Given the heterogeneity of many patient populations for whom ankle foot orthoses (AFOs) are indicated, it’s not surprising that AFO experts are at the forefront of the current trend favoring customization of devices to meet individual patient needs. Research presented in May at the 2017 International Society of Prosthetics & Orthotics (ISPO) World Congress in Cape Town, South Africa, illustrated some of the many ways AFO stiffness and alignment can be optimized in the interest of patient-centric care.
Lower Extremity Review
NONMECHANICAL EFFECTS: Sleeves showcase softer side of knee pain management
Less may be more when it comes to knee bracing in some patients with knee osteoarthritis (OA) and patellofemoral pain (PFP), according to studies of soft knee braces presented in May at the 2017 ISPO World Congress in Cape Town, South Africa.
DIABETIC FOOTWEAR: Scientific approach to insole design helps reduce pressure
A scientific approach to insole design can help reduce plantar pressures associated with diabetic footwear, in turn reducing the risk of plantar ulcerations, according to research presented in May at the 2017 ISPO World Congress in Cape Town, South Africa.
OSTEOARTHRITIS: Studies explore mechanisms for distal knee OA therapies
Studies presented in May at the 2017 ISPO World Congress in Cape Town, South Africa, added to knee experts’ understanding of the mechanisms underlying distal interventions to reduce pain and joint loading in patients with medial knee osteoarthritis (OA).
INSOLE MODELING: Computer analysis facilitates foot orthosis development
Computer modeling is facilitating advances in insole development for patients with diabetic neuropathy and rheumatoid arthritis, according to data presented in May at the 2017 ISPO World Congress in Cape Town, South Africa.
Sports injury prevention experts revisit risk factors and advocate for adherence
Despite strides, gaps between lab and practice remain
It’s an exciting time for clinicians involved in preventing sports injuries. Increasing numbers of studies are identifying risk factors associated with specific injuries and documenting the effectiveness of preventive interventions for reducing injury rates.
Online counseling helps reduce injuries in highly specialized youth athletes
Early single-sport specialization in youth athletes is associated with increased risk of reinjury in addition to primary injury, but online counseling can help to reduce those risks, according to two studies from Atlanta presented at the IOC World Conference on Prevention of Injury and Illness in Sport, held in Monaco in March.
Proximal and distal factors may affect 5th met fracture risk in soccer players
Clinicians looking to prevent fifth metatarsal fractures (Jones fractures) in soccer players may want to consider proximal as well as distal factors, according to studies from two separate Japanese research groups presented at the IOC World Conference on Prevention of Injury and Illness in Sport, held in Monaco in March.
By itself, zero drop in a running shoe does not translate to barefoot-like gait
A zero drop is not enough to notably alter the biomechanics of running in a cushioned shoe but may affect injury risk in some runners, according to research from Luxembourg presented at the IOC World Conference on Prevention of Injury and Illness in Sport, held in Monaco in March.
Landing biomechanics may contribute to ankle sprain in basketball, volleyball
Two studies presented at the IOC World Conference on Prevention of Injury and Illness in Sport, held in Monaco in March, shed light on the complex ways in which aspects of landing contribute to risk of ankle sprain in volleyball and basketball—both sports in which ankle sprains often occur when one player lands on another’s foot.
Region-specific foot pain doesn’t always match pressures, forces
Gait compensation may play role – The location of foot pain doesn’t always correspond with elevated plantar pressures and abnormal forces, which suggests the availability of region-specific compensatory gait mechanisms may play a role, according to recent research using Framingham Foot Study data.
By Emily Delzell
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