October 2021

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Cover Story


A Case for Hypochlorous Acid Solution as a Replacement for NSS in Wound Hygiene: A Review
A Case for Hypochlorous Acid Solution as a Replacement for NSS in Wound Hygiene: A Review
Given its lack of efficaciousness in decreasing bioburden, normal sterile saline may not be the best solution for this important task. Chronic hard-to-heal wounds pose a significant burden on both patients and the health care system. Chronic wounds, whether pressure, arterial, venous, or wounds from multiple causes… By James McGuire DPM, LPT, LPed, FAPWHc; Madeline Hobbs, ...

Wound Care Update


Wound Care Update: The Importance of Antimicrobial Stewardship in Wound Care
Wound Care Update: The Importance of Antimicrobial Stewardship in Wound Care
Despite advances in wound dressings and best practices, hard-to-heal wounds still remain. Increases in the number of chronic wounds have led to greater antibiotic usage, more hospitalizations, and increased amputations.1 It is therefore necessary to understand the continuum of wound contamination and effectively address… By Windy Cole, DPM, CWSP, FAPWH

Guest Perspective


Is Weight Loss or Physical Activity More Important for Preventing Type 2 Diabetes?
Is Weight Loss or Physical Activity More Important for Preventing Type 2 Diabetes?
Ever since the U.S. Diabetes Prevention Program (DPP) multicenter trial was completed nearly 2 decades ago,1 we have known that it is possible to prevent, or at least delay, prediabetes (an insulin resistant state) from progressing into full-blown type 2 diabetes. Why? In the study, diabetes risk was reduced by 58% in the… By Sheri Colberg, ...

Features


Talocrural Joint Laxity and Range-of-Motion Following an Acute Lateral Ankle Sprain
The many articulations of the human ankle joint can be easily disrupted by “a mere sprain.” This research examines 2 specific deficits and their impact in the 6 months after an initial sprain. By Bethany A. Wisthoff, PhD, ATC; Carrie L. Docherty, PhD, ATC, FNATA; Joseph J. Glutting, PhD; Geoffrey P. Gustavsen, MD; Todd D. Royer, ...
Are Static and Dynamic Postural Balance Assessments Two Sides of the Same Coin? A Cross-Sectional Study in the Older Adults
These authors investigate the impact of static and dynamic postural balance assessments and the effects of a cognitive-interference task on balance control performance in older adults. Postural balance control has been defined as the ability of a subject to maintain the center of pressure (CoP) within the… By Alex Rizzato, Antonio Paoli, Marta Andretta, Francesca Vidorin, ...
Sleep Series Part III: Strategies to Improve Sleep Hygiene • The Importance of Sleep for the Student Athlete
These authors summarize the critical take-home points from sleep-related research in 2 key areas: strategies for everyday and those relevant for student athletes—both delivered as easy-to understand infographics.  By Jeremy R. Hawkins, PhD, LAT, ATC; Michael Reeder, DO; and Alli Powell, DAT, LAT, ATC

Meeting Highlights from NATA

About NATA: Athletic trainers are health care professionals who specialize in the prevention, diagnosis, treatment and rehabilitation of injuries and sport-related illnesses. They prevent and treat chronic musculoskeletal injuries from sports, physical and occupational activity, and provide immediate care for acute injuries. Athletic trainers offer a continuum of care that is unparalleled in health care. The National Athletic Trainers’ Association represents and supports more than 40,000 members of the athletic training profession. Visit nata.org for more information.


Risk of Prolonged Opioid Use in Older Patients After Hip Fracture Surgery
There is a notable risk of prolonged opioid use in older patient populations following musculoskeletal injury according to a new study presented at the 2021 Annual Meeting of the American Academy of Orthopaedic Surgeons. While numerous studies have analyzed opioid dependence in younger patient cohorts, relatively few…
Opioids Overprescribed to Children, Adolescents for Common Orthopaedic Procedures
While pain control is an important component of orthopaedic surgery postoperative care, the practice of overprescribing opioid medications has become a contributing factor to the misuse of narcotics in the United States. A new study presented at the 2021 AAOS Annual Meeting analyzed opioid prescribing behaviors…
Effects of COVID-19 on Youth Athletes Differs by Sport, Age
When single sport youth athletes have their routine disrupted, as occurred during the COVID-19 pandemic, they may be at greater risk for depression, demonstrating the need for increased education and research in mental health for adolescent athletes. The results of a new survey, “Sidelined due to COVID-19…

ShortTakes From the Literature


Feed Your Body, Heal Your Wound
Feed Your Body, Heal Your Wound
Macronutrients have been shown to play a vital role in wound healing. Proper nutrition is something that every wound care clinician should discuss with their patients. Caloric needs increase during wound healing and it is estimated that patients should consume 30-35kcal/kg daily. Recent reporting details daily… By Windy Cole. DPM, CWSP, FAPWH
ACSM Releases Consensus Statement on Anabolic-Androgenic Steroid Use
ACSM Releases Consensus Statement on Anabolic-Androgenic Steroid Use
The American College of Sports Medicine has updated its 1987 consensus statement on the use of anabolic-androgenic steroid (AAS) use, synthesizing more than 30 years of research on the topic.1 The College acknowledged that lawful and ethical therapeutic use of AAS is a mainstream treatment for several clinical…
AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee
AAOS Updates Clinical Practice Guideline for Osteoarthritis of the Knee
The American Academy of Orthopaedic Surgeons (AAOS) issued an update to the Clinical Practice Guideline (CPG) for Management of Osteoarthritis of the Knee (Non-Arthroplasty), which replaces the 2nd edition released from 2013. This 3rd edition of the CPG provides updates to 19 of the 29 evidence-based…
Isometric Exercise During Immobilization Reduces Return-to-play Time After Las
Isometric Exercise During Immobilization Reduces Return-to-play Time After Las
Researchers from Japan reported that immobilization reduces symptoms after lateral ankle sprain (LAS) but may worsen the range of motion (ROM) of the ankle and delay return to play (RTP). They sought to understand the correlation between ankle ROM and time to RTP following immobilization for LAS and studied…

Industry News & Updates


The Last Word


Return To Training In The Covid-19 Era
Return To Training In The Covid-19 Era
The physiological effects of face masks during exercise. Source: https://ylmsportscience.com/2021/03/10/return-to-training-in-the-covid-19-era-the-physiological-effects-of-face-masks-during-exercise/

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