June 2013

LER06-13CoverLRCover Story


Knee flexion after TKA: The significance of squatting
Knee flexion after TKA: The significance of squatting
The ability to achieve a 90° squat appears to have important functional implications for patients rehabilitating from total knee arthroplasty. However, detecting impairment may require more rigorous methods than conventional sit-to-stand testing. By Mark D. Rossi, PhD, PT, CSCS, and Denis Brunt, EdD, PT

Editor Message


Out on a limb: Flop watch
Out on a limb: Flop watch
Mark Cuban, the brash billionaire owner of the National Basketball Association’s (NBA) Dallas Mavericks, has pledged $100,000 to fund a study to determine if biomechanical analysis can distinguish legitimate falls during a basketball game from “flops.” The perfectionist in me really likes this idea. But the pragmatist in me wonders whether there might be better ...

Departments


Inserts improve symmetry, velocity in stroke patients
Inserts improve symmetry, velocity in stroke patients
Learned disuse of the affected limb can lead to weight-bearing asymmetries in patients with stroke-related hemiparesis. Compelled body-weight shift therapy, using shoe inserts to force loading of the affected limb, can help patients achieve a more symmetrical gait. By Alexander S. Aruin, PhD
Retraining fixes faulty gait in injured runners
Retraining fixes faulty gait in injured runners
Although the technique is still in its infancy, early research suggests gait retraining can be used to address medial collapse, primarily in runners with patello­femoral pain (PFP) syndrome, and to reduce impact loading in runners with PFP or tibial stress fracture. By Ashlin Miller, BS, and Richard W. Willy, PhD, PT, OCS
Rockers and rollovers: Implications for AFOs
Rockers and rollovers: Implications for AFOs
Practitioners and researchers are redefining rocking and rolling as key components of gait, and designing ankle foot orthoses and other orthotic and prosthetic devices to specifically address impairments in the way certain patients rock and roll. By Cary Groner
Soft tissue composition and bone injury risk
Soft tissue composition and bone injury risk
Documenting how shock propagates through the leg and is attenuated by the soft tissues appears to be a critical step toward advancing practitioners’ and researchers’ understanding of lower extremity injury mechanisms related to running and landing activities. By Timothy A. Burkhart, PhD, EIT, Alison Schinkel-Ivy, MHK, and David M. Andrews, PhD
Relieving pain in patients with diabetic neuropathy
Relieving pain in patients with diabetic neuropathy
Given the limitations of pharmacotherapy options for treating painful diabetic peripheral neuropathy, practitioners are also considering the merits of cognitive therapy, orthotic management, and combination therapies to relieve patients’ pain. By Larry Hand

News


In the Moment: Sports Medicine

By Jordana Bieze Foster

Minimalist miss: Even over time, gait differs from barefoot
Minimalist miss: Even over time, gait differs from barefoot
The biomechanical differences between barefoot running and running in minimalist shoes appear to amount to more than just a matter of time.
Altering landing to reduce ACL load may decrease jumping performance
Changes in landing mechanics that are intended to decrease risk of anterior cruciate ligament (ACL) injury may also inadvertently decrease jumping performance in athletes, according to research presented in late May at the annual ACSM meeting.
Kinetic changes postmeniscectomy mimic those associated with knee OA
One to five years after partial medial meniscectomy, young adults demonstrate kinetic alterations associated with knee osteoarthritis (OA), according to research presented in late May at the annual ACSM meeting.

In the Moment: Foot Orthoses

By Emily Delzell

Market Mechanics


Products


COD Ankle Joint
COD Ankle Joint
The Center for Orthotics Design (COD) offers the COD Self-aligning Ankle Joint, which allows for conversion of a rigid ankle foot orthosis (AFO) to an articulated AFO. The ankle joint allows four-way adjustments and continually variable range of motion in ...
Dictus for Foot Drop
Dictus for Foot Drop
Pro-Tech Orthopedics introduces the Dictus, an ultralight device for patients with foot drop. It can be used in standard shoes, with no need for special depths or widths to accommodate the device. A version for barefoot use is also available. ...
Nufoot Indoor Shoes
Nufoot Indoor Shoes
Nufoot indoor shoes are designed to meet a variety of needs. Uses include yoga, Pilates, at the gym, in the pool, and other indoor activities. Made with antimicrobial materials from a patented design, the new Nufoot indoor shoes are skid-resistant, ...
Omega Scanner 3D
Omega Scanner 3D
WillowWood announces the Omega Scanner 3D, its newest shape capture device. The Omega Scanner 3D uses structured light to create a 3D image. When the light hits an object the pattern deforms and is then measured by the scanner at ...
Leather Orthotics
Leather Orthotics
Powerstep’s new Signature Leather Orthotics are functionally correct orthoses for management of plantar fasciitis, overpronation, metatarsal pain, heel pain, arch discomfort, or sore, aching feet. Product features include natural, distressed leather that softens and conforms to the contours of the ...
Heelift Glide Boot
Heelift Glide Boot
DM Systems introduces Heelift Glide, the most recent addition to its family of heel offloading boots that redistribute pressure to promote healing and prevent the development of new heel pressure ulcers. A smooth exterior allows patients to move without catching ...
Clean Sweep Shoe Spray
Clean Sweep Shoe Spray
The Tetra Corporation announces Clean Sweep, a new antimicrobial shoe spray designed to conveniently eliminate 99.9% of odor causing bacteria and fungi on contact. Clean Sweep is hypoallergenic and nontoxic, and it contains no artificial color or fragrance. It targets ...
KidZerts Heel Cup
KidZerts Heel Cup
KidZerts has released a new product, the KidZerts Heel Cup, to relieve children’s heel pain and discomfort associated with Sever disease. Each heel cup is made of ethylene vinyl acetate (EVA) semifirm foam rubber, and is contoured to comfortably hold ...
Therawheel Roller
Therawheel Roller
Therawheel is a self-use roller with more than 150 different applications. It rolls, glides, and compresses soft tissue (ligaments, tendons, muscles, and fascia) in any direction. Thera­wheel provides targeted pressure for detecting and reducing soft tissue restrictions. The thinner part ...
Kickstart Orthosis
Kickstart Orthosis
The Kickstart orthosis from Cadence Biomedical is a wearable device that helps stroke survivors and others with weakened muscles or disabilities regain mobility and independence. The new, diagnostic version of Kickstart allows practitioners to try the device and see its ...