October 2024

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Cover Story


Assessment of Physical Activity in Older Adults Across Care Levels

Physical activity is a modifiable lifestyle factor that is well established as an important determinant for maintaining function and independence in daily life, and thus is imperative for healthy aging. The 2020 recommendations from the World Health Organization (WHO) highlight that every minute...

By Astrid Ustad, Karen Sverdrup, Gro Gujord Tangen, Øystein Døhl, Beatrix Vereijken, Pernille Thingstad, and Nina Skjæret-Maroni

News You Can Use


CMS Announces Resources & Flexibilities to Assist in Hurricane Milton’s Aftermath

The Centers for Medicare & Medicaid Services (CMS) announced additional resources and flexibilities available in response to Hurricane Milton in Florida. CMS is working closely with the State of Florida and federal partners to put these flexibilities in place to ensure those affected by this natural disaster have access to the care they need – when they need it most.

Features


Clinical Perspective: Posture and Autism: Sitting. Standing, and Toe-Walking Behavior

The other day, Anka (not her real name), a 19-year-old woman with Autism Spectrum Disorder (ASD) came to our clinic for her regular follow-up visit. While she walked independently, she exhibited severe Toe-Walking Behavior (TWB). She was accompanied by her father and an...

By Dalia Zwick PT, PhD

LEREXPO Conversations: Emerging Radiolucent Technologies and Bone Grafting Techniques

Radiolucent technologies are gaining traction in foot and ankle surgeries due to their significant benefits over traditional methods. These innovations, particularly the use of carbon fiber reinforced polyetheretherketone (PEEK), are revolutionizing how surgeries are performed, offering clearer imaging and...

By Brad Abicht, DPM, FACFAS

Physical Characteristics Inducing Sever’s Disease in Junior Gymnasts

Sever’s disease can be painful and limit young athletes in competitive endeavors. These authors sought to find physical characteristics that could identify those at risk. Sever’s disease, also known as calcaneal apophysitis, is an inflammation of the growth plate in the heels of growing children, typically adolescents.

By Kazuaki Kinoshita, Yuichi Hoshino, Naoko Yokota, Masayuki Fukuda, Mika Hirata, and Yuichiro Nishizawa

ShortTakes From the Literature


HIIT & Moderate-Intensity Improve Motor Symptoms in PD

High-Intensity Interval Training (HIIT) vs. Moderate-Intensity Continuous Training (MICT) in Parkinson's Disease: A Randomized Trial. Conclusion, HIIT and MICT both increase maximal oxygen uptake and reduce motor symptoms in adults with Parkinson's disease.

LinkedIN Post of Note: Pickleball Strikes Again!

Amol Saxena: Hit Achilles surgery #800 last week, another rupture due to Pickleball which has surpassed basketball for #1 incidence.

Texture Changes in Heel Pad Macrochambers May Foretell Soft Tissue Damage in Diabetes

Diabetic foot ulcers pose a serious threat to people with diabetes, especially the elderly. Both aging and diabetes can lead to structural and compositional changes in the plantar soft tissues which can be seen on ultrasound. With an increasingly aged population and diabetes prevalence expected to increase to nearly 25% among adults...

Goal-Directed Osteoporosis Treatment: ASBMR/NHOF Task Force Position Statement 2024

The overarching goal of osteoporosis management is to prevent fractures. A goal-directed approach to long-term management of fracture risk helps ensure that the most appropriate initial treatment and treatment sequence is selected for individual patients. Goal-directed treatment decisions require assessment of clinical fracture history...

NATA Study Highlights Overuse Injuries in High School Sports

Participation in high school sports has physical, physiological, and social development benefits, but it also increases the risk of acute and overuse injuries. Risk of sport-related overuse injury differs between boys and girls. These authors sought to investigate differences in overuse injuries among high school athletes participating in the...

Some MS Therapies May Not Slow Disability Progression

In people with primary progressive multiple sclerosis (MS), a new study has found no difference in the amount of time before disability worsened between people taking certain medications and those not receiving treatment. The study was published in a recent issue of the journal Neurology®, the medical journal of the American Academy of Neurology.

Pediatric Hurdling Injuries

Hurdling is a unique track event due to a combination of running and jumping over an apparatus. Since hurdling requires a special skillset with sprinting and jumping, athletes are at risk for various musculoskeletal injuries. These authors noted a paucity of studies describing the epidemiology of pediatric hurdle injuries and sought to examine...

Long-Term Follow-Up Assesses Efficacy of Fosravuconazole for Onychomycosis in Elderly

Onychomycosis is a chronic and intractable disease whose prevalence increases during aging. In elderly patients, if onychomycosis is left untreated and progresses to a severe stage, it may cause functional decline of the lower limbs due to foot pain. This could lead to a decline in activities of daily living and secondary impairment such as cognitive decline.

Broström-Gould Procedure: 5-Year Follow-Up

Ankle sprains are a common musculoskeletal injury among the general population and often involve the lateral ligament complex. Although the majority of ankle sprains are treated successfully with nonsurgical conservative measures, an estimated 5% to 20% of ankle injuries ultimately develop chronic lateral ankle instability (CAI).

Reducing Prosthetic Stiffness Can Improve Running in Females with Leg Amputations

Similar to nonamputees, female athletes with unilateral transtibial amputation (TTA) using running-specific leg prostheses (RSPs) may have worse running economy and higher rates of running-related injury than male athletes. These authors hypothesized that optimizing RSP configuration for female athletes could improve running economy and...

Lateral Ankle Ligament Repair Lets Older Adults Remain Active

Researchers from Emory University School of Medicine recently reported that the annual incidence of lateral ankle ligament repair (LALR) has been on the rise since 2009, particularly among those over 70 years of age. They queried the IBM Watson Health Market Scan Database for patients who underwent LALR from January 2009 to...

Curcumin Alleviates Osteoarthritis Through the P38MAPK Pathway

A recent report in the Journal of Inflammation Research found that curcumin modulates chondrocyte oxidative stress, inhibits OA inflammation, and inhibits phosphorylation of the p38/MAPK pathway; the model used Sprague-Dawley rats. It also inhibits chondrocyte apoptosis and matrix degradation while promoting cartilage repair through...

2MTIR vs PR for Achilles Tendon Rupture

Acute closed midsubstance Achilles tendon rupture (ACMATR) is common, with various treatment methods developed over time. These authors retrospectively compared the 2 mini transverse-incision repair (2MTIR) with percutaneous repair (PR) to determine which method yields better results.

Minimalist School Shoes Improve Intrinsic Foot Muscle Size, Strength, Arch Integrity

Minimalist walking shoes have been shown to improve foot muscle size and strength in active adults, but not in previous studies involving children, which could relate to the more structured footwear used in this study. Hence, this study examined the effects of true minimalists on intrinsic foot muscle size and strength, foot arch integrity...

Does Occupation Footwear Influence Slip Response?

This study investigated how walking in occupational footwear (OF) affects slip outcome and slip recovery strategies in response to an unexpected slip. Participants walked along a walkway while either barefoot (BF; n = 13) or in OF (n = 12). The first five walking trials consisted of the no-slip condition, where a high friction sheet was...

Industry News & Updates


Prosthesis Driven by Nervous System Allows Natural Gait

Using a new type of surgical intervention and neuroprosthetic interface, Massachusetts Institute of Technology (MIT) researchers, in collaboration with colleagues from Brigham and Women’s Hospital, have shown that a natural walking gait is achievable using a prosthetic leg fully driven by the body’s own nervous system. The surgical amputation procedure, known as the...

Seams in Clothing Can Capture Body Movement

Everyday clothing may soon be able to capture and record body movements according to new research from the Universities of Bristol and Bath, United Kingdom. Harmless low voltages are passed through conductive threads that are stitched into garment seams to create electrical circuits.

UD-developed Biomaterials Approved for Wound Management Products

The U.S. Food and Drug Administration has approved 2 new wound management products that include patented hydrogels invented by University of Delaware (UD) material scientist Darrin Pochan, PhD, and Joel Schneider, PhD, a former UD faculty member now at the National Cancer Institute. The unique hydrogel materials are made of peptides—the building blocks of proteins—that...

Hanger Ventures Invests in Bionic Power

Hanger Ventures, a Hanger, Inc. business whose primary objective is to advance orthotics and prosthetics innovation and improve patient outcomes, recently announced its debut investment in Bionic Power, a Canadian-based firm. A developer of active lower body smart orthotic devices that enhance personal mobility, Bionic Power is raising Series A Round funding, with Hanger Ventures committing as the lead investor.

Biomaterial Technology, Rehabilitation Medicine to Aid in Muscle/Nerve Regeneration

Researchers from the Institute of Basic Science (IBS) in South Korea have developed a novel approach to healing muscle injury by employing “injectable tissue prosthesis” in the form of conductive hydrogels and combining it with a robot-assisted rehabilitation system. Let’s imagine you are swimming in the ocean.

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