March 2020

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Cover Story

Injury Prevention Keeps Dancers on Their Toes

Unique partnership between University Hospitals’ Sports Medicine Team and the Cleveland Ballet focuses on performer preparation to avoid long-term problems. Efficient movement in ballet is easy to recognize, as every step the dancer takes flows seamlessly into the next, representing a perfect balance of muscular engagement and release.

By Douglas J. Guth 


Guest Editorial

#1: Why Biomechanics Matter— What Are the Clinical and Athletics Ramifications

We all strive for healthy and happy lives, and many of us are fortunate to reach these goals. For these people, living in the physical world is not a challenge but a pleasure. The world does not overwhelm them; rather, it interacts and plays with them in enjoyable ways. To quote Walt Whitman, we “swim with the swimmers, wrestle with the…

By Paul DeVita, PhD

Feature Articles

Lower Extremity Noninvasive Vascular Testing Update

Peripheral arterial disease may be a common finding among those over 50, but it remains underdiagnosed. Choosing the right diagnostic test is key. Eight million men and women in the United States have lower extremity peripheral arterial disease (PAD).1 PAD is a common finding among patients over age 50, yet it is frequently underdiagnosed.

By Brittany Mammano, DPM, PGY-1, and Saba Sadra, DPM, MSc

CLINICAL PERSPECTIVE: Assessing Relaxed Standing Alignment and Posture in Autism Spectrum Disorder

Use the scale provided here to help you assess standing posture, including the nature and extent of deviation from normal, in children with a developmental disability. Proper standing alignment requires that muscles, bones, and joints are in correct relation to each other, creating elongation and symmetry while counteracting the detrimental force of gravity.

By Dalia Zwick, PT, PHD

Rx for Diabetic Foot Ulcers: Optimize Your Communication With Patients

Communication, education, and empathy—combined with a solid knowledge base of the disease—are key components of successful management of these damaging, even life-threatening, lesions. Diabetic foot ulcers (DFUs) can be concerning to patients and providers for multiple reasons. From the patient’s perspective, DFUs can be uncomfortable, even painful, and a source of embarrassment from a…

By Angela Kelley, PA-C

From the Literature

AFO Configuration Can Improve Efficacy of the Orthotic Intervention on Gait Patterns in CP Patients

Cerebral Palsy (CP) represents the most common cause of motor disability in childhood with dysfunctional gait being one of the main problems. Early adoption of intervention programs adapted to the patient’s functional limitation and disability represent the current standard of care; therapeutic approaches include Ankle-Foot Orthoses (AFOs) for which the evidence shows they…

By Keith Loria

Negative-Pressure Wound Therapy in Diabetic Foot Ulcers

Use of negative-pressure wound therapy (NPWT) is growing in the management of complex wounds as well as foot and ankle surgery. Researchers from Rush University Medical Center in Chicago and Wake Forest Baptist Health Center in North Carolina recently published a review of the evidence for NPWT in Foot & Ankle International. Their findings related to diabetic foot and neuropathic ulcers are excerpted here.

Updated Treatment Guideline for OA Published

The American College of Rheumatology (ACR) and the Arthritis Foundation (AF) partnered to update and publish the 2019 ACR/AF Guideline for the Management of Osteoarthritis of the Hand, Hip and Knee. Last published in 2012, the updated guideline includes contributions to the literature since the last publication, and for the first time direct patient participation was incorporated.

By Laura Fonda Hochnadel

What you need to know about coronavirus disease 2019 (COVID-19)

Coronavirus disease 2019 (COVID-19) is a respiratory illness that can spread from person to person. The virus that causes COVID-19 is a novel coronavirus that was first identified during an investigation into an outbreak in Wuhan, China. COVID-19 is spreading from person to person in parts of the United States. Risk of infection with COVID-19 is higher for people who are close contacts of someone known to have COVID-19, for ...

Industry News & Updates

CGS Introduces Modifier Recommendation Tool

CGS, the Durable Medical Equipment Medicare Administrative Contractor (DME MAC) for Jurisdictions B and C, has introduced a modifier recommendation tool. The Advanced Modifier Engine was designed by CGS to assist suppliers in billing proper Healthcare Common Procedure Coding Systems (HCPCS) codes and modifier combinations.

Jurisdiction D DME MAC Conducting Targeted Probe and Educate Reviews

Noridian, the Jurisdiction D Durable Medical Equipment Medicare Administrative Contractor (DME MAC) is conducting Targeted Probe and Educate (TPE) reviews for several specialties, among which are ankle-foot orthoses (AFOs), knee orthoses, and therapeutic shoes. The quarterly edit effectiveness results from October 2019 through…

Soft Exosuit Designed to Help Seniors Walk

A new line of wearable robotics developed by The University of Texas Health Science Center at Houston (UTHealth) and The City University of New York, City College (CCNY) could keep seniors on their feet longer. A prototype developed by Hao Su, PhD, an assistant professor at CCNY, and tested by Gerard Francisco, MD, and Shuo-Hsiu (James) Chang, PT, PhD, of…

O&P Techs Collaborate on Children’s Book About a Boy and His New AFO

Three graduates of the Prosthetic-Orthotic Technician Program at George Brown College, Ontario, Canada, have collaborated on a new children’s book, which was recently published and is available for sale on Amazon. Beau and His New AFO: A Children’s Guide to Ankle Foot Orthoses was written by Stephanie Blunt and illustrated by Amelia Levick and Katrina Whitmell.

MediKaki Opens in Penang, Malaysia

MediKaki, a new shoe store “that is offering more than shoes,” recently opened in Penang, Malaysia. A team lead by Mogan Naidu, MD, will be screening and assessing patients and will also provide a range of affordable house shoes, depth shoes with custom orthotics, and full custom footwear. Naidu is a wound care provider, head of…

CSF2 Merges with Solati Health

Custom Silicone Fabrication of San Francisco (CSF2), a company that develops custom silicone products for amputees and prosthetic solutions, has merged with Solati Health, Reno, NV. The addition of CSF2 will be the foundation of Solati’s interface liners and fabrication capabilities. The merger will enable Solati to expand its line of prosthetic products and technologies.

Sensor Medica Opens First US Biomechanical Clinic in Idaho

Sensor Medica USA has opened its first biomechanical clinic at its North American headquarters, located at 919 South Utah Ave, Idaho Falls, ID. The clinic uses the company’s own technology to offer complete gait and motion analysis, posturographic analysis for balance control, fall risk assessment, range of motion evaluation of all the articulations, a running lab using baropodometric and…

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