April 2025
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Cover Story
Background: In 2020, there were over 1 million career and volunteer firefighters in the United States (US). Thousands of injuries involving firefighters occur annually. The body part involved in the highest proportion of injuries is the lower extremity. The objective of this study was to characterize firefighter lower extremity injuries in the US.
By Mathias B. Forrester, BS
Firefighter footwear is subject to a host of regulations, primarily set by the National Fire Protection Association (NFPA) – but selected by the local authority for fire jurisdiction. This footwear is designed to provide adequate protection against multiple hazards encountered during firefighting as well as...
Editorial Observation: Book Review
My Toe Can’t Go was born from heartbreak and urgency, said children’s author Hillary Duncombe, MS. “Watching my sister suffer the devastating effects of type 2 diabetes mellitus (T2DM) and polyneuropathy—leading to a series of amputations—was unbearable.” Within a month, her sister lost her toes, midfoot, and finally her leg before succumbing to the disease. Before she died, her young daughter would tearfully ask, “Why is this happening to my mummy?”
By Laura Fonda Hochnadel
Features
Performing a biopsy is crucial for achieving diagnostic accuracy. Podiatric physicians may biopsy less frequently than their dermatology counterparts, but an earlier biopsy can significantly improve patient care. Many skin conditions can mimic common podiatric issues, and a biopsy allows for histopathological examination, which can...
By Leland Jaffe, DPM, FACFAS.CWSP
It’s a physics problem – We live dynamic lives, in turn, we suffer dynamic consequences! In the last installment, we focused on our problematic anatomy. We continue this discussion by looking at what happens when we add the interaction between 2 dissimilar bodies, the foot and the floor, and the introduction of force.
By Jay Segel, DPM; Sally Crawford, MS
Background: In 2020, there were over 1 million career and volunteer firefighters in the United States (US). Thousands of injuries involving firefighters occur annually. The body part involved in the highest proportion of injuries is the lower extremity. The objective of this study was to characterize firefighter lower extremity injuries in the US.
By Mathias B. Forrester, BS
Dynamic knee valgus, a highly reliable measure of this alignment assessed in the frontal plane, is a valuable tool for identifying this pathomechanical dysfunction. The purpose of this study was to investigate the effectiveness of functional hip abductor strength training on reducing contralateral pelvic drop angle...
By Shreen Ahmed Lashien, Ahmed Omar Abdelnaeem, and Ebtessam Fawzy Gomaa
ShortTakes From the Literature
A study from Korea has demonstrated that foot intrinsic muscle dynamic stretching training improved dynamic balance, velocity, step lengths, stride length, and dynamic gait index (DGI) in patients with chronic stroke.
Lateral ankle sprains are one of the most common musculoskeletal injuries. Up to 70% of individuals who sustain lateral ankle sprains develop chronic ankle instability (CAI). Exercise therapy is considered an effective treatment for patients with CAI.
“…In one analysis of sedentary behavior, participants were found to spend 14 hours sitting each day. In the NHANES nationally representative survey, the self-reported number of hours spent sedentary in 2007-2008 was 5.7, and this increased to 6.4 hours per day for 2015 – 2016 (Du et al 2019). Using accelerometry-derived data, U.S.
This study forms the basis of a digital twin system of the knee joint, using advanced quantitative MRI (qMRI) and machine learning to advance precision health in osteoarthritis (OA) management and knee replacement (KR) prediction. The study authors combined deep learning–based segmentation of knee joint structures with...
A new study from China looked at changes in neuromuscular control in elderly adults with hallux valgus to better understand the increased risk of falls in this population. The researchers assessed gait using non-negative matrix factorization (NNMF) for electromyography (EMG) and joint motion to compare muscle and...
Titanium plantar plates have proven successful in the fixation of the first tarsometatarsal arthrodesis (TMT). However, a second surgery is typically needed for implant removal, and potential adverse effects, carried by the conventional implantations, are not uncommon. The purpose of this study was to determine whether...
An international team of researchers compared lower limb mechanics and muscle activation during walking at self-selected speed under 3 randomized conditions: 5° medial rearfoot posting, 5° medial rearfoot and forefoot posting, and a control flat insole.
One of the important problems for mothers after the birth of a premature infant is a decrease in milk production. This study aimed to investigate the effect of foot reflexology on the volume and composition of breast milk in mothers of premature infants hospitalized in the neonatal intensive care unit.
About 1 in 5 adolescents in the U.S. has obesity. Lifestyle changes, such as physical activity and dietary changes, are often the first choice for treating childhood obesity. If that doesn’t work, medications or weight-loss surgery, also called metabolic and bariatric surgery, may also be considered.
Sport Sciences researchers from Waseda University in Japan sought understand injuries in female university soccer players. Their prospective study investigating injuries in this population over 3 seasons was recently published in the International Journal of Sports Physical Therapy.
Industry News & Updates
A gait training robot, developed through collaborative efforts from institutions including the University of Chinese Academy of Sciences and the Institute of Automation at the Chinese Academy of Sciences, is designed to significantly improve the safety and effectiveness of gait training through a novel method...
Researchers at University of Texas (UT) Southwestern Medical Center have developed a breakthrough three-dimensional (3D) printing technique for generating realistic models of the human femur that could make it easier and less expensive to conduct biomechanical research.
Paul Kesselman, DPM, Lee C. Rogers, DPM, and Jeff Root were elected by Podiatry Management (PM) to receive Lifetime Achievement Awards, marking the first time 2 podiatrists tied for the honor. Kesselman is known for his expertise in billing, coding, and related aspects of podiatry.
A fluorescent dye could help scientists listen in on biochemical conversations between cartilage and bone during the earliest stages of osteoarthritis (OA)—even before the disease causes pain. The unexpected finding could someday lead to novel treatments for patients, according to research conducted on mice.
Researchers at the Terasaki Institute for Biomedical Innovation (TIBI) have developed a revolutionary injectable granular filler that could transform the way diabetic wounds are treated, potentially improving patient outcomes. The research team from TIBI and the University of Nebraska Medical Center (UNMC) developed a...
Researchers at Switzerland’s University of Basel and University Hospital Basel are developing cartilage implants using cells from the patient’s nasal septum and then allowing them to multiply in the laboratory on a scaffold made of soft fibers. Finally, the newly grown cartilage is cut into the required shape and implanted into the knee joint.
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