of PAD is an ankle-brachial index (ABI) below 0.90.
By Lynn Soban, PhD, MPH, RN Continue reading
February 2020
Science Meets Fun on National Biomechanics Day: April 8, 2020
National Biomechanics Day (NBD) is a worldwide celebration of biomechanics in its many forms for middle- and high-school students and their teachers. Designed to introduce biomechanics science and its applications to young minds around the world, the event seeks to teach young people about all that biomechanics contributes to society with the hope of encouraging them to pursue it as a career. Continue reading
February 2020
Study Shows Heel Lifts Affect Biomechanics, Muscle Function
Clinicians use a variety of in-shoe heel lifts to treat a range of musculoskeletal conditions. The mechanics of how these orthotic devices work, however, is unclear. So a group from LaTrobe University in Australia put together a study that asked this question: Do heel lifts affect lower limb biomechanics and muscle function during walking and running? Continue reading
February 2020
1064-nm Laser Technique Shows Positive Results for Onychocryptosis
Onychocryptosis, more commonly known as in-grown toenail, affects nearly 20% of all patients who present a foot problem to their doctor. Current treatments include incisional procedures and nonincisional procedures, such as chemical matrixectomies and physical matrixectomies using a carbon dioxide laser.
By Keith Loria Continue reading
February 2020
Custom AFO With Walking Shoes Improves Balance, Reduces Fear of Falling for Seniors
Research shows that one out of every four older Americans falls annually. Fall-related injuries continue to be a costly and debilitating health risk, costing the US healthcare system about $50 billion annually. More importantly, falling once doubles an older adult’s risk of falling again, increasing their fear of falling and negatively impacting quality of life. Continue reading
January 2020
Aquatic Walking Relieves Arterial Stiffness in PAD
Aquatic walking can help relieve arterial stiffness among patients with peripheral artery disease (PAD), according to results from a clinical trial published in the Journal of Applied Physiology. The study also showed that aquatic walking boosts patients’ ability to tolerate exercise, cardiorespiratory capacity, and muscular strength, and that patients are largely more inclined to maintain this exercise regimen.
By Chuck Green Continue reading
January 2020
Study Examines Treatment of Chronic Wound Pain with Long-Acting Lidocaine Gel
According to 2004 figures, about 6 million people suffer from chronic wounds due to bedsores and vascular, inflammatory, and rheumatologic sources, with medical costs for this care reaching almost $10 billion.* Opioids and non-opioid treatments are often used to manage the pain associated with these chronic wounds but come with issues such as the potential for addiction or abuse.
By Laura Fonda Hochnadel Continue reading
January 2020
Rehab May Improve 1st MTP Arthrodesis Long-term Outcomes
While arthrodesis of the first metatarsophalangeal (MTP) joint is known to alleviate pain from osteoarthritis in the hallux, long-term outcomes vary, with nearly 20% of patients reporting dissatisfaction with the surgical outcome. “There are a number of patients who have symptoms of pain, metatarsalgia, lateral toe arthritis or… Continue reading
January 2020
Are Lateral Ankle Sprains Being Treated Correctly?
Lateral ankle sprain is the most common injury in physically active populations, yet some believe those who sustain an acute lateral ankle sprain may not receive timely formal rehabilitation and are at an increased risk to have subsequent sprains which can lead to chronic pain and instability.
By Keith Loria Continue reading
October 2019
Bilateral Custom AFOs Reduce Fear of Falling, Up Physical Activity
For older adults who have fears about falling, the daily use of custom-made ankle-foot orthoses (AFOs) with walking shoes is effective in improving balance and reducing fear of falls, according to a recent study published in the journal Gerontology. In the elderly population, falls are a particularly serious problem. According to the US Centers for Disease Control and Prevention, about 3 million older patients are treated in emergency rooms for fall injuries each year.
By Robert Sberna Continue reading
October 2019
Wearable Tech May Enhance Benefits of Structured Exercise
Combining structured exercise with wearable technology interventions designed to enhance non-exercise physical activity (NEPA) may help reduce cardiovascular disease (CVD) in high-risk older adults, according to a October 2019 study published in the online medical journal, Clinical Interventions in Aging. Researchers from the University of Alabama at…
By Douglas J. Guth Continue reading
October 2019
AHA Scientific Statement on CLI Emphasizes Early Diagnosis, Treatment
Critical limb ischemia (CLI), a condition characterized by the narrowing or blocking of arteries that lead to the legs, is the most severe form of peripheral artery disease (PAD) and a leading cause of lower-limb amputation. Moreover, patients with CLI have high mortality rates. As such, early diagnosis and treatment are key, according to a scientific statement recently published by the American Heart Association (AHA) in its journal, Circulation. Continue reading
October 2019
Extra Cushioning May not Help Shoes Prevent Injuries
While innovations in running shoes have helped everyone from top athletes to casual joggers push the boundaries of speed, efforts to determine the characteristics of shoes that will help reduce injury risks are more elusive. In his lab at San Jose State University, JJ Hannigan, PhD, ATC, CSCS, is working to understand the way different levels of cushioning affect gait and running mechanics.
By Nicole Wetsman Continue reading
October 2019
Ankle Replacement System Receives FDA Premarket Approval
The Hintermann Series H3 Total Ankle Replacement System (DT MedTech, Towson, MD), received premarket approval from the US Food & Drug Administration (FDA). This is a non-cemented, implanted medical device intended to replace a painful arthritic ankle joint and improve ankle motion and is indicated for use in the first surgical treatment for the joint.
By Laura Fonda Hochnadel Continue reading
September 2019
Unilateral remote daily temperature monitoring to predict diabetic foot ulcers shows promise
Diabetic foot ulcers (DFUs), the primary antecedent to diabetes-related lower extremity amputation (LEA), are common, costly, and preventable. Following a period of decline in incidence, the Centers for Disease Control and Prevention found the occurrence of diabetes-related LEA had rebounded an alarming 50% percent between 2009 and 2015.
By Lynn Soban, PhD, MPH, RN Continue reading
September 2019
Association Between Running Shoe Characteristics and Lower Extremity Injuries in United States Military Academy Cadets
Running-related overuse injuries are very common among recreational runners with the reported annual injury rates ranging from 39% to 85%. There are few large prospective cohort studies investigating injury risk associated with different running shoe characteristics and they are often contradictory. Our goal was to prospectively investigate the relationship between running shoe…
By Gary Helton, PT, DSc, SCS, OCS Continue reading
September 2019
KneeKG Effective in Management of Knee Osteoarthritis
Knee osteoarthritis (OA), a chronic progressive disease, is a common complaint in adults over age 45. Indeed, osteoarthritis is the most common joint disorder in many countries, affecting for example 13.9% of adults 25 years and older and 33.6% of people 65 years and older in the United States. The challenge for clinicians is the multifactorial nature of the disease and understanding the everyday mechanical factors that affect it. Continue reading
September 2019
An Excerpt: Physical Frailty: ICFSR International Clinical Practice Guidelines for Identification and Management
Frailty is prevalent in all countries and is a leading contributor to functional decline and early mortality in older adults. The condition is defined as “a clinical state in which there is an increase in an individual’s vulnerability for developing an increased dependency and/or mortality when exposed to a stressor.” Frailty can begin before 65 years of age, but the onset escalates in those aged 70 years and over. Continue reading
August 2019
AFOs and FES Offer Comparable Outcomes for Foot Drop in MS Patients
Foot drop is a common presentation in people who have multiple sclerosis (MS). The inability to lift the forefoot off the ground adequately, such as to clear curbs and stairs, affects gait and increases fall risk. Ankle–foot orthoses (AFOs) and functional electrical stimulation (FES)…
By Laura Fonda Hochnadel Continue reading
August 2019
Prevalence of Neuropathic Pain Symptoms
Managing pain in patients with foot and ankle pathology can be a challenge. In addition to nociceptive mechanisms, neuropathic mechanisms can contribute to pain in patients with orthopedic conditions and can be found in 10.5% to 53% of patients with chronic pain, depending on the location of the pathology. Continue reading
August 2019
Orthotic insoles for people with diabetes at-risk of ulceration
This study focused on pressure-relieving orthotic insoles designed for retail footwear and people with diabetes and at risk of first forefoot ulceration. The aim was to investigate whether the pressure-relieving effects of a customized metatarsal bar and forefoot cushioning are sensitive to bar location and shape, and material choice.
By Ana Martinez-Santos, Stephen Preece, and Christopher J. Nester Continue reading
July 2019
Survey Identifies Quality of Care Indicators for AFO Users
Lower limb orthoses are worn by nearly 2 million Americans of all ages. Certified orthotists have reported spending 59% of their time providing lower limb orthoses, of which 18% is spent providing ankle foot orthoses (AFOs). Despite such a substantial time commitment spent providing patients with lower-limb orthoses, and specifically AFOs, patient satisfaction reporting and quality of care assessment have not been fully documented.
By Laura Fonda Hochnadel Continue reading
July 2019
Isokinetic Training + Eccentric Overload = >Muscle Size, >Performance
A team of researchers undertook a study to examine changes in performance and muscle size in young ice hockey players who underwent a program of multiple-joint isokinetic (ISO) resistance training (RT) and eccentric overload (ECC) compared to a control group that underwent a traditional (eg, isotonic) RT program. According to the literature, ISO training and ECC, when…
By Laura Fonda Hochnadel Continue reading
July 2019
Excerpt: Shin Splints, Achilles Tendinopathy Top Running-related Diagnoses Among Injured Recreational Runners
The purpose of the present study was to describe the incidence proportion of different types of running-related injuries (RRI) among recreational runners and to determine their time to recovery.
By Benjamin Mulvad, Rasmus Oestergaard Nielsen, Martin Lind, and Daniel Ramskov Continue reading
July 2019
Skipping Tops Running for Knee Joint Contact Forces and Metabolic Costs
Running’s high rate of sport-related injury is a prime driver of reduced exercise participation, despite its bountiful health benefits. Skipping—that childhood symbol of carefree whimsy—presents a lot like running, but when compared to running, provides unique benefits: shorter steps, reduced vertical ground reaction forces (GRFs), and lower knee extensor torques. Continue reading
