September 2014

LER09-14-coverSMCover Story

Going for the cold: Cryotherapy and physical performance

Cryotherapy applied to a joint may not necessarily have the same effects on balance and physical performance that have been demonstrated in applications involving muscle.

By Emily E. Williams, ATC, and Giampietro L. Vairo, PhD, ATC

Editor Message

Out on a limb: Seeing upside in O&P

“You are what your record says you are.” Hall of Fame football coach Bill Parcells said it first, and it’s a saying that applies to many aspects of life. But when it comes to prescribing orthotic and prosthetic devices, clinicians know that the numbers don’t always tell the whole story.

Jordana Bieze Foster, Editor

Special Education Series: Pediatric Hypotonia

Mobility and More

At the most basic level, mobility is about getting from point A to point B. But, for many children with hypotonia, it’s about so much more.

It’s about independence. It’s about confidence. It’s about maintaining strength, fitness, and healthy bones. It’s about not being excluded from activities enjoyed by their typically developing peers.

Sponsored by an educational grant from SureStep.



Internal vs external focus: Effects on motor learning

A growing body of research is demonstrating that the focus of actions or movements is critical to how well athletes and patients respond to feedback from instructors or clinicians, and one of the central issues is the distinction between internal focus and external focus.

By Cary Groner

Debating corticosteroid injections for heel pain

Some practitioners find plantar fasciitis patients respond to corticosteroid injection when other treatments have failed, but concerns about complications make others cautious. With evidence-based guidelines in short supply, the decision often comes down to clinical experience.

By Larry Hand

AFOs and interfaces: The important role of socks

Interface use has long been the subject of study and clinical emphasis in prosthetics, but too little attention has been given to the role of interfaces—padded socks in particular—in protecting the skin and soft tissues from forces experienced during ankle foot orthosis use.

By Harry “J.R.” Brandt Jr, CO, LO, BOCO

Knee OA, BMI, and pain: A complex relationship

Excess body weight is considered by many experts to be the primary modifiable etiological factor in knee osteo­arthritis (OA) development. However, the relationship among body mass index (BMI), the anatomical manifestations of knee OA, and knee pain is not clear-cut.

By Elizabeth Weiss, PhD

Compression stockings: Progress and pitfalls

Research supports the use of compression stockings for managing peripheral edema, venous insufficiency, and venous leg ulcers. But, outside the laboratory, issues related to patient compliance and achieving a proper stocking fit remain significant clinical challenges.

By Greg Gargiulo


In the Moment: Rehab

By Hank Black and Emily Delzell

Achilles oddity: Heeled shoes may boost load during gait

A recent study using innovative technology has questioned the potential role of standard running shoes with slightly elevated heels for the prevention and treatment of Achilles tendon pathology.

By Hank Black

Patients with MS exhibit better balance, neural changes after Wii-based training

Using a video game balance board that provides high intensity, task-oriented, visual feedback training induces favorable short-term changes in brain microarchitecture related to movement and balance in people with multiple sclerosis, according to a study conducted by …

By Emily Delzell

Vibration intervention helps counteract induced arthrogenic muscle inhibition

Both direct local muscle vibration (LMV) and whole body vibration (WBV) improve quadriceps arthrogenic muscle inhibition (AMI), according to a study from neuromuscular researchers at the University of North Carolina at Chapel Hill. The findings suggest vibratory stimuli can enhance …

By Emily Delzell

Market Mechanics

By Emily Delzell

Pioneering O&P engineer Dudley Childress dies after 47-year career

Dudley S. Childress, PhD, professor emeritus of physical medicine and rehabilitation at Northwestern University’s Feinberg School of Medicine and director emeritus of the Northwestern University Prosthetic Orthotic Center (NUPOC) in Chicago, died on August 6 after a long illness. He was 79.

FDA OKs low-dose NSAID for OA pain

The US Food and Drug Administration (FDA) in August approved Iroko Pharmaceuticals’ low-dose nonsteroidal anti-inflammatory drug (NSAID) for management of osteoarthritis pain.

ProtoKinetics software shows reliability

An August study comparing ProtoKinetics Movement Analysis Software (PKMAS) with the widely used GaitRite system concludes the software from Havertown, PA-based ProtoKinetics is a reliable alternative processing method.

Sports med experts offer ACL workshop

Sports medicine specialists from The Ohio State University and the Cincinnati Children’s Hospital are offering their 12th Annual ACL Workshop in Cincinnati at the hospital’s Medical Education Resource Center on October 11.

Body in Motion partners with Aqualeg

Aqualeg, a French manufacturer of functional prosthetic covers headquartered in Thouaré-sur-Loire, in August formed a strategic partnership with Body In Motion Sports & Orthopaedics, awarding the Toms River, NJ-based company its “Center of Excellence” designation.

New owners keep P.W. Minor in business

Batavia Shoes owners Andrew Young and Peter Zeliff announced in August that they have purchased Batavia, NY-based P.W. Minor & Son, a 147-year-old shoe company that had been in danger of going out of business.

Professional groups ask CMS to amend ‘restrictive’ custom orthotic fitting rule

In August a number of groups, including the National Athletic Trainer’s Association (NATA), the American Orthopaedic Society of Sports Medicine, and the American Medical Society for Sports Medicine, formally called for the Centers for Medicare and Medicaid Services (CMS)…

CMS begins fingerprinting of O&P owners

The Centers for Medicare and Medicaid Services (CMS) on August 6 began its anticipated fingerprint-based background check for certain providers the agency classifies as “high-risk,” a category that includes anyone who owns more than 5% of a company supplying orthoses, prostheses, or durable medical equipment.

Tria, Vikings provide training for teens

Minneapolis, MN-based Tria Orthopaedic Center partnered in August with the Minnesota Vikings to provide certified athletic training coverage for all high school football programs within the Minneapolis and St. Paul school districts this upcoming season.

Tech mag awards OPM for 3D innovation

The New Economy, a quarterly technology and innovation magazine and website, in August recognized South Windsor, CT-based Oxford Performance Materials (OPM) with its “Best Global Company for 3D Healthcare Innovation” award.

Össur VP sets amputee marathon record

Kim De Roy, CPO, PT, Össur Vice President of Sales & Marketing and Education, Prosthetics, set a new world marathon record for transtibial amputees at the Reykjavik Marathon on August 23, the Reykjavik, Iceland-based company announced.

Down syndrome talk on APTA website

Video of the American Physical Therapy Association’s (APTA) roundtable discussion on Down syndrome is now available on its website.

Dr. Comfort fields team for ADA walks

Dr. Comfort reported in August that the Mequon, WI-based company is forming a national team to join the American Diabetes Association’s (ADA) 2014 “Step Out: Walk to Stop Diabetes” effort.


Allard ToeOff 2.0

Allard USA announces the ToeOff 2.0 ankle foot orthosis, with the same functionality as the original ToeOff plus new enhancements based on patient feedback. The D-Ring straps with Alligator Tabs are easily applied for right or left hand “pull” and…

DynaFlange Insole

The DynaFlange insole, exclusive to The Orthotic Group and Langer Biomechanics, introduces a new method of proprioceptive stimulation to awaken the nervous system, moving it out of a stuck posture with every step. Studied at Noraxon USA…

littleSteps in New Sizes

Nolaro24 introduces new sizes for littleSteps, its prefabricated foot orthoses specifically designed for kids. Four new sizes (00, 0, 8, and 9) have been added to the line, which now accommodates kids from toddler size 5 up to adult/children’s size 9.

LunaPur M Material

nora systems offers LunaPur M, a transparent and flexible material made of pure EVA (ethylene vinyl acetate). LunaPur M is an elastic material used in orthopedic shoe engineering and general orthopedics when a particularly flexible material is required for stabilizing purposes.

Mobils by Mephisto

Mephisto USA introduces new styles for fall within its Mobils by Mephisto handcrafted women’s shoe collection. Multiple advanced technical features enhance the comfort of the wearer.

Modular Ring Lock

Becker Orthopedic offers the new Modular Ring Lock Knee Joint, model 1402-B. Like the traditional Modified Ring Lock, the new model has no protrusions in the flexed position. The design minimizes size and weight without compromising strength or durability…

Rightstride D30 Insoles

D30 comfort insoles from Rightstride Orthotics feature smart-material technology based on a rate-sensitive dilatant fluid, in which viscosity increases with the rate of shear strain, so the choice of an orthotic material is no longer limited to soft or hard.

Sigvaris Sleeves Now in Red

In response to popular demand, Sigvaris now offers its sports performance sleeves in red. Sigvaris performance sleeves help improve circulation and flush out lactic acid after a workout. The sleeves are measured at the ankle and calf for an accurate fit and provide 20 to…

New Footwear Styles from Sole

The new footwear styles from Sole—which include the Navigate, Inhale, and Gasp—are designed to help the wearer feel confident and comfortable during any ambitious adventure. Made with moldable platforms that adapt to the shape of the wearer’s foot, Sole footwear…

Stabilizing Speed Pro

New from DJO Global is the DonJoy Stabilizing Speed Pro ankle brace, designed to meet the needs of demanding athletes. Improving on the Stabilizing brace design that has been associated with a 61% reduction in the incidence of ankle injuries, the Stabilizing Speed Pro features…

Air Active Kinegen Knee

Streifeneder USA introduces a new addition to its Kinegen Knee Line: the Kinegen.air-active 3A1800. Using polycentric technology, the knee joint provides an expanded range of motion with flexion angles up to 150°, as well as extra mechanical stance-phase safety in the…

Hames Air Brace

Hames Ortho Tech introduces the Hames Air Brace, a day brace for treating plantar fasciitis and Achilles tendinitis. When in use, with each step the heel is cushioned by a U-shaped bladder surrounding the plantar insert.