Lower Extremity Review
Total hip arthroplasty (THA) is the common treatment for end-stage hip osteoarthritis (OA), improving health-related physical function, pain, and quality of life. Still, physical function may not reach the level of healthy controls, and patients report post-operative pain even years after THA.
A quasi-experimental study from Calgary, Canada, sought to evaluate the effectiveness of a neuromuscular training warm-up prevention program, Surveillance in High school and community sport to Reduce (SHRed) Injuries Basketball, for reducing all-complaint ankle and knee injuries in…
Foot orthoses (FOs) have been prescribed for an array of lower limb issues as their geometrical design and material properties have been shown to influence their impact on foot biomechanics. 3D-printing offers the potential to customize the shape of FOs, as well as add new functionalities with…
Type 1 diabetes mellitus (T1DM) is associated with an increased fracture risk, specifically at nonvertebral sites. The influence of glycemic control and microvascular disease on skeletal health in long-standing T1DM remains largely unknown. The researchers aimed to assess areal bone mineral…
Recent COVID-19 vaccination has minimal effects on the physiological responses to graded exercise in physically active healthy people. Physiological Responses to graded cycling exercise were compared before and after COVID-19 vaccination and in controls.
Meta-analysis Demonstrates AFOs Improve Gait, Balance in Stroke. In a recently published systematic review and meta-analysis, researchers from Korea looked at the effectiveness of ankle-foot orthosis (AFO) use on improving gait function and balance in patients with stroke. Their analysis covered a total of 19 studies including 434 participants that reported on the immediate or short-term effectiveness of AFO use.
Macronutrients have been shown to play a vital role in wound healing. Proper nutrition is something that every wound care clinician should discuss with their patients. Caloric needs increase during wound healing and it is estimated that patients should consume 30-35kcal/kg daily. Recent reporting details daily…
By Windy Cole. DPM, CWSP, FAPWH
The American College of Sports Medicine has updated its 1987 consensus statement on the use of anabolic-androgenic steroid (AAS) use, synthesizing more than 30 years of research on the topic.1 The College acknowledged that lawful and ethical therapeutic use of AAS is a mainstream treatment for several clinical…
The American Academy of Orthopaedic Surgeons (AAOS) issued an update to the Clinical Practice Guideline (CPG) for Management of Osteoarthritis of the Knee (Non-Arthroplasty), which replaces the 2nd edition released from 2013. This 3rd edition of the CPG provides updates to 19 of the 29 evidence-based…
Researchers from Japan reported that immobilization reduces symptoms after lateral ankle sprain (LAS) but may worsen the range of motion (ROM) of the ankle and delay return to play (RTP). They sought to understand the correlation between ankle ROM and time to RTP following immobilization for LAS and studied…
Adults with knee osteoarthritis who had physical therapy, steroid injections in the painful joint, or saw non-surgical specialists were less likely than others to undergo knee surgery, a study of 988,570 Medicare beneficiaries found. The researchers say that while surgery is highly…
Human adipose tissue serves multiple roles in the human body. Human adipose-derived stromal cells (ADSCs) are an increasingly popular cell source for biologic therapies in orthopedics and a major focus of research. ADSCs are multipotent and can be harvested from adipose tissue…
Clinical research—the trials and their findings—has become more transparent since the development in the early 2000s of clinical trial registries. These trials allow the public to follow trial progress on a registry website including recruitment, changes to the original protocol…
In a narrative review of 28 papers on pediatric obesity and sports participation, researchers from the Wake Forest (NC) School of Medicine identified 5 categories: Increased incidence of musculoskeletal injury in obese children, hypothesized to be a result of changes in…
Foot orthoses (FOs) are used to treat clinical conditions by altering the external forces applied to the foot and thereafter the forces of muscles and tendons. However, whether specific geometric design features of FOs affect muscle activation is unknown. The aim of this study was to…
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