March 2015

Download the Complete issue as a PDF (12mb)

Download the Complete issue as a PDF (12mb)

Cover Story


Down syndrome and total hip arthroplasty: Opportunities to optimize outcomes
Down syndrome and total hip arthroplasty: Opportunities to optimize outcomes
Total hip arthroplasty can markedly improve quality of life in patients with Down syndrome, but the comorbidities and developmental disability associated with the chromosomal abnormality need to be taken into… By Shalmali Pal

Editor Message


Out on a limb: Rethinking pain
Out on a limb: Rethinking pain
Pain doesn’t always behave the way we think it will. An intervention that relieves pain in the majority of patients might not provide relief for a significant minority. But that might mean we need to change the way we think about pain. Jordana Bieze Foster, Editor

Departments


Hallux valgus and plantar pressure measurement
Hallux valgus and plantar pressure measurement
Researchers and clinicians have found that plantar pressure assessment can help document the dynamic effects of hallux valgus surgery, postoperative physical therapy, and footwear or orthotic interventions, particularly in cases… By Hank Black
The role of hip strength in ACL rehabilitation
The role of hip strength in ACL rehabilitation
A protocol that includes isolated hip strength­ening exercises during the early stages of postoperative rehabilitation after anterior cruciate ligament reconstruction may provide a platform on which to build in the later stages of rehab and may predict future performance. By J. Craig Garrison, PhD, PT, ATC, SCS
Elastic therapeutic tape: The search for evidence
Elastic therapeutic tape: The search for evidence
Athletes swear by it, but quality studies on elastic therapeutic tape are hard to come by, and the literature is littered with conflicting or inconclusive findings about the technique’s efficacy… By Cary Groner
Predicting recurrence after clubfoot treatment
Predicting recurrence after clubfoot treatment
In the search for factors that predict recurrence after use of the Ponseti method for successful treatment of idiopathic clubfoot, conclusive evidence is in short supply. However, the one factor that is… By Rachel Y. Goldstein, MD, MPH
Low back pain and risk of lower extremity injury
Low back pain and risk of lower extremity injury
Low back pain is associated with kinematic and kinetic alterations that can increase the risk of lower extremity injury, parti­cularly in the presence of fatigue. New research suggests… By Ram Haddas, PhD

News

In the Moment: Sports Medicine

By P.K. Daniel

Retraining gains: In-field cadence cues reduce impacts
Retraining gains: In-field cadence cues reduce impacts
In-field gait retraining, which cues a modest increase in step rate, can help address biomechanical risk factors associated with tibial stress fracture in runners, according to research from East Carolina University in Greenville, NC.
Study finds triceps surae injury rate associated with age in soccer players
Older elite male soccer players sustain significantly more triceps surae injuries than do their younger counterparts, and could benefit from targeted training to prevent such injuries…
Most baseball players return from ACL reconstruction, but play in fewer games
Nearly all Major League Baseball position players who undergo anterior cruciate ligament (ACL) reconstruction return to play at least 30 games, but those who do return play in fewer games…

In the Moment: O&P

By Jordana Bieze Foster

Double bonus: AFOs improve dual-task gait in two ways
Double bonus: AFOs improve dual-task gait in two ways
Wearing ankle foot orthoses (AFOs) is associated with both physical and cognitive performance during dual-task gait in children with myelomeningocele, according to research presented in…
Plantar flexion resistance alters knee flexion, foot strike in stroke patients
Increasing the plantar flexion resistance of an ankle foot orthosis (AFO) reduces knee hyperextension and changes foot strike pattern during gait in chronic stroke patients, according to research presented in…
More restrictive orthotic devices boost balance over time in children with CP
Balance improves over time in children with cerebral palsy (CP) who switch from a dorsiflexion-free orthotic device to a more restrictive one, according to research from Northwestern University’s Feinberg School of Medicine in Chicago.

Market Mechanics

By Emily Delzell


Products


3D Flat Premium
Compression
3D Flat Premium
Compression
Pro-Tec Athletics has introduced its 3D Flat Premium Compression collection of supports for the ankle, knee, and calf. The 3D flat stitching facilitates 3D shaping of the fabric, which allows…
Aircast
Bunion Aid
Aircast
Bunion Aid
New from Aircast, a DJO Global company, is the Bunion Aid. The product is a three-in-one aid that provides the benefits of a daytime device and a night splint for bunion pain relief…
pedCAT
X-ray Views
pedCAT
X-ray Views
An update for the CurveBeam pedCAT weight-bearing CT (computed tomography) imaging system introduces a feature that could eliminate the need for plain radiographs of the foot and ankle.
Dr. Comfort
Exos Inserts
Dr. Comfort
Exos Inserts
Dr. Comfort has expanded its custom functional insert line to include Exos advanced technology—a thermoformable material that allows practitioners to make adjustments quickly…
Ring Lock Knee 
Joint 1402-B
Ring Lock Knee 
Joint 1402-B
The design of the Modular Ring Lock Knee Joint, model 1402-B, is intended to minimize size and weight without compromising strength or durability. Universal coronal and sagittal contours…
Home Heart Beats
AFO Assist
Home Heart Beats
AFO Assist
The Original AFO Assist from Home Heart Beats is a lower body dressing aid used by stroke survivors, patients with multiple sclerosis or cerebral palsy, and other physically challenged…
StabiloGen Eco
Knee Brace
StabiloGen Eco
Knee Brace
Bort-Swiss Orthopedic Supply offers the new StabiloGen Eco (114 520J)—a knitted knee brace designed to prevent knee pain and provide patellar stabilization. The knee brace is engineered to…
Therapeutic Plus
Diabetic Insoles
Therapeutic Plus
Diabetic Insoles
Barefoot Science has introduced Therapeutic Plus insoles for patients with diabetes. The 3D two-tone mesh top layer, designed for enhanced durability and adaptability, is also…
Ottobock 6Y87 
Skeo 3D TF Liner
Ottobock 6Y87 
Skeo 3D TF Liner
Ottobock announces the newest member of the Skeo liner family, the 6Y87 Skeo 3D TF for transfemoral amputees. Skeo 3D liners feature ASG (Anatomy Specific Geometry) technology…
OrthoModel
Software Updates
OrthoModel
Software Updates
Delcam announces the 2014 R3 version of its OrthoModel software for the design of custom orthotic insoles. The software includes an updated user interface and the ability to display multiple…