Peripheral musculoskeletal structures may undergo changes after stroke, but tendon-specific adaptations with functional recovery are not well defined. This study examined lower extremity tendon thickness in patients with post-stroke hemiplegia before and after an inpatient rehabilitation program and explored associations between tendon thickness and clinical improvement. 45 patients with post-stroke hemiplegia completed a 4-week rehabilitation program.
Lower Extremity Review
Diabetic Socks: A Systematic Review of Commercial Products
In recent years, various diabetic socks have been developed and introduced to help prevent diabetes related foot ulcers (DFUs). However, the question of which type of sock is most suitable for individuals with diabetes has not been adequately addressed. This review systematically explores the current evidence regarding the performance and structural properties of diabetic socks, along with a narrative analysis of commercial socks.
Achilles Tendon Properties of Jumping Leg in University Basketball Athletes
The Achilles tendon (AT) plays a crucial role in force transmission and movement efficiency, and greater tendon stiffness may enhance elastic energy storage and improve performance in explosive movements. Shear-wave elastography (SWE) enables reliable, non-invasive assessment of tendon stiffness, yet its associations with other ultrasound (US)-derived properties and functional outcomes remain insufficiently defined in athletes.
Impact of Spinal Cord Stimulation in Diabetic Peripheral Neuropathy
Diabetic peripheral neuropathy (DPN) is a common and debilitating complication of diabetes that leads to chronic pain, sensory loss, and functional decline. While spinal cord stimulation (SCS) is FDA-approved for painful diabetic neuropathy, its potential to modify disease pathology rather than merely suppress symptoms remains poorly understood. This narrative review bridges this knowledge gap by elucidating the role of SCS in mitigating structural and…
Bilateral Achilles Tendon Injury in a 14-Year-Old Adolescent: Case Report
Achilles tendon (AT) wounds are defined as partial or complete disruptions of the tendon that create direct communication with the external environment (Lamah L Diallo M Tekpa JBD). The incidence of bilateral AT lacerations in children remains unknown. These researchers report a case of simultaneous bilateral AT laceration in a 14-year-old adolescent following a domestic accident.
Effect of Otago Exercise Program with Neuromuscular Electrical Stimulation on CAI
Chronic ankle instability (CAI) is a common functional disorder in older adults, affecting their balance and quality of life. Effective ways to enhance ankle stability and function remains a key for healthy aging. This study aims to explore the effects of the Otago Exercise Program (OEP) combined with Neuromuscular Electrical Stimulation (NMES) on ankle stability, the pain index, and balance ability in older adults aged 60 and above with CAI.
Folinic Acid Improves Healing of Diabetic Foot Ulcers
A novel folinic acid (FA) wound treatment (FAWT) significantly (P < 0.05) improved healing of chronic diabetic foot ulcers (DFUs). In a double-blind randomized controlled trial, 10 subjects with chronic DFUs were treated daily with either control therapy (n = 5; PluroGel) or FAWT (n = 5; PluroGel containing 2.5% FA). After 12 weeks, the FAWT group demonstrated significantly greater DFU area reduction compared with controls (88% [SD 16] vs 40% [SD 39], respectively).
Foot and Ankle Biomaterials: A Comprehensive Review
Metallic biomaterials enable successful reconstruction of skeletal tissues by supporting repair, load-bearing function, and anatomical alignment in foot and ankle surgery. The unique anatomic and biomechanics in this region, and challenging pathologies such as flatfoot and Charcot neuroarthropathy, present challenges. Intervention requires targeted biomaterial solutions.
Function and Injury Risk in Adolescent Female Volleyball Players with and without CAI
Chronic ankle instability (CAI), a prevalent injury among female volleyball players, can negatively affect functional performance and increase the risk of further injury. The aim of this study was to compare functional movement quality, dynamic balance, vertical jumping performance, hip muscle strength, and risk of injury between…
Return to Play After Ankle Sprains and Achilles Tendon Ruptures in Tennis
Ankle sprains and acute Achilles tendon ruptures are common injuries among recreational tennis players. Patients who sustained an ankle sprain (n=39) or an Achilles tendon rupture (n=7) while playing tennis were retrospectively evaluated. Ankle sprain patients were younger (39 years), smaller and lighter…
The Efficacy of HILT and Stretching Exercises for Plantar Fasciitis Treatment
Plantar fasciitis causes heel pain and functional limitations; conservative treatment typically includes plantar fascia and calf stretching. High-intensity laser therapy (HILT) offers deeper photobiomodulation and potential tissue-healing benefits. In this study participants were randomly allocated into…
Device Variability in Plantar Pressure Thresholds and Diabetic Foot Care Decisions
Plantar pressure measurement is used to identify areas of high mechanical loading in people at risk of diabetic foot ulceration. Fixed thresholds, such as 200 kPa for in-shoe and 600 kPa for barefoot measurements, are commonly reported in the literature and applied in clinical decision-making in diabetic foot care.
Comparison of Single Use and Negative Pressure Wound Therapy Devices in LEUs
Annually, 49 million people worldwide are impacted by lower extremity ulcers (LEUs). Diabetic foot ulcers (DFUs) and venous leg ulcers (VLUs) are the most common LEUs. Negative pressure wound therapy (NPWT) has emerged as an effective intervention for complex wounds, offering numerous favorable wound healing outcomes.
Myofascial Techniques ROM and Flat Foot Efficiency in Adults
Symptomatic flat foot is quite a common pathology in adults. Myofascial release is 1 of the physiotherapeutic methods that are currently used in the treatment of musculoskeletal diseases. This study aimed to assess the impact of myofascial release on the range of motion and functional efficiency of the flat foot in adults.
Botulinum Toxin Type A in the Management of Plantar Fasciitis
Plantar fasciitis is a prevalent cause of heel pain in adults, particularly among the middle-aged population. It is characterized by microtrauma that exceeds the regenerative capacity of the plantar fascia. Although most cases respond well to conservative treatment, such as stretching exercises, orthotic use, and…
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