January 2016

Download the Complete issue as a PDF (19mb)

Download the Complete issue as a PDF (19mb)

Cover Story


Biomechanics of propulsion: Implications for AFOs
Biomechanics of propulsion: Implications for AFOs
For many patients, the ability of an ankle foot orthosis to enhance propulsion is key to improving gait efficiency and reducing fatigue. But experts are only beginning to understand the biomechanical complexities that influence propulsion, which start with push-off but don’t end there. By Cary Groner

Editor Message


OUT ON A LIMB: TCCs and possibilities
OUT ON A LIMB: TCCs and possibilities
Lower extremity clinicians have known for decades that the total contact cast (TCC) is the most effective means of offloading plantar ulcers in patients with diabetes. Now research has given us a much better understanding of why—an understanding that could inspire a new generation of more effective prefabricated offloading devices. By Jordana Bieze Foster

Departments


Plantar fasciitis: Clinical considerations in runners
Plantar fasciitis: Clinical considerations in runners
Clinicians should advocate for the cost-effective, judicious use of foot orthoses for runners with plantar fasciitis, in accordance with the present body of knowledge. By Patricia Pande, MClScPT, CSCS, CPed
Conference coverage: 4th PFP research retreat
Conference coverage: 4th PFP research retreat
Studies presented at the Patellofemoral Pain Research Retreat in Manchester, UK, illustrate the progress researchers are making toward the ultimate goal of being able to tailor exercise protocols and other interventions to best address the needs of specific patient subgroups. By Jordana Bieze Foster
Footwear, traction, and the risk of athletic injury
Footwear, traction, and the risk of athletic injury
High degrees of rotational traction associated with athletic footwear can increase the risk of noncontact lower extremity injury following an unexpected neuromuscular perturbation, possibly by increasing biomechanical joint loading at the ankle and knee. By John W. Wannop, PhD; Ryan Madden, MSc; and Darren J. Stefanyshyn, PhD, PEng
Yoga for knee OA pain: a mind-body approach
Yoga for knee OA pain: a mind-body approach
Although the medical literature has not yet provided definitive evidence of effectiveness, a number of existing studies suggest that yoga interventions are associated with improved physical and mental health outcomes among adults with knee osteoarthritis. By Monica R. Maly, PT, PhD
Compression and clots in athletes who travel
Compression and clots in athletes who travel
Hemostatic activation following a marathon is lower in athletes who run with compression socks than those who run with typical athletic socks, suggesting the garments may help reduce the risk of postexercise clot formation in athletes who travel to events. By Amanda Zaleski, MS; and Beth Taylor, PhD

News

In the Moment: Sports Medicine

Impact implications: Loading helps predict running injury risk
Impact implications: Loading helps predict running injury risk
A two-year prospective study of female heel-strike runners found that those who suffered medically diagnosed injuries had higher impact variables at baseline than those who had never had an injury. By John C. Hayes
Most NBA players return from Jones fracture with no drop in performance
Most professional basketball players who sustain Jones fractures are able to return to elite competition with no significant effect on their performance, according to a recent study that should please fantasy basketball players as well as lower extremity practitioners. By Jordana Bieze Foster
Peak vGRF in ACL-reconstructed limb may influence collagen metabolism
After unilateral anterior cruciate ligament reconstruction (ACLR), mechanical loading in the affected limb is associated with altered patterns of collagen metabolism, according to research from the University of North Carolina at Chapel Hill that could help explain the development of knee osteoarthritis in patients with a history of ACLR. By Jordana Bieze Foster

Market Mechanics

By Emily Delzell


Products


KanoPrint Direct Forming Station
KanoPrint Direct Forming Station
Kano-Labs has updated its KanoPrint Direct Forming Station, designed for the creation of custom total contact corrective orthotic devices—with the foot either in a subtalar-neutral, nonweightbearing position or in a corrected position—while accounting for soft tissue expansion.
Nail Creations Cosmetic Covers
Nail Creations Cosmetic Covers
Nail Creations are an attractive, safe, temporary cosmetic solution for damaged, infected, or missing toenails. These temporary, cosmetic grade cover-ups create the illusion of a healthy, beautiful toenail for a day at the beach or an evening out in open-toed shoes, while…
Microfiber Shades Socks
Microfiber Shades Socks
Sigvaris North America has announced Microfiber Shades, a fun new line of microfiber compression socks for people who need to wear graduated compression but want more playful socks with a pop of color.
Swede-O Thermal Supports
Swede-O Thermal Supports
Swede-O announces a new generation of Thermal Supports engineered with MVT2 (Micro Ventilated Thermal) technology, which is designed to provide compression and warmth for pain relief in patients with sports injuries, repetitive strain injuries, arthritis, and other painful conditions.
Dycor H Series Foot
Dycor H Series Foot
Dycor’s new H Series prosthetic foot is a hybrid version of the company’s K Series foot, and a simple, lightweight, and inexpensive approach to moderate-impact assisted and unassisted prosthetic activities of daily living.
MyPainAway Fibro Cream
MyPainAway Fibro Cream
Topical BioMedics has launched MyPainAway Fibro Cream powered by Topricin, a new product for the topical treatment of fibromyalgia pain. Naturally formulated to address the issues causing the aches and pains of fibromyalgia, the cream is intended to help the body rid itself of toxins and…
Unequal Insoles from Spenco
Unequal Insoles from Spenco
Spenco and Unequal Technologies have collaborated to produce insoles for athletes at risk for lower extremity stress injuries. Unequal Protective Cushioning provides ultra-thin comfort, and Unequal Protective Stability has a lightweight orthotic cradle.
Balance Walking Poles
Balance Walking Poles
Balance Walking Poles are designed to align the spine during gait, keeping patients comfortably erect and allowing them to walk longer with better form. The poles offer an easy way to increase muscle engagement while decreasing joint loads.
Total Vein Boost Hosiery
Total Vein Boost Hosiery
Total Vein Systems recently introduced Boost, its new line of athletic compression therapy hosiery. The Boost socks use graduated compression to help increase blood circulation and enhance oxygen delivery to working and recovering muscles, in order to accelerate recuperation and reduce muscle soreness.
ProComp Material
ProComp Material
New from Cascade Orthopedic Supply, ProComp is a polypro­pylene-based composite, stabilized with discontinuous carbon fiber, for the custom fabrication of lower extremity orthoses. The 3D carbon fiber matrix is discretely imbedded into the core of the laminate, which…