According to Alan Davis, MD, orthopedic surgeon from the Cleveland Clinic, when patients present with end-stage bone-on-bone arthritis, surgeons have 2 choices. Ankle fusion (arthrodesis) is recommended for patients who are younger or have large deformities, poor bone…
Lower Extremity Review
FOOTPRINTS ID 2ND HUMAN ANCESTOR FOUND AT LAETOLI, TANZANIA
Bipedal trackways discovered in 1978 at Laetoli site G, Tanzania and dated to 3.66 million years ago are widely accepted as the oldest unequivocal evidence of obligate bipedalism in the human lineage. Another trackway discovered two years earlier at nearby site A was…
EFFECTIVENESS OF VR ON ANXIETY AND PERFORMANCE IN SPORT
With the increased use of technology, relaxation interventions are finding their way into technology devices like virtual reality head-mounted displays (VR HMDs). However, there is a lack of evidence on the efficacy of VR relaxation interventions to reduce anxiety in athletes and how that is portrayed in their movement patterns.
IMPACT OF OVERLOADED SCHOOL BACKPACKS
Carrying a backpack can increase reactive forces on the soil and plantar pressure, and this increase can be conditioned by the child’s educational level. The increase in ground reaction force (GRF) was noted while children carried a backpack weighing only 7.5%…
FUNCTIONAL BRACING IS SAFE, COST EFFECTIVE FOR WEBER B FRACTURE
Despite the current recommendations that stable Weber B ankle fractures can be treated with functional bracing and weightbearing as tolerated, some reluctance exists among trauma surgeons to follow these recommendations. This paper reports on our institution’s experience in managing these injuries and compare it to the national guidelines.
Disuse Impacts Cardiovascular, Skeletal Muscle Health
Cardiovasomobility is a novel concept that encompasses the integration of cardiovascular and skeletal muscle function in health and disease with critical modification by physical activity, or lack thereof. Compelling evidence indicates that physical activity improves health while a sedentary, or inactive, lifestyle accelerates cardiovascular and skeletal muscle dysfunction and hastens disease progression.
SELF-ADHESIVE TAPE = SHORT-LEG CAST FOR 5TH MET FRACTURE
Patients who used self-adhesive taping (SAT) as treatment for tuberosity fractures of the proximal 5th metatarsal fared just as well as patients who were placed in short-leg casts (SLC) for the same condition, in a recent study from Turkey. Functional outcome was assessed at the time of injury and at 2, 4, 6, and 12 weeks.
ORTHOBIOLOGICS: DEFINITIONS, CHALLENGES, BARRIERS, & STRATEGIES
Currently defined as “biological substances found naturally in the body that help injuries heal more quickly,” orthobiologics come in many flavors (see Table). With post-traumatic osteoarthritis and tendinitis dominating the orthopedic care space, use of orthobiologics is getting a lot of attention, but raising a lot of questions as well.
STEM CELL STRATEGY FOR REPAIRING JOINT DAMAGE SHOWS PROMISE IN PIG MODEL
A method to turn human stem cells into cartilage cells shows promise for repairing damaged joint tissue in a pig model of knee cartilage injury. The findings, funded in part by the National Institute on Aging and published in Regenerative Medicine, provide a potential new therapeutic strategy that may help repair damaged cartilage and prevent osteoarthritis.
ACUPUNCTURE APPEARS TO REDUCE FRACTURE RISK IN OA
Osteoarthritis (OA), the most common form of arthritis, is commonly known as wear-and-tear arthritis. It is a growing epidemic as the world’s population ages. In Taiwan, nearly 40% of Taiwanese individuals over age 50 have OA of the knee; that number rises to 55% in women over age 80. OA is a known risk factor for falls in older adults, making OA management a public health goal.
MUSCLE MASS & COVID OUTCOMES EXAMINED IN 2 STUDIES
Recent publications from 2 locations in Germany used different techniques to look at muscle mass and outcomes in SARS-Co-V2 patients during the height of the pandemic. Both found associations between loss of muscle mass and mortality. Both were published in the Journal of Cachexia, Sarcopenia and Muscle.
Foam Rolling May Increase Ankle Range of Motion
A recent systematic literature review, published in the Journal of Bodywork and Movement Therapies, suggests there is strong evidence for a short-term increase in ankle dorsiflexion range of motion after a single application of foam rolling (FR) in a healthy population. Furthermore, some of the evidence suggests that FR may be a…
Orthopedic Footwear & Hereditary Motor Sensory Neuropathy
Orthopedic footwear is often prescribed to improve postural stability during standing and walking in individuals with Hereditary Motor Sensory Neuropathy. However, supporting evidence in the literature is scarce. The aim of this study was to investigate the effect of orthopedic footwear on quiet standing balance, gait speed, spatiotemporal parameters…
Plantar Heel Pain: Who Responds to Insoles?
Plantar heel pain (PHP) is a common cause of foot complaints, for which treatment with custom-made insoles is frequently applied. So far, few studies have investigated patient characteristics that predict response to these treatments. The aim of this secondary exploratory analysis was twofold; firstly, to identify patient characteristics that predict prognosis in…
Fear of Falling Increases Risk of Frailty
Fear of falling (FoF) and frailty often go hand-in hand for today’s older adults. In particular, FoF can lead to a self-limitation of activities. Such limitations are then followed by further decline in physical capacities which may predispose to frailty. But the exact nature of the relationship between the 2 conditions has never been clearly delineated.
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