Category Archives: Clinical News

Current Issue News

August 2019

Orthotic insoles for people with diabetes at-risk of ulceration

This study focused on pressure-relieving orthotic insoles designed for retail footwear and people with diabetes and at risk of first forefoot ulceration. The aim was to investigate whether the pressure-relieving effects of a customized metatarsal bar and forefoot cushioning are sensitive to bar location and shape, and material choice.

By Ana Martinez-Santos, Stephen Preece, and Christopher J. Nester Continue reading

July 2019

Survey Identifies Quality of Care Indicators for AFO Users

Lower limb orthoses are worn by nearly 2 million Americans of all ages. Certified orthotists have reported spending 59% of their time providing lower limb orthoses, of which 18% is spent providing ankle foot orthoses (AFOs). Despite such a substantial time commitment spent providing patients with lower-limb orthoses, and specifically AFOs, patient satisfaction reporting and quality of care assessment have not been fully documented.

By Laura Fonda Hochnadel Continue reading

July 2019

Isokinetic Training + Eccentric Overload = >Muscle Size, >Performance

A team of researchers undertook a study to examine changes in performance and muscle size in young ice hockey players who underwent a program of multiple-joint isokinetic (ISO) resistance training (RT) and eccentric overload (ECC) compared to a control group that underwent a traditional (eg, isotonic) RT program. According to the literature, ISO training and ECC, when…

By Laura Fonda Hochnadel Continue reading

July 2019

Excerpt: Shin Splints, Achilles Tendinopathy Top Running-related Diagnoses Among Injured Recreational Runners

The purpose of the present study was to describe the incidence proportion of different types of running-related injuries (RRI) among recreational runners and to determine their time to recovery.

By Benjamin Mulvad, Rasmus Oestergaard Nielsen, Martin Lind, and Daniel Ramskov Continue reading

July 2019

Skipping Tops Running for Knee Joint Contact Forces and Metabolic Costs

Running’s high rate of sport-related injury is a prime driver of reduced exercise participation, despite its bountiful health benefits. Skipping—that childhood symbol of carefree whimsy—presents a lot like running, but when compared to running, provides unique benefits: shorter steps, reduced vertical ground reaction forces (GRFs), and lower knee extensor torques. Continue reading

July 2019

Gout: Well Known, But Misunderstood

Gout may be well known, but there is a tremendous misunderstanding of what it takes to treat this serious inflammatory disease. Those are among the findings of a recent survey conducted for the Gout Education Society by Wakefield Research. The online survey of 1,000 nationally representative Americans, ages 18+, with an oversampling of 100+ interviews of adults who… Continue reading

July 2019

Early Sports Specialization Tied to Increased Injury Rates in College Athletes

Nearly 60 million children and young teens participate in organized athletics each year with ever-increasing numbers of kids specializing in one sport before the age of 14 with hopes of a college scholarship or professional career on the line. However, researchers presenting their work at the American Orthopaedic Society for Sports Medicine/Arthroscopy… Continue reading

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May 2019

Glaucoma = Gait Changes and Fall Risk

early 60 million people worldwide will be affected by primary open-angle glaucoma (POAG) in 2020. The condition, a leading cause of irreversible blindness, typically occurs in people > 40 years of age; risk increases with age. The condition is known to cause difficulty walking, particularly when lighting levels differ, such as on steps, or when crossing the street. Continue reading

May 2019

Inverse Association Between Coffee and Falls

European researchers have found an inverse association between habitual (ie, daily) coffee drinking and the risk of falls in the elderly—and that inverse association was particularly strong among those who drank caffeinated! The association also held (although not to the same extent) for a lower risk of injurious falls. Continue reading

May 2019

EXCERPT: Foot Orthoses Alter Lower-limb Biomechanics in Basketball Players—Flat Feet or Normal Arch

Flat-footed persons are believed to have poorer jump performance compared to those who have a normal arch. Foot orthoses are commonly used to support the deformed foot arch and improve normal foot function. However, it is unclear if use of foot orthoses affects jump performance in athletes.

By Malia Ho, Pui Wah Kong, Lowell Jia-Yee Chong, and Wing-Kai Lam Continue reading

May 2019

Infographic on Running Related Injuries

Biomechanical risk factors associated with running-related injuries: a systematic review. The incidence and prevalence of running-related injuries (RRI) is high. Biomechanical factors may play a role in the etiology of these injuries. This systematic review synthetizes biomechanical risk factors related to the development of RRI. Continue reading

April 2019

New Tool to Assess Clubfoot Treatment

Congenital talipes equinovarus, or clubfoot, is a common deformity in which the affected foot is fixed downward and inward. The birth prevalence of clubfoot in low- and middle-income countries is estimated to be 0.5 to 2.0 cases for every 1000 … Continue reading

April 2019

Peak Tibial Accelerations as Real-time Measure of Impact Loading

Studies seeking to determine the effects of gait retraining through biofeedback on peak tibial acceleration (PTA) assume that this biometric trait is a valid measure of impact loading that is reliable both within and between sessions. However, data was lacking for the validity and reliability of these measures at the speed of endurance runners.

By Pieter Van den Berghe Continue reading

April 2019

DFCon 2019 Abstract Submissions Due June 15.

The Diabetic Foot Global Conference (DFCon2019) will be held at the Hilton Los Angeles/Universal City in Los Angeles, California, USA, Oct. 17-19, 2019. All those engaged in the field of diabetic foot care, wound healing, limb salvage, and amputation… Continue reading

April 2019

When It Comes to Exercise, It’s Never Too Late…

Physical activity reduces the risk of many chronic illnesses and increases the odds of a longer, healthier life. But it hasn’t been clear whether the benefits of exercise differ based on when during their lives people are most active.

By Sharon Reynolds Continue reading

April 2019

Plantar Mechanical Stimulation Improves Sensation in DPN

Over 30 million Americans have diabetes and 1.5 million Americans are newly diagnosed with diabetes each year. Peripheral neuropathy (PN) is a major diabetic complication and affects 30% to 50% of people with diabetes. Diabetic peripheral neuropathy (DPN) is a leading cause of devastating outcomes such as foot ulcer and amputation.

By Bijan Najafi and Gu Eon Kang Continue reading

March 2019

Benefits of a Foot Orthosis During a Step-descent Task on Kinematics, Kinetics, and Activation of Muscle

Foot orthoses are considered to work by controlling internal rotation of the tibia and eversion of the calcaneus, and have been reported to be effective during weightbearing activities such as walking and running. As a result, they have been shown to be effective in managing a range of musculoskeletal conditions—not the least of which is patellofemoral pain.

By Sarah Curran, PhD, FCPodMed Continue reading

March 2019

Concurrent Changes in Eccentric Hamstring Strength and Knee-joint Kinematics

Hamstring strain incidence in soccer increases during the latter stages of match-play, consistent with experimental studies that report reduced eccentric hamstring strength during soccer-specific fatigue. The biarticular function of the hamstring is such that fatigue-induced changes in strength are also likely to have an impact on…

By Matt Greig, MPhil, PhD Continue reading

March 2019

Delayed Charcot Diagnosis Increases Costs, Hospital Days, Amputations

Early recognition and treatment of Charcot neuroarthropathy has been long considered paramount to optimizing clinical outcomes and delivering high-quality care. Without this rapid response to control the devastating effects of Charcot, patients are left with significant deformities; increased risk of ulcers, infection, and…

By Jonathan M. Labovitz, DPM, FACFAS, CHCQM Continue reading

March 2019

AFOs for Stroke: Early Use Does Not Limit Long-Term Benefit

Stroke often impairs walking, particularly by altering foot clearance during the swing phase. Activity of the tibialis anterior (TA) plays an important role in foot clearance; clinicians often prescribe an ankle-foot orthosis (AFO) for post-stroke patients to help with foot clearance. Continue reading

February 2019

Anterior Femoral Ligament Thickening Seen 3 Years Post-ACL Surgery

Osteoarthritis (OA) affects nearly 50% of patients who undergo anterior cruciate ligament reconstruction (ACLR) within 2 decades after surgery. The mechanism of OA development has been elusive; many experts theorize that disruption of knee–joint tissue homeostasis is key. Now, researchers, using ultrasonography (US), have found an increase in the thickness of the anterior femoral cartilage and cross-sectional area 3 years postoperatively. Continue reading

February 2019

Compression in Lymphedema

In a narrative review of old and innovative concepts concerning pressure and stiffness in lymphedema therapy, the authors of a study just published in Phlebology found that the current literature does not appear to be in sync with the array of options available today. Continue reading

February 2019

Diabetes Updates:  Amputations Increasing; Insomnia as Risk Factor

Amputations on the Rise – After decades of decline, diabetes-related lower-extremity amputations appear to be on the rise in the United States, according to new data from the Nationwide Inpatient Sample of the US Healthcare Cost and Utilization Project and the National Health Interview Survey of the National Center for Health Statistics, part of the US Centers for Disease Control and Prevention. Continue reading

February 2019

Bringing Medical Cannabis Into Skilled Nursing Facilities

When New York state legalized medical cannabis, geriatrician Zachary Palace, MD, CMD, realized that many of the conditions that qualified for the drug were those that he saw regularly in the elderly—like  chronic or neuropathic pain, Parkinson’s disease, and multiple sclerosis.

By Nicole Wetsman  Continue reading