According to a new study1 by researchers at the University of Maryland School of Medicine, multiple sclerosis (MS) is more prevalent – particularly among Black Americans – than previously thought. Using de-identified health insurance claims of 96 million adults living in the United States, the research team was able to estimate in more detail how many individuals age 18 and…
Lower Extremity Review
Vibration Aids Hard-to-Heal Wounds
A new scoping review from Japan suggests that low-frequency and low-intensity vibration therapies helped effectively treat wounds (including pressure injuries, diabetic foot ulcers, and venous leg ulcers) by improving blood flow, relieving pain, reducing exudate, removing necrotic tissue, and increasing the expression of nitric oxide associated with wound healing.
Exercise + Electrical Simulation for CAI
Chronic ankle instability (CAI) is diagnosed when symptoms (perceptions of the ankle ‘giving way’, pain, weakness, or limited ankle range of motion) have persisted for more than 1 year after an initial lateral ankle sprain. Therapeutic exercise is a key treatment for overcoming neuromuscular deficits in CAI. In this study, researchers from…
High Heels Remodel Leg Muscles
User metabolic power during walking in flat-soled shoes decreased following daily high-heel use. High heels remodel leg muscle-tendons & improve walking economy regardless of footwear condition.
Therapeutic Benefits of Tai Chi Highlighted
The inaugural meeting of the Tai Chi & Qigong as Whole Person Health Conference was held in Boston, MA, in September 2023. It was hosted by the Osher Center for Integrative Medicine and jointly sponsored by the Harvard Medical School and Brigham and Women’s Hospital. Nearly 300 experts, professors, researchers, and professionals from…
Exercise Training Modes Lower Resting Blood Pressure
In an effort to establish an optimal antihypertensive exercise prescription, researchers from Kent, England, conducted a large-scale pairwise and network meta-analysis on the effects of various exercise modes on resting blood pressure. They looked at 270 randomized controlled trials with more than 15,800 patients.
Inflammatory Markers in Diabetic Foot Infections
This meta-analysis of 10 studies with 785 patients confirmed the significant association between diabetic foot infection and 3 inflammatory markers: white blood cell (WBC) count, C-reactive protein (CRP) level, and procalcitonin (PCT) level. The meta-analysis indicated that mean WBC count (standardized mean differences…
Use of Removable Boot vs Cast After Ankle Surgery: Cost-Effectiveness vs QoL
In a unique combined study, researchers from multiple institutions across the United Kingdom compared a removable boot with plaster cast for the treatment of ankle fractures 2 weeks after surgery with weight bearing as able. They used data from 243 trial participants and reviewed medical notes to estimate costs from both the National Health Service (NHS) and…
TAA in Patients Age <50: Midterm Outcomes
In a chart review that spanned 2000-2017, researchers from Duke University looked at 58 patients who underwent primary total ankle arthroplasty (TAA) (average age at surgery 43.3 years) and had minimum clinical follow-up of 5 years. They found that 11 required additional surgery related to the TAA; 6 patients (10.3%) required bone grafting of peri-implant…
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