May 2015

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Download the Complete issue as a PDF (9mb)

Cover Story

Foot orthoses and patellofemoral pain: frontal plane effects during running

Evidence supports the use of foot orthoses for PFP, but their mechanism of action is not well understood. New research suggests the effect of orthoses on timing of frontal plane moments may be an important variable.

By Thomas Gus Almonroeder, DPT, and Kristian O’Connor, PhD

Editor Message

Out on a limb: Coaches as risk factors

Anterior cruciate ligament (ACL) injury experts are increasingly thinking outside the biomechanics box in an effort to better understand the factors that contribute to injury risk, which I think is admirable. But there’s one factor in particular that I wish was receiving more attention.

By Jordana Bieze Foster, Editor

Special Educational Series: Pediatrics

Pediatric05-15cvr-smFrom the editor: Don’t wait for them to outgrow it

One of the challenges of parenting is determining when the best course of action is to do nothing and wait for a child to outgrow a phase he or she is going through. And this may be a perfectly reasonable approach to a child’s invention of an imaginary friend or a teen’s obsession with Goth fashion.

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A long, frustrating search for plantar fasciitis relief

My husband Phillip and I used to live in Manhattan Beach, CA, a charming and affluent coastal town just south of Los Angeles. We resided two blocks from the wide, sandy beach. We took advantage of The Strand—a pair of concrete pathways that run for about two miles in front of many multimillion-dollar homes.

By P.K. Daniel

Conference coverage: 7th ACL research retreat

Anterior cruciate ligament injury experts met in Greensboro, NC, to examine the extent to which biomechanics and other less-familiar factors—including joint laxity, fatigue, neurocognitive function, and genetics—may contribute to noncontact injury risk.

By Jordana Bieze Foster

Dual-task gait: The potential influence of orthotic devices

Clinicians know walking while performing a secondary task can be particularly difficult for elderly patients or those with neuromuscular impairments. But new research suggests the use of orthotic devices may improve dual-task gait, which could significantly improve quality of life.

By Cary Groner

Exergaming: therapeutic benefits in older adults

Increasing numbers of studies are suggesting that exergaming can help improve strength, balance, and other variables in older adults, but clinicians also need to be aware that some aspects of exergaming can present challenges in this patient population.

By Ying-Yu Chao, RN, GNP-BC, PhD

Music therapy and gait: rehab to a different beat

Research suggests the use of rhythmic stimuli for gait rehabilitation can help improve gait and balance in patients with Parkinson disease, stroke, and other conditions, but some questions regarding its overall applicability and optimal delivery method remain.

By Greg Gargiulo


In the Moment: Sports Medicine

By P.K. Daniel

Algorithmic approach: Goal-based system relieves PFP symptoms

A new treatment algorithm for patients with patellofemoral pain syndrome (PFPS), designed by researchers at Nationwide Children’s Hospital in Columbus, OH, was associated with clinically significant improvement in pain and disability in a
recent pilot study.

By P.K. Daniel

Patients cleared 6 months after ACL injury still have functional limitations

Patients cleared to return to play six months after anterior cruciate ligament (ACL) reconstruction do not appear to have significantly better functional ability than those who are not cleared, according to research from Duke University Medical Center in Durham, NC.

By P.K. Daniel

Back pain, core weakness predict risk of sprains, strains in college football

Mild low back dysfunction and poor core muscle endurance are modifiable predictors of core and lower extremity sprains and strains in college football, according to a study from the University of Tennessee at Chattanooga that analyzed three seasons of data.

By P.K. Daniel

In the Moment: OA

By Larry Hand and Jordana Bieze Foster

Lumbar link? Ankle, spinal pathologies coexist in cadavers

Practitioners treating a patient with ankle osteoarthritis (OA) may want to ask if the patient has a history of back pain, according to a recent study that found an association between lumbar disc degeneration and ankle OA in cadavers.

By Larry Hand

Knee and hip OA significantly impact quality of life in younger adult patients

Adults aged between 20 and 55 years with hip or knee osteo­arthritis (OA) report significantly higher levels of distress and disability and poorer health-related quality of life than the general population for that age range, according to research from the University of Melbourne in Australia.

By Jordana Bieze Foster

Symptoms precede tibiofemoral radiographic changes by 2-3 years

Incident radiographic knee OA is preceded by two to three years of prodromal symptoms, which may present an opportunity for intervention, according to research from Keele University in Staffordshire, UK.

By Jordana Bieze Foster

Market Mechanics

By Emily Delzell

PT, O&P practitioners deliver medical aid and devices to Nepal earthquake victims

The second major earthquake that struck Nepal on May 12 complicated the efforts of charitable relief organizations such as London, UK-based Handicap International, which already had an 84-person team that includes physical therapists, O&P providers, and…

Dr. Comfort expands functional insert line

Milwaukee, WI-based Dr. Comfort reported in April that it has broadened its custom functional insert line to include its Exos thermoformable technology.

Aortha announces full launch of 3D insoles

Aortha in late April announced that it will move forward in early 2016 with a full launch of its 3D-printed insole technology.

Cur crowdfunds personal TENS device

San Francisco-based Cur on May 13 launched a crowdfunding campaign for its personal, miniaturized TENS (transcutaneous electrical nerve stimulation) device for treatment of chronic muscle, joint, and nerve pain.

Thesis designs high-performance heels

Los Angeles-based Thesis Couture will open a reservation list this fall for a limited run of high-end stilettos designed to reduce the load on the ball of the foot and make fashion footwear more comfortable and less damaging to feet.

Spenco Med wins customer service award

Bethlehem, PA-based third-party customer service provider LiveHelpNow recognized Spenco Medical in April with its monthly Best Customer Service award.

Proof of Concept gives ‘growing’ shoes

Portland, OR-based Proof of Concept is collaborating with an Indiana man to realize his vision of distributing expandable shoes to children living in poverty around the world.

Former PFA president Mike Forgrave dies

Michael Glenn Forgrave, CPed, died April 14 in his home in Ontario, Canada. He was 57. Forgrave, who was in private practice as chief pedorthist for Mike Forgrave and Associates in Kitchener, Ontario, was a former track athlete who developed an interest in pedorthics…

NBA signs Stance as official sock provider

The National Basketball Association (NBA) and San Clemente, CA-based sock-maker Stance in April signed a deal making the manufacturer the NBA’s official on-court performance sock provider.

Sigvaris, ILWTI offer wound care course

Compression hosiery company Sigvaris and the Hayward, WI-based International Lymphedema & Wound Care Training Institute (ILWTI) announced in April that they’re partnering to provide a dual certification program in wound care and lymphedema.

APMSA recognizes ComfortFit for service

The American Podiatric Medical Students Association (APMSA) named Roselle, NJ-based ComfortFit Labs its Company of the Year in April at the organization’s annual Corporate Advisory Board meeting.

Meningitis group honors Hanger Clinic VP

The National Meningitis Association (NMA) on April 27 honored Hanger Clinic’s Kevin Carroll, MS, CP, FAAOP, with its Nancy Ford Springer Inspiration Award at the 2015 NMA “Give Kids a Shot!” Gala in New York City.

Cadence to sell rehab device in Stroke Belt

Seattle-based Cadence Biomedical finalized a distribution agreement in April with Ooltewah, TN-based TruMedical Solutions to sell its Kickstart neuro-rehabilitation device across the southeastern US “Stroke Belt” and to national and regional rehabilitation providers.

iWalk wins third consecutive trade award

Long Beach, CA-based iWalk-Free’s hands-free crutch for lower leg injuries won its third first-place Medtrade HME Retail Product Innovation award in April in Las Vegas at the Medtrade Spring medical device trade show.

Regranex gel, placebo equal for healing

London, UK-based Smith & Ne­phew’s topical platelet-de­rived growth factor gel showed no benefit over placebo for healing superficial diabetic foot ulcers, according to a randomized controlled trial published in April in Wounds.


AposTherapy Foot Device

AposTherapy is a personalized, nonsurgical treatment program for knee and back pain, based on a biomechanical device worn on the foot that is individually calibrated by specially trained physical therapists.

Prepreg Ankle Foot Orthosis

The new dynamic ankle foot orthosis from Motion Unlimited is fabricated completely out of prepreg material for an orthosis that is intimate-fitting, lightweight, high-functioning, and durable.

Advantage Orthosis

New from Earthwalk Orthotics is the Advantage orthosis, designed to address the additional impact a runner experiences at the first metatarsophalangeal joint. This encom­passes an everted rearfoot and a pes planovalgus foot type.

Rejuva Support Socks

Dr. Comfort now offers fashionable compression legwear from Rejuva. Rejuva knee-high support socks are available in an assortment of styles and colors so that users can find a look that fits their style.

XcelTrax Walking Boots

Newly introduced by DJO Global is the XcelTrax family of walking boots, designed for support and comfort following trauma or postoperative procedures involving the lower leg, ankle, or forefoot.

Hollow Core Foam Rollers

Pro-Tec Athletics offers Hollow Core Foam Rollers, available in contoured or smooth styles. The contoured high density foam roller features raised sections—long ridges and pronounced bumps—to stimulate blood flow and allow for a customized deep massage.

L15 and Leina Comfort Shoes

Arcopedico USA offers new styles and colors for women. Designed with travel in mind, the new L15 slip-on collection boasts a nonelastic upper for comfort, flexibility, and circulation support. The slide-on walking shoes are machine-washable.

Helix S Ankle Support

New from Bort-Swiss Orthopedic Supply is the Helix S Spiraldynamik Lower Ankle Support, designed to stabilize the ankle, activate the foot muscles through compression, and provide functional supportive restraint for classic foot deformities.