Devices

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

Custom 3D printed braces for scoliosis treatment

Because the braces could be completely customized, based on the shape of the patient’s body as well as their corrective needs, they were both more efficient and more comfortable for the patient to wear. 3D Systems Unveils 3D printed … READ MORE

Encouraging evidence that off-loader knee braces are effective

Given the encouraging evidence that off-loader braces are effective in mediating pain relief in conjunction with knee OA and malalignment, bracing should be fully used before joint realignment or replacement surgery is considered. … READ MORE

Brace therapy in uni-compartmental OA

Offloading strategies for knee osteoarthritis. Brace therapy plays an important role in conservative treatment of knee OA. Several types of braces are commercially available from multiple manufacturers; however, “unloading” braces … READ MORE

Eagle brace helps slow scoliosis in young – in Calgary

As any parent at bedtime knows, getting kids to do something they don’t want to is one of life’s biggest challenges. In the late 1990s, physicians at the Alberta Children’s Hospital were looking for inspiration on how to coax … READ MORE

Vibram Furoshiki shoes wrap around your feet

Ditching shoelaces, velcros, and those new-fangled self-lacing robotic shoe-fastening alternatives, the Furoshiki by Vibram is an innovative new way to wear shoes. Vibram Furoshiki by Vibram S.p.A. Developed by Vibram, a leader in … READ MORE

Gout and the foot

Foot orthotics are suitable for gout attacks. Gout can be made more comfortable by wearing a soft supportive orthotic. This supports and cushions the foot and places less strain on the joints of the foot. Gout symptoms and treatment. … READ MORE

Orthotics part of arthritis treatment

Rheumatologists care for patients with assistive devices such as knee braces or foot orthotics. Although not involved in fitting patients with the appliances, rheumatologists still need to know how to manage these patients and … READ MORE

HARMONY exoskeleton helps patients recover strength and motor skills

Texas engineers introduce advanced upper body rehabilitation robot. HARMONY was specially designed to offer customized therapy for optimal efficacy. Not only does the exoskeleton adjust to patient size, it can also be programmed to be … READ MORE

Knee OA guidelines take patient-centric approach

Updated guidelines and new appropriate use criteria for nonoperative management of knee osteoarthritis aim to focus more directly on typical knee OA patients, who often have comorbidities that can complicate care and are not well … READ MORE

No need to ‘correct’ a flat foot

Gina Kolata published an excellent article in the New York Times that discusses what we do and do not know about how custom orthotics work. She interviewed renowned running biomechanists Benno Nigg, University of Calgary, and Joesph … READ MORE

Driving safety: effects of lower extremity impairment

By Hank Black, Lower Extremity Review July 2015 ▽ Table of Contents Introduction Medico-legal landscape Driving simulators Immobilizing and adaptive devices Driver evaluation programs Individual recommendations References Further … READ MORE

Custom hinged AFO vs. standard ankle foot orthosis in stroke recovery

Functional Bracing with Adjustable Dynamic Response. Address the entire gait cycle providing unrestricted motion, customized stability, and smooth rollover. Ultraflex Hemiparesis is one of the most common impairments after stroke that … READ MORE

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