April 2023

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Cover Story


Comparing 5 Methods for Evaluating Ankle–Foot-Orthosis Stiffness

Ankle–foot orthoses (AFOs) are external braces used to support or augment the ankle joint during activities of daily living. A wide variety of custom and commercial AFOs are available to accommodate each AFO user’s individual needs. Differences among AFOs are largely driven by their geometry and mechanical properties.

By Benjamin R. Shuman, Deema Totah, Deanna H. Gates, Fan Gao, Andrew J. Ries, and Elizabeth Russell Esposito

Guest Perspective


The Hijacking of Exercise

I have been involved in exercise personally and professionally since I was in grade school. My introduction to exercise was initially through sports. I remember doing the President’s Council on Physical Fitness assessments while in grade school in the late 1960’s. (I know, I know – I’m getting old). For those readers as...

Features


Balance and Strength Exercises Can Help Reduce Falls in Older Adults

Fall prevention is of importance for maintaining independency of daily living, well-being, and quality of life in older adults and given demographic trends, an urgent economic challenge for the healthcare system. Falls are a serious health concern and a major cause of...

By Tim Wiedenmann, Steffen Held, Ludwig Rappelt, Martin Grauduszus, Sofie Spickermann, and Lars Donath

A Step Short: Why We Need More Research on Prefabricated Carbon Composite Ankle-Foot-Orthoses

Many patients with gait abnormalities utilize lower limb orthoses to provide support, correction, and enhance function of the lower extremity. A variety of design options from joint level(s) to material selection are available and must be...

By Lindi Mitsou, MSPO, CPO;  Nicholas Carr, BS; Jordan Dunn, BS; Jayne Kernodle, BS;  Yelizaveta Kozlov, BS;  Jillian Picard-Busky, ATC, LAT;  Abigail Riley, BS;  and Alex Wright, BS, NREMT

Young Children’s Footwear: Taxonomy

Footwear is a global business, with small and large companies co-existing, often purporting design differences or mechanical properties as their ‘edge’ within a competitive market. There is little consistency between commercial grade footwear brands for...

By Cylie M. Williams, Stewart C. Morrison, Kade Paterson, Katherine Gobbi, Sam Burton, Matthew Hill,  Emma Harber, and Helen Banwell

Book Excerpt: Treating Injury Involves Gathering the History + Patient’s Perspective

There are so many types of injuries, but we have to start putting together a good picture of what happened and can it be prevented in the future. You can actually have a positive impact on all the different types of injuries, at least in the rehabilitation, by knowing the most you can.

By Richard Blake, DPM

ShortTakes From the Literature


COVID-19 Impact on Lifestyle Behaviors of People with Disabilities

Using a web-based global survey, an international team of researchers found that COVID-19 had an outsized impact on healthy behaviors in people with disabilities, compared with people without disabilities. The overall impact of COVID-19 pandemic among the 2689 responses with full data available for analysis was reported as...

Segmental Meniscal Replacement

Meniscal damage results in higher peak stress on the articular cartilage and leads to cartilage degeneration and osteoarthritis. Thus, in recent years there has been an increasing tendency to “save the meniscus” and to repair meniscal defects. However, this is not always possible and restoring meniscal function using scaffolds fulfills this gap.

Early Sport Specialization Trends & Injuries in Japan

Determining the effects of early specialization in a specific sport is difficult. Therefore, it is necessary to investigate its effects based on the type of sports. The purpose of this study was to investigate the proportion of participants who had been participating in a single sport, in individual or team sports from an early age and to...

School Park Temperatures Impact Children’s Physical Activity Time      

Extreme heat may discourage physical activity of children while shade may provide thermal comfort. The authors determined the associations between ambient temperature, shade, and moderate to vigorous physical activity (MVPA) of children during school recess.

Synovial Fluid Dysregulation Post ACL Reconstruction

Patients with anterior cruciate ligament injury are at high risk of post-traumatic osteoarthritis and their response to reconstructive surgery and rehabilitation varies. Proteins identified in the orchestration of the acute inflammatory response may be predictive of patient outcomes. These authors used an unbiased, bottom-up proteomics approach...

American Academy of Orthopaedic Surgeons – AAOS • March 7-11, 2023 • Las Vegas, Nevada


Running Does Not Increase Risk of Arthritis

Chicago Marathon® participants helped orthopedic researchers further understand the impact of long-distance running on bone and joint health, specifically knee and hip arthritis in recreational runners. Results from the largest survey of marathon runners ever conducted showed no association between cumulative running history and the risk for arthritis.

Outpatient TJAs Get High Rankings in Patient Satisfaction & Outcomes Survey

In the first study to establish patient satisfaction after outpatient joint arthroplasty (TJA) in an academic medical center (AMC) setting, patients indicated they were very likely to undergo the outpatient procedure again and had high patient reported outcomes (PROs). The study, “Patient Satisfaction and Outcomes following...

THA Patients Under 65 Have Low Revision Rates at 8 Years

With an increase in total hip arthroplasty (THA) procedures being performed on younger patients, these patients have historically had poor long-term outcomes associated with implant failure. However, a recent study presented at the 2023 AAOS Annual Meeting, which utilized data from the American Joint Replacement Registry (AJRR)...

TJA Caseloads Need to Double to Meet Demand by 2050

A new study presented at the 2023 AAOS Annual Meeting found that, based on projection models, orthopedic surgeons will need to either double their total joint arthroplasty (TJA) caseload or increase the number of surgeons by 10% every 5 years to meet demand.

Older Patients Exhibit Better Pain Relief, QOL After TKA

Patients aged 55 and younger were found to have worse pain, function, and quality of life (QOL) following total knee arthroplasty (TKA) compared to patients 75 years and older, according to a study presented at the 2023 AAOS Annual Meeting that looked at age-related differences in patient outcomes following TKA.

Industry News & Updates


UWF Master of Science in Athletic Training Program Achieves Accreditation

The University of West Florida’s Master of Science in Athletic Training program recently earned accreditation from the Commission on Accreditation of Athletic Training Education (CAATE). After the comprehensive review, the program was granted the maximum initial 5-year accreditation.

Smart Insole to ID, Mitigate Workplace Slips, Trips, Falls

Professor Lim Chwee Teck, PhDm from the National University of Singapore’s (NUS) Department of Biomedical Engineering, collaborated with NUS start-up, FlexoSense, to develop a smart insole that can track workplace slips, trips, and falls (STFs) in real time. The insole will allow companies to identify the location of an...

Molecular Machines Could Treat Fungal Infections

That stubborn athlete’s foot infection an estimated 70% of people get at some point in their life could become much easier to get rid of thanks to nanoscale drills activated by visible light. Proven effective against antibiotic-resistant infectious bacteria and cancer cells, the molecular machines developed by...

AI Socket Developed to Help Transfemoral Amputees

The Korea Institute of Machinery and Materials (KIMM) has developed a smart, customizable prosthetic socket that automatically fills the socket with air upon detecting the empty space within in real time based on artificial intelligence (AI). This new technology, developed by senior researcher Kang-ho Lee’s research team at...

Robot Prevents Falls, Assists in Physiotherapy for the Elderly

Researchers at Nanyang Technological University, Singapore (NTU Singapore) and Tan Tock Seng Hospital (TTSH) have developed a wearable assistive robot that can detect and prevent a fall before it happens, reducing the user’s risk of sustaining injuries. The robot can also be used to aid patients’ rehabilitation from their injuries.

The Last Word


The Muscle Morphology of Elite Female Sprint Running

This investigation illustrates the distinctive, anatomically specific muscle volume distribution that facilitates elite sprint running in females, and emphasizes the importance of hip flexor and extensor relative muscle volume.

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