April 2015

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Download the Complete issue as a PDF (9mb)

Cover Story

The perils of poses: Yoga-related injuries

Yoga is becoming increasingly popular with students looking to improve strength, flexibility, balance, and well being. But those who do too much, too soon are at risk for injury.

By Emily Delzell

Editor Message

Out on a limb: Better than average

It happens all the time: The medical literature fails to support the effective­ness of an intervention, even though practitioners know for a fact the intervention actually does have a positive effect in some patients. But a new study suggests some researchers are now starting to look beyond…

By Jordana Bieze Foster, Editor


A new triplanar paradigm for bunion management

The most common paradigm in bunion surgery relies on one or more metatarsal osteotomies to correct the 1-2 intermetatarsal angle (IMA) and soft tissue balancing to align the first metatarsophalangeal joint (MTPJ), sesamoid apparatus, and hallux. Additionally, the most common approach…

By Paul Dayton, DPM, MS, FACFAS, and Merrell Kauwe, DPM

Risk of overuse injury in high school athletes

Roughly 60% of overuse injuries in high school athletes occur in the lower extremities, injuries that are increasing in number as more students participate in sports. Treatment involves rest and correction of biomechanical deficiencies, and should be individualized to each athlete.

By Allison Schroeder; James Onate, PhD, AT, ATC, FNATA; and Thomas Best, MD, PhD

APTA’s revised heel pain guidelines spur dialogue

The American Physical Therapy Association has updated its 2008 guidelines on the nonsurgical treatment of heel pain with a bolstered evidence base, but lower extremity practitioners continue to debate the clinical merits and most effective applications of certain newer therapies.

By Hank Black

The psychology of returning to sports after ACL surgery

Psychological factors are responsible for delayed return to sports after anterior cruciate ligament reconstruction in a sig­nificant number of patients despite successful physical rehabilitation, but questions remain as to the most effective ways to address these issues.

By Trevor A. Lentz, PT, SCS, CSCS

Early weight bearing after Achilles tendon repair

Early mobilization and weight bearing after Achilles tendon repair is associated with improved patient satisfaction and faster return to work and sports, with no significant increase in rates of tendon rerupture or postoperative wound and nerve complications.

By David P. Taormina, MD, and Nirmal C. Tejwani, MD


In the Moment: Sports Medicine

By Jordana Bieze Foster

At-risk youth: ACL revisions plague pediatric populations

Two large studies presented in late March at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS) added to the evidence that pediatric patients have an elevated risk of surgical revision after anterior cruciate ligament (ACL) reconstruction…

By Jordana Bieze Foster 

Most NFL players successfully return from Lisfranc injury, but it takes time

Almost all National Football League (NFL) players who sustain tarsometatarsal (Lisfranc) joint injuries return to competition, but very few do so quickly, according to research from the University of Pennsylvania School of Medicine in Philadelphia.

By Jordana Bieze Foster

Habitual foot-strike patterns may persist in older runners after switch from shoes

Experienced runners older than 30 years are less likely than adolescents to change foot strike pattern when switching from traditional running shoes to barefoot running, which may increase their risk of injury, according to a study from the University of Kansas in Kansas City.

By Jordana Bieze Foster

In the Moment: OA

By Larry Hand and Jordana Bieze Foster

Inclination insights: Ankle motion predicts wedge insole effect

Motion analysis of the ankle joint complex may predict how a patient with medial knee osteoarthritis (OA) will respond to using a lateral wedge insole, according to a new study from the University of Salford in the UK.

By Larry Hand

MRI reveals cartilage change associated with altered kinematics after ACL injury

Altered tibial position during flexion and extension one year after anterior cruciate ligament (ACL) reconstruction is associated with early cartilage changes, according to research presented in late March in Las Vegas at the annual meeting of the American Academy of Orthopaedic Surgeons (AAOS).

By Jordana Bieze Foster

Ankle fracture patients have elevated levels of synovial biomarkers for OA

Patients with acute intra-articular ankle fractures demonstrate elevated levels of biomarkers that are commonly associated with osteoarthritis (OA), suggesting that the degenerative process that leads…

By Jordana Bieze Foster

Market Mechanics

By Emily Delzell

NATA study shows AT access improving

Just over a third of US high schools have at least one full-time athletic trainer, the gold standard of care recommended by the National Athletic Trainers’ Association (NATA), according to a study published in February in the Journal of Athletic Training, the association’s scientific publication.

Össur, CAF fund 2015 Mobility Clinics

Foothill Ranch, CA-based Össur and the San Diego-based Challenged Athletes Foundation (CAF) in March announced a new multiyear global sponsorship agreement that continues their decades-long collaboration to support people with limb loss.

First PFA President Saul Marmer dies

Saul Marmer, CPed, the first president of the Pedorthic Footcare Association (established 1958) died March 16. He was 90.

Lim gains partners for prosthetic socket

Lim Innovations reported in March that it has generated more than 10 clinical partners and providers for its Infinite Socket, which the San Francisco-based company launched in limited market release in September 2014.

JOSPT board names Abbott editor-elect

The Board of Directors for JOSPT, the Journal of Orthopaedic & Sports Physical Therapy, in an April editorial named J. Haxby Abbott, DPT, PhD, FNZCP, editor-elect of the publication. Abbott will replace editor Guy G. Simoneau, PT, PhD, ATC, who has helmed the journal since 2002.

Vionic founder Phillip Vasyli killed

Podiatrist Phillip Vasyli was stabbed to death in his home in Old Fort Bay on New Providence Island, Bahamas, on March 24. He was 59. Bahamian authorities have charged his wife, Donna Vasyli, with his murder.

Ankle exoskeleton lowers energy costs

A letter published online April 1 by Nature reported that an unpowered exoskeleton reduces the metabolic cost of walking by 7.2 ± 2.6% for healthy human users under natural conditions, savings comparable to those with powered devices.

BOC wins sales, customer service Stevies

The Board of Certification/Accreditation (BOC), based in Owings Mills, MD, won three business awards in February at the ninth annual Stevie Awards ceremony in Las Vegas.


Pedors Genext Dress Orthotic

The new Genext Dress Orthotic from Pedors Shoes has been designed with a lower profile to fit into almost any dress or casual shoe. Using the original Genext cork and rubber shell for orthotic support, a memory foam component has been added to give the…

FreeSport Knee Sleeve and Wrap

Breg has launched the FreeSport knee sleeve and wrap for athletes with mild to moderate discomfort, patellar maltracking, and related injuries such as runner’s knee. The FreeSport knee sleeve and wrap were created as a solution to issues of patient…

SenMoCOR Rehab System

SenMoCOR (Sensory Motor Control-Oriented Rehabilitation) offers the user and the clinician immediate visual feedback regarding sensory motor control with an easy-to-wear laser and laser targets. Developed by the International Academy of Orthopedic…

ProTech Met Foot Orthosis

Powerstep’s new ProTech Met offers the stability, support and comfort of the company’s ProTech Full Length Orthotic but has the added benefit of a built-in metatarsal pad, which helps spread and cushion the metatarsal heads to…

Spring Footwear From Spenco

Spenco introduces its new fashion-forward footwear for spring 2015. New this year are Crackle and Nightlight athletic slides, which capture the bright, rich color trend in popular footwear. Other sandals feature metallic embellishments, reptilian textures…

Curbell Transfer Paper Website

Curbell Plastics is introducing myDesignOandP.com, a new website that allows patients to explore patterns and colors of transfer papers to personalize thermoplastic orthotic and prosthetic devices. Involving patients, and pediatric patients in particular…

Dynamic Chopart Gait Stabilizer

Hersco offers a new Dynamic Chopart Gait Stabilizer as the latest addition to its line of ankle foot orthoses (AFOs). The new Dynamic Chopart Gait Stabilizer is an AFO designed for Chopart amputees who wish to remain active. Addressing concerns about AFOs feeling…

ManukaMed Honey Dressing

ManukaMed USA has launched an improved version of its ManukaHD Lite honey-impregnated dressing, designed to provide active absorption of wound exudates and maximum exposure to medical-grade Leptospermum scoparium (Manuka) honey…

Expedition Foot Orthosis

Footmaxx has introduced the Expedition, a durable and lightweight orthotic device featuring a carbon fiber module, Poron XRD midlayer, and silver-infused X-Static topcover for…

Techmax Epoxy Resin

Streifeneder USA now offers Techmax Epoxy Resin, a new adhesive formulated specifically for technicians in the orthotics and prosthetics industry. Techmax is a durable, high-performance resin that is low odor, antibacterial, and contains no volatile…

Soft Opaque Now in Mulberry

Sigvaris offers one of the season’s on-trend shades, Mulberry, in its Soft Opaque hosiery collection. With the softness of microfiber and durable, breathable construction, Soft Opaque hosiery is designed to look and feel like designer fashion tights…

Cascade Dafo Strap Updates

Cascade Dafo announces two customer-driven improvements to the straps on its orthoses. First, both custom and prefabricated DAFO (Dynamic Ankle Foot Orthosis) solutions now have a clean, new look, thanks to upgraded Ultrasonic Welded Straps…