June 2014

LER06-14cvrLRCover Story

Evidence-based use of metatarsal pads

Plantar pressure analysis studies are demonstrating the effectiveness of met pads for forefoot offloading and helping clinicians determine which patients are most likely to benefit from different pad designs and placement strategies.

By Greg Gargiulo

Editor Message

Out on a limb: As Purdy does

As a guest model on The Price is Right, Amy Purdy had little opportunity to showcase her intelligence, her athleticism, or her dancing skills. But—thanks to a very short, very tight red dress—she did have ample opportunity to show off her legs.

Jordana Bieze Foster, Editor


Patient Perspective: Walking 600 miles is tough; plantar fasciitis is tougher

In 2008 I walked the 500-mile Camino de Santiago, the medieval pilgrimage route through northern Spain leading to the Cathedral of Santiago de Compostela. It was my first long distance walk, and because I completed it without injury, pain, or a blister, I fancied myself a walking superhero, immune to suffering or discomfort.

By Laura Potts

Managing foot and ankle injuries in baseball players

Baseball players at all skill levels routinely suffer from foot and ankle injuries, with position players being afflicted more often than pitchers or catchers. Making the correct initial diagnosis without delay can lead to more rapid and effective treatment, rehabilitation, and return to play.

By Gabriel V. Gambardella, DPM, Jeffrey Delott, DPM, and Zachary J. Korwek

A virtual reality approach to lower extremity rehab

When commercially available active video games are used in rehabilitation settings, often the level of challenge does not match the patient’s ability level. Customized interventions can address these limitations while capitalizing on the fun and motivating aspects of the technology.

By Rachel Proffitt, OTD, OTR/L

Cost-benefit data support reconstruction of ACL tears

In both the short term and the long term, anterior cruciate ligament reconstruction produced greater quality of life improvements at a lower cost compared with rehabilitation only, suggesting that limiting access to ACL reconstruction may be harmful to patients and costly to society.

By Richard C. Mather III, MD, and Lane Koenig, PhD

Effects of targeted exercise on chronic ankle instability

Clinicians and researchers are increasingly utilizing exercise protocols focused on improving proprioception, range of motion, and strength to influence the more active and functional deficits that have been associated with chronic ankle instability in the literature.

By Mark A. Feger, MEd, ATC, and Jay Hertel, PhD, ATC


In the Moment: Sports Medicine

By Jordana Bieze Foster

Strength and concussion

Torque deficits may put limbs at risk – Changes in muscle strength in athletes who have experienced a concussion may help explain the apparent association between concussion and lower extremity injury…

By Jordana Bieze Foster

Biomarkers suggest link between OA, stiff landing after ACL reconstruction

Knee stiffness during landing in patients who have had anterior cruciate ligament (ACL) reconstruction is associated with biomarkers for cartilage degeneration, suggesting that a stiff landing technique may increase the risk of knee osteoarthritis…

By Jordana Bieze Foster

Ankle bracing, taping do not diminish soccer-specific athletic performance

Contrary to popular opinion among soccer players, ankle bracing and taping do not adversely affect soccer-specific athletic performance in experienced athletes, according to research presented in May at the annual ACSM meeting.

By Jordana Bieze Foster

In the Moment: Footcare

By Emily Delzell and Jordana Bieze Foster

Correcting hallux valgus

Surgery may restore sensation at great toe – Although some research has described sensory nerve dysfunction as a potential complication of hallux valgus surgery, most patients undergoing the procedure have measureable preoperative deficits—and most of these…

By Emily Delzell

Varied factors affect emotional issues related to painful diabetic neuropathy

A detailed look at factors related to emotional distress in patients with painful diabetic neuropathy found that, among other issues, being socially isolated increases anxiety and can worsen individuals’ experience of pain and quality of life.

By Emily Delzell

Patients with MS and foot drop assess benefits and drawbacks of AFOs, FES

Patients with multiple sclerosis and foot drop find that both ankle foot orthoses (AFOs) and functional electrical stimulation (FES) have pros and cons, but that, overall, the positives of both devices outweigh the negatives, according to research from Queen Margaret University in Edinburgh, UK.

By Jordana Bieze Foster

Market Mechanics

By Emily Delzell

Paralympic medalist Amy Purdy finishes second on ballroom dance reality show

Adaptive snowboarder and bilateral transtibial amputee Amy Purdy and her dance partner Derek Hough cha-chaed and tangoed their way to a very close second-place spot on the May 20 finale of season 18 of Dancing …

SureFit will offer BioMedix’s PADnet

Austin, TX-based SureFit Shoes and health information technology company BioMedix signed an exclusive distribution agreement in May allowing SureFit to offer the St. Paul, MN-based company’s PADnet in-office vascular testing devices and collaborative care programs to the podiatric marketplace.

Geelong to host pedorthic symposium

The Pedorthic Association of Australia announced in May that it will host the 2014 International Pedorthic Symposium, scheduled for September 12-14 in Geelong, Victoria.

OHI aquires PedAlign, new investor

Ronkonkoma, NY-based custom device manufacturer Orthotic Holdings, Inc (OHI) on May 27 announced its acquisition of PedAlign, a San Diego-based foot orthotic company that offers practitioners a fully digital orthotic solution.

Red Cross honors Ottobock blogger

The Minnesota branch of the American Red Cross in May selected Ottobock blogger and above-knee amputee Kate Ross for its “Give Life Hero” award, which recognizes individuals whose commitment to blood donation plays an important role in their communities.


Updated F-Scan Software

Tekscan announces the release of new, improved software for its F-Scan in-shoe analysis system. This new software automatically performs an in-depth foot function analysis and generates print-friendly reports at the…

Townsend Nox Splint

Townsend announces the release of the Nox splint. The Nox (from the Greek word for night) splint is designed for nighttime relief and treatment of plantar fasciitis, fibromatosis, Achilles tendinitis, heel spurs, and foot drop…

Therapeutic Kickstart System

Cadence Biomedical introduces the therapeutic version of the Kickstart Walking System, a rehabilitation system designed to help physical therapists maximize rehabilitation outcomes in patients who have experienced a …

Therafirm Ease Compression

New from Therafirm is the Ease premium opaque gradient compression line, which complements Knit-Rite’s patented Core-Spun by Therafirm compression socks. Both the gradient compression line and the compression …

Slim Fit Max Insoles

Foot Management is now introducing its Slim Fit Max insole, which is made with durable EVA (ethylene vinyl acetate) top and bottom covers for added comfort and shock absorption. This orthotic device has a sturdy …

Orfitrans Excel

Orfitrans Excel from Allied O&P Supply is a new polyethylene (PE) copolymer for ankle and foot orthoses and flexible prosthetic sockets and liners. It comes in black or semitransparent. It has a very low friction that is not …

MultiMotion Joint

Allard USA offers its new Multi­Motion joint, a dynamic corrective system joint designed to ensure fast, efficient, and effective treatment of contractures resulting from neurological conditions. MultiMotion features three …

iWALK2.0 Hands-free Crutch

The iWALK2.0 is a hands-free crutch designed to end the pain and inconvenience of conventional crutches. It allows people with lower leg injuries to lead functional, hands-free, pain-free lives during the nonweight-bearing …

Dorsal Night Splint

New on the market, Powerstep’s Dorsal Night Splint offers patients relief from the pain and discomfort associated with plantar fasciitis and Achilles tendinitis. This low profile splint holds the foot in a neutral or …

CV2 from Good Blood Flow

Good Blood Flow introduces the CV2, a wellness product designed to increase venous and arterial lower extremity blood flow. In addition to improving circulation, the CV2 can be used to help relieve restless leg …

Anatomical Roller

OPTP’s new Anatomical Roller is designed for core strengthening, balance work, postural reeducation, kinesthetic exercise, spinal stabilization, physical therapy, Pilates, and stretching. The roller’s asymmetrical …