LER Cover Story:
Snake Bites to the Lower Extremity Reported to U.S. Emergency Departments
Background: Thousands of snake bites occur in the U.S. each year. Venomous snake bites can produce serious adverse effects, and even bites from nonvenomous snakes may cause adverse effects. Snake bites are often treated at hospital emergency departments (EDs). The objective of this study was to describe snake bites to the lower extremity treated at US hospital EDs.
By Mathias B. Forrester, BS
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Feature Articles
Foot-shoe mismatches leave patients at risk
Survey results suggest that at least one-third of individuals at risk for foot pain or diabetic foot ulcers are wearing shoes that are at least one size too big or too small, which can further increase those risks. Proper shoe fit and foot health start with patient education.
By Stephanie Swensen, BSc, and Ran Schwarzkopf, MD, MSc
Original research: Taping alters ankle biomechanics
This study found that closed basket-weave ankle taping significantly affects ankle range of motion and time to peak vertical ground reaction force, which can have implications higher up the kinetic chain that appear to vary from one individual to another.
By Matthew L. Santos-Vitorino, MS, ATC, LAT, Sue Shapiro, EdD, ATC, LAT, Kathy Ludwig, PhD, and Claire Egret, PhD
Knee bracing benefits off-road motorcyclists
New research suggests that serious injuries occur as frequently in off-road motorcycle racing as they do in football, but such injuries occur less frequently in riders who wear knee braces.This may be why, although it is not well studied, knee bracing is widespread among off-road motorcycle riders.
By Wesley M.Gladin, BS, Robert A.Cates, BA, and Mark S.Sanders, MD, FACS
Adult acquired flatfoot: Nonoperative options
Adult acquired flatfoot deformity, primarily posterior tibial tendon dysfunction, in many cases can be successfully managed with conservative treatment modalities including early immobilization, long-term bracing, physical therapy, and anti-inflammatory medications.
By Robert W. Mendicino, DPM, FACFAS, Alan R. Catanzariti, DPM, FACFAS, and Kyle S. Peterson, DPM
Knee OA: The evidence for gait modification
Gait retraining can potentially alter walking biomechanics such that knee adduction moment is reduced, an inexpensive offloading option that does not require device wear. Gait modification studies to date have primarily focused on foot rotation, trunk lean, and knee medialization.
By Michael A. Hunt, PT, PhD
Biomechanical analysis of ankle sprain ‘copers’
Researchers are investigating why some people develop chronic ankle instabilty after a sprain while others seem to heal normally. Biomechanical differences between the two cohorts may offer clues to the mechanisms underlying CAI and enhance preventive efforts.
By Adam Rosen, MS, ATC, and Cathleen N. Brown, PhD, ATC
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Industry News & Updates
PT Assessment, Referrals by ER Staff after a Fall May Reduce Revisits
In 2014, about 2.8 million older adults visited the emergency room (ER) for a...
CMT Patients Experience Improved Gait, Balance with AFO Usage
Use of orthoses can help improve the gait and balance of patients with...
CDC: 1 in 4 U.S. Adults Have a Disability
One in 4 U.S. adults — 61 million people — have a disability that impacts...
LSUHealthNO Studies Innovative Approach to Improve Walking In Children with CP
Noelle Moreau, PhD, PT, an associate professor of physical therapy at...
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A Message From the Publisher
Welcome to Lower Extremity Review or LER as we call it. This long awaited magazine fills the lower extremity information gap for practitioners in the fields of Podiatry, Physical Therapy, O&P Pedorthics, and Orthopedics. With over 20 years experience in multi-disciplinary editorial development and publishing, the collaboration of this incredible team has made this publication possible
Rich Dubin
Publisher and Chief Executive Officer
Featured Products
Lower Extremity Review
Peg Assist Walker Insole
Darco International announces an addition to its Peg Assist Offloading Insole family, the Peg Assist Walker Insole. The insole is composed of the same materials (Poron, Plastazote, and ethylene vinyl acetate) and is the same thickness as the company’s other Peg...
Cast Relief Spray from Dry Corp
Cast Relief by Dry Corp is a new aerosol spray designed to help relieve the itch and odor associated with wearing a lower extremity fiberglass cast. Cast Relief features a long application tube so lower extremity cast wearers can conveniently and safely apply the...
NuWave Nail Enamel
MVI Footcare is the exclusive distributor of NuWave Antibacterial and Antifungal Nail Enamel. NuWave enamels include basecoat, topcoat, and matte styles, in 22 colors. Developed by two women podiatrists, NuWave enamels are enhanced with an antifungal, antibacterial,...
Black Volara 4E Closed Cell Foam
Now available from JMS Plastics Supply is its new Black Volara 4E material. Volara is a closed cell foam that is designed not to absorb moisture, bacteria, or odors. Black Volara is stocked in 30" x 36" sheets and in rolls, in 1/8" or 3/16" thicknesses. In addition to...
Slide.fit Prosthetic Donning Aid
Designed around the motto “Donning Made Easy,” Streifeneder USA has released the new Slide.fit donning aid for transfemoral prostheses. The gliding material offers diminished resistance, allowing the amputee to easily and accurately put on the prosthetic device. The...
Spenco Medics Replacement Insoles
New from Spenco are Spenco Medics, adjustable replacement insoles featuring the company’s Total Support technology along with interchangeable heel and midfoot pods. The product comes in Dress, Sport, and Diabetic styles. Spenco Medics Diabetic Insoles have the added...
Men’s Hosiery in Dark Navy Stripe
When Sigvaris North America launched its Midtown Microfiber hosiery line in 2014, it was the company’s first compression therapy collection designed exclusively for men in three compression levels. Since that time, the line has expanded with additional sizes and...
Elite Orthopaedic Fracture Walkers
Elite Orthopaedics offers two new walkers designed for applications including soft tissue injuries, grade two and three sprains, stable fractures, and postoperative rehabilitation. The Premier Fracture Walker has steel-enforced plastic-molded uprights that are slotted...
KLM Ankle Brace
The new KLM Brace from KLM Laboratories is a custom-molded gauntlet-style ankle foot orthosis (AFO) specifically designed to stabilize the lower extremity, improve mobility, reduce pain, and decrease the risk of falls in patients with instability, weakness, or gait...


















