Search Results for: stroke

September 2011

A patient-first approach to critical limb ischemia

Outcomes of revascularization in pa­tients with lower extremity  critical limb ischemia should be defined according to patient goals and functional criteria rather than more traditional, physician-oriented variables such as limb salvage and graft patency.

By Ginger L. Manos, MD, John W. York, MD, FACS, and Brent L. Johnson, MS

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September 2011

Factors affecting athletes’ perception of movement

In sports, the concept of “affordance perception” can mean sensing an op­po­nent’s next move, which has implica­tions not just for performance but also for reducing injury risk.  An understanding of affordance perception also can improve the effectiveness of training.

By Julie A. Weast-Knapp, MA, and Kevin Shockley, PhD

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August 2011

Next step for FES focuses on plantar flexor muscles

Functional electrical stimulation of the ankle dorsiflexor muscles effectively reduces foot drop in stroke patients, but also is associated with limitations. Now researchers are looking to address those limitations by adding plantar flexor stimulation to the mix.

By Emily Delzell

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July 2011

Original research: Skill level and balance in golf

Previous research has identified superior balance in professional golfers compared with controls as well as associations between balance and skill level in amateur golfers. This study compared standing balance characteristics between profes­sion­al and highly skilled amateur golfers.

By Robert Donatelli, PT, PhD; Kenji Carp, PT, ATC, OCS; Guido Pagnacco, PhD; and John Adam, ATC      

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June 2011

Mysteries of O&P devices and energy expenditure

Ankle foot orthoses and other O&P devices allow patients to walk faster, for longer periods of time, with a more biomechanically efficient gait. It seems logical that energy costs would decrease as a result. But that’s been surprisingly difficult for researchers to prove.

By Cary Groner

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April 2011

Differential diagnosis of Charcot arthropathy

Early detection of Charcot neuroarthropathy is critical for preventing the bone and joint destruction associated with later stages, but symptoms that mimic other conditions can make a differential diagnosis difficult.

By Georgeanne Botek, DPM, and Gina Hild, DPM

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April 2011

Sensitivity to self image boosts O&P outcomes

O&P devices are all-too-public indicators of an infirmity, and often limit clothing and footwear options—all of which contributes to poor self image. But a little empathy can keep self image issues from sabotaging patient compliance.

By Emily Delzell

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March 2011

Footwear: Advantages of a whole-patient approach

As important as it is to fit the foot properly within the shoe, that’s only one part of the process. Patients’ comorbidities, personality, and fashion sense all determine the extent to which a pair of footwear can maximize a diabetic patient’s outcomes and minimize complications.

By Shalmali Pal

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January 2011

AFO users must rethink concept of ‘normal’ gait

Ankle foot orthoses can make a neuromuscular patient’s gait pattern more like that of an unaffected person, but the devices can also be associated with compensations of their own. And in some patients, a more ‘normal’ gait pattern is not necessarily going to be more functional.

by Cary Groner

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December 2010

Gait speed in AFOs: Results may vary

Numerous studies, and significant clinical experience, suggest that ankle foot orthoses help increase gait speed in post-stroke patients with hemiplegia or drop foot. Not all research supports this conclusion, however…

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November 2010

Yoga helps target falls, fears in older patients

Yoga can help improve balance and increase confidence in older adults who are at risk for fall-related injury. The key to successful outcomes is to modify traditional poses in ways that accommodate both physical limitations and fears in this patient population.

By Arlene Schmid, PhD, OTR

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October 2010

Strengthening the case for carbon fiber AFOs

Clinicians are already embracing carbon-fiber ankle foot orthoses, which provide a dynamic assist and may even help strengthen calf muscles in patients with foot drop. Now, slowly, research is exploring how these devices can best be used.

by Cary Groner

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September 2010

Intriguing AFO effects

Gait speed linked to braking force By Jordana Bieze Foster Rigid ankle foot orthoses increase gait speed in hemiplegic stroke patients, but not for the reasons one might think, according to research from the Kessler Foundation Research Center in New … Continue reading

September 2010

Robot-assisted ankle rehabilitation boosts functional mobility scores

Robot-assisted ankle rehabilitation significantly improves functional mobility in stroke patients, according to research from Northwestern University in Chicago. Researchers customized a continuous passive motion machine to create a portable rehabilitation robot that is used for both passive stretching and active … Continue reading

September 2010

Gait study finds FES of plantar flexors fails to improve mechanical recovery

Functional electrical stimulation of the plantar flexor muscles in addition to the dorsiflexors surprisingly had no effect on mechanical recovery during post-stroke gait in a study performed at the University of Delaware. Researchers analyzed the effects of dorsiflexion FES alone … Continue reading

September 2010

Cover Story Editor Message Departments News In the Moment: Footwear In the Moment: Sports Medicine In the Moment: O&P In the Moment: Stroke Market Mechanics Products

September 2010

Arterial disease: Lower extremity implications

It’s not uncommon to encounter undiagnosed PAD in patients who have come in for a seemingly unrelated complaint. Understanding the risk factors, diagnostic techniques and treatment options is key.

By Steven Miller, DPM

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August 2010

Evidence-based foot care in patients with diabetes

The medical literature provides a range of evidence on which to base treatment decisions, but the practitioner must interpret and evaluate that evidence in the context of his or her clinical expertise.

By Cordell Atkins, PT, DPT, CWS, CDE, CPed Continue reading

July 2010

APTA endorses WalkAide system from Innovative Neurotronics

The American Physical Therapy Association in June endorsed the WalkAide system, developed by Austin, TX-based Innovative Neurotronics, the development and commercialization subsidiary of Hanger Orthopedic Group . WalkAide, which debuted in 2006, is an intelligent functional electrical stimulation (FES) system … Continue reading

July 2010

LER: Our first year

We published 12 information-packed issues,and readers responded— on our website and through our social media outlets. These are just a few of the highlights.

• Top Articles – Most Visits • Top Products – Most viewed • Articles Most Commented On • Most Viewed Product Videos • Top 5 – Most Time Spent on Article • #1 Facebook Fan

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July 2010

Quantifying functional effects of AFO alignment

Assessing device alignment is a key aspect of prosthetic practice, but when it comes to lower extremity orthotics the process is less common. That’s changing, however, as researchers begin to document the effects of alignment on gait biomechanics.

by Cary Groner

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June 2010

Investigators examine biomechanical effects of carbon composite devices

AFOs must find energy balance – The extent to which carbon composite ankle foot orthoses improve gait efficiency in stroke patients may be a function of walking speed, according to a Swedish study. And despite the fact that the devices are known for their energy storage, research from the Netherlands suggests that the relationship between energy storage and energy cost may be complicated.

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May 2010

In the moment: O&P

Net gain for ankle bracing – Rigid and semi-rigid ankle braces may help prevent inversion ankle sprains in female volleyball players with no previous history of sprain, according to research published in the April issue of Foot & Ankle International. Plus: • Neuropathyandgait • Partialweightbearing • Erratum

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May 2010

Market Mechanics

• Thranhardtrecipients
• APTAendorsement
• DFConawardwinner
• CAMcertification
• Sportssponsorship
• Ergonomicchairs

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March 2010

In the moment: Rehabilitation

The promise of platelets: People are talking about platelet rich plasma . The nonsurgical therapeutic technique has been credited with a SuperBowl comeback, and it’s been criticized in one of the most-respected journals in the literature. Not surprisingly, some are wondering if it’s too good to be true.

Plus: • Achilles benchmarks • Hip strength and PFP • AFOs and hemiplegia

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