positive outcomes for successful practitioners€¦ · not mutually exclusive footwear the evolving...

• Biomechanics

• Sports Medicine

• Diabetes

• Rehabilitation

• Technology

LowerExtremityReview.com

Positive Outcomes for Successful Practitioners

2012media info

Rehabilitation • Trauma • Diabetes • Biomechanics • Sports Medicine


THINKING SMALLMaking strides in children's footwear

DIABETESFoot and ankle exercisesprovide additional benefit

ORTHOSESInterventions to relievepainful metatarsalgia

O&PAFO users must rethinkconcept of ‘normal’ gait

Prsrt StdU.S. Postage

P A I DMechanicsburg PA

Permit No 63

january 11 / volume 3 / number 1



HEAD GAMES:Neurocognitive contributorsto noncontact injury

FOOT ORTHOSESResearch suggests rolefor patellofemoral pain

DIABETESSurgical deformity correctiondecreases risk of ulceration

OSTEOARTHRITISQuadriceps weakness as a modifiable risk factor

february 11 / volume 3 / number 2



UPSTANDING INTERVENTIONS:Falls prevention in O&P

ACL INJURYEffect of foot functionon landing mechanics

FOOTWEARUnstable shoe designs:Functional implications

OSTEOARTHRITISPlantar loads influencerisk of medial knee OA

march 11 / volume 3 / number 3



SPRAIN IN THE FORECAST:Epidemiology and risk factors for ankle sprain

FOOT ORTHOSESSearch for a mechanismgoes beyond alignment

O&PSensitivity to self-imagecan improve compliance

DIABETESThe differential diagnosisof Charcot neuroarthropathy

april 11 / volume 3 / number 4



BATTLES OF ACHILLES:Operative vs nonoperative care

DIABETESScreening for mental health issuescan help improve foot care outcomes

FOOT ORTHOSESCustom vs prefabricated debateevolves into cautious consensus

BRACINGMultiple mechanisms for reliefof patellofemoral joint pain

REHABILITATIONPlatelet-rich plasma injection:More than just a last resort?

may 11 / volume 3 / number 5

Focus on sportsinjury prevention

SPECIAL SECTION:



POWERING THE WINDMILL:Lower body mechanics of softball pitching

O&PCounterintuitive findingson devices and energy cost

DIABETESGlobal lessons improveamputation prevention

SPORTS MEDICINEPronation in runners:Implications for injury

june 11 / volume 3 / number 6

Orthotic InsolesTechnology Forum

SPECIAL SECTION:



EXERCISE ANDNEUROPATHY:Not mutually exclusive

FOOTWEARThe evolving role of shoesin ankle sprain prevention

ORTHOSESA new take on custom devicesfor plantar fasciitis care

SPORTS MEDICINEBalance ability in amateurand professional golfers

REHABILITATIONOne hospital’s preoperative protocol for TJA patients

july 11 / volume 3 / number 7

Pediatric clinicalnews update

SPECIAL SECTION:



MOMENTOUS ADAPTATIONS: Offloading the knee through gait modification

FOOT ORTHOSESPros, cons of pressuremeasurement systems

REHABILITATIONEffects of balance training for chronic ankle instability

DIABETESRole of rocker solesin reducing ulcer risk

PEDIATRICSGait analysis influencescare of children with CP

August 11 / volume 3 / number 8

LER is the only multi-disciplinary publication that delivers practical, relevant clinical information ina clear, easy-to-read format that our readers embrace. LER has become the publication of choicefor many lower extremity practitioners.

If you are already an advertiser in LER, thank you. If you are not yet an advertiser, then I encourageyou to take a closer look at who we are and what we offer. I know you will see the value.

LER is committed to providing the biggest bang for your marketing dollar. Our mix of print, weband interactive media will outpace and outperform current available marketing strategies. Let us assist you in developingan “outside the box” strategy that delivers results.

Best regards,

RichRichard Dubin, Founder and Publisher

Welcome to the

LER 2012 Media kit

With the ever-

changing healthcare

system, practitioner

collaboration is of the

utmost importance.

LER offers the only

multi-disciplinary group

of practitioners ready to

respond to your

marketing message.

Readership

Buyers

Prefab Orthoses

Custom Orthoses

Braces/Supports

Footwear

Wound Care

Rehabilitation

Technology

Podiatry O&P Orthopedics Phys. Therapy Pedorthics Sports MedWith hundreds of millions of dollarsspent on lower extremity productsannually, be in the publication that allpractitioners from multiple specialtiesturn to for their lower extremityclinical and product information.

••••••••

•••••••

•••••••

•••••••

•••••••

•••••••

BUYERS

PR

OD

UC

TS

For advertising opportunities, proposals or for more information, contact Rich Dubin

518-221-4042 or 518-452-6898 • [email protected]

Looking for LER's editorial calendar?

Sorry, we don't have one. Here's why:

LER strives to provide editorial content that is

not just informative but also current, reflecting

specific topics that practitioners are buzzing

about at any given time. Those timely topics

just can't be anticipated a year in advance.

What we can anticipate is that every single

issue of LER will feature content that spans a

range of lower extremity conditions, from knee

pain to orthotic devices to diabetic foot care.

So all lower extremity practitioners have

reason to read LER—every issue, every month.

LER generates in-depth exclusive content for a specificarea of interest. Your sponsorship highlights your com -mitment to education and heightens your position as amarket leader. Below are samples of our 2011 projects.

Editorial

Coverage includes:• In The Moment: Cutting-edge news from national and

international scientific conferences and the medicalliterature

• Literature Reviews: Evidence-based medicine, from apractical perspective

• Feature Articles: Journalistic analyses that go beyondthe literature

• Product Showcases: Mini-buyer’s guides matched toa literature review or feature article

• Practice Tactics: Practice management and moreuseful business advice

• Market Mechanics: Coverage of product-specificstudies and other industry developments

• New Products: Photos and descriptions of new lowerextremity products

Subject areas include• Foot orthoses • Knee braces• Ankle braces • Neuromuscular disorders• Diabetes • Materials• Footwear • Sports medicine• Rehabilitation • Prosthetics• Trauma • Osteoarthritis• Plantar fasciitis • Pediatrics

Custom content

LOWEREXTREMITYREVIEW.COM

sponsored by an educationalgrant from Dr. Comfort

march 11/volume 3/suppl 1

FOOTWEAR Advantages of a whole-patient approach

SOCKS Getting in shape with new technologies

INSOLES An exercise in compromise

COMPRESSION STOCKINGS One size definitely does not fit all

THERAPEUTIC SHOE BILLMaking sure the benefits add up

A REAL-WORLD APPROACH TO

DIABETIC FOOTCARE

CONFERENCE COVERAGE:

By Jordana Bieze Foster

Many practitionersand orthotic laboratoryowners are wary of making theswitch from traditional to digitaldesign and manufacturing of custom footorthoses, and for good reasons. Digitaltechnology requires a significant investment, both interms of capital expenditures and the time needed tolearn a whole new set of skills. It’s not necessarily the rightchoice for everyone, and it’s definitely not a decision that should bemade lightly.

But increasing numbers of clinicians and lab owners who have made theleap to digital orthotic technology are seeing meaningful returns on thoseinvestments in terms of increased convenience, flexibility, and—importantly—profitability.At the inaugural Custom Orthotic Insoles Technology Forum, held in April at the University ofBath in the U.K., a number of satisfied digital technology converts shared their success stories andunderscored the key issues that prospective adopters should consider before taking the plungethemselves.

Thinking criticallyPerhaps the most predominant theme echoed by speakers at the conference was the need to understand and carefully weighthe pros and cons of investing in digital technology, as well as the pros and cons of different individual systems, to facilitate decision-making for individual situations.

“In general, digital technology offers a dramatic opportunity to increase our capacity and decrease our costs, but we need to be very criticalabout it,” said Larry Huppin, DPM, medical director for ProLab Orthotics in Napa, CA, and a podiatrist with a private practice in Seattle, WA.

Custom Orthotic InsolesTechnology Forum

Sponsored by an educational

grant from...

lowerextremityreview.com 06.11 25

24 Lace-up ankle braces reduce risk of sprainin basketball players regardless of history

24 Postural stability decreases with tapingbut not bracing in Gaelic football study

25 Data support use of multimodal approachfor decreasing incidence of groin injuries

25 Screening has benefit, but Philippon callsfor more action to save hips in hockey

26 Volleyball findings link training volumeto symptoms of patellar tendinopathy

26 Soccer, basketball athletes demonstratedifferences in plantar pressure patterns

27 Hamstring trial confirms effectivenessof eccentric strengthening exercises

27 Kinetic testing variables fail to predict which novice runners will stay healthy

28 Tibial internal rotation emerges as themein debate over mechanism of ACL rupture

28 Researchers make early progress toward understanding genetics of sports injuries

DEFENSIVE GAME PLANNING Global insights on sports injury prevention Multinational all-star teams of sports medicine experts convened in Monaco in April forthe World Conference on Prevention of Injury & Illness in Sport, now under the directionof the International Olympic Committee. LER’s exclusive coverage of this event detailsclinical and scientific progress toward prevention of lower extremity injuries in sportsincluding basketball, soccer, volleyball, running, and ice hockey.

By Jordana Bieze Foster

Sponsored by an educational grant from...23

The prevalence of leg ulceration in adults, either active or healed, is1% to 2%, and the majority have chronic venous insufficiency.1

Although CVI has received less attention than arterial insufficiency,estimates suggest it is 10 times more common. Despite theprevalence of venous ulcers, they are often neglected or managedinadequately.

RecognitionVenous leg ulcers are generally irregularly shaped partial thicknesswounds with well-defined borders surrounded by erythematous or hyperpigmented indurated skin (acute or chronic lipo derm -atosclerosis). A yellow-white exudate is common. Venous ulcers areusually located on the distal medial aspect of the lower leg. Varicoseveins are often present and typically there are telangiectatic veins ofthe medial ankle, so-called corona phlebectatica. Edema of the anklearea is common.

Differential diagnoses—including arterial, metabolic, neuropathic,neoplastic, vasculitic, infectious, hematologic, and collagen vasculardiseases and pyoderma gangrenosum—should be considered.However, if arterial insufficiency is ruled out and the patient hasnormal pinprick sensation in the presence of a typical appearingvenous ulcer, then a venous etiology will be found in about 95% ofcases.2

MacrocirculationThe calf muscle pump is the primary mechanism to return blood fromthe leg to the heart. The calf pump mechanism consists of the calfmuscles (primarily the soleus and gastrocnemius); the deep venouscompartment, or pump chamber; a superficial compartment con necting the superficial veins to the deep veins via perforators; andan outflow tract (popliteal vein).

In patients with chronic venous insufficiency, limbs with venousulceration have been shown by air plethysmography to havesignificantly reduced ejection fractions and higher residual volumefractions than nonulcerated limbs.3 This substantiates the significantrole calf pump dysfunction plays in venous ulceration.

Calf pump dysfunction may occur because of deep venousinsufficiency (primary or post-thrombotic), deep venous obstruction,

perforator insufficiency, superficial venous insufficiency, arteriovenousfistulas, neuromuscular dysfunction, or a combination of these. Calfpump dysfunction results in a failure to lower venous pressure inthe distal veins of the leg, a condition called ambulatory venous

hypertension.Although any of the aforementioned factors may cause calf

pump dysfunction, the main factor is usually venous insufficiency. Acommon misconception is that a venous leg ulcer is pathognomonicof a post-thrombotic syndrome. Superficial venous disease andperforator disease alone commonly cause venous ulceration.4 Thecommon final pathway to venous ulceration is venous hypertension,whether the overload comes from superficial, perforator, deep vein,or combination disease.

An appropriate evaluation, including (but not limited to) directedhistory and physical exam and duplex ultrasound imaging, is essentialin the evaluation of patients with leg ulcers.

History and physicalClinicians should seek details relating to the ulcer, such as its durationand previous treatment, the presence and characteristics of exudate,the presence, description, and severity of pain, and factors thataggravate and alleviate the symptoms. A history of similar lesions andtheir course and management is also useful.

In addition, ask patients for their history of thromboembolicevents, varicose veins, past vein treatment, tobacco use, arterialdisease, diabetes, arthritis, ankle joint immobility, inflammatory boweldisease, and collagen vascular disease. Also note their occupationand social situation.

Physical examination should include a careful inspection andpalpation of the legs, from the foot to the groin, for varicose veins.The suprapubic area should also be inspected for varicosities, whichmight represent collateral bypass of an old iliofemoral thrombosis.Percussion of veins helps trace the origin and extent of varices.Examine for signs of CVI, such as ankle flare, eczema, hyper -pigmentation, induration, and atrophie blanche. Measure ankle andcalf diameters for both legs and characterize edema as pitting ornonpitting.

Describe ulcer size, base, appearance, and location as well as

Sponsored by an educational grant from Medi USA.

Venous ulcers: The roleof compression therapy

By Steven E. Zimmet, MD, RVT, FACPh

20 07.11 lowerextremityreview.com

33

New papers revisit, rekindle flexible flatfoot controversy ........................................34CP experts assess evidence for use of orthotic devices ..........................................35ACL injury prevention training focuses on younger athletes ..................................36Not all practitioners embrace soft soles for novice walkers ....................................37Charcot-Marie-Tooth patients respond to AFO management ..................................38French study favors Ponseti over compatriots’ technique ...................................... 39Early research characterizes gait associated with autism........................................40

KID STUFF: Pediatric clinical news update

Sponsored with educational grants from...

In this special section, LER updates you on the latest researchand clinical news to help optimize management of your littlestlower extremity patients. Topics include pediatric flexibleflatfoot, cerebral palsy, ACL injury, clubfoot, Charcot-Marie-Tooth disease, gait patterns in autism, and footwear for earlywalkers.

www.istockphotos.com #9923635

Mini-magazine: In March 2011, "A Real WorldApproach to Diabetic Foot Care"covered footwear, socks, hosiery,orthoses, and reimbursement.Sponsored by an educationalgrant from Dr. Comfort

Conference Coverage: In May 2011, LER traveled toMonaco to provide exclusivecoverage of the World Conferenceon Prevention of Injury & Illness inSport. Sponsored by an educa -tional grant from DJO Global

Special Section: In July 2011, "Kid Stuff" featuredclinical news and analysis speci -fically tailored to pediatric lowerextremity topics. Sponsored witheducational grants from Allard USA,Keeping Pace, littleSTEPS, M.J.Markell Shoe Co., and SureStep

Conference Coverage: In June 2011, LER providedexclusive coverage of the inau guralcustom Orthotic Insoles Tech -nology Forum at the Univer sity ofBath in the U.K. Sponsored by aneducational grant from Delcam

Sponsored Column: The quarterly Vascular Viewpointcolumn is focused on manage -ment of lower extremity vascularissues. Sponsored by an educa -tional grant from Medi USA

Lower Extremity Review is a multi-disciplinarycollaboration that provides a practical approach totreating the lower extremity. LER bridges the informationgap between practitioners and manufacturers with anemphasis on outcomes.

www.lowerextremityreview.com

PRINT - 27,000+ multidisciplinary readersrespond to your marketing message

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LER Resource Guide — #1 in Print & Online

TECHNOLOGY

FABRICATION

DIABETES PROSTHETICS NEUROMUSCULAR

PAIN MANAGEMENT

PEDIATRIC REHAB/POST-OP SPORTS MEDICINE


resourceguide 2011

The LER Resource

Guide is the first

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turn to for lower

extremity products

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As an interactive, multi-platform organization, LER is pleased to offer a variety of marketing options to cost-effectively reachtoday's busy practitioner. Traditional print and online advertising, as well as customized solutions, will maximize your brand'smessage and deliver results.

ONLINE - 24,000+ unique visitors, 60,000 pageviews spending an average of 4:37 reading articles

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• Key Word Search - Sponsor a key word associatedwith your business

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LER show schedule

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Advertiser Submission Deadlines

Issue Reserve Space Submit Ad

Jan 12/16/11 12/30/11

Feb 1/18/12 1/25/12

Mar 2/17/12 2/24/12

Apr 3/19/12 3/26/12

May 4/19/12 4/26/12

Jun 5/17/12 5/24/12

Jul 6/15/12 6/22/12

Aug 7/17/12 7/24/12

Sep 8/17/12 8/24/12

Oct 9/17/12 9/24/12

Nov 10/17/12 10/24/12

Resource Guide 11/19/12 11/26/12

Deadlines Rates

! Jan 27-29New York Podiatric Clinical ConferenceNew York, NY

! Feb 7-11American Academy ofOrthopaedic SurgeonsSan Francisco, CA

! Feb 8-11American Physical TherapyAssociation Combined Sections MeetingChicago, IL

! Mar 1-4American College of Foot and Ankle SurgeonsSan Antonio, TX

! Mar 15-17Diabetic Foot Global ConferenceLos Angeles, CA

! Mar 21-24American Academy of Orthotists & ProsthetistsAtlanta, GA

! Apr 11-13i-FABSydney, Australia

! Apr 19-22Midwest Podiatry ConferenceChicago, IL

! Apr 26-292012 World Congress on OsteoarthritisBarcelona, Spain

! May 9-12Gait & Clinical Movement Analysis SocietyGrand Rapids, MI

! May 29-June 2American College of Sports MedicineSan Francisco, CA

! June 6-9American Physical Therapy AssociationTampa, FL

! June 7-10The Western Foot & Ankle ConferenceAnaheim, CA

! June 20-23American Orthopaedic Foot & Ankle SocietySan Diego, CA

! June 26-29National Athletic Trainers AssociationSt. Louis, MO

! July 2-6International Society ofBiomechanics in SportsMelbourne, Australia

! July 12-15American Orthopaedic Society for Sports MedicineBaltimore, MD

! Aug 1-4National Association ofOrthopaedic TechnologistsAnnual Clinical SymposiumSan Diego, CA

! Aug 3-6American Association of Diabetes EducatorsLas Vegas, NV

! Aug 15-18American Society of BiomechanicsGainesville, FL

! Aug 16-19American Podiatric Medical AssociationWashington, DC

! Sep 6-9American Orthotic & Prosthetic AssociationBoston, MA

! Oct 11-13Diabetic Limb SalvageWashington, DC

! Oct 24-27APTA Private PracticeLas Vegas, NV

! Nov 1-4Pedorthic Footwear AssociationLittle Rock, AR

! Nov 15-18American Academy of PhysicalMedicine & RehabilitationAtlanta, GA

positive outcomes for successful practitioners€¦ · not mutually exclusive footwear the evolving...

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