Devices

Why shoe shopping stresses me out

Buying Syona’s shoes is a challenge and Anchel shares why. I have a serious thing for shoes — I always have. My parents warned Dilip about my addiction when we started dating. Before I got pregnant I justified my shopping, very … READ MORE

Patient specific ankle-foot orthoses using rapid prototyping

3D printed ankle-foot orthotics for functionality and comfort. plus medica OT Prefabricated orthotic devices are currently designed to fit a range of patients and therefore they do not provide individualized comfort and function. … READ MORE

Four-step plan for managing knee osteoarthritis

An international task force of osteoarthritis (OA) experts is proposing a four-step plan to prioritize management strategies for symptomatic knee OA – from supplements to surgery. Paddling with Evoke brace By Rita Baron-Faust, … READ MORE

Part 3 – Managing knee osteoarthritis: Systemic pharmacotherapy and intra-articular treatments

Systemic treatments for patients with osteoarthritis (OA) have been shown to have significant positive effects on biomarkers that may be associated with OA disease progression. What does active aging mean to you? CHHM is working to … READ MORE

Part 2 – Managing knee osteoarthritis: Self-help and non-pharmacological interventions

Early intervention for osteoarthritis (OA) of the knee is important for ameliorating the long-term effects of disease. Current treatment goals are focused on symptom relief, but effort is being directed toward the development of … READ MORE

Part 1 – Managing knee osteoarthritis: Rationale for early treatment

Attention to early diagnosis and intervention in patients with osteoarthritis (OA) has increased, but which treatments may have the greatest benefit in slowing or potentially reversing disease progression is unclear. Many … READ MORE

Ambling modifiers: Finding a patient-friendly gait for knee OA

In the interest of improving compliance, studies of gait modifications to reduce moments and forces at the knee in patients with knee osteoarthritis (OA) are increasingly focusing on gait alterations that will not make patients … READ MORE

New phone app for patients with spina bifida

Use of the iMHere system in spina bifida is feasible and was associated with short term, self-reported improvements in self-management skill. This system holds promise for use in many diverse chronic care models to support and … READ MORE

Kamik Kids ‘Manatee’ Sport Sandal

Parents recommend Manatee Sport Sandal by Kamik® Kids for $39.99. Children’s sizes 2-12, assorted colours. Available online at sears.ca Ask about these at your local shoe store or shop … READ MORE

Knee replacement surgery works, but so can non-surgical techniques

Knee replacement more effective than alternative care but risks are higher, too. OssKin Evoke™ Nonsurgical treatments are effective for some patients with knee osteoarthritis, and the approach carries less risk of adverse … READ MORE

Osteoarthritis in the XXIst century: Risk factors and behaviours that influence onset and progression

Paddling with Evoke™ brace Musumeci G, Aiello FC, Szychlinska MA, Di Rosa M, Castrogiovanni P, Mobasheri A. International Journal of Molecular Sciences, 2015 Mar 16 Abstract Osteoarthritis (OA) is a growing public health … READ MORE

Are a third of knee replacements inappropriate?

One third of total knee replacement surgeries in the United States may be “inappropriate,” according to an article published in Arthritis & Rheumatology. The findings point to the need for the development of consensus … READ MORE

Pre-operative exercise boosts TKA outcomes

An evidence-based exercise regimen, designed to enhance knee strength and the ability to complete functional tasks, may speed recovery following total knee arthroscopy, TKA, in patients with knee osteoarthritis. Evoke unloading knee … READ MORE

OA bracing may bolster prehabilitation protocols

Pre-operative exercise has been shown to improve total knee arthroplasty outcomes, but may not be feasible in patients with severe pain. Bracing and other offloading methods can help decrease that pain, potentially improving the … READ MORE

OA knee bracing for lateral, severe cases respond positively

OssKin Evoke™ by Jordana Bieze Foster, Lower Extremity Review April 2010 Two studies presented in March suggest that bracing for knee osteoarthritis may be effective in two patient populations that are not well represented in … READ MORE

Knee braces activate brain

A prototype ‘mini’ MRI scanner, developed by Imperial College London, that could be used for diagnosing knee injuries by Jordana Bieze Foster, Lower Extremity Review January 2010 fMRI confirms proprioceptive effects. Functional … READ MORE

Arthritis has an impact on the daily lives of Canadians young and old

Results from a population-based survey. Background There is a perception that the impacts of arthritis are greatest among older adults. However, the effect of age on health-related outcomes in individuals with arthritis has not been … READ MORE

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 … READ MORE

Footwear and risk of knee OA: The search for meaning in moments

Although footwear may in fact play a role in the development of knee osteoarthritis and its clinical management, those relationships are turning out to be much more complicated than once thought. Want a helping hand? Try wearing … READ MORE

Women with knee osteoarthritis experience greater pain sensitivity

Among patients with osteoarthritis of the knee, women experienced greater sensitivity to various pain modalities – such as lower tolerance to heat, cold, and pressure – and greater widespread pain than men. The findings … READ MORE

Knee OA, biomechanics, and progression to TKA

Findings related to muscle activity during gait and progression to TKA may explain why interventions to improve joint stability can impact symptoms but not knee adduction moment (KAM). By Cheryl Hubley-Kozey PhD, and Gillian Hatfield … READ MORE

Double bonus – AFOs improve dual-task gait in two ways

Ankle foot orthoses intervene at the level of the body and at the level of activity. But they might also have effects at the level of participation. – Nikta Pirouz CPO By Jordana Bieze Foster, Lower Extremity Review March 2015 … READ MORE

Great systematic review on pediatric supported standing

Supported standing programs have been used in various settings for more than 50 years in an effort to reduce and prevent complications and to optimize various aspects of function. In spite of widespread clinical use, we lack … READ MORE

Post-polio syndrome: It takes a team approach

Donald Sutherland plays President Snow in the Hunger Games films. Sutherland contracted polio as a child and developed a love of reading while bedridden. He went on to become an accomplished actor, and has appeared in over 130 films. … READ MORE

Orthotic devices boost balance over time in children with CP

Balance improves over time in children with cerebral palsy, CP, who switch from a dorsiflexion-free orthotic device to a more restrictive one, according to research from Northwestern University’s Feinberg School of Medicine in … READ MORE

SmartKnit Seamless Socks

No rubbing on toes with SmartKnit XStatic-Toe. Accessorize your SMOs, AFOs, KAFOs with SmarKnit Seamless Socks SmartKnit socks are made especially for kids and adults wearing AFOs. Feet and legs stay comfortably cool with wicking … READ MORE

Knee arthroscopy in arthritis: an evidence-practice mismatch

The small inconsequential benefit seen from interventions that include arthroscopy for the degenerative knee is limited in time and absent at one to two years after surgery. Knee arthroscopy is associated with harms. Taken together, … READ MORE

Growing pains – adapting orthotic devices to maturing patients

Accommodating growth without compromising fit and function is a challenge for practitioners who prescribe orthotic devices for young patients. Adjustments and add-ons—as well as educating parents about expected changes—can make … READ MORE

Toe walking treatment and management

The management of toe walking is controversial — the natural history is poorly defined, and only limited data are available regarding direct comparisons of different treatment modalities. Therefore, the physician’s first decision … READ MORE

Orthotic options for knee OA focus on compliance issues

New research presented in June at the 2015 ISPO Congress underscored the potential long-term benefits of valgus knee bracing for relief of medial knee osteoarthritis (OA) symptoms when patient compliance is high, while other ISPO … READ MORE

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