September 2016

Download the Complete issue as a PDF (6.7 mb)

Download the Complete issue as a PDF (6.7 mb)

Cover Story


Clinician-patient communication: How personal connections can improve outcomes
Clinician-patient communication: How personal connections can improve outcomes
Increasingly, lower extremity practitioners are realizing the clinical importance of patient communication. They’re also starting to realize that effective communication requires more than just using the right words. By Hank Black

Editor Message


Out on a limb: Brains, sprains, & the NFL
Out on a limb: Brains, sprains, & the NFL
National Football League (NFL) players say they worry more about lower extremity injuries than concussions. But a growing body of evidence suggests the latter injury actually increases the likelihood of the former. By Jordana Bieze Foster, Editor

LER: Foot Health


FootHealthEco-friendly foot care

A growing number of people these days are looking for ways to reduce their carbon footprint and prioritize the environment. And, although they may not realize it, few healthcare professionals are better positioned to help the eco-friendly movement than foot-care specialists.

Continue Reading →

Departments


Management of athletes with early-stage PTTD
Management of athletes with early-stage PTTD
Posterior tibial tendon dysfunction (PTTD), known also as tibialis posterior tendon dysfunction, is one of the leading causes of acquired flatfoot in adults, but the… By By Frank Layman, PT, DPT, EdD, MT; and April Wilson, PTA, BS, CI, CKTP, IASTM
Support for dry needling builds among clinicians
Support for dry needling builds among clinicians
Dry needling is gaining momentum as an alternative therapy for myofascial pain, and is supported by a small but growing body of research as well as anecdotal evidence. But the training and expertise required to perform the procedure has become a topic of debate. By P.K. Daniel
Chronic ankle instability, gait, and muscle activity
Chronic ankle instability, gait, and muscle activity
New research suggests lower extremity clinicians should consider implementing gait training in combination with targeted strengthening of the peroneus longus and gluteus medius muscles to help restore normal gait patterns in patients with chronic ankle instability. By Rachel Koldenhoven, MEd, ATC
Reducing postoperative thromboembolism risk
Reducing postoperative thromboembolism risk
Preventing deep venous thrombosis and pulmonary embolism after lower extremity surgery can involve pharmaceutical therapies or mechanical interventions. The type of prophylaxis used depends on the type of surgery, pre-existing risk factors, and patient preference. By Barbara Boughton
Step-rate manipulation and foot-strike pattern
Step-rate manipulation and foot-strike pattern
In distance runners, step-rate manipulation of at least 10% above a runner’s preferred rate may be an effective clinical gait retraining method to decrease the severity of foot inclination angle at heel strike and… By Darrell J. Allen, PT, DPT, MS, SCS, CSCS; Hollie Heisler, PT, DPT; and Jennifer Mooney, PT, DPT 

News

In the Moment: Knee OA

Offloading and obesity: Gait study data have OA implications
Offloading and obesity: Gait study data have OA implications
Gait interventions can alter knee loading in obese patients, which may have implications for knee osteoarthritis (OA), according to three studies presented in August at the annual meeting of the American Society of Biomechanics in Raleigh, NC. By Katie Bell
Even mild LLD affects gait in ways that could speed knee degeneration
The effects of mild limb-length discrepancy (LLD) on gait in patients with knee osteoarthritis (OA) may contribute to disease progression, according to research epublished in August by Clinical Biomechanics. By Jordana Bieze Foster
Not all meniscal pathology on MRI is relevant in patients with knee OA
Some—but not all—characteristics of meniscal damage on magnetic resonance imaging (MRI) scans are associated with knee osteoarthritis (OA) severity and two-year progression, according to research from Tufts Medical Center in Boston, MA. By Jordana Bieze Foster

Market Mechanics

By Emily Delzell


Products


Anatomical Concepts Abby AFO
Anatomical Concepts Abby AFO
The Abby Articulating Ankle Foot Orthosis (AFO) from Ana­tomical Concepts is a multifunctional, posterior dual-jointed device for the early stages of rehabilitation. With a stable base of support and a new nonskid low-profile plantar surface, it is…
Microfiber Shades Now in Heather
Microfiber Shades Now in Heather
For people who need to wear graduated compression every day but want to add a pop of color to their wardrobe, Sigvaris North America is launching two fun new additions to the Microfiber Shades line of compression socks—navy heather and graphite heather socks.
Spinal Solutions EZ-APO
Spinal Solutions EZ-APO
Spinal Solutions announces the availability of the EZ-APO (Atlanta Prosthetics & Orthotics) ankle foot orthosis (AFO). The EZ-APO device is ergonomically designed to optimize fit around the footpad and malleolus and provide tibial tuberosity relief.
Custom-milled Orthotic Flip-flops
Custom-milled Orthotic Flip-flops
Footmaxx now offers custom-milled orthotic flip-flops. The orthotic flip flops are hand-crafted from durable materials, including a slip-resistant rubber sole, to support and stabilize the feet and lower extremities. Women’s styles include Rio, with…
FC2 Flexion Control Ankle Joint
FC2 Flexion Control Ankle Joint
Lower Extremity Technology has retooled the FC2 Flexion Control Ankle Joint to simplify fabrication. The multi-axis hinge offers 70° of full range of motion. The new design features an improved hinge axis for strength and durability, and updated casting for more support around the…
Pro-Roller Soft Half
Pro-Roller Soft Half
OPTP has added a new foam roller to its elite Pro-Roller line. The Pro-Roller Soft Half measures 36″ in length and 3″ in diameter. The roller’s unique shape is flat on one side and round on the other. Using the flat side down provides improved stability for balance training and…
Cascade DAFO Creation Station
Cascade DAFO Creation Station
Cascade DAFO announces the launch of the Creation Station for decorating custom dynamic ankle foot orthoses (DAFOs). With this new online interactive tool, DAFO users can “try on” various transfer patterns, ribbon trims, and strap and padding colors.
Össur Rebound PCL Brace
Össur Rebound PCL Brace
New from Össur is the Rebound PCL, a dynamic force brace for rehabilitating posterior cruciate ligament (PCL) ruptures. The Rebound PCL is designed to stabilize the knee while providing appropriate levels of physiologic loading force during both knee extension and…