July 2012

Cover Story


feature-cover
Glycemic control and postoperative healing

Researchers have established that elevated levels of glycated hemoglobin in patients with diabetes are associated with poor outcomes after foot and ankle surgery. Now the challenge is to identify an “acceptable” glycated hemoglobin level below which the benefits of surgery outweigh the risk of complications.

By Naohiro Shibuya, DPM, MS, FACFAS, Jon M. Humphers, DPM, and Daniel C. Jupiter, PhD

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7delcam-woodburn-image-2a
High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

7delcam-37a
Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

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sprinter-feature
The sprinter’s advantage: Thinking outside the blocks

Researchers at The Pennsylvania State University have identified structural char­ac­teristics that distinguish the foot and ankle mechanics of trained sprinters from nonsprinters. Are similar underlying vari­ables responsible for the reductions in mobility that affect older adults?

By Stephen J. Piazza, PhD

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Publisher’s Memo


7delcam-woodburn-image-2a
High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

7delcam-37a
Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

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Rich Dubin, Publisher
Publisher’s memo: A healthier approach

As we celebrate LER’s fourth anniversary, I feel that I would be remiss if I didn’t take this opportunity to share what I have personally experienced this past year. Last July, my wife decided to go back to school to become a certified health coach. Little did I know then that this would bring profound changes in my life both personally and professionally.

Richard Dubin, Publisher

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Rich Dubin, Publisher
Publisher’s memo: Embracing change

As a father of four, I knew the day would come when one of them would be moving on. As my wife and I watched our eldest son walk across the stage to receive his high school diploma, I was reminded of how fast life moves and how important it is to have a strong network of support to help embrace that change.

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Editor Message


7delcam-woodburn-image-2a
High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

7delcam-37a
Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

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Jordana
Out on a limb: Sins of expertness

In journalism, as in much of healthcare, we tend to focus our attention on what is new. But every once in a while we’re reminded that words and ideas published more than a decade ago still have the power to challenge the way we think.

Jordana Bieze Foster, Editor

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Jordana
Out on a limb: Power in practice

Healthcare researchers don’t get a lot of instant gratification. Typically it takes years for a study’s findings to have an impact on clinical practice, and often that doesn’t happen until those findings have been replicated by additional studies.

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Departments


7delcam-woodburn-image-2a
High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

7delcam-37a
Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

9_FA_patient_persp_feature
Patient Perspective: Bunionectomy recovery is more than just healing

I can’t recall exactly when the bunion on my left foot started causing discomfort, but it was probably when I was about 40. I waited some time to get a referral to a podiatrist, and when I finally saw one, life with two kids and a full-time job stalled my pursuit of treatment for another three and half years.

By Karen Bakar

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feature-oa
Post-traumatic OA: Unique implications for the military

Military populations experience high rates of disability related to post-traumatic osteo­arthritis (PTOA), which does not always originate from combat injury. But military researchers are also uniquely posi­tion­ed to explore therapeutic options to minimize the effect of PTOA.

By Jessica C. Rivera, MD, Joseph C. Wenke, PhD, James R. Ficke, MD, and Anthony E. Johnson, MD

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feature-itb
A new approach to iliotibial band syndrome in runners

Variables related to iliotibial band strain appear to be important risk factors for development of iliotibial band syndrome (ITBS) in runners, a finding that is beginning to change the way researchers assess the effectiveness of gait retraining interventions to treat or prevent ITBS.

By Stacey Meardon, PT, PhD, ATC, CSCS, and Ross H. Miller, PhD

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feature-soccer
Kicking biomechanics: Importance of balance

Kicking is a whole-body movement that is responsive to a wide range of constraints related to the task, the environment, and the athlete. Preliminary research also suggests that balance control in the support leg plays a key role in athletes’ kicking performance.

By David I. Anderson, PhD, and Ben Sidaway, PT, PhD

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obesity-feature
Pediatric obesity weighs on growing bones, joints

Exercise is the standard prescription for obesity. But alterations to joint biome­chan­ics, gait, and anatomical structure in overweight children and teens mean that physical activity comes with its own risks, which practitioners must factor into any clinical recommendations.

By Christina Hall Nettles

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arch-feature
Development of the arch: Functional implications

Contrary to the conclusions of early research, recent studies suggest that arch height does indeed affect lower extremity function. The biomechanics associated with different arch heights may provide a basis for treatment and prevention of related injuries.

By Thomas C. Michaud, DC

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op-feature
The evidence for use of gauntlet-style AFOs

Gauntlet-style ankle foot orthoses offer an alternative to a larger rigid therm­oplastic AFO for foot and ankle pathol­ogies requir­ing more stability or im­mo­bili­za­tion than a foot orthosis provides. Materials, trim lines, and fabrication techniques can vary to meet different patients’ needs.

By Holly Tuchscherer Olszewski MS, CPO 

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diabetes-feature
Dialysis treatment takes toll on diabetic foot care

A convergence of comorbidities means diabetic patients on dialysis have an even higher risk of foot ulcers and amputation than those without renal disease. The potential for preventing these complica­tions at dialysis centers is too often underappreciated by practitioners.

By Larry Hand

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7cover-feature
ACL reconstruction and risk of knee OA, part 2

This two-part series examines the link between ACL injury and the later development of osteoarthritis (OA) and how surgery may strengthen or weaken that link. This second installment explores meniscal damage, proprioception, and what MRI can add to the discussion.

By Cary Groner

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News


In the Moment: Ankle

By Jordana Bieze Foster

7delcam-woodburn-image-2a
High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

7delcam-37a
Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

Photo courtesy of DeRoyal
Brace relations: Complex effects are not only mechanical

Research presented in late June at the annual National Athletic Trainers Association (NATA) meeting in Las Vegas added to the body of evidence suggesting that the effects of ankle bracing are not solely mechanical, and that even the mechanical effects may be more complicated than they seem.

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CAI patients with poorest sensation report more sprains in their history

Decreased plantar cutaneous sensation in patients with chronic ankle instability (CAI) is associated with number of prior ankle sprains, according to research from Old Dominion University in Norfolk, VA.

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Balance deficits persist after sprain despite clearance to return to sports

Athletes with a history of severe ankle sprain still demonstrate postural control deficits and report functional impairment even after being medically cleared for full sports participation, according to two studies from A.T. Still University in Mesa, AZ.

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7ITM-knee-iStock13847664a
Positives for PFP: Benefits of six-week rehab are retained

Six weeks of lower extremity strengthening in runners with patellofemoral pain (PFP) leads to improvements in pain and function that are retained six months later, regardless of whether the rehabilitation focuses on the knee or the hip, according to research presented in late June at the National Athletic Trainers Association (NATA) annual meeting in Las Vegas.

Continue reading

Self-reported function corresponds to bone bruise radiographic severity

Self-reported functional scores in patients with bone bruise lesions associated with anterior cruciate ligament (ACL) injury are consistent with severity classifications based on radiographic presentation, according to findings presented in late June at the NATA meeting.

Continue reading

Knee brace use alters lower extremity muscle activation during jump landing

Wearing a functional knee brace significantly alters activation characteristics in several lower extremity muscles, according to research from the University of Virginia in Charlottesville presented in late June at the NATA meeting.

Continue reading

Shutterstock.com #53959399
Fusion vs replacement: Both improve gait, but well short of normal

Functional outcomes for total ankle re­place­ment (TAR) in patients with end-stage ankle arthritis appear to match or exceed those of ankle fusion, according to research presented in June at the an­nual meeting of the American Ortho­paedic Foot & Ankle Society (AOFAS).

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ATFL repair with any of three methods decreases ligament stiffness, strength

Three different methods for repairing the anterior talofibular ligament (ATFL) leave the repaired structure significantly stiffer and weaker than an intact ligament, which may have implications for ankle injury rehabilitation, according to research presented in June at the AOFAS meeting.

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Effects on plantar flexor endurance, power linger after gastroc recession

Tasks requiring plantar flexor endurance and push-off power remain difficult for patients long after an otherwise successful gas­tro­cnemius recession for treatment of Achilles tendinopathy, according to findings presented in June at the AOFAS meeting.

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Bracing affects plantar pressures and inversion, but not most performance tests

Research presented in June at the annual meeting of the National Athletic Trainers Association shed more light on the biomechanical effects of ankle braces that can help reduce the risk of inversion injury.

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In the Moment: Sports medicine

By Jordana Bieze Foster

7delcam-woodburn-image-2a
High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

7delcam-37a
Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

7ITM-knee-iStock13847664a
Positives for PFP: Benefits of six-week rehab are retained

Six weeks of lower extremity strengthening in runners with patellofemoral pain (PFP) leads to improvements in pain and function that are retained six months later, regardless of whether the rehabilitation focuses on the knee or the hip, according to research presented in late June at the National Athletic Trainers Association (NATA) annual meeting in Las Vegas.

Continue reading

Self-reported function corresponds to bone bruise radiographic severity

Self-reported functional scores in patients with bone bruise lesions associated with anterior cruciate ligament (ACL) injury are consistent with severity classifications based on radiographic presentation, according to findings presented in late June at the NATA meeting.

Continue reading

Knee brace use alters lower extremity muscle activation during jump landing

Wearing a functional knee brace significantly alters activation characteristics in several lower extremity muscles, according to research from the University of Virginia in Charlottesville presented in late June at the NATA meeting.

Continue reading

shutterstock.com #63378793
Concussion conundrum: Chronic postural deficits elude detection

Sophisticated laboratory experiments have documented postural control deficits in athletes with a history of concussion, but research presented in June at the annual meeting of the National Athletic Trainers Association (NATA) suggests clinicians may find it difficult to identify similar deficits in concussed athletes once their other symptoms have resolved.

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Hip adduction on landing stands out as predictor of future ACL injury risk

Hip adduction on landing is a significant predictor of anterior cruciate ligament (ACL) injury risk, according to a large pros­pective study from the University of North Carolina at Chapel Hill, presented in June at the NATA meeting.

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In patients with patellofemoral pain, hip weakness may be result, not cause

A pain-inducing protocol significantly reduces hip extension strength in patients with patello­fem­oral pain (PFP), suggesting that hip weakness associated with the condition may be a result and not a cause, according to research from the University of Wisconsin-Milwaukee presented in June at the NATA meeting.

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In the Moment: Knee OA

By Samantha Rosenblum and Jordana Bieze Foster

7delcam-woodburn-image-2a
High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

7delcam-37a
Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

7ITM-knee-iStock13847664a
Positives for PFP: Benefits of six-week rehab are retained

Six weeks of lower extremity strengthening in runners with patellofemoral pain (PFP) leads to improvements in pain and function that are retained six months later, regardless of whether the rehabilitation focuses on the knee or the hip, according to research presented in late June at the National Athletic Trainers Association (NATA) annual meeting in Las Vegas.

Continue reading

Self-reported function corresponds to bone bruise radiographic severity

Self-reported functional scores in patients with bone bruise lesions associated with anterior cruciate ligament (ACL) injury are consistent with severity classifications based on radiographic presentation, according to findings presented in late June at the NATA meeting.

Continue reading

Knee brace use alters lower extremity muscle activation during jump landing

Wearing a functional knee brace significantly alters activation characteristics in several lower extremity muscles, according to research from the University of Virginia in Charlottesville presented in late June at the NATA meeting.

Continue reading

Istockphoto.com #12100563
Arthroscopy attrition: 2002 study changes practice patterns

The number of knee arthroscopy proce­dures performed in patients with osteo­arthritis (OA) has greatly decreased since the 2002 publication of a high profile New England Journal of Medicine study that questioned the procedure’s effectiveness, according to research from the Cleveland Clinic in Cleveland, OH.

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Bone bruises associated with ligament injuries may predict chondral damage

The distribution of bone bruises associated with acute knee ligament injury is consistent with long-term patterns of chondral damage, according to research from the University of Kentucky in Lexington presented in June at the annual meeting of the National Athletic Trainers Association.

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Soccer training intensity affects levels of biomarker for cartilage degradation

Increased exercise duration is associated with elevated levels of a serum biomarker previously found to be an indicator of cartilage damage, according to research from the University of Kentucky in Lexington presented in June at the annual meeting of the National Athletic Trainers Association.

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Market Mechanics


7delcam-woodburn-image-2a
High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

7delcam-37a
Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

Continue reading

NATA’s ankle sprain guidelines focus on best practices, assessment, prevention

The National Athletic Trainers’ Association (NATA) released a position statement on the management and prevention of ankle sprains on June 27 at its 64th Annual Meeting and Clinical Symposia in Las Vegas. The NATA’s position statement offers best practices supported … Continue reading

Partners to advance pressure mapping

Minneapolis-based Ottobock inked a partnership in late June with PatienTech/Vista Medical, a distributor of pressure sensing technology in Winnipeg, Canada, that gives Ottobock exclusive distribution rights to Vista Medical’s BodiTrak Smart Fabric pressure mapping system. BodiTrak uses advanced electronic sensors … Continue reading

Volunteers fit children’s feet in record time

Shoe donations from Chapel Hill, NC-based FootCentric, New Balance, headquartered in Brighton, MA, and Teaneck, NJ-based Aetrex Worldwide enabled an army of volunteer social workers, teachers, physical therapists, physical therapy students, pedorthists, and school health counselors to fit 166 children … Continue reading

Collaboration targets sports performance

Athletes’ Performance, which provides performance training and physical therapy to elite and professional athletes at five major facilities around the US, announced in June that it will partner with the Mayo Clinic to advance sports medicine care and research. The … Continue reading

Foundation launches health initiative

The Foundation for Physical Therapy launched the public phase of its campaign to establish a center of excellence in health services at its annual gala, held in late June at the American Physical Therapy Association’s (APTA) Conference and Exposition in … Continue reading

Adidas adds “blades” for energy return

The Adidas Springblade, which will hit store shelves August 1, is designed to increase energy return and propel runners forward with its 16 plastic “blades,” strips of polymer that make up the shoe’s foamless midsole. The blades, which are individually … Continue reading

Mr. Edge writes book on skating injuries

Anatomy of a Figure Skating Injury, published on July 3, addresses the current information gap about causes of injury and strategies for prevention in figure skaters. The book’s author is John Harmata, president of Arena Sports & Consulting Services/ Geppetto’s … Continue reading

Study shows adjustable AFO reduces pain, allows return to active lifestyle

The Revolution ankle foot or­thosis (AFO) from Brooklyn, NY-based American Orthopedics Manufacturing Corporation (AOMC) improves symptoms of pain and associated disability and helps patients return to activity, according to a case series from researchers at Gifford Medical Center’s Sharon Sports … Continue reading

Pressure-sensing insole for diabetic neuropathy poised to enter market

Canadian medical technology company Orpyx will release its first product, the SurroSense Rx, later this year, reported the company’s CEO and president, Breanne Everett, MD, a resident in the Division of Plastic and Reconstructive Surgery at the University of Calgary. … Continue reading

BOC introduces emeritus designation

The Board of Certification/Accreditation, International (BOC) is recognizing the knowledge that comes from years of hands-on O&P experience with the introduction of its Emeritus status category. Emeritus status, given to those who are no longer practicing but still retain the … Continue reading

Program educates hammertoe patients

Arlington, TN-based Wright Medical Group last month launched its MiToe patient outreach program to increase patients’ awareness of treatment options for hammertoes. Wright introduced the program to practitioners at the June meeting of the American Orthopaedic Foot & Ankle Society, … Continue reading

Track continuing ed credits online

Health and fitness professionals can now go online to earn continuing education credits (CECs) from the American College of Sports Medicine (ACSM). The ACSM’s new education platform, at www.onlinelearning-acsm.org, offers a wide selection of continuing education opportunities, including multimedia video … Continue reading

AOPA hosts Medicare coding seminar

The American Orthotic & Prosthetic Association (AOPA) is hosting its popular “Mastering Medicare: Coding” course in downtown Seattle August 6-7. Participants will learn about how to code new complex devices through interactive discussions with AOPA experts, billing rules for Medicare … Continue reading

Products


boot-cover
Walking Boot Covers

re:covers walking boot covers solve practical day-to-day issues such as brace wear and tear, skin scrapes, and snagging of compression hose. They also address patients’ very real cosmetic concerns with colors and patterns that disguise the walking boot and showcase … Continue reading

pro-flo
Postoperative Socket System

The APOPPS (Adjustable Post-Operative Preparatory Prosthetic System) features volume reduction, medial and lateral compression, easy access to bandages, and early weightbearing when using a Universal Frame Outer Socket (UFOS). The three-part adjustable socket system provides postoperative, early, and preparatory prosthetic … Continue reading

ankle-braces
Premiere Ankle Braces

Townsend has redefined and expanded its line of custom Premier Ankle Braces to achieve mobility benefits for a wider range of patients. The Standard Premier Ankle Brace includes a tibia shell and ankle joints made from pre-preg carbon fiber with … Continue reading

products-pedifix
Compression Anklet in Black

PediFix introduces its Pedi-Smart Black Compression Anklet. This medical-grade product provides graduated Grade III (30-40 mm Hg) compression from the metatarsals to the calf, which helps increase venous activity, minimizes swelling, eases pain, and speeds healing, especially after injury or … Continue reading

products-silipos
Gel Pediatric Suspension Sleeve

Silipos’ Gel Pediatric Suspension Sleeve is designed to work with pediatric below-knee sockets as well as pediatric and adult upper extremity sockets. The sleeve is fully lined with medical grade mineral oil gel to maximize comfort and skin protection. The … Continue reading

products-ottobock
Orthotronic C-Brace

Ottobock announces the debut of the C-Brace orthotronic mobility system for patients with neurological conditions affecting the lower limbs. The orthotronic system, which combines electronic and me­ch- an­ical technologies, helps the wearer to descend stairs, change speeds, and walk with … Continue reading

roland-sandal
Roland Sandal

Oasis Footwear introduces the Roland, a fisherman-style sandal for men. The Roland is approved by PDAC (Medicare’s Pricing, Data Analysis, and Coding) and, when prescribed by a physician, its cost qualifies as a Part B benefit under the Therapeutic Shoe … Continue reading

products-brd-brace
BRD Plantar Fasciitis Brace

BRD Sport is now offering a Plantar Fasciitis Brace to relieve acute arch and heel pain. Three-dimensional knitting offers a four-way stretch, and anatomically contoured silicone pads on the medial and lateral sides give support and intermittent massage to help … Continue reading

ankle
Bionic Ankle For AK Users

iWalk announces the availability of its new Biom bionic lower limb system for above-knee amputees (Biom AK). The new Biom AK is an ankle system that that works with select microprocessor knees to restore natural motion through personalized bionic technology. … Continue reading

washable-shoes
Washable Carter Shoe

Dr. Comfort’s new Carter style shoe for men is a machine washable, double-depth diabetic shoe. Made of lightweight stretch Lycra with a two-way Velcro closure for extra flexibility, this shoe is designed to accommodate foot deformities such as bunions or … Continue reading

products-walkjoy
WalkJoy Gait Restoration

Worn discreetly and comfortably below the knee, the compact, lightweight WalkJoy product aids in the restoration of gait and balance in patients with peripheral neuropathy. Its advanced telemetry provides precise information about a patient’s walking dynamics and activates vibrotactors upon … Continue reading

kidzerts
Full-Length KidZerts

KidZerts has released a full-length version of its popular three-quarter length insole for kids. Like the three-quarter length version, the full-length insoles feature an ethyl vinyl acetate (EVA) sublayer that molds slowly to the plantar surface of the foot during … Continue reading

3D printing: The shape of things to come

The Orthotics Technology Forum presentation given by Ben Boyer, CPed, was as much about what the speaker was wearing as what he was saying. Boyer, who is the lab manager at Kintec in Vancouver, Canada, wore a product he thinks may represent part of the future of orthotic design and manufacture—orthoses he’d printed with a hobbyist-level desktop 3D printer.

Continue reading

7delcam-woodburn-image-2a
High-tech path leads to the future of improved orthotic prescription

One of the most-talked-about images from the 2013 Orthotics Technology Forum (OTF) depicted 11 custom foot orthoses made by 11 experienced orthotists and podiatrists for a single patient. All 11 practitioners had been given the same information about the patient’s condition, yet all 11 orthoses were distinctly different.

Continue reading

pttd
Adult PTTD Orthotic

Earthwalk Orthotics offers the new Adult PTTD Orthotic. The orthosis is designed for healthy adults with such conditions as posterior tibial tendon dysfunction, tarsal coalition, severe pronation, midtarsal joint function limitations, and extreme plantar fasciitis. The design features a polypropylene … Continue reading

keeping-pace
Keeping Pace Children’s Shoes

The 2012 shoe lines from KeepingPace integrate a wider, deeper heel and toe box for accommodating orthotic devices without being oversized. Designed with input from orthotists and therapeutic footwear designers, all styles offer three adjustable innersoles for a precise fit, … Continue reading

products-algeos
Peapod Pediatric Orthotics

Peapod Pediatric Orthotics (by Podotech, available from Algeos USA) offer a versatile, cost-effective alternative to custom foot orthoses for clinicians with pediatric patients. The Peapod Dinky is a medium density ethylene vinyl acetate (EVA) device, with a deep heel cup … Continue reading

products-kw2
Ovation Hybrid Night Splint

Ovation Medical introduces the Ovation Hybrid Night Splint to provide the convenience of the company’s Dorsal Night Splint and the structured support and adjustability of the original Posterior Night Splint. The shell design of the Hybrid positions the foot securely … Continue reading

products-sigvaris
Compression Hosiery

Sigvaris announces the launch of its medical-grade compression level Allure product line. The Allure sheer medical compression hosiery line, featuring a diamond-dot pattern, has the look and soft feel of designer fashion hosiery with the health benefits of medical compression … Continue reading

products-comfortfit
SportFit Flex Orthosis

ComfortFit Labs has added a new orthotic device to its SportFit collection. The SportFit Flex is similar to the company’s SportFit device, but is designed for patients who cannot tolerate a semirigid shell. This new device is listed in the … Continue reading

sandals
Total Support Quartet Sandal

Spenco Medical Corporation introduces a new toe-post sandal style: the Total Support Quartet. The Quartet is designed with a sporty strap that secures the foot in the sandal and offloads pressure from the ball of the foot. The style offers … Continue reading

products-surestep
SureStep Sandals

SureStep Sandals are designed with custom features for children who wear orthotic devices. A flexible sole allows for intrinsic movement, while the added height and longer straps provide the support necessary to be worn with an orthotic device. A special … Continue reading

products-kiwi
Paperless Clinic Software

Kiwi Software Solutions has developed a web-based program that allows medical orthotic providers to run a paperless clinic. Kiwi software can be used on a tablet device to replace a clipboard for clinical note taking, and can also be used … Continue reading

boots
Adventure Boots

Apis Footwear Company offers the AM5605 and AM5615 Adventure Boots as part of its Mt. Emey Therapeutic Line, suitable for athletic walking or simply improving patients’ general comfort. Designed to accommodate rather than correct, the Adventure Boots are genuine leather … Continue reading

products-swede
Plantar F3 Foot Roller

Swede-O has launched the Plantar F3 Foot Roller, designed to relieve heel and foot pain in three ways: stretching, cold therapy, and heat therapy. The design of the Plantar F3 has three distinct contact surfaces to isolate the plantar fascia … Continue reading

7delcam-37a
Lean manufacturing transforms orthotic fabrication

The need to replace entrenched processes and thinking with fluid, fast-moving orthotic design and manufacture that minimizes errors and maximizes resources was highlighted by several speakers at the Orthotics Technology Forum, including Jarret Eschenburg, CPed, director of operations at Coral Springs, FL-based SureFit, a subsidiary of Hanger.

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airwalker
Advantage FS Air Walker

Elite Orthopaedics introduces the new short/low-top version of the Advantage FS Air Walker, designed for patients suffering from Grade 2 or 3 ankle sprains, stable foot and ankle fractures, or trauma. The  full circumferential shell and detachable softgood lining toe … Continue reading