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

Quantitative Gait Assessment in Children With 16p11.2 Syndrome

Quantitative Gait Assessment in Children With 16p11.2 Syndrome

Neurodevelopmental disorders are frequently associated with motor impairments including locomotion. These study findings highlight the importance of using precise measures to differentiate motor dysfunction in neurodevelopmental disorders.

By Sylvie Goldman, Aston K. McCullough, Sally Dunaway Young, Carly Mueller, Adrianna Stahl, Audrey Zoeller, Laurel Daniels Abbruzzese, Ashwini K. Rao, and Jacqueline Montes.

Early Orthotic Intervention in Pediatric Patients, Part I: Cerebral Palsy

Early Orthotic Intervention in Pediatric Patients, Part I: Cerebral Palsy

Children with cerebral palsy (CP) typically encounter a host of gait- and balance-related issues associated with spasticity, dyskinesia, and weakness. How severe these are depends on CP type and the individual case. As a result, experts have long debated how early to intervene with bracing strategies that include ankle-foot orthoses (AFOs), and how long to maintain those interventions.

By Cary Groner

Healthcare Provider-Implemented Foot Evaluations for Walking Exercise Programs

Healthcare Provider-Implemented Foot Evaluations for Walking Exercise Programs

Encouraging exercise and appropriate footwear selection may be key in helping patients maintain healthy activity levels. Exercise is recommended for the majority of patients regardless of age, gender, or physical disability. The 2008 Physical Activity Guidelines for Americans1 recommended that all adults perform 150 minutes…

By Audris Tien, DPM, Brad Franklin, DNP, RN, FNP-C, FAANP, and Jarrod Shapiro, DPM, FACFAOM, FACFAS

Chronic Ankle Pain? Put Os Trigonum Fracture in the Differential

Chronic Ankle Pain? Put Os Trigonum Fracture in the Differential

This overlooked, often-left-undiagnosed ankle pathology causes long-term pain and instability. Appropriate treatment protocols, applied in a timely manner, can get patients back on their feet. The ankle presents an interesting dichotomy of strength and frailty: Whereas the ankle supports body weight, makes sharp twists and turns, and keeps the body from falling…

By Scott Pensivy, PT, LAT, ATC

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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

Rich Dubin

Publisher and Chief Executive Officer

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Lower Extremity Review

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ÖSSUR’S PRACTICE MANAGEMENT APP FOR DMEPOS

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RED WING EXOS LITE LINE

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PRO-TEC ATHLETICS SPIKY MASSAGE BALL

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Cryo-Cord Umbilical Cord Graft Material

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Large Fragment Cannulated Screw System

Large Fragment Cannulated Screw System

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Merrithew Flex Massage Stick

Merrithew Flex Massage Stick

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TULI’S SO SOFT INSOLES

TULI’S SO SOFT INSOLES

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