July 2015

Download the Complete issue as a PDF (6mb)

Download the Complete issue as a PDF (6mb)

Cover Story

Driving safety: The effects of lower extremity impairment

The question of when or if it’s safe for patients to drive after surgery or while wearing a lower extremity orthotic device is one practitioners should address. But, in the absence of formal guide­lines, clinicians’ advice is often inconsistent.

By Hank Black

Publisher Message

Rich Dubin, Publisher
Publisher’s memo: One to grow on

Another year has passed, filled with new and exciting developments for LER. With all the growth that we have experienced in the past year, it was necessary to expand our editorial team with promotions to Emily Delzell and P.K. Daniel, who are now senior editor and associate editor, respectively.

By Richard Dubin

Editor Message

Out on a limb: The NBA takes on fatigue

After a season in which too many of its most market­able stars spent too much time in street clothes, the National Basketball Association (NBA) is making a commitment to injury prevention. Interesting, however…

By Jordana Bieze Foster, Editor

French Connections:

Coverage of the 2015 ISPO World Congress

7ISPO-iStock15629891-copyIn orthotics and prosthetics, practitioners increasingly are learning that making personal connections with patients is as important as connecting patients with the right devices. At the June meeting of the International Society for Prosthetics & Orthotics, clinicians and researchers from around the world met in Lyon, France, to discuss the most effective ways of accomplishing both objectives.

Continue Reading →

By Jordana Bieze Foster


Foot07-15cvr-smOne of the defining characteristics of the foot health world is that it’s always changing. The most obvious reason for this, of course, involves shoes. No other healthcare specialty has its own corresponding segment of the fashion industry, and no other patient population is as significantly influenced by fashion trends.

Continue Reading →

By Jordana Bieze Foster


Iliotibial band syndrome and running mechanics

The mixed findings of several cross-sectional studies seem to suggest that no specific biomechanical variables are unequivocally associated with iliotibial band syndrome in either men or women, which underscores the importance of assessing each patient individually

By Eric Foch, PhD

Diabetic foot conference weighs offloading issues

Offloading was a hot topic at the recent meeting of the International Working Group on the Diabetic Foot in the Netherlands. Diabetic foot experts in attendance discussed new research on offloading strategies and updated the organization’s practice recommendations.

By Cary Groner

Role of early rehab stages after ACL reconstruction

Traditionally, anterior cruciate ligament reconstruction outcomes have been assessed preoperatively and several months postoperatively, but new research suggests the early postoperative stages of recovery may also significantly affect self-reported outcomes.

By Caitlin J. Miller, PT, DPT, and Jesse C. Christensen, PT, DPT, SCS


In the Moment: Gait

By Emily Delzell

Speed trap: Slowest seniors have increased mortality

Gait speeds less than .6 m/s, a threshold that has been recommended as an indicator of mobility-related health problems, also confer a significantly increased risk of two-year mortality in hospitalized older patients, according to a recent prospective study.

In children with CP, gait impairment correlates with daily step activity level

In children with cerebral palsy (CP), gait impairment has a moderate relationship with daily step count and high daily activity levels, according to research from the University of Auckland in Australia.

Step width, length variables may help predict fall-related risks in older adults

Step width (SW), step length (SL), and a ratio of the two variables may help predict falls and fall-related injuries in older adults with and without diabetic peripheral neuropathy (DPN), according to research from the University of Michigan in Ann Arbor.

Market Mechanics

By Emily Delzell

NATA inducts its 2015 Hall of Famers

The National Athletic Trainers’ Association (NATA) on June 25 inducted eight individuals into its Hall of Fame at the NATA 66th Clinical Symposia and AT Expo in St. Louis, MO.

Therafirm legwear wins retail award

The VGM Group (named for founder Van G. Miller) on June 17 awarded Kansas City, KS-based Therafirm’s new Ease brand compression legwear its Most Innovative Retail Product of 2015 honor at the VGM Heartland Conference in Waterloo, IA.

AOPA names business award nominees

The Washington, DC-based American Orthotic & Prosthetic Association (AOPA) announced on June 9 the contenders for the 2015 Hamontree Award.

DonJoy launches retail Performance brand

San Diego-based DJO Global on June 10 launched DonJoy Performance for sale to consumers online and in select retailers nationwide.

Profoot teams up with NYC FC soccer

Brooklyn, NY-based Profoot hosted a game viewing party on July 7 to celebrate its partnership with the New York City FC, which kicked off its inaugural Major League Soccer season in March.

Dralla announces 2015 grant recipients

The Rockaway, NJ-based Dralla Foundation on June 10 announced its 2015 grant recipients, who will use their shares of the $30,000 in awarded funds to hold events and programs for adults and children with physical challenges.

ING Source supports pedorthic education

Hickory, NC-based ING Source, which manufactures the OrthoSleeve line of compression products, announced in July a $60,000 donation to The Robert M. Palmer, MD, Institute of Biomechanics (RMPI), based in Elwood, IN.

Remington Products is top workplace

Employee engagement research firm WorkplaceDynamics on June 21 named Wadsworth, OH-based Remington Products Company one of Northeast Ohio’s Top Workplaces.

Townsend brace alters knee OA loading

A study epublished June 25 by Prosthetics and Orthotics International found that use of a decompressive knee brace from Bakersfield, CA-based Town­send Design significantly reduced detrimental knee adduction moments in people with knee osteoarthritis (OA).

Synxsole scores reality show investment

Perth, Australia-based insole company Synxsole scored a $100,000 investment from Australian investor Andrew Banks during the first season of the entrepreneurial reality show Shark Tank Australia, which wrapped up in June.

Ottobock introduces K2 bionic knee

Austin, TX-based Ottobock on June 26 introduced its Kenevo microprocessor knee, designed for K2 (low mobility potential) amputees, who often have reduced muscle strength and coordination, putting them at high risk for falls.

I Measure U crowdfunds wearable

Auckland, New Zealand-based I Measure U opened an Indiegogo campaign in June to raise funds for a production run of its I Measure U Run (IMU-Run), a wearable sensor to measure and monitor tibial shock and cumulative load for runners.

Nepal quake volunteers call for funds

Many of the more than 18,000 individuals injured in the April and May earthquakes that struck Nepal are in need of mobility devices, including prostheses for new amputees, according to the charitable group Handicap International, which now has…

NBA commits to player health, wellness

In response to a 2014-2015 season marred by numerous injuries, the National Basketball Association (NBA) has partnered with General Electric Healthcare, whose US offices are in Waukesha, WI, to form a…

Vicon adds four unis to customer list

Oxford, UK-based Vicon announced in June the addition of four new research university customers for its motion-capture technology.

Delcam 2015 OTFs have record attendance

More than 250 delegates attended two regional Ortho Technology Forums (OTF) in Canada and Australia, hosted by Birmingham, UK-based Delcam.

Spenco sponsors ultra-marathoner

Waco, TX-based Spenco announced on June 11 its sponsorship of ultra-marathoner Roy Wiegand, who runs in Spenco insoles and raises awareness and money for a number of charities.


Arcopédico Leina

Arcopédico USA debuts three new colors—grey, camel, and purple—this summer for the top-selling Leina collection of sporty Mary Jane walking slides. Featuring a wide, nonrestrictive form and a stay-on elastic band for a secure fit, these shoes are ideal for misshapen feet.

Mobils Ergonomic by Mephisto

The Mobils Ergonomic Collection by Mephisto is designed to ensure a healthy, natural walk. Three advanced technological comfort features highlight this brand. All-over soft padding between the lining and the natural leather upper cushions the entire foot.

Vionic Cozy Juniper

For fall 2015, Vionic brings its trusted Orthaheel orthotic technology to a new, premium cozy women’s house slipper. The Cozy Juniper is a luxurious option for the patient/consumer who desires structural security for her feet along with the pampering of a house slipper.

Dr. Comfort Ruk and Riley

Dr. Comfort is proud to feature two new fashionable shoes that allow customers to feel great: the Ruk and the Riley. The Ruk is a classic dress style shoe for men that is versatile enough to pair with jeans or trousers. It comes with a suede upper material in a rust color or full-grain…

Ped Lite Valerie

Ped Lite’s newest women’s casual shoe, the Valerie, offers a fashion-forward interpretation of the typical diabetic shoe. Available in black with an all-leather upper, the Valerie looks like a slip-on shoe but has a Medicare-approved adjustable closure that makes it functional as well as stylish.

Apex Boss Runner

The Apex Boss Runner is a biomechanically designed, straight lasted, motion control running shoe. The shoe features a molded external heel counter extended on the medial side for rearfoot stability, Carboplast footbridge for torsional stability…

Aircast AirHeel with Stabilizers

Now available from DJO Global is the Aircast AirHeel with Stabilizers, designed to improve patient compliance by providing active relief of plantar fasciitis, Achilles tendinitis, and other heel pain symptoms. Interconnected aircells under the arch and at the back of…

Drew Antwerp for Women

Drew Shoe introduces the Antwerp for women, with a stretch fabric upper and a Velcro closure. Designed for those with common foot ailments, this slip-on walking shoe features Drew’s Proprietary Plus fitting system, which includes two removable…

Diabetic Foot Cream

Myfootshop.com introduces Diabetic Foot Cream, an all-natural, multipurpose cream intended to address the unique skin care needs of patients with diabetes, including dry skin, superficial cellulitis, and bacterial and fungal infections.

Hook & Loop Strap Kits

WBC Industries introduces PVC Hook & Loop Strap Kits for use on ankle foot orthoses and knee ankle foot orthoses for adults and children. Each kit comes with a strap, chafe, pad, and matching rivets and is available in 14 different colors.

Kano Sigma-4 Exam Chair

The modern, sleek Sigma-4 exam chair from Kano Labs features four independent, low-voltage motors. Like other Sigma exam chairs, the Sigma-4 has a 360° locking ring swivel base, digital control electronics, surface mounting technology, and computerized testing of the automated…

KLM Uniflex 4 Foot Orthosis

KLM Laboratories, a provider of orthotic devices since 1973, offers a new addition to the Uniflex family of functional orthotic devices, the Uniflex 4. The Uniflex 4 foot orthosis comes standard with a gray simulated leather top cover and a semirigid polypropylene shell and rearfoot…

Branier Shoes, Boa Closures

Branier Orthopedic, through a collaboration with Click Medical, is now offering the Boa closure system for its custom-molded shoe lines. Adjustable with the use of a single hand, Boa’s mechanical reel system works to draw a steel cable through a series of easy-glide nylon guides.

Arcopedico High-tops

Arcopedico USA is debuting knit high-top sneaker styles as additions to its top-selling knit shoe collections. Shocks 5 sneaker-style high-tops feature a lace-up front, outer-side logo details, SanSmell fabric lining, cushioned footbed, and flexible heel strap.

Ped-Lite Materials

Ped-Lite is proud to announce its new line of fabrication materials to complement its existing product lines of custom and prefabricated diabetic inserts and diabetic shoes. The Ped-Lite line of fabrication materials includes closed-cell foam sheets, two- and three-layer laminates…

Electronic Tuning Fork

O’Brien Medical announces the commercial release of its premier product, the ETF128 electronic tuning fork. The medical-grade ETF128 transforms the most valuable features of a conventional 128-Hz tuning fork into a modern electrical configuration with four vibration amplitude…

Elite Adjustable Night Splint

Now available from Elite Ortho­paedics is the Premier Adjustable Night Splint for patients with plantar fasciitis, Achilles tendinitis, and other lower extremity overuse injuries. It features an angled shell to keep the foot in a dorsiflexed position, which can be easily adjusted using…

Lems Shoes Primal2

Lems Shoes are designed to mirror the natural shape of the human foot, with a toe box that allows for maximum room for the toes to wiggle and spread. The Primal2 is a lightweight (6.9 oz), flexible, breathable, flat shoe that is assembled using no-sew construction, which…