October 2016

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Download the Complete issue as a PDF (6.7 mb)

Cover Story

Women’s Work: Overcoming gender barriers in lower extremity specialties

In lower extremity healthcare, as in politics, it hasn’t been easy for women to succeed in traditionally male-dominated roles. The gender demographics have shifted toward parity over time—in some specialties more than others—but challenges still remain.

By Emily Delzell

Editor Message

Out on a limb: Weight loss vs wellness

Obese individuals often spend their entire lives telling themselves how much better their lives would be if only they were thin. But losing massive amounts of weight following bariatric surgery doesn’t automatically make a person a better candidate for total knee arthroplasty (TKA)—any more than it automatically makes a person happy—if underlying issues have been ignored.

By Jordana Bieze Foster, Editor


Management of athletes with excessive pronation

Pronation is a triplanar movement and is the combination of rearfoot eversion, midfoot abduction, and talocrural dorsiflexion.1 Pronation in normal gait allows flexible, adaptive changes to varying types of terrain; it dissipates ground reaction forces; and encourages lower extremity internal rotation.

By Frank Layman, PT, DPT, EdD, MT; and April Wilson, PTA, BS, CI, CKTP, IASTM

Role of bariatric surgery in patients with knee OA

Weight loss following bariatric surgery can have biomechanical and symptomatic benefits for obese patients with knee osteo­arthritis (OA). But it’s less certain whether that weight loss can also reduce the risk of obesity-related complications following total knee arthroplasty.

By Shalmali Pal

Crossover consequences of unilateral treatments

The mechanisms underlying the so-called crossover effect—when a unilateral intervention results in bilateral changes—are still unclear, but clinical applications related to lower extremity strengthening, fatigue, and stretching are already being explored by rehabilitation specialists.

By Cary Groner

Insole research explores postural control effects

A growing body of evidence suggests that foot orthoses may be a helpful addition to other therapies for improving balance and potentially reducing the risk of falls. The findings have been mixed, however, and clinical enthusiasm for this type of insole intervention also varies.

By Hank Black


In the Moment: Sports Medicine

Hip check: Proximal focus could help CAI rehab

Chronic ankle instability (CAI) is associated with centralized feed-forward neuro­muscular alterations that affect the hip as well as the ankle, according to research from Boston University that may have implications for rehabilitation programs in that patient population.

By Katie Bell

Biceps femoris activation decreases following foam rolling of quadriceps

Foam rolling of the quadriceps muscle is associated with decreased biceps femoris activation, an effect that may be related to pain perception, according to research from the Memorial University of Newfoundland in St. John’s, Canada.

By Jordana Bieze Foster

Externally focused instruction boosts jump height regardless of visual input

Externally focused instruction results in greater jump height than internal focus or no instruction, regardless of whether the jumper’s eyes are open or closed, according to research from the Czech Republic.

By Jordana Bieze Foster

Market Mechanics

By Emily Delzell

Ossur acquires Medi Prosthetics, awards second #MyWinningMoment prize

Reykjavik, Iceland-based Össur announced that, effective September 1, it has acquired Medi Prosthetics, a global provider of mechanical lower limb prosthetic components located in Bayreuth, Germany, with total sales in 2015 of $17 million. Össur expects full integration of the business by 2017.

SmartCEO recognizes BOC head Zacharias

SmartCEO in September named Owings Mills, MD-based Board of Certification/Accreditation (BOC) President and CEO Claudia Zach­arias, MBA, CAE, a 2016 Circle of Excellence Award finalist.

Medi USA invests in Topical Gear wearables

Whitsett, NC-based medi USA announced in September that the compression therapy, orthopedics, spinal bracing, prosthetics, and foot care business has made a strategic investment in a sports medicine company, Topical Gear, headquartered in Lakeway, TX.

AAOS announces CEO retirement, guidance for infection control and fragility fractures

The American Academy of Orthopaedic Surgeons (AAOS) in October announced that its CEO, Karen Hackett, will retire in April 2017. During her 14-year tenure as CEO, Hackett has overseen a staff of 250 employees, an annual budget of $60 million, and the opening of…

Pedorthist Alpert joins Foot Solutions

Atlanta-based Foot Solutions in September announced that Teresa Alpert, CO, CPed, has joined its Aurora, CO, location as director of education for pedorthics. In this role, Alpert works directly with healthcare professionals and their staffs. Before moving to Colorado she was in…

Ipsen reports extended Dysport-for-CP data

The principal investigator (PI) for a randomized controlled trial of Basking Ridge, NJ-based Ipsen Biopharmaceutical’s Dysport on September 22 reported extension study data on the botulinum toxin type A (ABO) for pediatric patients with cerebral palsy (CP) at the American Academy of…

AAOP reports rising numbers for O&P jobs

Data from the Washington, DC-based American Academy of Orthotists and Prosthetists (AAOP)  in September indicate a number of health trends are continuing to increase demand for O&P practitioners and that robust employment opportunities continue in this sector, despite an overall…

Data support Smith & Nephew system

London, UK-based Smith & Nephew’s single-use negative pressure wound therapy system can significantly improve outcome predictions and reduce complications after orthopedic surgery using Pico, according to randomized control trial data presented in September at the European Bone and Joint Infection conference in Oxford.

Muller is CSU Dominguez Hills O&P chair

Gary Sayed, PhD, dean of the College of Health, Human Services, and Nursing at California State University, Dominguez Hills (CSUDH) in October named Mark Muller, CPO, FAAOP, MS, the new chair of the university’s Department of Orthotics and Prosthetics.

Curbell backs OPAF First Swim and Dance

Orchard Park, NY-based Curbell Plastics reported in September that it helped sponsor the Orthotics and Prosthetics Activities Foundation’s (OPAF) First Swim and First Dance events held in Dallas.

Oxford University Press to publish PTJ

The Alexandria, VA-based American Physical Therapy Association’s (APTA) scientific journal, Physical Therapy (PTJ) is moving to “the next level” with its partnership with Oxford University Press (OUP), according to PTJ’s Editor-in-Chief, Alan Jette, PT, PhD, who published an editorial in the October issue describing the partnership.


Coral Cal Mag Supplement

Coral Cal Mag, a calcium and magnesium supplement boosted with more than 70 other essential trace minerals, is designed to promote strong, healthy bones along with a well-functioning nervous system and a healthy heart. The supplement provides calcium and…

Pro-Tec Pain Relief

Pro-Tec Athletics offers a new topical product for pain relief. Pro-Tec’s Pain Relief, available in spray or roll-on formulas, is all natural. Both versions are designed to provide fast-acting, deep-penetrating relief of pain associated with muscle tightness and…

Apex Sydney Women’s Shoe

The Sydney is the newest addition to the Petals Collection of footwear from Apex, for women who enjoy style but need superior foot support and footwear adjustability. The soft, light Sydney is a casual boat-style shoe, crafted from supple leathers, that…

ProLine Orthotic Cutting Strip

Cascade Orthopedic Supply offers the new ProLine Orthotic Cutting Strip, an affordable, reusable tool for various orthotic fabrication applications. The ProLine Orthotic Cutting Strip is durable, flexible, and latex-free. Sold singly, this yellow cutting…

Cypress Adaptive Vista Ankle

Cypress Adaptive has launched the Vista Ankle, a universal, single-axis prosthetic ankle designed for mechanical elevated vacuum suspension. The achiev­able level of vacuum is determined by the compression of the plantar flexion bumper that occurs…

Guna Pain Relief Products

Guna, an Italian company, has released two new products for temporary pain relief. Guna-Flam is an anti-inflammatory, low-dose homeopathic medicine intended for minor aches and pains due to acute and chronic inflammation, trauma, or…

Haruka Dynamic Walking Shoes

Waldlaufer introduces the Darryl lace-up oxford and Harlo slip-on shoes for women, both built on the company’s new Haruka Dynamic construction. This lighter weight line, part of the Dynamic Walking Collection, is designed for patients suffering…

4Jointz Pain Relief Cream

Now entering the US market is 4Jointz, a natural over-the-counter pain relief cream developed in Australia. 4Jointz is formulated for those suffering from osteoarthritis (OA), sports injuries, and everyday wear and tear.

Z-Coil Footwear

Z-Coil Footwear Company offers footwear that is engineered to relieve foot pain. Like shock-absorbers for the body, the Z-Coil’s patented conical-coil steel heels are designed to absorb up to 50% of the heel-strike impact associated with walking or running…

Orthozone Thermal Slippers

Orthozone introduces Thermo­skin Circulation Thermal Slippers. These thermal slippers feature three therapeutic layers to help increase circulation and decrease foot pain. The outer layer provides light compression and a comfortable fit for those who…

Lunatec materials from nora

nora Systems now offers two new materials designed to absorb shearing forces associated with walking. Lunatec motion, an EVA (ethylene vinyl acetate) material, is available on its own or as part of a composite sheet called Lunatec combi motion.

DonJoy POD Ankle Brace

The Protection On Demand (POD) Ankle Brace helps to provide protection from ankle injury for all athletes, from youth to elite levels. The adjustable POD brace is designed to offer freedom of movement and stability without breaking down…