May 2016

Download the Complete issue as a PDF (8.4mb)

Download the Complete issue as a PDF (8.4mb)

Cover Story


Smoking & knee OA: From clinical controversy to therapeutic possibility
Smoking & knee OA: From clinical controversy to therapeutic possibility
Experts say perplexing studies suggesting that smoking may be protective against the development of knee osteoarthritis (OA) should not deter clinicians’ efforts to discourage smoking—even in patients who are at risk for OA. By Barbara Boughton

Editor Message


Out on a limb: Stumping for SR in sports
Out on a limb: Stumping for SR in sports
Platelet-rich plasma injections. Kinesiology tape. Foam rolling. Compression garments. Blood-flow restriction training. Elite athletes have always been at the leading edge of the latest tech­niques believed to help speed recovery from injury, often long before they’ve been… By Jordana Bieze Foster, Editor

LER Pediatrics


LER: May PediatricsThe weight problem

Many, many stories in both LER: Pediatrics and its parent publication, Lower Extremity Review, highlight the biomechanical and physiological effects of being over­weight or obese.

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Departments


Managing metatarsalgia in athletic populations
Managing metatarsalgia in athletic populations
Metatarsalgia is a common foot disorder. The term metatarsalgia refers to a pain syndrome in the forefoot and not to a specific diagnosis. Pain is confined to the area across the plantar forefoot, including the second through fourth metatarsal heads. By Howard Kashefsky, DPM, FACFAS
Skin-care issues related to orthotic device wear
Skin-care issues related to orthotic device wear
The care and prevention of skin issues may not get as much attention in orthotics as in prosthetics, but such issues can significantly affect patient outcomes. Here, lower extremity experts share the tips and tricks they use to manage dermatological challenges related to orthotic devices. By Lori Roniger
Using subsensory noise to improve balance, gait
Using subsensory noise to improve balance, gait
Using specially designed insoles to deliver stochastic resonance to the plantar surface of the feet has the potential to significantly improve static balance, dynamic balance, and gait mechanics in healthy… By Daniel Miranda, PhD; Wen-Hao Hsu, ScD; and James Niemi, MS
Hip strength asymmetry and patellofemoral pain
Hip strength asymmetry and patellofemoral pain
Hip strength asymmetry has been observed in patients with existing patello­femoral pain syndrome (PFPS) and poten­tially could be used to screen for at-risk individuals. By Franklin Caldera, DO, MBA; and Christopher Plastaras, MD

News

In the Moment: Sports Medicine

CAI and the CNS: Excitability may influence instability
CAI and the CNS: Excitability may influence instability
For individuals with chronic ankle instability (CAI), the somatosensory feedback necessary for postural adjustments, walking, and running may be hampered by a decrease in soleus spinal reflex excitability, according to a new study in the Journal of Athletic Training. By Larry Hand
Strength training in runners has bonus benefits for physiological performance
Long-term periodized strength training has physiological performance benefits in distance runners, according to research from the University of Limerick in Ireland. By Jordana Bieze Foster
fMRI study supports use of multiple exercises to prevent hamstring injury
A multicenter functional magnetic resonance imaging (fMRI) study indicates that no single exercise activates all of the hamstring and synergist muscles in professional soccer players, suggesting a combination of exercises may be optimal for hamstring injury prevention. By Jordana Bieze Foster

In the Moment: Rehabilitation

Gender, gait, and knee OA: Kinematic data have rehab implications
Gender, gait, and knee OA: Kinematic data have rehab implications
Women with and without knee osteo­arthritis (OA) demonstrate greater knee abduction and hip adduction during gait than their male counterparts, according to research from Canada that supports the concept of gender-specific rehabilitation in this population. By Katie Bell
Leg strength, velocity predict functional issues in older adults with poor mobility
Leg strength and speed of leg movement are predictive of functional decline in older adults with poor mobility, according to research from Boston, MA. By Jordana Bieze Foster
Metabolic activity suggests Achilles tendons are still healing at 6 months
Metabolic activity evident six months after an Achilles tendon rupture—when rehabilitation protocols typically allow running and other high-load activities—suggests the tendon is still healing at that time, according to research from Denmark. By Jordana Bieze Foster

Market Mechanics

By Emily Delzell


Products


Quell Nerve Stimulation
Quell Nerve Stimulation
Quell utilizes NeuroMetrix’s patented, wearable intensive nerve stimulation (WINS) technology to provide drug free, widespread relief from chronic pain. Worn just below the knee and activated by clicking a button, Quell stimulates the sensory nerves to trigger the body’s natural pain relief system and block pain signals in the body.
ActivMotion Bar From OPTP
ActivMotion Bar From OPTP
OPTP (Orthopedic Physical Therapy Products) has partnered with ActivMotion to expand its line of therapy and fitness products. Exclusive to OPTP, the new 4-foot, 4.5-lb ActivMotion Bar features…
Contender Post-op Knee Brace
Contender Post-op Knee Brace
Corflex introduces the Contender Post-Op Knee Brace. The brace features a simple adjustment system to minimize fit time after surgery and weighs just 27 oz. The ZipTrak Telescoping System adjusts brace length from 18″-26″ in 1/8″ increments and allows for the adjustment of intermediate cuffs to help avoid incision sites.
Structured Memory Foam Footwear
Structured Memory Foam Footwear
New for spring, Spenco has launched a line of structured memory foam footwear, with the initial softness of memory foam and the added benefit of structural integrity. The new styles that feature memory foam are the Pure Sandal for men and women and the Thrust Slide for men.
Össur Unloader Hip OA Brace
Össur Unloader Hip OA Brace
Össur announces the launch of the Unloader Hip, a unique brace intended to provide relief for patients with mild-to-moderate hip osteoarthritis (OA). The Unloader Hip is designed to improve mobility by using compression to encourage external rotation and abduction of the femoral head during gait…
Vantage Camera From Vicon
Vantage Camera From Vicon
Vicon’s new flagship camera, Vantage, combines technology with accessible design to open up motion capture to a broader audience. The camera’s individual components have been designed to work together to provide up-to-the-minute informa­tion so the user can make adjustments in real time.
Cloudflyer Footwear
Cloudflyer Footwear
The Cloudflyer from Swiss footwear company On features a low-profile outsole, a wide platform, and an active wedge in the medial heel and lateral forefoot to give pronation guidance without static features such as posting and dual-density foam
Apex Spring Shoes and Boots
Apex Spring Shoes and Boots
New from Apex is the 2016 Spring Collection of shoes and boots, designed with a fresh focus on style. Spring boots include the Black A4000M and Brown A4100M, which include an ankle strap for adjustability, bungee lace detailing, 5/16″ removable depth, a full grain leather upper…
BetterDoctor Websites
BetterDoctor Websites
BetterDoctor helps healthcare practices create and manage their online presence and builds tools to bring trust, confidence, and transparency to the process of finding a doctor. The company works to fix incorrect contact information across the internet and get reviews on applicable industry websites.
Coral Bone Supplements
Coral Bone Supplements
Coral, a leading brand of coral minerals, now offers Coral Complex3 and Daily D, two supplements to help support healthy bones. Daily D provides 500 IU (1250% DV) of the “sunshine vitamin”, vitamin D3. In addition, it provides 100 mg of coral calcium per capsule.