March 2019

Cover Story



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How Mountain Biking Is Reshaping the Landscape of Cycling Injury

Differences in equipment, terrain, riding style, and other risk factors mean different types and prevalence of injuries when riding a mountain bike, compared to a road bike. Be prepared to see those differences in your practice. Over the past several decades, mountain biking has become remarkably popular as a competitive and recreational activity.

By Michael Reeder, Do, And Brent Alumbaugh, MS

 

 

Guest Editorial


We Are The Heart of National Biomechanics Day

The International and American Societies of Biomechanics were founded in 1973 and 1977, respectively. Coincident with the expansion of Biomechanics during the following decades, fitness and health have moved out from under the realm of medicine and are rapidly overtaking the realm of the personal—the personal lifestyle to be more exact (think yoga, yogurt, and yoga pants).

By Paul DeVita, PhD

Feature Articles


Bone Stimulation Represents New Frontier for Optimizing Patient Outcomes

Limited research into electromagnetic and ultrasound bone stimulation devices complicates efforts to determine efficacy. For the majority of people, lower-limb fractures and fractures in other parts of the body heal well and reliably. However, some people experience complications that may cause significant harm.

By Nicole Wetsman

A REVIEW FOR LOWER-EXTREMITY SPECIALISTS: Mitigating the Opioid Crisis with Pain Management Regimens in a Multimodal Approach

For help limiting the number of opioid tablets you prescribe—and to still treat postop pain successfully—turn to practice guidelines, evidence from the literature about local and regional anesthesia techniques, and constraints of the law.

By Robert G. Smith, DPM, MSc, RPh, CPed, CPRS

Tape Use to Prevent Blisters: Does It Really Do What We Think It Does?

Taping is a mainstay of preventive foot blister management in athletes and active people. Its use is based on the premise that rubbing causes blisters, and that tape protects the skin from this rubbing and/or provides thermal insulation from the heat generated by rubbing.

By Rebecca Rushton, Bsc(Pod)

The Therapeutic Power of Elastic Bands

Here’s why resistance therapy with these low-tech tools is gaining prominence—for youth soccer players, geriatric patients, and everyone in between. Elastic resistance bands are increasingly popular in physical therapy as the modality is being used to treat a wide number of lower-extremity problems on a diverse patient population that covers everyone from youth sports players to seniors.

By Keith Loria

From the Literature


Benefits of a Foot Orthosis During a Step-descent Task on Kinematics, Kinetics, and Activation of Muscle

Foot orthoses are considered to work by controlling internal rotation of the tibia and eversion of the calcaneus, and have been reported to be effective during weightbearing activities such as walking and running. As a result, they have been shown to be effective in managing a range of musculoskeletal conditions—not the least of which is patellofemoral pain.

By Sarah Curran, PhD, FCPodMed

Concurrent Changes in Eccentric Hamstring Strength and Knee-joint Kinematics

Hamstring strain incidence in soccer increases during the latter stages of match-play, consistent with experimental studies that report reduced eccentric hamstring strength during soccer-specific fatigue. The biarticular function of the hamstring is such that fatigue-induced changes in strength are also likely to have an impact on…

By Matt Greig, MPhil, PhD

Delayed Charcot Diagnosis Increases Costs, Hospital Days, Amputations

Early recognition and treatment of Charcot neuroarthropathy has been long considered paramount to optimizing clinical outcomes and delivering high-quality care. Without this rapid response to control the devastating effects of Charcot, patients are left with significant deformities; increased risk of ulcers, infection, and…

By Jonathan M. Labovitz, DPM, FACFAS, CHCQM

AFOs for Stroke: Early Use Does Not Limit Long-Term Benefit

Stroke often impairs walking, particularly by altering foot clearance during the swing phase. Activity of the tibialis anterior (TA) plays an important role in foot clearance; clinicians often prescribe an ankle-foot orthosis (AFO) for post-stroke patients to help with foot clearance.

Industry News & Updates


Featured Products


Icebreaker Hike Light Crew
Insightful Products’ Masted Knee Brace
The X Brace Added to Medi-Dyne Pain Relief Solutions
ReviStim Wearable DC Stimulator
Piedro Pediatric Orthopedic Footwear
Orthotic Strap Kits
Core-Spun Patterned AFO Socks by SmartKnit
Samuel Hubbard Women’s City Zipper Boot