June 2018

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Cover Story

Ankle-foot orthoses and functional electrical stimulation for foot drop in MS: Pluses, minuses, progress

Assistive ambulation devices for the ankle can bolster walking speed and safety and lessen the risk of injury to the joint. But which of 2 technologies is best for your patient?

By Hank Black


Guest Editorial

Footniche: A new paradigm for thinking about foot care

Definitions are important because words can make the difference between understanding and misunderstanding. I prefer a simple definition of footwear: that which covers the foot. This definition does not say it is a top covering of the foot—just a covering of the foot. In the definition of something as fundamental as footwear, I believe that less is more.

By Joseph M. Mozena

Feature Articles

Ankle-foot orthoses and functional electrical stimulation for foot drop in MS: Pluses, minuses, progress

Assistive ambulation devices for the ankle can bolster walking speed and safety and lessen the risk of injury to the joint. But which of 2 technologies is best for your patient?

By Hank Black

EXPERT OPINION: Advances and alternatives in diabetic ulcer offloading

Diabetic foot ulcers pose life-threatening risks to patients with diabetes. Offloading of high pressure areas of the foot is key to successful treatment. We review various methods here.

By James McGuire, DPM, PT, LPed, FAPWHc, and Tyler Coye, BA

Management of acute ankle sprains: To immobilize or not?

Functional rehabilitation training protocols typically consist of stability and postural control exercises aimed at recovering from the proprioceptive defect that occurs after an ankle injury and preventing recurrent sprains by improving stabilometric results.

By Audris Tien, DPM, Jarrod Shapiro, DPM, FACFAS, FACFAOM, Jonathan Labovitz, DPM, FACFAS, CHCQM

Overuse Injuries in Elite Basketball Players

Equinus is the primary mechanical cause of acquired non-traumatic foot and ankle pathology—plantar fasciitis, AT, and MSS—in running sports. The three most common lower-extremity overuse injuries among those who participate in running-related sports such as basketball have all been linked to the…

By Patrick A. DeHeer, DPM, FACFAS, FASPS, FFPM RCPS (Glasg)

Posters Presented at ACSM 2018, Minneapolis, MN

Chronic Ankle Instability

By Keith Loria

Gender Matters in Achieving Functional Performance

How many practice trials are needed to achieve functional performance in static and dynamic balance and hopping tests among those with chronic ankle instability (CAI)? That was the question Jordan Read, a student at the University of North Texas Health Science Center, Fort Worth, Texas, and colleagues looked to answer in his poster, Recommended Number of Trials for Balance and Hopping Tests between Male and Female CAI.1

The Effects of TT, FRT, and KT on Joint Angles and YBT Performance

Chronic ankle instability (CAI) is a common issue in the athletic population. Although there are many prophylactic taping methods used to prevent repetitive ankle sprains, the effects of these taping methods in dynamic postural control are not clearly understood.

The Effect of CAI on Landing/Cutting Lower-Extremity Kinematics, EMG, and GRF

In the poster, Altered Movement Neuromechanics during Jump Landing and Cutting in Patients with Chronic Ankle Instability,3 Hyunsoo Kim, assistant professor of the Department of Kinesiology, West Chester University, West Chester, PA, and colleagues looked at altered movement pattern in patients with CAI to examine biomechanical factors for CAI.

Influence of TT, FRT, and KT on Joint Angles of Lower Extremity

Even though there have been numerous studies regarding prophylactic ankle taping, the way to control the increased mechanical laxity associated with their condition during dynamic activity is not clear. To investigate the effects of traditional tape (TT), fibular repositioning tape (FRT), and kinesiology tape (KT) on joint angles of the lower extremity, Songah Chae, a student in the Department of Movement Sciences at the University of Idaho, Moscow, ID, led ...

Identifying CAI Through Specific Movement Patterns

Looking to identify specific movement strategies and describe lower extremity stiffness of the subgroups of patients with CAI compared to an uninjured control group, J. Ty Hopkins, PhD, professor of human performance research center at Brigham Young University, Provo, UT, examined 200 CAI participants (109 male) and 100 controls (54 male).

New Products

Össur Formfit Pro 3D Compressive Knit Solutions

Össur has introduced the new Össur Formfit Pro line of 3D compressive knit solutions, designed for people suffering from different musculoskeletal conditions or ailments, yet remain passionate about staying active. Össur‘s Formfit Pro range includes the Formfit Pro Knee for compression and patella support; Formfit Pro Knee OA, which…

Data-Gathering Performance Treadmills

Mobius, AMTI’s new line of performance treadmills, comes in two models: one fixed-tilt and one inclinable, capable of a 25% gradient. Both models have two independent 8800N-capacity force platforms, and a frame engineered to achieve the highest possible natural frequency, with the goal of providing industry-leading data quality.

Sock Aid

Advanced S.A. International Ltd. now offers the new Sock Aid for easy donning and doffing of socks for people who have difficulty bending or other mobility issues. The cordless unit requires easy one-handed operation and is compact for traveling. For donning, the sock is affixed to Easy On Sock Aid fully open and inside out with the heel in the correct position.

Socks with Purpose

ING Source, Inc. of North Carolina is best known for its proprietary application of compression therapy into orthopedic and sports bracing, Compression Zone Technology (CZT). Under its brand OS1st Base Layer Bracing, ING Source, Inc. has announced a new range of therapeutic socks under the banner, “Socks with Purpose.”

ShearBan Low Friction Patches: New Bulk and Retail Options

ShearBan is an ultra-thin, self-adhesive, low-friction patch designed to address friction and shear forces that contribute to blisters, corns, calluses, and diabetic foot ulcers. The patches are applied directly to braces, prosthetic sockets, and footwear where a person is experiencing painful rubbing.

Why You Hurt System

The Why You Hurt: Therapeutic Neuroscience Education System by Adriaan Louw, PT, PhD, CSMT, is a tool that clinicians can use to teach their patients what pain is and how it works. Available from OPTP, the system uses illustrated flashcards, discussion topics, teaching cues, and homework sessions that refine complex neuroscience into metaphors, examples, and images.

Instant Ice Wrap Combined Cooling and Compression

Instant Ice Wrap functions as an alternative to bags of ice to provide both cooling and compression to treat lower extremity pains. The treatment alternative helps to reduce swelling and offers joint and muscle pain relief without the risk of frostbite, skin burn, or irritation that can be associated with traditional icing.

Children’s 3R67 Prosthetic Knee

Ottobock HealthCare’s 3R67 prosthetic knee joint is the first everyday prosthesis with hydraulic swing phase control specifically for children. Children have different prosthetic needs than adults — and the cutting-edge technology of the new 3R67 prosthetic knee joint meets the everyday demands of…

Med Spec Supinator PTT Stabilizer

Med Spec introduces the new Supinator PTT Stabilizer, a comfortable and relatively low-profile brace for the treatment of posterior tibial tendon dysfunction (PTTD). With its patent-pending design, the Supinator reduces overpronation by applying a supinating force.

Mastercare Mini Therapy Table

Mastercare – The Swedish Back Care System, Model Mini is a professional therapy table that can be used to reduce injury risk for runners. The unit strengthens and decompresses the muscles of the back to relieve pressure on the lower extremity joints, as well as the back. The table is easy-to-use and folds away for convenient storage when not in use.

Capture Complete Gait Analysis in Minutes!

Tekscan’s Strideway has simplified the gait analysis process with easy access to essential gait parameters and a platform that is flexible in length. Unlike other systems, Strideway provides pressure information, as well as spatial, temporal and kinetic parameters for a complete gait analysis.

Pro Select Full Shell Pneumatic Walker

The Pro Select Full Shell Air Walker from Elite Orthopaedics, Inc.features a full circumference shell design that provides controlled immobilization of the lower leg, ankle, and foot. A breathable insole, featuring patent-pending technology, allows for air to circulate to prevent the accumulation of heat during patient usage.

Fracture Sock to Reduce Irritation

New from Elite Orthopaedics is the Fracture Sock, designed to reduce skin irritation while wearing an ankle walker. The latex-free fracture sock is composed of 100% synthetic knit for superior moisture absorption. An improved cross stitch provides better compression, which helps reduce the risk of friction and lessens the risk of sock bunching.

Industry Snapshot

Noteworthy products, association news, and market updates