Search Results for: stroke
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
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
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
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
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
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
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
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
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
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…
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
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
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
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
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
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
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
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
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
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
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