November 2021

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Cover Story


Ankle Foot Orthoses: The Impact of Appearance, Function, and Fit in Individuals with Stroke

In their own words, 2 stroke survivors who use different AFOs, discuss the mismatched perception of how the ankle foot orthosis represents long-term disability but is a resource for independent safe mobility. Three-fourths of all strokes occur in adults older than 65 and as age increases…

By Jennifaye V. Brown, PT, PhD, NCS, Steven Best, PT, DPT, CSCS, and Julie Suhr, PhD

ShortTakes on AFO Effectiveness


ShortTake on AFO Effectiveness

Meta-analysis Demonstrates AFOs Improve Gait, Balance in Stroke. In a recently published systematic review and meta-analysis, researchers from Korea looked at the effectiveness of ankle-foot orthosis (AFO) use on improving gait function and balance in patients with stroke. Their analysis covered a total of 19 studies including 434 participants that reported on the immediate or short-term effectiveness of AFO use.

Guest Perspective


Building The Orthotics and Prosthetics Workforce of Tomorrow

The O&P Global project: research, investigation and consultation. The foundation for an international body to support national-level regulation of orthotist/prosthetists. The global demand for orthotic/prosthetic (O&P) services is set to double by 2050.

By Leigh Clarke, M.PH, B.PO (hons), c-OP AOPA; Emily Ridgewell, PhD, B.PO (hons), c-OP AOPA; Sarah Anderson, PhD, B.PO (hons), c-OP AOPA; and Michael P Dillon, PhD, B.PO (hons), c-OP AOPA

Features


Submaximal Force Steadiness and Accuracy in Patients With Chronic Ankle Instability

Lateral ankle sprains (LASs) often result in damage to the lateral ligaments of the ankle, reducing both static and dynamic ankle stability and resulting in a continuum of disability.

By Hyunwook Lee, MS, LAT, ATC*; S. Jun Son, PhD, ATC†; Hyunsoo Kim, PhD, ATC‡; Seunguk Han, MS, ATC*; Matthew Seeley, PhD, ATC*; and J. Ty Hopkins, PhD, ATC*

lerEXPO.com Conversations: Wound Care Technology Expert Panel

Wound care is a growing public health burden with new clinical products emerging seemingly daily. But how to know which products are useful for which patients and how to access such information can be a challenge for busy clinicians. lerEXPO recently hosted a wound care technology expert panel sponsored by vTail.

Highlights of 2021 Midwest ASB Regional Meeting

About ASB: The American Society of Biomechanics (ASB) was founded in 1977 to encourage and foster the exchange of information and ideas among biomechanists working in different disciplines and to facilitate the development of biomechanics as a basic and applied science.

ASB has a membership of approximately 850 academic researchers, clinicians, scientists, students, and industry members working to solve basic and applied problems in the realm of biomechanics and to improve understanding of the workings of biological systems. ASB members are organized into five primary discipline categories: biological sciences, exercise and sports science, health sciences, ergonomics and human factors, and engineering and applied science.


INTENSITY OF BALANCE CHALLENGE DURING VIDEOGAMING

Poor balance and falls remain a large concern for older adults and individuals with physical disability. Clinicians use adapted commercial video gaming as one intervention technique to address balance impairments. However, a lack of standardized balance intensity measures…

By Amanda Laxganger, Debbie Espy, and Ann Reinthal

QUANTIFYING BALANCE THROUGH STEP LENGTH AND SINGLE-LEG STANCE

Quantifying and defining criteria for balance proficiency for a specific balance task is an important factor when improving one’s balance. Motion-based games are selected to emphasize 5 distinct balance tasks as a method of improving balance and reducing fall risk in individuals’ post-stroke.

By Zachary Hubbard, Debbie Espy, and Ann Reinthal

THE VIABILITY OF IN-SHOE INSOLES TO MEASURE PRESSURE AND SHEAR IN PATIENTS WITH CHARCOT ARTHROPATHY

Peripheral neuropathy is a condition that occurs as a complication of diabetes mellitus and disrupts the sensory, autonomic, and motor systems. Clinical symptoms of peripheral neuropathy can include muscle weakness, numbness, lack of coordination, and pain. Charcot arthropathy can develop when an injury occurs in a patient with peripheral neuropathy.

By Jessi Martin, Brian Davis, Grant McMillan, and Larry Goss

THE IMPACT BALANCE TRAINING HAS ON KINEMATIC MEASUREMENTS POST STROKE

Stroke is a neurological disease that causes disability in adults and increases the risk of falling. The integration of technology and rehabilitation strategies are systematically used in physical therapy to target muscle activity in post-stroke patients. This addresses initial muscle weakness of the affected side of the body, as well as asymmetrical postural behavior.

By Abigail Tolstyka, Sydney Bajusz, Ann Reinthal, and Deborah Espy

Wound Care Update


The Importance of Obtaining Wound Photographs

A picture is worth a thousand words – how many times have you heard that old adage? There is no bigger truth in wound care documentation. Wound photos serve as a visual reference and act as a testimonial on wound progression in the medical record. Wound photos supplement the EMR and encourage accurate documentation of the wound healing trajectory.

By Windy Cole, DPM, CWSP

COVID-19 Update


A Word About Soap, Water and Hand Sanitizers

The roles of soap and water versus hand sanitizers for SARS-COV-2 decontamination. Hand sanitizers are an important hand hygiene intervention for skin contaminated with an enveloped virus such as SARS-CoV-2. Sanitizers are packaged in units that can be carried easily and therefore are able to be used in high-risk situations…

Industry News & Updates


TEAM TREATING PARKINSON’S FOG WITH AI

An interdisciplinary research team from William & Mary is developing an innovative new treatment for the movement-related symptoms of Parkinson’s disease, which affects more than 10 million people worldwide. The treatment uses a combination of hardware and software to administer targeted…

AMPUTATION DECISION AID WEBSITE LAUNCHED

A team from Australia’s La Trobe University’s School of Allied Health, Human Services, and Sport, Discipline of Prosthetics and Orthotics, recently launched an Amputation Decision Aid website, which includes a collection of freely available resources to help people make more informed…

RESEARCHERS DISCOVER WAY TO SWITCH ON, SPEED UP TENDON HEALING

Researchers at CÚRAM, the Science Foundation Ireland Research Centre for Medical Devices based at National University Ireland Galway, have shown how walking can power an implantable stimulator device to speed up treatment of musculoskeletal diseases. The research, which was published in…

U-M TO BUILD EVERYDAY EXOSKELETONS

In an effort to bring robotic assistance to workers, the elderly, and more, a University of Michigan (U-M) team is developing a new type of powered exoskeleton for lower limbs, funded by $1.7 million from the National Institutes of Health. The team plans to develop a modular, powered exoskeleton system that…

The Last Word


Resistance Training

Reference: Source: Wewege MA, Desai I, Honey C, et al. The Effect of Resistance Training in Healthy Adults on Body Fat Percentage, Fat Mass and Visceral Fat: A Systematic Review and Meta-Analysis. Sports Med. 2021. doi.org/10.1007/s40279-021-01562-2

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