March 2014

LER03-14-CoverSMCover Story

Ankle sprain prevention in basketball: Why some high schools are opting out

Despite published evidence that bracing and targeted exercises can prevent ankle injuries in high school basketball players, surprisingly few teams have adopted these practices. Barriers to implementation include a lack of awareness and expertise as well as time and money.

By P.K. Daniel

Editor Message

Out on a limb: Taking schools to school

Those responsible for high school athletes—coaches, athletic directors, district superintendents—would like us to believe the safety of those athletes is a priority. Unfortunately, the facts suggest otherwise.

Jordana Bieze Foster, Editor


Active Stance: Developing the sustainable knee in an age of early TKA

To sustain is to endure. Knee osteoarthritis (OA) is a considerable worldwide health concern, as it greatly impacts an individual’s quality of life, general health, and societal role participation.

By John Nyland, DPT, SCS, EdD, ATC, CSCS, FACSM, David N.M. Caborn, MD, and Roland Jakob, MD

Functional tests to predict lower extremity injury risk

Adding four functional tests to the preparticipation physical evaluations performed in student athletes may allow clinicians to identify individuals at risk for lower extremity musculoskeletal injury and implement preventive interventions to maximize safe­ty in sports participation.

By Alexis Meister, BS, ATC; Dustin Grooms, MEd, ATC, CSCS; Cambrie Starkel, MS; and James Onate, PhD, ATC, FNATA

Bariatric surgery: Effects on patient gait and function

Existing data suggest bariatric surgery-induced weight loss can lead to rapid improvements in gait and physical function. The surgery may also help to address factors associated with knee osteoarthritis, which itself can affect mobility and function in obese patients.

By Andrew W. Froehle, PhD, Neal Dollin, MS, Richard T. Laughlin, MD, Donovan D. Teel II, MD, Richard J. Sherwood, PhD, and Dana L. Duren, PhD

Influence of stride length on mechanics of pitching

Because power in baseball pitchers is generated from the feet through the core to the throwing arm, the study of stride length and its impact on pitching performance may help define an optimum technique that better protects pitchers from upper extremity injuries.

By Ryan L. Crotin, PhD, and Dan K. Ramsey, PhD

The ideal running shoe: An elusive, evolving concept

The body of research that has evaluated running shoe prescription and injury suggests the most important factors to consider when selecting a running shoe are that it fits the foot perfectly and that the midsole is comfortable and appropriate for the individual athlete’s running style.

By Thomas C. Michaud, DC


In the Moment: Rehab

By Emily Delzell

Walking the walk: Overground training boosts poststroke gait

Chronic stroke patients who can walk independently but retain gait deficits experience greater gains in both walking speed and quality with an overground walking intervention than with body-weight supported treadmill training (BWSTT), according to results of a pilot study epublished by Clinical Rehabilitation in February.

Survey suggests need for simplified AFO-footwear combination tuning

Orthotists report time and a lack of access to 3D motion analysis as barriers to tuning ankle foot orthosis–footwear combinations (AFO-FC), findings that demonstrate a need for better instruction and simplification of the practice, according to investigators who conducted a survey of UK clinicians.

Home-based exercise after hip fracture improves functional mobility, activity

A home exercise program produced modest improvements in physical function in patients who had already completed standard rehabilitation after hip fracture, according to a study published on February 19 in the Journal of the American Medical Association.

In the Moment: Sports medicine

By Jordana Bieze Foster

Fear fallout: Studies explore effects on ACL outcomes

The best time to address fear of reinjury in athletes after anterior cruciate ligament (ACL) reconstruction may be between three and six months after surgery, according to research from the University of Florida presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association in Las Vegas.

Postural sway complexity may reveal evidence of concussion weeks later

Postural sway complexity can differentiate healthy young athletes from those who are still experiencing symptoms more than six weeks after suffering a concussion, while the standard sideline test for postconcussion postural stability cannot, according to research from Cincinnati Children’s Hospital presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association.

Forefoot-strike running, shorter steps both decrease patellofemoral loads

Shortening step length and switching foot strike pattern both effectively decrease patello­femoral joint loading during running, according to research from East Carolina University in Greenville, NC, presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association.

Market Mechanics

By Emily Delzell

Tamarack owner-founder Carlson ends
 run as CEO, succeeded by Hofmeister

Joe Hofmeister took on a new role February 17 as CEO of Tamarack Habilitation Technologies, replacing company owner and founder J. Martin “Marty” Carlson, MS, CPO, FAAOP, who will maintain an active role at the Blaine, MN-based company as chief engineer.

Educational videos detail Heelift boots

Evanston, IL-based DM Systems launched a series of educational videos in February featuring its offloading boots for prevention or treatment of heel pressure ulcers.

Integra wedges debut at ACFAS event

Plainsboro, NJ-based Integra LifeSciences Holdings Corporation introduced its Titanium Bone Wedges for internal fixation of bone fractures or osteotomies in the foot and ankle at the American College of Foot and Ankle Surgeons (ACFAS) 72nd Annual Scientific Conference, held February 27-March 2 in Orlando, FL.

BOC wins Stevie for high-tech service

The Owings Mills, MD-based Board of Certification/Accreditation (BOC) won for Best Use of Technology in Customer Service at the 2014 Stevie Awards for Sales & Customer Service banquet held February 21 in Las Vegas.

OrthoCarolina partners in sports facility

Franklin, TN-based D1 Sports Holdings announced in February a partnership with OrthoCarolina, an orthopedic care provider with multiple locations in North Carolina and South Carolina, Carolina Panthers wide receiver Steve Smith, and two other National Football League athletes to open a D1 Sports Training facility in Matthews, a suburb of Charlotte, NC.

Early results support cell therapy for OA

Researchers from the Cellular Biomedicine Group presented data on February 18 at the Stem Cell Summit in New York City supporting safety and efficacy of the company’s cell-based therapy for patients with knee osteoarthritis (OA).

Ellipse updates limb-lengthening system

The US Food and Drug Administration gave Irvine, CA-based Ellipse Technologies clearance in February to market the latest generation of its adjustable intramedullary nail system for limb lengthening of the femur or tibia.

Chiefs’ head AT elected PFATS president

Members of the Professional Football Athletic Trainers Society (PFATS) on February 19 elected  Kansas City Chiefs head athletic trainer Rick Burkholder, ATC, president of the professional organization, which represents National Football League (NFL) trainers.


Sigvaris Zurich Collection

Sigvaris introduces its most luxurious line of graduated compression socks made from natural fibers. The Zurich Collection features two exclusive socks crafted from some of the world’s finest materials and designed to relieve tired…


Powerstep’s ComfortLast Cushioning Insoles combine shock-absorbing gel technology and slow-recovery foam for maximum comfort. Full-length, total contact ComfortLast insoles are intended for patients with plantar fasciitis, heel pain…

Becker Compact
 Ankle Joint

Becker Orthopedic introduces the Compact Double Action Ankle Joint (Model 725) for orthotic devices. The low-profile, lightweight ankle joint comes fully assembled and is designed specifically for use with thermoplastics.

ACTitouch Compression

Tactile Medical (formerly Tactile Systems Technology) has launched ACTitouch Adaptive Compression Therapy, which combines intermittent and sustained compression in one device to heal chronic venous leg ulcers.

 Custom Shoes

ComfortFit Orthotic Labs has added custom shoes to its growing line of foot care products. The company now offers four styles of custom shoes for men: the Hiker chukka boot, the Work Force high-top boot, the Casual Dress low-top oxford…

Harmony E2

Ottobock announces the Harmony E2 electronic vacuum pump option for the Harmony Volume Management System. Connected to the prosthesis by a four-hole adapter plate, the E2 can be easily removed for charging, weight reduction…


The PediFix Footcare Company introduces FungaFiles for treating warts and fungal nails. FungaFiles are the first disposable debridement files for patient use between office visits. Disposing of the files after use helps prevent reinfection…

Apex T2000 

Apex Foot Health & Wellness, a division of Aetrex Worldwide, announces the launch of the Apex T2000. This new addition to the Stretchables Collection is designed to limit stress in the areas of the foot that are most susceptible to pain.