April 2019

Cover Story



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Is There a Sprain–Brain Connection That Leads to Chronic Injury?

Research shows that ankle health plays a role in the recruitment of the muscles around it. Millions of people sprain their ankles each year, from athletes to weekend warriors to vacationers stepping off the curb wrong. The injury is common, and for most people, treatable with ice, painkillers, and rest.

By Nicole Wetsman


AN EXCERPT:

 

Guest Editorial


An Introduction to Physical Literacy

Physical literacy is defined as ‘the motivation, confidence, physical competence, knowledge and understanding to value and take responsibility for engagement in physical activities for life.’ The notion of ‘literacy’ within the concept of ‘physical literacy’ arises from the importance of our embodied interaction with the world.

By E.J. Durden-Myers and N. R. Green

Feature Articles


Therapeutic Shoes Work for People with Diabetes. Why Doesn’t Every Patient Use Them?

Patients are unaware or reluctant, and some providers hesitate to engage in what can be a burdensome prescribing and procuring process—helping explain why uptake of this valuable preventative is disappointing. As allied healthcare professionals, we are, of course, acutely aware of the ever-growing diabetes epidemic in the United States.

By Erick Janisse, CO, CPED

Can Stabilization Training Help Minimize Risk of Injury in Adolescent Female Athletes?

5.5 million children and adolescents are injured playing sports annually. Most of these injuries are preventable, the CDC says. More than 30 million children and adolescents participate in organized sports in the United States; according to the Centers for the Disease Control and Prevention (CDC), that number is on the rise.

By Warren J. Potash

It’s Not Limb Salvage…It’s Life Salvage

New research invigorates arguments about limb salvage vs. more proximal amputations. A recent paper from researchers in Australia has reignited the ongoing debate about the relative merits of partial-foot versus transtibial amputations, particularly in diabetes patients.

By Cary Groner

Meeting Highlights

Exploring 3D printing in Prosthetics

3D-printed Sockets Safe? There are approximately 2 million people living with an amputation in the United States, a number that is expected to increase to 3.6 million by 2050 according to recent studies. In the poster, “Clinical Trial Examining Safety and Feasibility of Definitive 3D-Printed…

By Keith Loria

From the Literature


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 live births.

There is a global trend toward use of the minimally invasive Ponseti method for the correction of clubfoot, consisting of simultaneous correction of the components of the clubfoot deformity ...

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

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…

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

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

Industry News & Updates


FDA Approves New Osteoporosis Treatment for Postmenopausal Women

The US Food & Drug Administration (FDA) has approved a new treatment for osteoporosis in postmenopausal women presenting with a high risk of fracture or who are intolerant to or have not had success with existing therapies. The drug, EVENITY (romosozumab-aqqg; Amgen), was approved April 9 and became available for shipment to wholesalers in the US on April 15.

Featured Products


Step out on the Open Road
OPTP Professional Catalog, Volume 39
Core-Spun Compression Socks Available in New Patterns
Fully Custom Insoles at Over-the-Counter Prices
Open Heel Modifications for SMOs and AFOs
An AFO for Every Need
SoreSpot Silicone Tape
Secure Containment and Compression Stockings
EVO Hybrid Lacer Ankle Stabilizer
MIO Therapy Wearable Physical Therapy Technology