June 2020

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Cover Story


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 Leanne M. Ramer, PhD

New Perspective


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 J. Cutler, CPO, FAAOP

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

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

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, PhD 

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

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 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

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

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


APP HELPS REDUCE OA PAIN

By performing a few simple physical exercises daily and receiving information about their disease regularly, 500 patients with osteoarthritis (OA) were able to, on average, halve their pain in 6 months—and improve their physical function.

VR SHOWS PROMISE FOR EARLY DETECTION OF MS BALANCE ISSUES

People with multiple sclerosis (MS) often have a greatly increased risk of falling and injuring themselves even when they feel they’re able to walk normally. Now a team led by scientists from The University of North Carolina (UNC) Chapel Hill School of Medicine has…

WILLOWWOOD WELCOMES NEW CFO

Prosthetic solution provider WillowWood, Mount Sterling, OH, announced that Craig Higgins is the company’s new chief financial officer. His focus will be on financial planning, operating budgets, and decision support analysis to guide the leadership team with investments and…

SUBIOMED APPOINTS NEW CHAIRMAN OF THE BOARD

SubioMed, Bloomington, MN, the inventor/developer of Suspension Biomechanics technology addressing elements of gait and balance, announced that the company’s chief executive officer and co-founder, Patrick Kullman, has also been appointed chairman of its board.

ÖSSUR ACQUIRES SCANNING, DESIGN TECHNOLOGY

Össur, Foothill Ranch, CA, has purchased the rights to proprietary design and visualization software used in the shape capture, design, and manufacture of orthoses and prostheses (O&P) from Standard Cyborg, San Francisco, CA, a privately held startup company that develops computer vision tools.

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