Diabetic foot ulcers pose a serious threat to people with diabetes, especially the elderly. Both aging and diabetes can lead to structural and compositional changes in the plantar soft tissues which can be seen on ultrasound. With an increasingly aged population and diabetes prevalence expected to increase to nearly 25% among adults…
Lower Extremity Review
LinkedIN Post of Note: Pickleball Strikes Again!
Amol Saxena: Hit Achilles surgery #800 last week, another rupture due to Pickleball which has surpassed basketball for #1 incidence.
HIIT & Moderate-Intensity Improve Motor Symptoms in PD
High-Intensity Interval Training (HIIT) vs. Moderate-Intensity Continuous Training (MICT) in Parkinson’s Disease: A Randomized Trial. Conclusion, HIIT and MICT both increase maximal oxygen uptake and reduce motor symptoms in adults with Parkinson’s disease.
Ultrasound Imaging of the Quadriceps Femoris in KOA
Knee osteoarthritis (KOA) is a common disease in elderly adults. While previous studies have mainly focused on pathological changes, such as synovial and cartilage alterations, these authors sought to focus on changes in muscle quality. Echo intensity, shear modulus, and Myoton PRO (Tallinn, Estonia) are all potential and convenient tools for evaluating muscle properties. In addition to measuring muscle morphology, echo intensity and shear modulus also expand the scope of…
Changes in Foot Biomechanics during Pregnancy
…The current review sought to analyze the evidence for changes in foot biomechanics during pregnancy and the postpartum period. These authors found that around half of the body mass acquired during pregnancy is in the woman’s abdominal region (anterior part of the trunk), which leads to changes in the center of gravity and more significant oscillations in the center of pressure. These factors induce disturbances in the pregnant woman’s gait.
Burden of Infected Diabetic Foot Ulcers
Diabetic foot is a common complication of diabetes that affects quality and prognosis of life for patients and often requires hospitalization. Infection, alone or in association with ischemia, is the main cause of hospital admission and impacts prognosis. The aim of this study is to analyze the costs of diabetic foot lesions and assess factors that influence the economic impact, focusing on infection.
Aging Baby Boomers & Ankle Fractures
Ankle fractures are common among healthy adults, but even moreso among elderly patients. And the population of so-called Baby Boomers (today’s 60–78-year-olds) is expected to nearly double by 2050. Ankle fractures in patients with osteopenia and in diabetic patients with deranged bone remodeling constitute high-risk injuries that may result in catastrophic complications.
Understanding the Benefits and Limitations of Orthotic Use in CMT and CP
Noting a lack of evidence-based guidance on mobility challenges in individuals with neuropathic conditions, in particular Charcot-Marie-Tooth (CMT) disease and Cerebral Palsy (CP), researchers from the University of Iowa in Iowa City identified a critical need for a better understanding of how surgical correction affects mobility, balance confidence, and gait compared to ankle-foot-orthosis (AFO) bracing.
LinkedIn Post of the Month
Shin splints are a label often given for shin pain, but this is NOT a diagnosis as several conditions can cause pain in this region. So here are some of the common causes; Front of shin: Anterior exertional compartment syndrome, Tibial stress fracture. Inside of shin: Medial tibial stress syndrome (MTSS), Tibial stress fracture, Deep posterior exertional compartment syndrome, Calf muscle strain (soleus or gastrocnemius).
Assessing lower limb perfusion in diabetic foot ulcer: AWPI vs ABPI
The presence of peripheral artery disease (PAD) in patients with diabetic foot ulcers (DFUs) is a significant risk factor for chronicity and amputation. Ankle–brachial pressure index (ABPI) is a screening tool for PAD. Brachial systolic pressure measurement, used as a denominator in the calculation of…
The Impact of Eccentric Preload on Muscle Performance
High Preload increases shortening work, explains ~2/3 of the SSC-effect BUT despite identical preload and tendon-based passive elastic behavior less work in MATCHED compared to SSC. Stretch-induced intramuscular Force enhancement conveys to the shortening phase of SSC, explains ~1/3 of the SSC-effect. Stretch-induced increased performance in SSCs is attributed to passive-elastic structures within the contractile element, resulting in higher neuromuscular efficiency.
Obstructive Sleep Apnea, Osteoarthritis & BMI
This study, the first of its kind, aimed to explore the connection between Obstructive Sleep Apnea (OSA) and osteoarthritis (OA) and evaluate causality using Mendelian randomization (MR), utilizing large-scale observational study data and genetic datasets.
Maternal Brain Hormone Strengthens Bones, Could Treat Osteoporosis, Bone Fractures
More than 200 million people around the world have osteoporosis, and women are at especially high risk after menopause due to declining levels of the hormone estrogen, which helps keep bones strong. While osteoporosis rarely has noticeable symptoms, it can lead to serious injuries when otherwise minor falls cause broken bones that lead…
New Study: MS Appears to Protect Against Alzheimer’s
People with multiple sclerosis (MS) are far less likely than those without the condition to have the molecular hallmarks of Alzheimer’s disease (AD), according to new research from Washington University School of Medicine in St. Louis. The discovery suggests a new avenue of research through which to seek Alzheimer’s treatments, said…
Gujarati Translation for Walking Impairment Questionnaire for PAD
The Walking Impairment Questionnaire (WIQ) is a common and easy-to-use assessment of walking incapacity in people with claudication due to peripheral artery disease (PAD). It has 4 subscales: pain severity, walking distance, walking speed, and ability to climb stairs. It is one of several clinical measurements useful for predicting patients’ functional limitations, assessing…
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