February 2015

Download the Complete issue as a PDF (12mb)

Download the Complete issue as a PDF (12mb)

Cover Story


High-intensity training: assessing injury risks
High-intensity training: assessing injury risks
As increasing numbers of fitness enthusiasts embrace high-intensity training, reports of injuries have sparked a debate among clinicians about the benefits and risks associated with these programs. By Cary Groner

Editor Message


Out on a limb: imperfect symmetry
Out on a limb: imperfect symmetry
Psychologists tell us that the symmetry of a person’s face influences whether he or she is perceived as attractive. But when it comes to rehabilitation of anterior cruciate ligament (ACL) injuries, some types of symmetry are more desirable than others. By Jordana Bieze Foster, Editor

Special Educational Series: Pediatrics


Pediatric02-15cvr-smFrom the editor: Sizing up the evidence

Evidence-based medicine, defined literally, depends on the existence of studies that justify treatment decisions. But, too often, practitioners who specialize in pediatric lower extremity care find that the only evidence they have to draw on involves studies done in adults, not children.

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Departments


Peripheral neuropathy in Lyme disease patients
Peripheral neuropathy in Lyme disease patients
Reported cases of Lyme disease have been rising steadily over the past 30 years, but its diagnosis can be challenging. Left untreated, patients with Lyme disease can go on to develop neurological symptoms, including those that are characteristic of peripheral neuropathy. By Greg Gargiulo
An eccentric approach to hamstring injuries
An eccentric approach to hamstring injuries
The effectiveness of eccentric training for the prevention and rehabilitation of hamstring strains has been established in the medical literature. The next step is to identify an eccentric hamstring exercise that addresses the limitations of existing… By Karl F. Orishimo, MS, CSCS, and Takumi Fukunaga, DPT, ATC, CSCS
Chronic ankle instability: effects on quality of life
Chronic ankle instability: effects on quality of life
Patient-reported outcomes can be used to monitor health-related quality of life in patients with chronic ankle instability, and lower extremity practitioners can design rehabilitation approaches to specifically target physical impairments that are known to contribute to quality of life. By Megan N. Houston, PhD, ATC, and Matthew C. Hoch PhD, ATC
Knee OA brace experts revisit persistent issues
Knee OA brace experts revisit persistent issues
Systematic reviews and meta-analyses show that bracing for knee osteoarthritis (OA) is associated with significant benefits with regard to pain and function. But links to disease progression remain elusive, and the challenges of patient compliance are becoming even more complicated. By Larry Hand
Achilles rehab: focusing on insertional tendinosis
Achilles rehab: focusing on insertional tendinosis
Research supports eccentric strengthening for treatment of midportion Achilles tendinopathy, but a new study suggests the same approach… By Lisa H. Jain, DPT, OCS; Kevin J. McCarthy, MD; Michael Williams, PT, OCS; Marie Barron, PT, OCS; Nick Bird, MPT; Brian Blackwell, PT, OCS; G. Andrew Murphy, MD; David R. Richards, MD; Susan Ishikawa, MD; and Margaret ...

News

In the Moment: Sports Medicine

By Emily Delzell and Jordana Bieze Foster

All about the ALL: knee ligament stabilizes internal rotation
All about the ALL: knee ligament stabilizes internal rotation
The anterolateral ligament (ALL) of the knee, a structure not well-documented or consistently reported before the 2013 publication of a Belgian study, is a key stabilizer of internal rotation—though only when the knee is flexed at high angles—and may be…
Female high school basketball players benefit from neuromuscular training
A six-week progressive neuromuscular training program is associated with significant improvement in single-leg balance on unstable surfaces in female high school basketball players, according to research from Bellarmine University in Louisville, KY.
Baseball players maintain improved balance 6 months after UCL surgery
Improved balance in baseball players who have had Tommy John surgery is maintained after their release from physical therapy, according to research from Fort Worth, TX. By Jordana Bieze Foster

In the Moment: Rehabilitation

By Jordana Bieze Foster

Heel pain gains: Studies support multimodal treatment
Heel pain gains: Studies support multimodal treatment
Multimodal physical therapy is associated with significant symptom relief in patients with plantar heel pain, but may be most effective for those with symptoms lasting fewer than seven months, according to research presented in February at the annual…
Reason for benefits of balance training eludes ankle instability investigators
Eight pathological factors do not explain the self-reported improvements in perceived disability associated with balance training for functional ankle instability (FAI), according to research from the University of Kansas Medical Center in Kansas City.
Progressive strengthening improves function after total knee arthroplasty
Patients who do progressive strengthening exercises after total knee arthroplasty (TKA) are significantly more likely than those who do conventional rehabilitation to have normal-range functional outcomes at one year, according to research from the University of Delaware.

Market Mechanics

By Emily Delzell


Products


Rocktape
 RockGuards II
Rocktape
 RockGuards II
Rocktape now offers RockGuards II, designed to protect the shins of the wearer during physical activity such as rope climbs, CrossFit, dead lifts, and cleans and snatches.
Squid Cold
 Compression
Squid Cold
 Compression
Squid, a dynamic cold compression system, combines sequential compression with cold therapy. The cold compression directs edema away from the extremities and toward the heart, promoting venous return and increasing local circulation.
Orthotimer Wear
Time Monitor
Orthotimer Wear
Time Monitor
Pro-Tech Orthopedics is the exclusive North American distributor of the Orthotimer, an electronic monitoring system that documents the wear time of orthopedic devices for outpatients. The heart of the Orthotimer system is a small microsensor…
Sonostics
 HeartPartner
Sonostics
 HeartPartner
Sonostics develops and markets “pacemakers for the second heart”—the soleus muscle—to provide nonpharm­- aco­logic relief from unexplained fatigue, swollen feet and ankles, muscle/joint pain, cold hands/feet, dizziness, brain…
‘Garden Stretches’
 Patient Education
‘Garden Stretches’
 Patient Education
Stretching Inc. presents stretching as a simple, gentle activity that can be done by anyone, anywhere, at any time. “Garden Stretches” provides detailed instructions and illustrations of stretches to do before, during, and after gardening to help…
Fascia Therapy 
Book and Tools
Fascia Therapy 
Book and Tools
Eric Franklin’s new book, Fascia Release and Balance, educates the reader on how connective tissues integrate the body’s components and facilitate all movements. This knowledge is reinforced by Franklin Method ball-rolling and imagery…
PF Sock
Night Splint
PF Sock
Night Splint
The PF Sock is a specialist-designed night splint that is intended to provide an optimum stretch of the plantar fascia and speed recovery. The PF Sock is designed to hold the ankle joint in a neutral position while dorsiflexing the toes—a combination that can…
Sigvaris Merino
 Wool Socks
Sigvaris Merino
 Wool Socks
Sigvaris is pleased to announce that its All Season Merino Wool Socks are joining the Sigvaris Medical collection, designed for men and women who wear 20-30 mmHg medical graduated compression socks every day.
Offloading Pulseboot
Offloading Pulseboot
Pulseboot footwear is designed to improve diabetic foot ulcer healing, reduce limb loss, and help lesions stay healed. Pulseboot offloads pressure using an advanced material (D3O) and contoured insole design. A discreet rigid offloader controls unwanted foot motion…
Vicon 
Nexus 2
Vicon 
Nexus 2
Nexus 2 is the newest version of Vicon’s data capture software for sports, rehabilitation, gait analysis, and biomechanical research. New major updates address speed, methodology, and accuracy challenges faced by both clinicians and…