August 2020

Click on image to download the issue in PDF format

Cover Story


An Update on Peripheral Artery Disease (PAD): Part I

This 2-part series examines the current state of peripheral artery disease. This article focuses on disease burden, risk factors, and clinical presentation. Part 2, which will appear next month, will examine current recommendations for diagnosis and treatment.

By Aisha Cobbs, PhD

Diagnostic Accuracy of PADnet Xpress® in the Detection of Peripheral Artery Disease

With existing knowledge, much of the cardiovascular risk burden of peripheral artery disease (PAD) is preventable. PAD is a common atherosclerotic syndrome that is estimated to affect 12.5 million Americans and 237 million people worldwide.1 One in five Americans over the age of 65 has PAD.2 Based on national treatment patterns, more than half of all patients with PAD do not know they have it.

By Sue Duval, PhD

Guest Perspectives


Why Use Exercise

It’s been a tough few weeks for exercise in healthcare, both on social media and in the literature. A recent systematic review1 has shown it provides little to no benefit for acute low back pain. Then a popular blogger called it ‘snake oil’ and a ‘dirty word.’2 And finally, a discussion on twitter questioned my favorite slogan of ‘you can’t go wrong getting strong.’

By Adam Meakins, BSc (Hons), Physiotherapy

What If We Adopted PPE as a Mindset for Ankle Protection?

Workplace safety, the right to be safe in your workplace and while going about the activities of your work, was certainly a thing before the COVID-19 pandemic struck. However, the pandemic laid bare some of the realities of the workplace that so many of us never even thought about. I’m talking, of course, about Personal Protective Equipment, or PPE.

By Craig J. Hubbard, Inventor/Designer

Feature Articles


Evaluation and Treatment of Osteosarcopenia in Older Adults

Bone loss (osteopenia/osteoporosis) and loss of muscle mass and function (sarcopenia) are two of the most prevalent chronic conditions among aging adults. However, the mention of osteosarcopenia might garner a few puzzled looks. This relatively new term describes a geriatric syndrome in which osteopenia/osteoporosis and sarcopenia overlap in the same individual.

By Aisha Cobbs, PhD

Office-Based Advanced Wound Care Therapy

As diabetic foot ulcers plague more patients, wound care management—including a host of new technologies—are driving an increase in office visits. Diabetes mellitus is the leading cause for nontraumatic amputation. Since 1980, the number of people with diabetes around the world has nearly quadrupled, from 108 million to nearly 422 million in 2014—and it continues to rise.

By Michael Flores, DPM,  and Marshall G. Solomon, DPM, FACPM, FACFAS, FFPM RCPS (qlas)

Bike Fitting as a Diagnostic Tool

Like a good medical exam, a medical bike fit starts before the patient ever gets on the bike. Talking with cycling patients before any assessments can facilitate the diagnostic process. Bike fitting is a service that has been offered in bike shops and studios for decades. Bike fitting is also a medical service offered by physicians, physical therapists, chiropractors, and other qualified health care providers.

By Andrea Myers, PT, DPT

From the COVID-19 Frontlines


Pernio-like Skin Lesions in COVID-19

As the COVID-19 pandemic continues to rage, so-called “COVID toes” continue to be reported around the world. These dermatologic manifestations were catalogued in a recent international registry-based case series, adding to the emerging evidence that pernio-like lesions may be a cutaneous manifestation of COVID-19.

Highlights from NATA

National Athletic Trainers’ Association Virtual Clinical Symposia & AT Expo July 13-17, 2020


Collegiate Twirlers Suffer High Rates of Lower Extremity Injuries

Baton twirling, which has been around in some form since military groups first twirled torches and rifles, is evolving into a highly competitive sport, drawing ever larger numbers of youth athletes. Today’s twirling is a unique performance-based sport that emphasizes strength, athleticism, and artistry. It requires fine coordination of fingers, hands, arms, feet, and legs, as well as extraordinary control of the back, stomach, and torso—all so the twirler can ...

Dance-related Injuries on the Rise

Dancing can be a beautiful work of art, a great form of exercise, or a fun leisure activity. But increasingly, it is also the cause of injuries requiring an emergency room visit. Such visits rose by 22.5% from 2014 to 2018, according to new research presented at the 2020 NATA Virtual Clinical Symposia & AT Expo held July 2020. Nearly half of the patients reported to the emergency department with ...

Movement Control Differs with Age in Children

Movement control, the ability to control one’s own movements, is required for the development of motor skills and motor skills (also known as “physical literacy”) are critical for normative development. Movement skills help children improve their strength, posture, balance, and sleep, and play in role in developing confidence. Age-appropriate movement control may play a factor in lower extremity injuries which are known to…

Sport Specialization Ups Fracture Risk for Female Military Cadets 

Early sports specialization appears to take an even greater toll on young females than previously thought. Research presented at the recent 2020 NATA Virtual Clinical Symposia & AT Expo suggests that prior sports specialization is associated with an increased risk of a lower extremity stress fracture in female U.S. Service Academy cadets, but not males during their first year of service.

Industry News & Updates


GAITREC: A Data Treasure for Gait Analysis

To facilitate research, therapy, and diagnosis, FH-Prof. Dr. Brian Horsak and his colleagues at the St. Pölten University of Applied Sciences (UAS), Austria, and the Austrian insurance institution AUVA have published one of the biggest data records worldwide on gait analysis. The data include anonymized information on over 2,000 patients after joint transplantations, fractures, and ligament injuries…

New Approach to Improving Gait of Children with CP

Ben Conner, a third-year MD/PhD student at the University of Arizona College of Medicine – Phoenix, is studying a robotic walking therapy for children with cerebral palsy (CP). His research is part of an interdisciplinary team housed at Northern Arizona University’s Biomechatronics Lab, which is led by Zachary Lerner, PhD, assistant professor, Department of Mechanical Engineering.

30 Years Post-ADA, People Who Use Wheelchairs Still Excluded

The Americans with Disabilities Act (ADA) was signed into law 30 years ago, but the needs of people with mobility disabilities continue to be overlooked and unheard, according to the 2020 Drive for Inclusion Report Card published by BraunAbility, a manufacturer of wheelchair-accessible vehicles and lifts. In their recent survey, only 15% of this population is satisfied with the current effectiveness of ADA laws, and nearly half feel excluded from…

James Hanna, DPM, Named NYSPMA’s 78th President

The New York State Podiatric Medical Association (NYSPMA) has named James Hanna, DPM, as its 78th president; he was installed July 23 during a Zoom ceremony. Hanna succeeds Daniel B. Keating, DPM. Hanna has been in practice in the Western New York area for over 25 years and has served on the NYSPMA Board of Trustees since 2013; he has held other leadership positions.

Featured Products


Cryo-Cord Umbilical Cord Graft Material
Large Fragment Cannulated Screw System
Merrithew Flex Massage Stick
TULI’S SO SOFT INSOLES
OS1ST DEBUTS DYNAMIC TT3 TURF TOE/HALLUX LIMITUS SPLINT
NEOFECT SMART BALANCE
DONJOY X-ROM POST-OP KNEE BRACE
WINTER BOOTIES FOR NEWBORNS AND NEW WALKERS
ÖSSUR INTRODUCES BALANCE FOOT PROSTHESES