Category Archives: Clinical News

Current Issue News

January 2019

Foot Problems Affect 2/3 of Homeless Population

With homelessness on the rise, a recent systematic review sought to characterize the foot problems of homeless persons, based on the available literature. The review included 17 articles with study populations from the United States, the United Kingdom, France, and Italy. Continue reading

January 2019

Barcelona Researchers Describe New Anatomic Structure In Ankle

Human anatomy guidelines group the ankle ligaments by two ligament complexes: the lateral collateral ligament and the medial or deltoid collateral ligament. Now, a University of Barcelona (UB) research team has defined a new anatomic structure in the ankle, the lateral fibulotalocalcaneal ligament complex (LFTCL). Continue reading

January 2019

Gait Training Can Slow Age-Related Changes in Energy-Cost of Walking

The aging-induced increase in energy cost of walking can be slowed in older adults leading to improved mobility, according to new research published in the journal Innovation in Aging.

By Chris Klingenberg Continue reading

January 2019

Arch Height Does Not Affect Foot or General Health QOL

Foot-arch height does not affect specific foot and general health-related quality of life (QOL), according to a recent study in the International Journal of Environmental Research and Public Health. Continue reading

January 2019

3D-Printed Knee Brace To Aid Rehab, Elderly

Researchers from the Georgia Institute of Technology recently detailed the successful benchtop testing and pilot human movement studies of a 3D-printed knee brace. The brace, which has an embedded magnetic angle sensor and whose torsional stiffness can be adjusted by applying varying sizes of… Continue reading

January 2019

Polio-like Illness AFM Strikes Nearly 200 People in 2018

The US Centers for Disease Control and Prevention has confirmed 196 cases of acute flaccid myelitis (AFM), a rare polio-like condition, that causes weakness in the arms or legs, across 39 states in 2018. That number could rise as some cases are still under investigation. Continue reading

November 2018

New NATA Recommendations Address Patellofemoral Pain

Patellofemoral pain (PFP), one of the most common knee problems in active people, is also one of the most challenging conditions to manage, due to its complex nature. To support athletic trainers and other healthcare providers who treat the problem, the National Athletic Trainers’ Association (NATA) has published recommendations and a framework for identifying risk factors and managing patients who experience PFP. Continue reading

November 2018

Poor Balance Tied to Visual Acuity–Peripheral Vascular Disease Interaction

Poor vision has long been known as a risk factor for poor balance. This is particularly true in older adults as they perform complex balancing tasks, such as standing on 1 foot. A team of Canadian researchers wanted to determine whether poor vision would be more strongly related to standing balance in older adults who had peripheral vascular disease (PVD) or diabetes.

Continue reading

November 2018

ADA Issues New Guidelines for Youth with T2D

Youth-onset type 2 diabetes (T2D), defined as T2D that develops before 20 years of age, is a growing medical challenge in the United States. A national study reported a 4.8% increase in newly diagnosed cases of T2D in this age group from 2002 to 2012. Continue reading

November 2018

VA Reports Downward Trend in Surgical Adverse Events

In an 8-year quality improvement follow-up study of reported surgical adverse events (AEs) at the US Veterans Health Administration (VHA), researchers found 277 AEs and 206 “close calls.” The data show a continuing of the downward trend from 1.74 to 0.47 AEs with harm for every 100,000 procedures, compared to the previous similar VHA studies (the periods 2001-2006 and 2006-2009). Continue reading

November 2018

HIPAA Violations Can Be Costly

A Connecticut allergy practice has agreed to pay $125,000 and enter a corrective action plan to settle an alleged Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule violation. According to the US Department of Health and Human Services (HHS), the violation occurred when one of the practice’s physicians disclosed a patient’s protected health information to a member of the media. Continue reading

May 2018

Wearable sensors assess relationship between foot problems and frailty

Assessing how foot problems— namely, pain, neuropathy, and deformity— contribute to frailty syndrome has been a challenge for researchers, as transporting frail elders to lab facilities creates its own set of issues. But a recent study from the University of Arizona used wearable sensors to assess the seniors in their “natural” environment and found significant relationships between the number of foot problems and degree of frailty. Continue reading

May 2018

Three-year follow-up: Close contact casting vs surgery

In a pre-specified, 3-year extension of a randomized clinical trial of equivalence, close-contact casting maintained equivalence in function compared to surgery in older adults with unstable ankle fracture. Furthermore, no significant differences were reported in quality of life or pain. The authors concluded that the focus of treatment for these patients should be on obtaining and maintaining reduction until union, using the most conservative means possible. Continue reading

May 2018

Lower-extremity amputation feared more than death

Both type 1 and type 2 diabetes are known for their life-threatening complications—in particular, blindness from retinopathy, kidney failure, and peripheral neuropathy. For patients with diabetes and foot pathology, amputation is a significant worry. A recent study in Foot & Ankle Specialist sought to understand just how much this population fears lower-extremity amputation (LEA).

Continue reading

May 2018

Wasp stings: Some really do hurt more than others, and how to counsel patients

As summer approaches and we become more active outdoors, wasps will become more active, too. Two recent studies highlight the pain and danger of the ubiquitous wasp. The first study, from entomologists at the University of Utah, looked at stinger length compared to reported pain and toxicity.1 Continue reading

May 2018

Flip flops, bare feet, or sports shoes: Which are best and which are worst?

Many have long suspected the answer, but a new study would appear to resolve the question: Are flip flops really that bad for your feet? According to Chen and colleagues from the Department of Biomedical Engineering at The Hong Kong Polytechnic University, flip flops are most likely no better than barefoot when it comes to lower-limb co-contraction and joint contact force in the ankle. Continue reading

April 2018

Treatment for post-stroke spastic equinovarus and plantar flexor spasticity

Spasticity occurs in 20% to 40% of stroke patients. Two new studies add to the body of evidence supporting the use of botulinum toxin type A (BT-A) injections for post-stroke spasticity: the first looked at the ideal timing of injections for plantar flexor spasticity, and the second looked at ultrasound-guided injections for spastic equinovarus. Continue reading

April 2018

Crossover prosthetic design

Prosthetic feet are typically optimized for a narrow range of activities, meaning active prosthetic users may need more than 1 prosthesis to fully participate in activities with varying degrees of impact. Modern energy-storing feet (ESF) support users’ ability to walk at differing speeds, as well as support static standing, but they can limit aerobic activities and running speeds. Running-specific feet (RSF), while ideal for running and sprinting, do not support low impact activities, particularly standing or walking. Continue reading

April 2018

Post-operative complications after Achilles tendon rupture repair

Achilles tendon rupture (ATR) is one of the most common injuries resulting from sports and exercise activities. Its resulting functional deficits can last more than 2 years from the original injury. While traditionally it has been an injury seen more among men, prevalence among women has been increasing, most likely due to increased participation in recreational sports. Continue reading

April 2018

Low-cost trans-femoral prosthesis uses plantar insole sensors

Indian researchers have designed a trans-femoral prothesis with plantar insole sensors that they found allow users to achieve near able-bodied gait kinematics. The passive prosthesis uses a magneto-rheological (MR) damping system with electronic control based on plantar insole feedback Continue reading

April 2018

Supportive footwear for children with CMT

The effect of footwear on gait and balance of children and adolescents with Charcot-Marie-Tooth (CMT) disease is of interest to parents and clinicians. Children with CMT, which causes progressive damage to peripheral nerves, particularly the feet and ankles, often have gait difficulties due to muscle weakness, including problems with balance, resulting in falls. Continue reading

April 2018

Study assesses role of corticosteroid therapy in Achilles tendinopathy

Achilles tendinopathy is the most common overuse injury in sport, and it is common in non-athletes as well. High volume image guided injection and structured rehabilitation (HVIGI+SR) has been shown in repeated studies to provide significant improvement in… Continue reading

March 2018

Study finds little difference between DMO and PMO for hallux valgus

Guiding patients to make the most appropriate choice among options to correct hallux valgus has long been a challenge: Distal metatarsal osteotomy (DMO) is liked for its shorter incision, low level of invasiveness, lower complication rate, and its ability to improve pain and functionality across a wider range of deformities. Continue reading

March 2018

Center of pressure in normal, pes planus, and pes cavus feet

To better understand the association of non-normal foot postures with an increased risk of injury to the lower extremity, Australian researchers evaluated center of pressure (COP) in adults with pes planus, pes cavus, or normal feet. Continue reading

March 2018

Midfoot mobility and patellofemoral pain

Seeking to better understand foot mobility in adults with ­patel­lo­­femoral pain (PFP, or so-called runner’s knee), Australian researchers studied almost 200 adults aged 18 to 50 years. Both weight-bearing and non-weight-bearing measures were used to calculate… Continue reading