June 2020

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Cover Story


Manipulation of the Myofascia:  Motivations, Methods, and Mechanisms
Manipulation of the Myofascia: Motivations, Methods, and Mechanisms
Foam rolling and roller massage, instrument-assisted soft tissue mobilization, and percussion massage are all the rage amongst consumers all along today’s fitness continuum. But what is the evidence base for the countless claims proponents offer? These authors provide a review of the peer-reviewed literature. By Linden A. Lechner, BSc; Michael A. Rosenblat, PT, PhD(c), CEP; and ...

New Perspective


What If the Ankle Is More Than a Class 2 Lever?
What If the Ankle Is More Than a Class 2 Lever?
The realm of orthotics and prosthetics (O&P) is based on gaining leverage for patients and eking out power when strength is not plentiful. A physical therapist will work with a patient over time to gain power through strengthening exercises where the surgeon may be focused on securing a torn ligament or fracture in hours. By Thomas ...

From the COVID-19 Frontlines


Extrapulmonary manifestations of COVID-19
While the respiratory pathology of COVID-19 has taken center stage over the last 6 months, data is beginning to accrue related to its extrapulmonary manifestations, and they are many and widely variable.
Mask Studies
The experts all agree that frequent hand washing, masks and social distancing are key to keeping down the rate of infection. Studies back that up: A meta-analysis of more than 150 studies, recently published in…
If You Don’t Have a Mask…
While wearing a mask is now mandated in many places or at least strongly recommended, there are still times where patients or passersby won’t be wearing them and won’t be practicing good cough hygiene. What to do then?

Feature Articles


Peroneal Tendonitis:  Workup and Nonsurgical Treatment
Peroneal Tendonitis: Workup and Nonsurgical Treatment
More than “just a sprain,” accurately diagnosing peroneal tendonitis in a timely manner helps patients recover faster and avoid long-term sequelae from this painful condition. Peroneal tendon disorders have traditionally been considered a rare source of ankle symptoms. By Kevin Haag, DPM, PGY-3, and Marshall Solomon, DPM
A Multifactorial Perspective on Lower-Extremity Amputee Rehabilitation
A Multifactorial Perspective on Lower-Extremity Amputee Rehabilitation
Limb loss alters pain, touch, and proprioception in countless ways that are not yet fully understood. Understanding how to more realistically evaluate the efficacy of both proactive and reactive interventions meant to address these alterations will improve outcomes and quality of life for those living with lower-extremity amputation. By Austin Davids, MSOP, CPO, and Jeffrey Yau, ...
Recovery and Regeneration Strategies for Foot Performance: Part I
Recovery and Regeneration Strategies for Foot Performance: Part I
These 2 complex processes are necessary components of quality training programs for athletes at all levels. This article, which covers fundamentals, is the first in a 2-part series. Taking care of the recovery and regeneration of the foot is an integral part of a well-rounded approach to high performance development. By Antonio Robustelli, MSc CSCS
Using Functional Movement Assessments to Prevent Lower Extremity Injuries
Using Functional Movement Assessments to Prevent Lower Extremity Injuries
It seems like every time sports analysts talk about the most recent game—whether it’s football, basketball, baseball, college, or professional—they’re discussing another athlete’s season-ending injury. While the spectrum for the severity of injuries varies, athletes—individuals who we… By Sami Ahmed, DPT, CES, SFMA, CMTPT

Guest Perspective


The Impact of The COVID-19 Pandemic on Global Humanitarian Efforts: A Crisis Within a Crisis
The Impact of The COVID-19 Pandemic on Global Humanitarian Efforts: A Crisis Within a Crisis
The sun is rising as a mass of people gather outside the Landmark Hotel in Amman, Jordan. It is the first day of the Atlantic Humanitarian Relief (AHR) October 2018 Medical Mission. One hundred volunteers from 15 different countries including the United States, United Kingdom, Sweden… By Windy Cole, DPM

From the Literature


Cooling Insoles Offer New Approach to Diabetic Foot Ulcer Prevention
Cooling Insoles Offer New Approach to Diabetic Foot Ulcer Prevention
A new cooling insole developed by UT Southwestern scientists reduced the foot temperature of patients with diabetic neuropathy by several degrees, diminishing a significant risk factor for diabetic foot ulcers. This new device, detailed in an article published in The Journal of Foot & Ankle Surgery, could eventually prevent thousands of diabetes-related amputations each year.
Sjogren’s Musculoskeletal Pain Not Related to Enthesitis
Sjogren’s Musculoskeletal Pain Not Related to Enthesitis
An assessment of entheses involvement using ultrasonography has found that musculoskeletal pain in patients with Sjogren’s Syndrome is not due to enthesitis. This prospective study included 25 Sjogren’s female patients (mean age, 53.2 + 11.3 yrs) and 25 sex and age-matched controls (mean age, 50.6 + 9.7 yrs), who all…

Industry News & Updates


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