October 2017

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Cover Story

HANDLE WITH CARE: How sports equipment affects biomechanics and injury risk

Clinicians know that handling a lacrosse stick or other types of sport-specific equipment can affect an athlete’s movement patterns in potentially harmful ways. Now researchers are beginning to quantify these types of effects and explore their clinical implications.

By Jill R. Dorson

Editor Message

Out on a limb: Strength of purpose

Everyone has days when we just go through the motions—at our jobs, in social situations, at the gym—and tell ourselves it isn’t a big deal. But as clinicians you know that when patients just go through the motions of complying with prescribed treatments, their…

By Jordana Bieze Foster, Editor


Lower extremity clinicians absorb hurricanes’ impact

Clinicians in areas affected by hurricanes Harvey and Irma were prepared for issues involving preexisting lower extremity concerns, but were surprised by the number of cases they saw in the storm’s aftermath involving healthy people trying to function under extraordinary conditions.

By Nancy Shohet West

Implications of high ankle sprains in college athletes

High ankle sprains in collegiate athletes differ from lateral or medial ankle sprains in multiple clinically relevant ways. These include loss of sports participation time, mechanism of injury, rates of injury during competition versus practices, and the possible long-term risk of osteoarthritis.

By Timothy C. Mauntel, PhD, ATC; and Zachary Y. Kerr, PhD, MPH

Orthotic management tactics for hallux limitus

Orthotic devices for hallux limitus are designed to limit first metatarsophalangeal joint motion while providing cushioning and plantar pressure distribution. A lack of quality research on conservative treatment of the disorder, however, forces clinicians to rely on their own experience.

By Hank Black

Return-to-play concerns following Achilles tears

Achilles tendon ruptures are severe injuries that are associated with a long recovery and significantly affect an athlete’s ability to function at a high level. In devising strategies for rehabilitation and return to play, the goal of clinicians and athletes alike is to try to minimize this impact.

By J. Turner Vosseller, MD


In the Moment: Footcare

Equinus and RA: Limited dorsiflexion exists without pain

Patients with rheumatoid arthritis (RA) have decreased ankle dorsiflexion due to gastrocnemius contracture, even in the absence of foot and ankle pain, according to research from Michigan that may have implications for early intervention to minimize pain and dysfunction in this patient population.

By Katie Bell

Dialysis patients, even without diabetes, have high risk for ulceration, amputation

Patients with end-stage renal disease undergoing dialysis are at high risk for foot ulcerations and amputation, regardless of whether they also have diabetes, according to research from La Trobe University in Melbourne, Australia, that underscores the need for foot screening in this population.

By Jordana Bieze Foster

Textured insoles enhance stride length, plantar sensation in individuals with PD

One week of textured insole wear is associated with improved plantar sensation and stride length in patients with Parkinson disease (PD), according to research from São Paulo State University in Brazil.

By Jordana Bieze Foster

In the Moment: Rehabilitiation

Strength drives survival: But benefits of training appear complex

Lower extremity strength appears to be a key variable in the relationship between mortality and compliance with national resistance exercise guidelines, according to research from the University of Mississippi in University, MS.

By Keith Loria

Return to activity after Achilles repair parallels heel-rise performance recovery

Recovery of triceps surae muscle strength, as indicated by heel-rise test performance, is associated with the ability to return to jogging and other athletic activities after an Achilles tendon repair, according to research from Teikyo University School of Medicine in Tokyo, Japan.

By Jordana Bieze Foster

Pathomechanics in patients with hip OA suggest need for gait retraining

Altered hip mechanics during gait in patients with hip osteo­arthritis (OA) suggest a role for rehabilitation interventions focused on more than hip abductor strengthening alone, accord­- ing to research from the University of Leuven in Belgium.

By Jordana Bieze Foster

Market Mechanics

By Emily Delzell

Ipsen data show CP spasticity undertreated

A presentation given by Basking Ridge, NJ-based Ipsen Biopharmaceuticals in September at the annual meeting of the American Academy of Cerebral Palsy and Developmental Medicine in Montreal, Canada, found more than 40% of children with cerebral palsy (CP) receive none of 10 common therapies for the motor disorder.

Comau, Össur invest in Iuvo exoskeletons

Rekyavik, Iceland-based Össur and Italian automation company Comau in October announced their investment in Iuvo, a wearable technology company headquartered in Pisa, Italy, that’s focused on developing robotic exoskeletons to enhance mobility.

OrthoPediatrics closes $59.8M IPO

Warsaw, IN-based pediatric surgical system maker OrthoPedia­trics on October 15 announced the closing of its initial public offering of 4.6 million shares of its common stock, including the full exercise by the underwriters of their option to…

NIH funds $1.3M post-traumatic OA study

The National Institutes of Health in July awarded a $1.3 million grant to an Indiana University-Purdue University Indianapolis mechanical engineer to evaluate a new method of strengthening damaged cartilage and preventing arthritic progression.

Ottobock acquires Freedom Innovations

Duderstadt, Germany-based Ottobock HealthCare GmbH has acquired Irvine, CA-based Freedom Innovations from its previous owner, private equity company Health Evolution Partners. The two parties signed a confidential purchase agreement on September 22.

Mueller Sports is WFATT official supplier

Prairie du Sac, WI-based Mueller Sports Medicine in September cemented its relationship with the World Federation of Athletic Training and Therapy (WFATT), becoming their official supplier of sports medicine products.

NSF gives $500K for synthetic muscle work

The National Science Foundation (NSF) in September awarded a University of Houston (UH) engineer $500,000 to develop artificial muscle and tendons for prostheses.

CMS shelves controversial O&P proposal

The US Centers for Medicare and Medicaid Services (CMS) in October withdrew a controversial proposal that would have restricted many physical therapists (PTs) from furnishing custom orthotic and prosthetic devices.

Footmaxx fits fishmongers with orthoses

Roanoke, VA-based Footmaxx in September partnered with Seattle’s Pike Place Fish Market to deliver its custom Voyager orthoses to its fishmongers, who are known for their fish-throwing flair.

Therafirm adds sizing, pattern options

Kansas City, KS-based Therafirm in September expanded sizing options for its Ease Opaque gradient compression knee highs.

Dr. Comfort donates shoes to storm victims

Mequon, WI-based Dr. Comfort reported in September its donation of more than 500 pairs of its diabetic shoes to victims of hurricanes Harvey and Irma through the American Red Cross and Soles4Souls, a nonprofit based in Nashville, TN.

BOC offers 3-year pharmacy accreditation

The Owings Mills, MD-based Board of Certification/Accreditation (BOC) announced in October that it’s accepting applications for a new pharmacy compounding accreditation.

NWU promotes Fatone to professor

Northwestern University (NWU) in Chicago in September promoted Stefania Fatone, PhD, BPO(Hons), to professor of physical medicine and rehabilitation in the Feinberg School of Medicine.

Athletic training students win SWATA grants

The University of Arkansas in Fayetteville in September reported the Southwest Athletic Trainers’ Association awarded scholarships and research grants to three students in its graduate athletic training program at the association’s annual meeting in…

AOSSM, Aircast back return-to-play study

The Rosemont, IL-based American Orthopaedic Society for Sports Medicine (AOSSM) and The Aircast Foundation, headquartered in Naples, FL, announced in September that the groups are funding a new grant of up to $150,000 for a clinical research…


AeroSpring Brace Systems

Created as an alternative to heavy, difficult-to-secure walking boots, the new Richie AeroSpring Brace Systems have been designed to treat common conditions treated with walking boots. The AeroSpring “system approach” combines the therapeutic effects of a…

Game Changer Knee OA Brace

Ovation Medical has introduced the new Game Changer Premium Universal OA Knee Brace, designed to get knee osteoarthritis patients back to as much activity as possible. The brace should be worn for 30 to 60 minutes on the first day, and…

Coral Daily Vitamin D3

Coral now offers Coral Daily Vitamin D3, designed to help maintain strong bones and good overall health in the millions of Americans who are deficient in vitamin D, even during the summer months when sun exposure promotes natural vitamin D production.

Vertex Camera From Vicon

Academy Award-winning Vicon has announced the availability of a new compact camera, the Vertex. The Vertex camera boasts a small and flexible design, with wide angle fields of view, allowing it to capture significant volumes in very tight spaces.

KidSport Insoles

KidSport Cushioning Insoles are new, affordable full-length insoles from Powerstep that are specifically designed for children. KidSport is a fully cushioned, less aggressive option for children’s footwear, which often lacks sufficient cushioning or support.

WalkOn Reaction Junior AFO

Ottobock launches WalkOn Reaction Junior ankle foot orthosis (AFO). Based on the WalkOn Reaction Plus, the WalkOn Reaction Junior is designed for children requiring greater support than traditional dorsiflexion-assist AFOs provide.

Hyperion II Footwear

Xelero has replaced its original best-selling pedorthic shoe, Hyperion, with the Hyperion II. This outdoor shoe, optimized for excursions in extreme conditions, is available as a women’s low top and a men’s low top and high top.

Adjustable Knee Brace

Elite Orthopaedics introduces the Advantage Post Operative Adjustable Knee Brace, designed to provide controlled range of motion for patients recovering from knee surgery or those who have knee injuries or instabilities.

Thermal Vent Plantar DR

The Swede-O Thermal Vent Plantar DR is designed to help relieve pain and discomfort associated with plantar fasciitis, Achilles tendinitis, and other conditions. The device features a nonelastic strap that pulls the ankle into slight dorsiflexion and extends the toes gently to stretch the plantar fascia, while…

JAFO and Free Flow AFO

The new JAFO Free Flow ankle foot orthosis (AFO) sleeve uses a comfortable, 1/8″ thick CoolFlex material to secure a prefabricated AFO. The zip-up sleeve design is intended to eliminate the chafing that can be caused by AFO straps, as well as enhance blood circulation, increase…

SmartCast Scanning System

SmartCast is a new, all-inclusive system designed by Chris Smith, DPM and Northwest Podiatric Laboratory to simplify and improve the process of prescribing custom orthotic devices. With patients comfortably seated in an exam chair, practitioners follow a simple positioning process using…

Decompression Foot Sleeve

New from OS1st, the OS1st DS6 Decompression Foot Sleeve simulates therapeutic taping, delivering six zones of compression to improve circulation and help relieve the painful symptoms of moderate to severe plantar fasciitis, heel pain, foot swelling, and other arch and heel conditions.