February 2023

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Cover Story


Peripheral Neuropathy: Diagnosis and Treatment

Neuropathy can challenge both patients and clinicians; epidermal nerve fiber density testing provides an objective measure of disease progression and can help show therapeutic progress.

By Lilly Khavari, DPM, DABPM, FACPM

Guest Perspective


Hello, NBD Participants, Fans, and Sponsors!

National Biomechanics Day 2023 is gearing up for a new year and we can’t wait to have you join us on the ride! Set your   sites on April 5, 2023 for this year’s big event! We are pleased to report that we have announced our 2023 grant recipients...

By Paul DeVita, PhD

Features


Eccentric Exercise Effective in Treating Mid-Portion Achilles Tendinopathy

Achilles tendinopathy (AT) is one of the most frequent overuse injuries in athletes, yet there is still a gap in the evidence for the efficacy of any modality of treatment in high-quality studies.

By Diego Ailton Prudêncio, Nicola Maffulli, Filippo Migliorini, Thiago Teixeira Serafim, Luis Felipe Nunes, Luciana Sayuri Sanada, and Rodrigo Okubo

Social Media in Real Life: Milk crate-related lower extremity injuries treated at United States emergency departments

The highest proportion of milk crate-related lower extremity injuries involved the patient falling off a milk crate followed by being struck by a milk crate and tripping over a milk crate. The most common type of lower extremity injury was contusion or abrasion.

By Mathias B. Forrester, BS

What does Economic Uncertainty Mean for Selling Your Orthotics & Prosthetics Business?

It should come as no surprise that the process of buying and selling businesses is affected by the general health of the economy. More expensive borrowing, market uncertainty, and shifts in consumer demand are all factors that can make both buyers and sellers wary about pursuing transactions.

By David Fergusson

ShortTakes From the Literature


100mg Aspirin Ups Risk of Serious Falls

Following on the 2018 ASPREE trial findings that the daily use of aspirin did not improve disability-free survival among aging adults, a new substudy now reports that aspirin (100mg daily) was associated with a higher risk of serious falls (incidence ratio: 1.17; P = 0.01). The researchers recruited...

Telmisartan Did Not Improve Mobility In Peripheral Arterial Disease 

The blood pressure medication telmisartan did not improve walking performance in patients with peripheral arterial disease (PAD) in the lower extremity, according to new research. These results challenge previous studies that found telmisartan improved running strength in mice and...

Blood Flow Restriction Exercise After ACL Reconstruction

It is well known that muscle mass is lost following anterior cruciate ligament reconstruction (ACLR) surgery. These researchers sought to compare muscle strength gain in the quadriceps and hamstring muscles in patients following ACLR surgery using exercises with and without blood flow restriction.

Age-related Muscle Decline Related to Lethal Childhood Disease? 

Adopting some of the strategies behind successfully treating the childhood disease spinal muscular atrophy (SMA) may enable development of therapies to curb the muscle decline that accompanies aging, new research suggests.

Smart Bandage Improves Wound Healing in Mice

A smart bandage used wireless power to protect and monitor wounds, provide feedback on tissue health, and encourage healing using electrical current. Mice treated with the bandage healed faster than those protected with standard wound dressings. The skin has a remarkable capacity to...

By the Numbers: Total Ankle Arthroplasty Trends ↗

Use of total ankle arthroplasty (TAA) has been on the rise and researchers from Emory University in Atlanta, Georgia, put the numbers together:

Biomechanical Performance Factors in Sprint Starts

The 100m race is the highlight of many track and field events; indeed, in the Olympic Games, it defines the fastest man and woman in the world. In this event, the block start performance and subsequent first 2 steps can be of critical importance since they directly influence the runner’s overall time.

International Guest Perspective


Incorporating Green Podiatry

“The climate emergency is a multidisciplinary, multisectoral crisis that transcends professional and organizational barriers. Health professionals can help bring sharp focus to the urgent reforms required from individuals, organizations, and governments”.

By Angela Margaret Evans, AM*

Industry News & Updates


ACSM’s Clinical Exercise Physiology Now Endorsed

The Clinical Exercise Physiology Association (CEPA), the Canadian Society for Exercise Physiology (CSEP), the British Association of Sport and Exercise Science (BASES), and Clinical Exercise Physiology UK (CEP-UK) have recently endorsed the American College of Sports Medicine...

Amputee Coalition Partners with ADA on Amputation Prevention Alliance

The Amputee Coalition, the only federally funded organization dedicated to serving the limb loss and limb difference community, announced it is partnering with the American Diabetes Association (ADA) to support the Amputation Prevention Alliance. Complications from diabetes, including peripheral...

AI Searches Early Signs of OA from X-ray Images

Researchers from the University of Jyväskylä, Finland, and the Central Finland Health Care District have developed an artificial intelligence (AI)–based neural network to detect early knee osteoarthritis (OA) from x-ray images. The new AI-based method was trained to detect from x-rays whether there...

Hanger Announces Leaders for Products & Services Segment, SPS Business

Hanger, Inc. has announced the promotion of Dixon LeGrande to the role of president of the company’s Products & Services business segment. Additionally, Coleson Chase has been promoted to vice president and general manager of SPS. In this expanded role he will oversee the SPS business, while...

A Better Way to Easily Assess Knee Muscle Function

Scientists from Shibaura Institute of Technology (SIT), Japan, have investigated the usefulness of bioelectrical impedance analysis (BIA) in assessing muscle function and parameters, which can quickly and non-invasively measure tissue resistance (which depends on the amount of water and...

OHI Receives Majority Investment from Private Equity Firm

Orthotic Holdings, Inc. (OHI), a provider of custom medical devices for healthcare providers who treat conditions associated with the lower extremities, announced that it has secured a majority investment from Summit Partners Credit Advisors. This investment will help support the...

Pedors Launches Online Directory of Footcare Professionals

Pedors Shoes, Marietta, GA, announced the launch of its new online directory, Let’s Walk, which is designed to help patients find a local foot healthcare professional who specializes in foot and ankle care, mobility, and therapy. Participating healthcare professionals include pedorthists, orthotists...

The Last Word


"SPRINT' TO REDUCE THE RISK OF HAMSTRING INJURIES

The aim of this study was to determine if the quantity of running load performed in pre-season affects the incidence of injury in elite Gaelic footballers. It was hypothesized that a greater quantity of running loads completed will reduce the incidence rate of injury.

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