October 2020

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Cover Story

Foot Drop: A Primer

Foot drop, a complex condition that can have a significant impact on independent ambulation, can have many causes. Treatment options vary by cause. These authors provide a review of the condition from etiology through treatment. Foot drop (also known as steppage gait) is an inability to lift the forefoot due to the weakness of dorsiflexors of the foot. This, in turn, can lead to an unsafe antalgic gait, potentially resulting ...

A New Ankle–Foot Orthosis Using Wire for Stroke Patients with Foot Drop

Researchers from Korea have developed a new type of AFO that uses neoprene and a novel wire configuration for use with foot drop after stroke. Foot drop can be a sequela of stroke. An ankle–foot orthosis (AFO) is the most widely used method to prevent foot drop in patients with stroke, and is used during weight-bearing training of the limb on the affected side or when there is ankle spasticity ...

Guest Perspectives

Secrets of Speed: Seven Smart Steps to Getting Faster

Athletes in all sports are constantly looking for an edge. Often, the focus is on increasing speed. The importance of high-intensity training cannot be underestimated, but there are prerequisites. These are part of the MAF Method, allowing athletes to develop a lasting individualized plan to improve fitness — including speed — while also maintaining optimum health.

By Phil Maffetone, DC

Feature Articles

Wound Care Update: Can Bioabsorbable Borate-based Glass Fibers Support Wound Healing?

With increasing demand for biomaterials that have the ability to support wound healing, tissue engineers have been challenged to develop innovative bioactive scaffold materials. In general, bioactive materials have the mechanical properties of the tissue to be replaced while supporting biological activities such as cellular adhesion, proliferation, differentiation, and angiogenesis.

By Windy Cole, DPM, CWSP

Pain Reduction Methods for Peripheral Neuropathy

As obesity and type 2 diabetes continue to be growing public health burdens, clinicians will be faced with increasing numbers of patients who suffer from their complications, in particular, peripheral neuropathy. These authors review the multiple medications available to help. A 2015 report published in the Journal of Pain, found that…

By Shana Shetty, DPM PGY3, and Marshall G. Solomon, DPM FACPM, FACFAS

Inventors Corner

Inventor’s Corner: BioSensics’ Wearable Technology Supports Aging in Place

In 2007, wearable sensor technology was just gaining traction. Applications (known as apps) largely focused on fitness and wellness, measuring things like numbers of steps and hours of sleep. However, Ashkan Vaziri, Ph.D., and a few friends had an idea for a different approach: They believed that wearable sensors with medical applications could help older adults remain independent as they age.

From the COVID-19 Frontlines

Studies Show Masks, Gaiters Work to Prevent Spread of Coronavirus

Since the spring, it has been demonstrated that masks are a critical deterrent to the spread of SARS-CoV-2, the virus that leads to COVID-19, the worldwide pandemic that has claimed more than 240,000 American lives, and more than 1.25 million lives globally. Experts are agreed now that transmission of the virus is predominately by respiratory droplets when people sneeze, sing, talk, or breathe.

From the Literature

Using Shockwave, Foot Core Exercises to Manage Tibialis Posterior Tendinopathy

Tibialis posterior tendon dysfunction/tendinopathy (PTTP) is a common debilitating condition. The diagnosis is largely clinical with physical examination sufficient to make the determination. Patients will commonly complain of pain in the medial foot and behind the medial malleolus that worsens with prolonged standing and activity.

5-year Mortality, Costs of Diabetic Foot Complications Comparable to Cancer

The purpose of this brief report was to refresh a 2007 data summary comparing diabetic foot complications to cancer with the best available data as they currently exist. Since that time, more reports have emerged both on cancer mortality and mortality associated with diabetic foot ulcer (DFU), Charcot arthropathy, and diabetes-associated lower extremity amputation.

Gait Speed as Risk Tool for Falls

Keeping older adults physically active is critical to health maintenance and walking is a key form of exercise for this population. However, foot pain represents a leading cause of mobility limitations and lower quality of life in older individuals. Nearly 25% of adults report foot pain, and those with frequent foot pain are at double the risk of falling.

Improved Patient-Provider Relationship Boosts Outcomes

While a good patient-provider relationship has been the bedrock of today’s much-needed patient satisfaction scores, such relationships are also proving to boost functional outcomes. In a recent study published in the Annals of Family Medicine, physician researchers from Case Western Reserve University…

“Renal Foot” – Angiographic Patterns in Chronic Limb Threatening Ischemia + Renal Disease

Patients with chronic limb threatening ischemia (CLTI) and end-stage renal disease (ESRD) have greater risk of limb loss compared to those with CLTI alone. These researchers investigated angiographic patterns in patients with CLTI and evaluated for differences based on ESRD status.

Industry News & Updates

ASU Team Creates Soft, Robotic AFO

Most ankle-foot orthoses (AFOs) are stiff and uncomfortable, so a team of student researchers at Arizona State University (ASU)—Marielle Debeurre, Tiffany Hertzell, and Carly Thalman—has been working to create a dynamic, soft robotic AFO, or SR-AFO, that assists with gait rehabilitation by adjusting itself with each step.

PodiatryInternational Launches News Website

PodiatryInternational has launched a dedicated news website to support and promote podiatrists and foot care professionals so they can grow and advance their practices and businesses through increasing awareness of the profession and developing greater global access to new advances and technology within the profession.

High Schooler Creates App to Help Reduce Risk of ACL Injuries in School-aged Athletes

Research has proven that participation in stretching courses can reduce the possibility of an anterior cruciate ligament (ACL) injury in play by about 72%. After implementing these stretching courses at many Chicago, Illinois, public schools in basketball and soccer…

Hanger Announces Executive Appointments

Hanger, Austin, Texas, announced that Regina Weger has been promoted to president, products & services, and Pete Stoy will join Hanger in the newly formed position of chief operating officer (COO), to lead the patient care segment.

First-in-Human Trial Completed for a Novel Treatment for Osteoporosis

Haoma Medica, London, England, announced the completion of a first-in-human trial for NaQuinate, a naphthoquinone carboxylic acid, which is being developed as a novel orally administered therapeutic for osteoporosis. The first-in-human trial initiated last year in healthy adults studied single and multiple doses of the drug.

AFO Puts Spring-cam Back into Stroke Patients’ Steps

A research group from Tohoku University in Japan has developed a new, lightweight and motor-less device to aid stroke patients in their rehabilitation, improving their gait, and preventing falls. The new device can be easily attached to an ankle-foot orthosis (AFO).

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