March 2016

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Cover Story

Outcomes after ACL surgery: The importance of graft type

In an attempt to decrease the risk of re-rupture and revision surgery after anterior cruciate ligament reconstruction, practitioners are refining the decision process regarding which procedure is best for which patient.

By Cary Groner

Editor Message

Out on a limb: An analgesic assist

When it comes to improving outcomes after anterior cruciate ligament (ACL) recon­struction, lower extrem­­ity practitioners need all the help they can get. Fortunately, a recent study suggests they might be able to get some valuable assistance from their colleagues in anesthesiology.

By Jordana Bieze Foster

LER: Foot Health

From the editor: Get smart about smart insoles

New technologies, especially those with the potential to allow patients to manage their own health, can leave practitioners wondering about their job security. But smart insoles aren’t going to put any clinicians out of work any time soon.

Continue Reading →


Plantar fasciitis: Clinical concerns in basketball

Basketball is associated with a high number of lower extremity injuries, often related to footwear and the unique biomechanics and repetitious motion of the sport. This reflects the evolution of basketball from a refined sport to one of extreme physical contact and leverage. At elite levels of competition, the joint loading that comes with…

By Patricia Pande, MClScPT, CSCS, CPed

Running modifications and reducing injury risk

Evidence suggests that no one foot strike style can be expected to decrease injury risk in all runners, and that switching foot strike patterns can have unintended consequences. Using a shorter stride length, however, can be an effective alternative for some runners.

By Elizabeth Boyer, PhD, and Tim Derrick, PhD

Strength training: Bone health benefits for men

Men with low bone mass are much less likely than their female counterparts to receive treatment. But research suggests that resistance exercise is a safe and effect­­ive way to improve bone mineral density in men and, in turn, reduce the risk of fracture and related complications

By Pamela S. Hinton, PhD

Ankle instability rehab emphasizes individuality

Research presented at the most recent International Ankle Symposium indicates that rehabilitation for chronic ankle instability is evolving from a one-size-fits-all approach to an increased focus on matching specific interventions to the patients who are most likely to benefit.

By Lori Roniger

Flexible flat foot: Effects of orthoses during gait

In this original investigation, researchers analyzed the biomechanical effects of a foot orthosis in patients with flexible flat foot during walking and the extent to which those functional effects are consistent with proposed theories about the device’s mechanism of action.

By Bruce Elliott, PT, DPT, COMT, and Juan Garbalosa, PhD, PT


In the Moment: Running

Benefits of balance: YBT is associated with history of injury

Deficits in single-leg balance may contribute to the high rate of injuries among endurance athletes, but hip strength may not, according to two studies presented in February at the American Physical Therapy Association’s annual Combined Sections Meeting in Anaheim, CA.

By P.K. Daniel

Test for lower extremity asymmetry identifies risk in recreational runners

Asymmetrical lower extremity neuromuscular control is predictive of repetitive stress injury in recreational runners, according to findings presented at the Combined Sections Meeting of the American Physical Therapy Association in February in Anaheim.

By P.K. Daniel

Clinically useful 2D measurements predict patellofemoral joint force

Researchers from East Carolina University (ECU) in Greenville, NC, have identified 2D lower extremity kinematic measurements that accurately predict patellofemoral joint (PFJ) force during running and can be used clinically to identify runners at risk of injury.

By P.K. Daniel

In the Moment: OA

PFOA prognostication: Sagittal plane factors predict worsening

Sagittal plane mechanics and forces during gait in patients with patellofemoral osteoarthritis (PFOA) can help identify those who are likely to experience worsening pain or cartilage degeneration, according to research presented in February at the annual Combined Sections Meeting of the American Physical Therapy Association in Anaheim, CA.

By Jordana Bieze Foster

Years after Achilles tear, injured limb demonstrates elevated knee loading

A history of Achilles tendon rupture is associated with elevated knee loading during hopping and running, suggesting an increased risk of knee osteoarthritis and other overuse knee pathologies, according to research from East Carolina University in Greenville, NC.

By Jordana Bieze Foster

Clinical single-leg hop tests can help estimate risk of OA after ACL injury

Performance on single-leg hop tests a few weeks after anterior cruciate ligament (ACL) injury can predict the risk of radiographic knee osteoarthritis (OA) five years later, according to research from the University of Delaware in Newark.

By Jordana Bieze Foster

Market Mechanics

By Emily Delzell

DJO brace addresses lateral knee OA

Research on Vista, CA-based DJO Global’s varus unloader brace published in February suggests the device may improve abnormal knee joint mechanics associated with the development and progression of lateral knee osteoarthritis (OA) after anterior cruciate ligament reconstruction (ACLR).

Flexion releases data for new OA injectable

Burlington, MA-based Flexion Therapeutics in February released phase 3 data for its lead product candidate Zilretta, a novel nonopioid injectable for knee osteoarthritis (OA).

M.J. Markell to sell Quikiks Hands-Free shoes

New York, NY-based Quikiks Hands-Free Shoes in February signed its first US distribution agreement within the O&P industry with M.J. Markell Shoe Company.

Medicare adopts HSS joint surveys

Investigators from the Manhattan, NY-based Hospital for Special Surgery on February 29 epublished data in Clinical Orthopaedics and Related Research validating two new shortened questionnaires that will reduce time spent collecting patient-reported outcome data for hip and knee replacement surgeries.

OHI funds $120K podiatric ed grant

Ronkonkoma, NY-based OHI (Orthotic Holdings Inc.) and the American College of Foot & Ankle Orthopedics & Medicine (ACFAOM) on February 10 announced a joint educational partnership to support the podiatric profession and advise on the impact of shifts in the healthcare industry.

AOPA calls for O&P pilot grant RFPs

The Alexandria, VA-based American Orthotic & Prosthetic Association (AOPA) in late February invited requests for proposals (RFPs) for 2016 O&P research grants. This year AOPA will fund up to four pilot grants for up to $15,000 each.

ProtoKinetics launches gait screen at CSM

Havertown, PA-based Proto­Kinetics launched its Movement Analysis Software (PKMAS) Primary Gait Screen on February 17 at the Combined Sections Meeting of the American Physical Therapy Association in Anaheim, CA.

APTA names outcomes registry panel

The Alexandria, VA-based American Physical Therapy Association (APTA) on February 10 announced the members of a Scientific Advisory Panel to oversee its Physical Therapy Outcomes Registry.

Justin Blair, ING finalize distribution deal

Chicago-based Justin Blair in February completed an exclusive distribution agreement with Hickory, NC-based ING Source, manufacturer of the Foot Gym and orthopedic compression products, including the Orthosleeve.

Fitness pros join fight against chronic disease

The American College of Sports Medicine (ACSM), Medical Fitness Association (MFA), and American Council on Exercise (ACE) on February 23 announced a major new effort called the Exercise is Medicine (EIM) Solution at National Press Club in Washington DC. The effort is part of the ongoing EIM global initiative the ACSM launched in 2008.

ConforMis introduces knee system

Bedford, MA-based ConforMis undertook the full commercial launch of its customized posterior-stabilized (PS) knee replacement system on March 2 at the American Academy of Orthopaedic Surgeons annual meeting in Orlando, FL.

AAOS supports local playground build

The American Academy of Orthopaedic Surgeons (AAOS) on March 1 joined the City of Kissimmee, FL, Central Avenue Elementary School, local residents, and organizers from Community Vision and KaBoom! to build a new community playground at Central Avenue Elementary.

ABC gives $100K for pedorthic research

The American Board for Certification on Orthotics, Prosthetics, and Pedorthics (BOC) in December gave the Pedorthic Foundation $100,000.

Ottobock opens orthotic business unit

Austin, TX-based Ottobock’s customers in January began getting support from the company’s new business unit and sales organization dedicated to orthotics.


Coral Mag Fizz Supplement

Coral Mag Fizz is a beverage enhancer designed to boost the body’s ability to perform and recover by utilizing magnesium and potassium, an essential mineral duo reported to help relieve muscle cramps by improving muscle and nerve function and regulating the body’s water balance.

Exercise Plan Software

PhysioTools software makes creating exercise programs quick and easy. Select exercises, customize the text, and then email or print the resulting handout. The new app can be used to send exercise plans to a smartphone or tablet. Each exercise includes clearly written instructions, color photographs and…

Mephisto Maryse Sandal

New to the Mobils by Mephisto line of comfort footwear is the Maryse sandal for women, a slingback wedge sandal with a polyurethane outsole, nubuck upper, and three adjustable Velcro straps. A key feature of all Mobils footwear is the all-over soft padding—cushioning between the lining and the soft leather upper that…

College Park Sidekicks

Introducing College Park’s Sidekicks, the first multi-axial stubbie feet for foreshortened prostheses. Used in pairs, the feet encourage muscle activity to assist bilateral transfemoral amputees with rehabilitation, especially when the goal is a transition to microprocessor knees.

Reformulated Relief Cream

Relief topical analgesic from Corganics has a new and improved formulation, with more menthol than in the original (3% vs 2.5%) for increased effectiveness and an improved preservative system designed to ensure a three-year shelf life. The analgesic cream features a synergistic blend of essential oils…

Strap Pilates Book, 2nd Ed

A second edition of Stretch Out Strap Pilates Essentials has been published by OPTP and certified Stott Pilates instructor Angela Kneale. The book shows participants how to enhance Pilates movements by effectively using the Stretch Out Strap, a tool that features multiple loops for deep, personalized self-stretching.

Rebound Dual Knee Brace

Össur has launched the Rebound Dual, a malleable, comfortable knee brace for people with ligament issues, including ligament instabilities, and knee osteoarthritis. The Rebound Dual brace is suitable for people who participate in low-to-high impact activities, including sliding sports.

Sharp Shape Scanning Package

The newest addition to the AOMS (Automated Orthotic Manufacturing System) family of products from Sharp Shape is the TOT (Transformation of Technology) package, designed to lower practitioner scanner costs.

Nomad Lite Outdoor Shoe

In response to customer demand, Spenco is unveiling a lightweight performance version of its Nomad Moc, the company’s most rugged outdoor shoe. Offered in an expanded color palette, the Nomad Lite features a combination of water-resistant fabric and lightweight, water-resistant nu­buck leather, soft shell fabric and…

Compression Hose In Larger Sizes

Based on requests from patients and physicians, Sigvaris has introduced six new calf-length sizes and two new thigh-high sizes to its Select Comfort line of compression hosiery to accommodate patients with larger legs (calf circumferences up to 24 inches, and thigh circumferences up to 32 inches).

SuperFlex Ankle Foot Orthosis

New York OMC introduces SuperFlex, a new flexible, molded, integrated ankle foot orthosis designed to promote dynamic biomechanical function.

Bunionette Bootie

New from Bunion Bootie, a comfortable and practical treatment option is available for patients with tailor’s bunions (otherwise known as bunionettes). The Bunionette Bootie soothes and restores feet by helping to separate and support the first and fifth toes, which in turn can improve standing balance and dynamic stability.