February 2016

Download the Complete issue as a PDF (19mb)

Download the Complete issue as a PDF (19mb)

Cover Story

Texting while walking: Gait adaptations and injury implications

It’s not surprising that tactile interaction with a smartphone while walking can increase the risk of traumatic injury, but texting while walking also affects gait in ways that may ultimately have long-term effects.

By Shalmali Pal

Editor Message

Out on a limb: Arch triumphs

New research from the University of Western Australia will put some extra spring in a runner’s step – but only if he or she is wearing the right kind of footwear. In discussions of running mechanics, we hear a lot about the spring-like properties of the lower extrem­ities, which are significantly dependent on the…

By Jordana Bieze Foster, Editor

LER: Pediatrics

LER-Pediatrics-2.16-smFrom the editor: So much depends on the ankles

Several stories in this issue of LER: Pediatrics emphasize the long-term consequences of ankle instability and other problems at this important joint. Compromised ankle function can cause declines in physical activity and put children at risk for obesity, weak bones, and other problems that threaten quality of life.

Continue Reading →


Plantar fasciitis: clinical concerns in cleated sports

Cleated sports are associated with a high incidence of lower extremity injuries. American football and soccer are particularly troublesome due to unique risk factors involving footwear design, loading patterns, and sport-specific biomechanics.

By Patricia Pande, MClScPT, CSCS, CPed

Active Stance: Patients with at-risk feet need collaborative care

In a recent editorial in The Lancet Diabetes-Endocrinology,1 Lipsky and colleagues wrote that diabetic foot disease “…is not a one doctor disease—it demands multidisciplinary care. Furthermore, as a notoriously unglamorous problem, the disease depends on…

By Terrence P. Sheehan, MD

Biomechanists explore effect of obesity on falls

Obese patients have an increased risk for falls and fall-related injury, not just because of the loads involved, but also because of the strategies they use to recover from a trip or slip. Findings from a growing body of research will help in developing interventions to minimize that risk.

By Hank Black

Dynamic load analysis for injury prevention

Identifying loading patterns associated with Jones fractures and other common sports-related injuries can assist with the development of custom modifications to footwear, insoles, and training programs to help reduce injury rates and enhance athletic careers.

By Yannick Goeb, Nate Wilcox-Fogel, and Kenneth J. Hunt, MD


In the Moment: Sports Medicine

Skipping hip surgery: FAI responds to conservative care

A pilot study has found that conservative management of femoroacetabular impingement (FAI) can provide improvements in pain and function equivalent to those usually achieved with surgery.

By John C. Hayes

Risk of lower extremity injury increases after athletes return from concussion

Collegiate athletes who sustain a concussion have an increased risk of a lower extremity injury long after returning to play, according to two recent studies that strengthen the case for a brain-sprain connection.

By Jordana Bieze Foster

Preventive measures in cross country runners should target ankle kinematics

Ankle kinematics prospectively predict injury risk in collegiate cross country runners, according to prospective research from the University of Memphis in Tennessee.

By Jordana Bieze Foster

In the Moment: O&P

Extension correction: AFO design improves PTTD mechanics

When a lamp cord doesn’t quite reach an outlet, you reach for an extension cord. So when a custom ankle foot orthosis (AFO) didn’t quite provide the corrected forefoot abduction desired in patients with post­erior tibial tendon dysfunction (PTTD), researchers from Syracuse, NY, added a lateral extension.

By Larry Hand

Study reports improved pain and gait with walker boot after ankle surgery

A walker boot is preferable to two other ankle devices for improving pain and gait after internal fixation for ankle fracture, according to research from the University of Oxford in the UK.

By Jordana Bieze Foster

Surgical shoe findings support limits on driving after bunion procedures

Patients should refrain from driving for at least six weeks after bunion surgery due to poor braking response times that are not improved with the use of surgical shoes, according to findings from the Medical University of Innsbruck in Austria.

By Larry Hand

Market Mechanics

By Emily Delzell

Foot and ankle surgeons name officers and board of directors at annual meeting

The American College of Foot and Ankle Surgeons (ACFAS) on February 12 installed its 2016-2017 board of directors at the organization’s 74th Annual Scientific Conference in Austin, TX.

Guidelines address diabetic foot ulcer care

The American Podiatric Medical Association and the Society for Vascular Medicine in February published in the Journal of Vascular Surgery new recommendations for five key aspects of diabetic foot ulcer (DFU) care.

Spenco acquires Canadian distributor

Spenco announced in January its acquisition of a Canadian distributor, Spenco Canada. Spenco Canada, which operated independently for more than 20 years, is now under the umbrella of Spenco’s North American headquarters in Waco, TX, as a wholly owned subsidiary.

Study supports Vionic sandal for heel pain

A contoured sandal made by San Francisco, CA-based Vionic is as effective for relieving heel pain symptoms as an in-shoe orthosis with a similar footbed and more effective than a flat sandal, according to an Australian randomized controlled trial.

NY Orthopedic Manufacturing opens

Vadim Yatsunsky and Sergey Prokhorov, former general manager and production manager, respectively, of Brooklyn, NY-based American Orthopedic Manufacturing Corporation, have opened an orthopedic laboratory in the Bronx, NY.

STS revamps website, adds e-ordering

Mill Valley, CA-based STS in January launched its new website at stssox.com. The casting sock manufacturer’s online site offers detailed product information, including educational videos and a chart to match each STS product to its recommended clinical applications.

BOC announces slate of 2016 leaders

The Owings Mills, MD-based Board of Certification/Accreditation (BOC) on January 14 announced its 2016 board of directors, chair, and executive committee.

CSUDH unveils O&P education center

California State University, Dominguez Hills (CSUDH) on January 14 celebrated the ribbon cutting for its new Orthotics and Prosthetics Education Center in Los Alamitos.

Össur, Ottobock fund neural device study

Duderstadt, Germany-based Ottobock and Össur, headquartered in Reykjavik, Iceland, announced in late January that the two companies have endowed a research trust with $1 million to further development of neural-controlled prosthetic devices.

Students invent smart mat for diabetes

Jackson State University (JSU) in Mississippi reported in December that a group of its graduate engineering students have designed a “smart mat” that gauges foot temperature in people with diabetes. Data from the mat could give caregivers and physicians early warning of infection.

Triennial podiatry congress scheduled

The International Federation of Podiatrists and the Canadian Podiatric Medical Association have scheduled the World Congress of Podiatry for May 26-28 in Montreal, Canada. The global congress occurs once every three years and is expected to draw about 1200 attendees.

Thuasne Group acquires Quinn Medical

The Thuasne Group announced in late January that it has acquired Quinn Medical, a specialized spinal bracing company based in San Clemente, CA. The purchase increases Thuasne’s investment in the US market and diversifies the portfolio of orthopedic products available through its European subsidiaries and global network of medical device distributors.

medi USA expands national sales force

Whitsett, NC-based medi USA announced in January a national expansion of its sales force. The changes will better serve its customer base, increasing its reach and frequency to foster increased market share growth, according to a company release.

OTWorld will meet in Leipzig in May

The German Association of Orthopaedic Technology plans to hold the OTWorld International Trade Show and World Congress May 3-6 in Leipzig.


Magnetic Slide Release Buckles

WBC Industries introduces Magnetic Slide Release Buckles to improve donning and doffing of lower extremity devices for children and patients with dexterity issues. The buckle is easily fastened with the help of an internal magnet by bringing the two ends of the buckle close to each other.

Therafirm Ease Microfiber Tights

Ease Microfiber Tights by Therafirm, a Knit-Rite brand, are made with high stretch yarns for easy donning. The soft micro­fiber material, knit-in waistband, and smooth toe are designed to ensure all-day comfort; the waistband also resists rolling.

Arcopedico Summer Shoes

Arcopedico USA introduces new collections for summer 2016. Alice is a loafer in solid-tone suede with a hand-stitched vamp, cushioned insole, metal-free twin arch supports, and a lightweight polyurethane outsole.

STS XXL Slipper Sock

The STS Company has developed a new size of its slipper casting sock for those individuals with very large feet who are in need of custom foot orthotic devices. The Extra-Extra Large (XXL) Slipper Sock is designed to create an accurate model of the…

ToeSnug Buttress Pad

Evenup is excited to introduce its new product, the ToeSnug Buttress Pad, for treating hammertoes, hard and soft corns, metatarsalgia, and spreading and overlapping toes. For toes that are contracted and bent, the ToeSnug acts as a bumper above the toes to reduce dorsal pressure from footwear.

Advanced Ortho Aero Walker

The new Aero Walker from Advanced Orthopaedics is an advanced walker boot designed to provide the necessary immobilization and compression while maintaining a comfortable user experience.

Handler 704 Sani-Grinder

Handler Manufacturing introduces the new and improved model 704 Sani-Grinder, with a 33% larger sanding drum to allow for better contouring and shaping of larger podiatric and orthotic appliances. The 704 Sani-Grinder is an affordable, self-contained device that requires no installation.

KX2 Flexible Foot Lift

For those suffering from foot drop, the KX2 Flexible Foot Lift enables a more natural walking or running step while allowing ankle mobility. The device is comfortable, easy to use, lightweight, and adjustable.

Silcare Breathe Prosthetic Liners

New Silcare Breathe prosthetic liners from Endolite feature laser drilled perforations to allow moisture and air to escape, offering improved comfort and control for amputees and reducing the risks of socket movement, loss of connection, and skin damage.

Updated OPTP Catalog

OPTP (Orthopedic Physical Therapy Products) has published the 34th edition of its semi-annual professional catalog. The updated catalog now includes nearly 1000 health and wellness products, many of which are offered exclusively through OPTP…

TriZone Knee Brace

DonJoy, a DJO Global company, is proud to introduce the TriZone Knee Brace. Featuring compression knit and silicone materials, TriZone is a lightweight, low-profile knee sleeve designed for performance as well as protection from knee pain.

GlideWear Shear Protection Socks

New from Tamarack Habilitation Technologies, GlideWear Shear Protection Socks provide targeted protection from friction and shear to help prevent skin breakdown. Featuring dual-layer, low-friction fabric technology, GlideWear is engineered to provide…