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

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

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


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

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

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

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

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


In the Moment: Sports Medicine

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

AAOP webinar teaches evidence use

The American Academy of Orthotists & Prosthetists (AAOP) in December released a webinar designed to help practitioners understand systematic reviews and bridge the gap between evidence and practice.

AAOS issues guidance on TKR, hip fracture and rehab, OCD knee in kids

The Rosemont, IL-based American Academy of Orthopaedic Surgeons (AAOS) in December released updated clinical practice guidelines on surgical management of knee osteoarthritis, as well as several appropriate use criteria (AUC).

DRFOP offers online Capabilities archive

The Digital Resource Foundation for the Orthotics & Prosthetics Community, popularly known as DRFOP.org, in December added the 22-year Capabilities archive to its database.

FDA approves Integra matrix for DFUs

The US Food and Drug Administration on January 7 approved Plainsboro, NJ-based Integra’s Omnigraft Dermal Regeneration Matrix to treat diabetic foot ulcers (DFUs) that haven’t healed after six weeks and don’t involve exposure of the joint capsule, tendon, or bone.

Surestep, Midwest Orthotics convert to employee stock ownership plan

South Bend, IN-based Surestep and Midwest Orthotics employees on January 13 celebrated the 50th birthday of founder Berne Veldman, CO, but got their own gift when Veldman and his wife Pam Veldman announced the companies had transitioned to a 100% Employee Stock Ownership Plan (ESOP), a qualified retirement benefit that holds company stock.

Sensoria pairs apps with its smart socks

Redmond, WA-based Sensoria in January announced two new apps that will pair with its smart socks, which integrate textile pressure sensor technology and send gait and walking activity data to an electronic anklet.

Campbell is Hanger’s chief clinical officer

James Campbell PhD, CO, FAAOP, joined Austin, TX-based Hanger Clinic in November 2015 as chief clinical officer. Campbell joined Hanger after 17 years at Becker Orthopedic in Troy, MI, where he was most recently executive vice president for clinical services and research and product development, manufacturing engineering, quality, regulatory affairs, and central fabrication.

ACSM issues injury prevention recs

The Indianapolis IL-based American College of Sports Medicine (ACSM) and five other professional organizations in December 2015 released a new team physician consensus statement that outlines best practices for injury and illness prevention for athletes of all levels.

Anodyne launches iPad scanner app

Milwaukee, WI-based Anodyne in January introduced iPad Scanner-based ordering for A5513 custom inserts and L5000 toe fillers. The free app, said Anodyne cofounders Bobby Kanter and Brian O’Reilly, improves suppliers’ operational efficiency as they can avoid foam impression costs and benefit from short turnaround times.

AOPA awards mobility contest winners

The Washington, DC-based American Orthotic & Prosthetic Association (AOPA) in December announced the winners of its Mobility Saves Testimonial Contest.

BOC’s Zacharias chairs ICE board

Claudia Zacharias, MBA, CAE, president and CEO of the Owings Mills, MD-based Board of Certification/Accreditation, is now serving as board chair of the Institute for Credentialing Excellence (ICE) Board of Directors.

Orthozone is distributor for Thermoskin

Kilsyth, Australia-based Thermo­skin in January named Blaine, MN-based Orthozone the new exclusive North American distributor of the complete Thermoskin line.

Exo-L ankle brace limits risky motion

A Dutch-designed ankle brace limits the inversion–plantar flexion motion responsible for most ankle sprains without limiting plantar flexion or dorsiflexion, according to results of a 12-person study published in November 2015 in the American Journal of Sports Medicine.

Ottobock brings Bionx ankle to Europe

Duderstadt, Germany-based Ottobock reported in December that it has inked an exclusive deal with Bionx to distribute the Bedford, MA-based company’s motor-driven ankle in Germany, Austria, Switzerland, and Scandinavia.

PediFix marks 130 years at APMA event

Quincy, MA-based PediFix Footcare Company celebrated its 130th anniversary with customers and friends at the October 2015 American Podiatric Medical Association (APMA) Region One Conference in Boston.


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…

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.

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…

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.

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…

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.

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.

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.

OdysseyK2 Prosthetic Foot

The OdysseyK2 from College Park has a curved hydraulic ankle, Intelliweave composite foot base, and customizable dual StrideControl. The ankle provides 12° of smooth hydraulic motion that works in tandem with the foot base.

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 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.

iTom-Cat from ComfortFit

ComfortFit Labs, with technology partner Tom-Cat Solutions, is now offering the iTom-Cat, an iPad Air 2-based, full-function foot and ankle scanning system with integrated hardware and software. The system uses a structured sensor to quickly and easily capture a 3D image that has an accuracy of less than .2 mm.