Search Results for: stroke
Although patients with drop foot show an overall preference for functional electrical stimulation over ankle foot orthoses, individuals familiar with both therapies recognize the benefits and drawbacks of the two modalities, according to research published in the September issue of … Continue reading
An ankle foot orthosis that orients the ankle in slight dorsiflexion may help improve knee flexion during gait and reduce the risk of heel ulcers in post-stroke patients, according to research from Marquette University in Milwaukee. Investigators performed gait analysis … Continue reading
Two simple tests performed within 72 hours of an ischemic stroke can help predict the likelihood of achieving independent gait after six months, according to research from the Netherlands. In 154 first-ever ischemic stroke patients who were unable to walk … Continue reading
The medical literature doesn’t yet have all the answers regarding orthotic management of stroke, but don’t discount the existing body of evidence. It could—and should—change the way you practice.
By Stefania Fatone, PhD, BPO(Hons) Continue reading
Practice is important for learning something new. Repeating an action over and over increases the likelihood of mastering it. But recent research shows that taking short breaks may be just as critical. A 2019 study found that short, frequent breaks were key to improving performance on a new task. These short rest periods strengthen memories of the new skill just practiced. Continue reading
This 6th sense helps our body understand where it is in space and how to move in response to countless signals between the brain and millions of receptors throughout the body. To move safely in this world, our body needs to understand where it is in the environment. Key among the players accomplishing this complex task is the…
By Janice T. Radak Continue reading
Motus Nova is a leader in neurorehabilitation technology with a mission to deliver high-quality interventions in every home. Foot drop and other lower extremity deficits contribute significantly to impaired functionality and safety of survivors of neurologic injuries such as stroke. The Motus Foot is an FDA Class I robotic therapeutic… Continue reading
Falls in People with Multiple Sclerosis, Part I: Risk Identification, Intervention, and Future Directions
Falls are highly prevalent in people with multiple sclerosis (MS) and result in a range of negative consequences, such as injury, activity curtailment, reduced quality of life, and increased need for care and time off work.
By Susan Coote, PhD; Laura Comber, PhD; Gillian Quinn, PhD; Carme Santoyo-Medina, MSc; Alon Kalron, PhD, PT; Hilary Gunn, PhD Continue reading
The FitGlide by Bob and Brad is an easy-to-use tool for exercise and rehabilitation of the lower extremities. Created by physical therapists Bob Schrupp, PT, MA, and Brad Heineck, PT, CSCS, the FitGlide was designed for patients recovering from knee replacement or surgeries (ACL, PCL), hip replacement or… Continue reading
This 2-part series examines the current state of peripheral artery disease. Part 1, which appeared in the August issue, focused on disease burden, risk factors, and clinical presentation. This article reviews diagnostic tools and current management recommendations.
By Aisha Cobbs, PhD Continue reading
Urban Poling’s evidence-based ACTIVATOR poles were designed by an occupational therapist and gerontologist specifically for rehabilitation and long-term conditions. This patented design enhances strengthening, stability, and off-loading with your clients’ safety in mind. Continue reading
Strolln by Coyote is a therapeutic mobility shoe that was designed with patented retractable rollers to provide easier toe clearance for patients with foot drop. It is priced appropriately for patients to start using it immediately in therapy. Continue reading
Like a good medical exam, a medical bike fit starts before the patient ever gets on the bike. Talking with cycling patients before any assessments can facilitate the diagnostic process. Bike fitting is a service that has been offered in bike shops and studios for decades. Bike fitting is also a medical service offered by physicians, physical therapists, chiropractors, and other qualified health care providers.
By Andrea Myers, PT, DPT Continue reading
The Neofect Smart Balance is a lower-limb rehabilitation device that uses games to encourage regular practice for patients recovering from stroke, traumatic brain injury, spinal cord injury, or other musculoskeletal disorders. The gamification makes rehabilitation more interactive and fun for patients, and the digital solution provides measurable results for therapists. The solution emphasizes core strength for restabilization and balance… Continue reading
This 2-part series examines the current state of peripheral artery disease. This article focuses on disease burden, risk factors, and clinical presentation. Part 2, which will appear next month, will examine current recommendations for diagnosis and treatment.
By Aisha Cobbs, PhD Continue reading
With existing knowledge, much of the cardiovascular risk burden of peripheral artery disease (PAD) is preventable. PAD is a common atherosclerotic syndrome that is estimated to affect 12.5 million Americans and 237 million people worldwide.1 One in five Americans over the age of 65 has PAD.2 Based on national treatment patterns, more than half of all patients with PAD do not know they have it.
By Sue Duval, PhD Continue reading
This Bike Fit specialist explains his process for fitting the cyclist, not the bike, to address the individual needs of the rider. He provided commentary to LER Editor Janice T. Radak for the photographs taken at a recent bike fitting clinic and displayed in this story. Bike Fit Unplugged is the technique I developed…
By Happy Freedman Continue reading
Virtual reality video games, activity monitors, and handheld computer devices can help people stand as well as walk, the largest trial worldwide into the effects of digital devices in rehabilitation has found. The study was undertaken at hospitals in Sydney and Adelaide, Australia, and had 300 participants ranging from… Continue reading
Peripheral arterial disease may be a common finding among those over 50, but it remains underdiagnosed. Choosing the right diagnostic test is key. Eight million men and women in the United States have lower extremity peripheral arterial disease (PAD).1 PAD is a common finding among patients over age 50, yet it is frequently underdiagnosed.
By Brittany Mammano, DPM, PGY-1, and Saba Sadra, DPM, MSc Continue reading
Most patients benefit from nonsurgical care of foot drop. Your task is to identify the optimal bracing options and work closely with the patient to understand their personal treatment expectations and goals.
By Jason Wright, DPM, PGY-2, And Marshall G. Solomon, DPM, FACPM, FACAS Continue reading
Critical limb ischemia (CLI), a condition characterized by the narrowing or blocking of arteries that lead to the legs, is the most severe form of peripheral artery disease (PAD) and a leading cause of lower-limb amputation. Moreover, patients with CLI have high mortality rates. As such, early diagnosis and treatment are key, according to a scientific statement recently published by the American Heart Association (AHA) in its journal, Circulation. Continue reading
Podiatrists are among the providers targeted by efforts to revise regulation of referral for Medicare services. The goal? Modernize governance of a changing healthcare industry. The federal Physician Self-Referral Law (known commonly as the “Stark Law” or, simply, “Stark”) and its regulations generally prohibit physician referrals of Medicare patients for certain designated healthcare services when the physician has a…
By Daniel F. Shay, Esq. Continue reading
Foot drop is a common presentation in people who have multiple sclerosis (MS). The inability to lift the forefoot off the ground adequately, such as to clear curbs and stairs, affects gait and increases fall risk. Ankle–foot orthoses (AFOs) and functional electrical stimulation (FES)…
By Laura Fonda Hochnadel Continue reading
Gout may be well known, but there is a tremendous misunderstanding of what it takes to treat this serious inflammatory disease. Those are among the findings of a recent survey conducted for the Gout Education Society by Wakefield Research. The online survey of 1,000 nationally representative Americans, ages 18+, with an oversampling of 100+ interviews of adults who… Continue reading
At All Levels and Categories of Cycling: Correct Poor Crank-arm Fit to Relieve Chronic Knee (and Hip) Pain
Consider recommending installation of shorter crank arms on a bike when a cyclist complains of knee or hip pain. After years of bike-fitting, here’s why we’ve concluded that this modification is invaluable. One of the biggest problems in bicycling, I’ve found, is that pain is considered normal. I (RS) am a master bike fitter and an elite cycling coach.
By Rick Schultz, MBA, DBA, and Amy Schultz, PT, DPT, CSCS Continue reading