Stress Fracture of the Lateral Cuneiform Bone: A Case Report.

Stress fracture of the lateral cuneiform bone: a case report.

J Am Podiatr Med Assoc. 2013 Jul-Aug; 103(4): 337-9
Vukic T, Ivkovic A, Jankovic S

Stress fractures are common overuse injuries of the bone that are most often seen in athletes and military personnel. These types of injuries seem to be commonly missed or delayed in diagnosis. Physicians should consider the possibility of such an injury while determining the diagnosis of a long-lasting foot pain. The aim of this paper was to report an isolated stress fracture of the lateral cuneiform bone. A review of the literature failed to find a similar case. HubMed – rehab

Effect of shoe flexibility on plantar loading in children learning to walk.

J Am Podiatr Med Assoc. 2013 Jul-Aug; 103(4): 297-305
Hillstrom HJ, Buckland MA, Slevin CM, Hafer JF, Root LM, Backus SI, Kraszewski AP, Whitney KA, Scher DM, Song J, Furmato J, Choate CS, Scherer PR

Background: In a previous pilot study of “cruisers” (nonindependent ambulation), “early walkers” (independent ambulation for 0-5 months), and “experienced walkers” (independent ambulation for 6-12 months), developmental age significantly affected the children’s stability when walking and performing functional activities. We sought to examine how shoe structural characteristics affect plantar pressure distribution in early walkers. Methods: Torsional flexibility was evaluated in four shoe designs (UltraFlex, MedFlex, LowFlex, and Stiff based on decreasing relative flexibility) with a structural testing machine. Plantar pressures were recorded in 25 early walkers while barefoot and shod at self-selected walking speeds. Peak pressure was calculated over ten masked regions for the barefoot and shod conditions. Results: Torsional flexibility, the angular rotation divided by the applied moment about the long axis of the shoe, was different across the four shoe designs. As expected, UltraFlex was the most flexible and Stiff was the least flexible. As applied moment increased, torsional flexibility decreased in all footwear. When evaluating early walkers during gait, peak pressure was significantly different across shoe conditions for all of the masked regions. The stiffest shoe had the lowest peak pressures and the most flexible shoe had the highest. Conclusions: It is likely that increased shoe flexibility promoted greater plantar loading. Plantar pressures while wearing the most flexible shoe are similar to those while barefoot. This mechanical feedback may enhance proprioception, which is a desirable attribute for children learning to walk. HubMed – rehab

Can taekwondo footwear affect postural stability in young adults?

J Am Podiatr Med Assoc. 2013 Jul-Aug; 103(4): 291-6
Fong SS, Ng SS

Background: This study aims to investigate the effect of taekwondo footwear on unilateral stance stability and use of postural control strategies and to determine whether taekwondo footwear influences the somatosensory inputs for postural stability and postural strategies in young adults. Methods: A quasi-randomized crossover trial was conducted on 33 healthy young adults at a university research laboratory. Independent variables, including shoe conditions (shoes on and shoes off) and visual conditions (eyes open and eyes closed), were taken into account. The center of gravity (COG) sway velocity in unilateral stance and the strategy scores in the sensory organization test were measured. No intervention was given to the participants. Results: There was no significant interaction between the two factors (the shoe and visual conditions) for COG sway velocities (P = .447) and strategy scores (P = .320). The shoe condition was not significant in either COG sway velocity (P = .484) or strategy score (P = .126). The visual condition was significant for COG sway velocity (P < .001) but not for strategy score (P = .573). The mean ± SD COG sway velocity with eyes open was 0.7° ± 0.2°/sec and with eyes closed was 1.7° ± 0.6°/sec (P < .001). Conclusions: Taekwondo footwear is unlikely to affect somatosensory inputs and balance performance in young adults. HubMed – rehab

A step up for extracorporeal membrane oxygenation: active rehabilitation.

Respir Care. 2013 Aug; 58(8): 1388-90
Hodgson CL, Fan E

HubMed – rehab