A new study from Italy examines individuals with a previous history of acute inversion ankle sprain who have subsequently developed chronic ankle instability (CAI) by using 4 validated field tests: Star Excursion Balance Test (SEBT); Balance Error Scoring System (BESS); Time in Balance Test (TIBT); and Side Hop Test (SHT).
Lower Extremity Review
Clubfoot Etiology
Data is derived from a meta-analysis and systematic review of the literature that looked at 42 studies including 28 case-control, 10 cohort, and 4 randomized trials, comprising 31,844 clubfoot cases and 6,604,013 controls. The authors concluded that recognition of modifiable risk factors may help in counseling patients and minimizing clubfoot incidence.
AC E-Stim Unit Shows Improvement in DPN
Diabetic peripheral neuropathy (DPN) is a common complication in both Type 1 and 2 diabetes, affecting both large and small nerve fibers, most commonly in the feet and hands. While drug therapies and their multiple side effects have been the traditional response, electrical stimulation (e-stim) has been showing promise and is frequently advertised on the Internet. It is a noninvasive therapeutic modality that…
Weight Maintenance Possible Without Continued GLP-1 RA Therapy
Objective: The high cost of novel glucagon-like peptide-1 receptor agonist (GLP-1 RA) class agents often limits access and creates barriers to care. This real-world study evaluated the efficacy of older-generation generic antiobesity medications (AOMs) for weight maintenance after 1 year of GLP-1 RA therapy in patients who had achieved successful weight loss.
Backward Walking As Therapy for Forward Head Posture
The presence of spinal arches is crucial for maintaining good body posture, reducing pressure on joints, and preventing deformities caused by misalignment. Engaging in exercises that focus on correcting body alignment, such as walking backward, can enhance posture and various related factors. Researchers from across Iran selected a group of 46 female students suffering from forward head posture…
Gout Flare Burden in the United States
Researchers from University of Houston in Texas used an online survey to assess the burden of gout flares in a sample of US adults >18 years. Nearly 1,000 participants met the study criteria for having gout. Those with gout tended to be older (58.3 [SD 13.3] years vs 45.4 [SD 16.1] years; P < 0.001), male (76.3% vs 46.9%; P < 0.001), White (80.5% vs 76.8%; P = 0.01), and married or living with their partner…
Motor Neurons Positively Stimulated by Life-long Exercise
Exercise preserves neuromuscular function in aging through unknown mechanisms. Skeletal muscle fibroblasts (FIB) and stem cells (MuSC) are abundant in skeletal muscle and reside close to neuromuscular junctions, but their relative roles in motor neuron maintenance remain undescribed. Using direct cocultures of embryonic rat motor neurons with either human…
D-mannose promotes diabetic wound healing in rats
Diabetic chronic foot ulcers pose a significant therapeutic challenge around the world, resulting in adverse effects and complications in patients. D-mannose is enriched in citrus peel and exerts beneficial effects among various diseases, especially against inflammation-related disorders. These authors examined the potential effect of D-mannose during the wound healing process in…
Socioeconomic Status Affects VLU Outcomes
A recent study in the Journal of Wound Care reported on the impact of dual-enrolee (Medicare/Medicaid) status on venous leg ulcer (VLU) outcomes in more than 555,000 Medicare beneficiaries. The study found that patients with dual-enrollee status have incomes ranging from slightly above, at, or below the poverty level; greater numbers of comorbidities; and are more…
Flip-flops With Custom Insoles Do Not Relieve Pain
A recent study from Brazil evaluated the use of custom-made insoles adapted to flip-flops on pain intensity, foot function, and functional walking ability in individuals with persistent plantar heel pain. This randomized controlled trial assessed 80 participants at baseline, 6 and 12 weeks, and then 4 weeks post-intervention. At all 3 check points, no between group difference was…
Talar Neck Non-Unions: Clinical and Radiological Outcomes of 8 Cases
Significant hindfoot deformity and morbidity can result from talar neck non-unions but are not often reported in the literature. Surgical management is evolving, with recent publications on the results of open reduction and internal fixation (ORIF) with bone grafting (BG), ankle fusion and modified Blair fusion. These authors report the clinical and radiological outcomes of a cohort of talar neck non-unions managed by ankle joint preserving reconstruction.
Ankle Motion During Landing May Impact Knee Injury Risks
A team of researchers from China, Singapore, and New Zealand built a computer model to examine the role of ankle motion in anterior cruciate ligament (ACL) injury as related to single leg landing. Single-leg landing is an essential skill in sports such as basketball, soccer, and volleyball.
Texting While Walking Puts Pedestrians in Danger: UBC study
New University of British Columbia research analyzing actual pedestrian interactions with vehicles on busy streets concludes that distracted pedestrians face higher safety risks compared with undistracted road users. Previous studies have speculated that distracted pedestrians, such as those texting and talking on the phone, are at higher risk of being hit by a car due to…
6-Year Follow-up of Aging Marathon Runner
This marathoner’s performance has declined since his record-breaking marathon in 2018 primarily due to a reduction in VO,max. His max HR changed minimally, but his peak O2 pulse decreased, suggesting that his maximal stroke volume and/or arteriovenous 02 difference decreased. These changes likely reflect primarily age-related effects.
Flat foot Update #1: Strengthening Hip Abduction in Women
Recent research has found that strengthening hip joint stability can considerably affect foot mechanics. The purpose of this study was to determine the effect of short foot exercises (SFEs), combined exercises (CEs), and SFEs with isometric hip abduction (IHA) on navicular drop (ND), static parameters (SP), and postural sway in women with flat foot (FF).
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