November 2014

11.14-Cover-Web-smCover Story


Dorsiflexion and knee injury risk: Implications for ankle bracing
Dorsiflexion and knee injury risk: Implications for ankle bracing
Some evidence suggests that, if ankle braces limit athletes’ motion in the sagittal plane, the risk of knee injury could be increased, but other studies have found no association between ankle bracing and knee injury rates. The conflicting findings have made for a clinical conundrum. By Cary Groner

Editor Message


Out on a limb: In defense of prevention
Out on a limb: In defense of prevention
If athletes knew that decreasing the risk of anterior cruciate ligament (ACL) injury would be accompanied by a slight decrease in athletic performance, how many of them would find that to be a reasonable tradeoff? The findings of a recent study may have lower extremity practitioners asking themselves this question. By Jordana Bieze Foster, Editor

Special Educational Series: Pediatrics


PedCvr-WEB-nov14-smParents are people too
With so much of healthcare now automated, and so many demands on each practitioner’s time, it’s dangerously easy to lose sight of patients as individuals. Yet often it’s the personal details that can make the difference between a successful outcome and a less successful one.

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Departments


Eccentric interventions for Achilles tendinopathy
Eccentric interventions for Achilles tendinopathy
Multiple descriptive studies have demonstrated the clinical benefits of eccentric exercise interventions in patients with Achilles tendinopathy, but researchers have not yet identified the cause-and-effect mechanisms leading to decreased pain or increased function. By Matthew Crill, MS, MBA, PT
Online tool facilitates use of exercise for knee OA
Online tool facilitates use of exercise for knee OA
A pilot study has demonstrated the feasibility and potential success for employing the Internet to deliver targeted individualized exercise routines for patients with knee osteoarthritis, which may help… By Alison Brooks, MD; Bryan Heiderscheit, PT, PhD; and John E. Beaulieu, PhD
The Y Balance Test: Assessing the evidence
The Y Balance Test: Assessing the evidence
The Y Balance Test (YBT) is a reliable tool and may be used to predict injury risk. However, clear cut-points have not been sufficiently defined, and more research investigating the mechanics and muscle activation strategies used during the YBT is needed. By Craig A. Smith, DPT, and Meghan Warren, PT, MPH, PhD
Exercise in individuals with diabetic neuropathy
Exercise in individuals with diabetic neuropathy
Patients with diabetes and peripheral neuropathy can benefit from participation in mild to moderate aerobic, resistance, and balance activities. But they must take precautions to ensure exercise is safe as well… By Steven Morrison, PhD, and Sheri R. Colberg, PhD
The role of hip mobility in patellofemoral pain
The role of hip mobility in patellofemoral pain
Findings of an association between hip mobility and patellofemoral pain suggest practitioners may be putting the cart before the horse by implementing strength programs in individuals with PFP without first measuring and addressing deficits in hip extension. By Sean Roach, PhD, DPT, ATC
Onychomycosis remains a major clinical challenge
Onychomycosis remains a major clinical challenge
Despite the ongoing development of new treatments, onychomycosis is still an extremely recalcitrant disease with high rates of relapse and reinfection, and the associated physical and cosmetic implications can negatively affect patients’ quality of life and self esteem. By Greg Gargiulo

News


In the Moment: Sports Medicine

By Jordana Bieze Foster

Resistance is useful: Ankle band activates hip during landing
Resistance is useful: Ankle band activates hip during landing
Wearing a resistance band around the ankles during jump landings is associated with increased hip abduction moments and gluteus medius activation, and may be a more functional alternative to the therapeutic exercises typically used to train the same muscles, according…
Training to increase running cadence alters biomechanics but not efficiency
Six weeks of training to increase running cadence is associated with significant changes in kinematics and vertical loading rate, but does not affect running efficiency, according to research from the University of Massachusetts Amherst.
ATFL data suggest ligament thickening after sprain does not cause instability
Both ankle sprain copers and patients with chronic ankle instability have thickened anterior talofibular ligaments (ATFL), suggesting that these structural changes are not the cause of chronic instability, according to research from the University of Evansville in Indiana.

Market Mechanics

By Emily Delzell


Products


Orthomonitor Sensing Device
Orthomonitor Sensing Device
Kinematix has introduced the Orthomonitor, a wearable sensing device that can be embedded in orthotic and prosthetic devices to measure wear-time compliance and provide evidence of clinical efficacy.
Krutch Kaddy
Krutch Kaddy
Designed for maximum comfort, efficiency, durability, and safety, the Krutch Kaddy provides individuals on crutches with a safe, secure, and convenient hands-free solution to carrying essential personal items.
Lunatur 18 Walnut
Lunatur 18 Walnut
Nora Systems introduces Lunatur 18 Walnut, an eco-friendly and sustainable material that is soft and highly elastic, with good bedding and resilience characteristics. Nora Lunatur 18 Walnut contains more than 20% finely…
New igli Junior Insoles
New igli Junior Insoles
Medi USA introduces two new igli Junior carbon insoles in the igli carbon insole series: the Junior Orange and Junior Blue C+ for children. The customizable igli insoles feature a carbon clip on the underside of the insole and…
Performance RX Orthoses
Performance RX Orthoses
SOLO Laboratories has announced the release of Performance RX, a new material now available as an option for the company’s orthotic products. Performance RX is an engineered nylon plate material that does not fatigue…
Rocktape Knee Caps
Rocktape Knee Caps
Knee Caps from Rocktape are designed to help protect the knees during complex fitness movements, such as dead lifts, pistols, and squats. Knee Caps are designed to offer compression, warmth, and lateral stability…
FootMat Software
FootMat Software
Tekscan introduces FootMat software, which allows clinicians to analyze static or dynamic pressure data and generate objective, evidence-based reports for patient education and to document treatment effects.
PolySoft and Gentle Padding
PolySoft and Gentle Padding
Ambra Le Roy announces the addition of PolySoft stockinette and Gentle Padding to its Lymphedema Care line. The Polysoft stockinette is made from soft, comfortable synthetic fibers with no elastic yarns.
AFTR DC Brace
AFTR DC Brace
The AFTR DC (Ankle & Foot Trauma Rehabilitation Dorsal Closure) from Bio Skin provides stabilization and adjustable compression for nonoperative and postoperative treatment.
MiniTrax Pediatric Boot
MiniTrax Pediatric Boot
DJO Global introduces its new MiniTrax pediatric walking boot, designed for small patients with mild to severe foot and ankle injuries. MiniTrax features kid-friendly design elements that make wearing the boot less…