Journal of the American Podiatric Medical Association

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Lower extremity injuries at the New York City Marathon

by Mark A. Caselli and Stephen J. Longobardi

J. Am. Podiatr. Med. Assoc. 1997, 87(1), 34-37; https://doi.org/10.7547/87507315-87-1-34 - 1 Jan 1997

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The purpose of this study was to determine the type and frequency of lower extremity running injuries incurred by athletes participating in the New York City Marathon. A survey was conducted of 265 athletes presenting to medical stations for podiatric care during the [...] Read more.

The purpose of this study was to determine the type and frequency of lower extremity running injuries incurred by athletes participating in the New York City Marathon. A survey was conducted of 265 athletes presenting to medical stations for podiatric care during the 1994 New York City Marathon. The results of the survey indicated that the most common injuries occurring in marathon runners were corns, calluses, blisters, muscle cramps, acute knee and ankle injuries, plantar fasciitis, and metatarsalgia. An inverse relationship was observed between the number of miles trained per week and the number of injuries. These findings are consistent with long-term studies of running injuries. Full article

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Reappraisal of the negative impression cast and the subtalar joint neutral position

by Ellen Sobel and Steven J. Levitz

J. Am. Podiatr. Med. Assoc. 1997, 87(1), 32-33; https://doi.org/10.7547/87507315-87-1-32 - 1 Jan 1997

Cited by 18 | Viewed by 102

Abstract

For many years, podiatric physicians have been casting orthotic devices with the foot placed in the subtalar joint neutral position based on work by Root et al. Recent research pertaining to the subtalar joint neutral position during the gait cycle is in disagreement [...] Read more.

For many years, podiatric physicians have been casting orthotic devices with the foot placed in the subtalar joint neutral position based on work by Root et al. Recent research pertaining to the subtalar joint neutral position during the gait cycle is in disagreement with the theory of Root et al and the inverted subtalar joint neutral casting technique. The current research and a historical perspective of casting techniques will be reviewed to help clarify terminology and to decipher the relationship between the rearfoot position during the gait cycle and casting technique. Full article

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Orthotic variants

by Ellen Sobel, Steven J. Levitz and Lauren S. Jones

J. Am. Podiatr. Med. Assoc. 1997, 87(1), 23-31; https://doi.org/10.7547/87507315-87-1-23 - 1 Jan 1997

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Abstract

When patients present with problems for which existing devices are not adequate, research is stimulated. However, new methods and devices must improve on the older versions and should not result in variation that is less effective than the original versions. Variants less effective [...] Read more.

When patients present with problems for which existing devices are not adequate, research is stimulated. However, new methods and devices must improve on the older versions and should not result in variation that is less effective than the original versions. Variants less effective than the originals will be discussed with illustrative examples. Orthoses, prostheses, and pressure-reduction techniques for the diabetic foot will be considered. Full article

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Effect of persistent toe walking on ankle equinus. Analysis of 60 idiopathic toe walkers

by Ellen Sobel, Mark A. Caselli and Zunilda Velez

J. Am. Podiatr. Med. Assoc. 1997, 87(1), 17-22; https://doi.org/10.7547/87507315-87-1-17 - 1 Jan 1997

Cited by 101 | Viewed by 256

Abstract

Sixty idiopathic toe walkers (age range 1 to 15 years) were evaluated to determine the natural history of toe-to-toe gait and the relationship between the range of ankle dorsiflexion and increasing age. The majority of toe walkers had a normal birth weight (average [...] Read more.

Sixty idiopathic toe walkers (age range 1 to 15 years) were evaluated to determine the natural history of toe-to-toe gait and the relationship between the range of ankle dorsiflexion and increasing age. The majority of toe walkers had a normal birth weight (average 7.06 pounds), walked on time (average 11.14 months), began toe walking immediately (87%), stood plantigrade (90%), were able to demonstrate a heel-toe gait (88%), and toe walked intermittently (68%). Forty-six percent of all toe walkers were found to have 0 degree or less of passive ankle dorsiflexion. Equinus toe walkers (mean dorsiflexion -5.2 degrees) had significantly less dorsiflexion than the remaining toe walkers (mean dorsiflexion 16.9 degrees; p < 0.01). An average of 12 degrees of dorsiflexion was resent in the 1-to 2-year age group, which gradually diminished to -4 degrees in the 6- to 15-year age group. It appears that there may be a relationship between persistent toe walking and the development of ankle equinus in some children and therefore interventions should be considered to inhibit the toe walking progression. Full article

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Evaluation of Magnetic Foil and PPT Insoles^® in the Treatment of Heel Pain

by Mark A. Caselli, Nancy Clark, Sean Lazarus, Zunilda Velez and Luis Venegas

J. Am. Podiatr. Med. Assoc. 1997, 87(1), 11-16; https://doi.org/10.7547/87507315-87-1-11 - 1 Jan 1997

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Abstract

The effect of a magnetic foil placed in the PPT/Rx Firm Molded Insole on the relief of heel pain was determined using the foot function index. Nineteen patients wore the PPT/Rx Firm Molded Insoles with the magnetic foil for 4 weeks and 15 [...] Read more.

The effect of a magnetic foil placed in the PPT/Rx Firm Molded Insole on the relief of heel pain was determined using the foot function index. Nineteen patients wore the PPT/Rx Firm Molded Insoles with the magnetic foil for 4 weeks and 15 patients wore the same PPT/Rx Firm Molded Insole with no magnetic foil for the same time. Approximately 60% of patients in both groups reported improvement. There was also no significant difference in the improvement between the magnetic foil group and the PPT/Rx Firm Molded Insole group in their scores on the post-treatment foot function index. These results suggest that the PPT/Rx Firm Molded Insole alone was effective in treating heel pain after only 4 weeks. The magnetic foil offered no advantage over the plain insole. Full article

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Comparison of Viscoped^® and PORON^® for Painful Submetatarsal Hyperkeratotic Lesions

by Mark A. Caselli, Stever J. Levitz, Nancy C. Clark, Sean Lazarus, Zunilda Velez and Luis Venegas

J. Am. Podiatr. Med. Assoc. 1997, 87(1), 6-10; https://doi.org/10.7547/87507315-87-1-6 - 1 Jan 1997

Cited by 17 | Viewed by 142

Abstract

A clinical study was performed to evaluate the efficacy of the Viscoped Insole as compared with an 1/8-inch PORON medical materials insole in the treatment of lesser submetatarsal hyperkeratotic callosities. Thirty-five patients, ranging in age from 23 through 61 years (average 42 years) [...] Read more.

A clinical study was performed to evaluate the efficacy of the Viscoped Insole as compared with an 1/8-inch PORON medical materials insole in the treatment of lesser submetatarsal hyperkeratotic callosities. Thirty-five patients, ranging in age from 23 through 61 years (average 42 years) were randomly divided into three groups. All three groups initially had debridement of their submetatarsal callosities. In addition to the debridement, the first group (16 patients) wore a Viscoped Insole for 4 weeks. The patients in the second group wore a PORON insole for 4 weeks. The third group did not receive an insole after their debridement and served as the control. There was a significant improvement in the Viscoped group and the PORON group versus the control group (x2 = 40; p < 0.01) as measured by the foot function index. Insole therapy combined with debridement for submetatarsal hyperkeratoses is more effective than debridement alone. Full article

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Role of medical education in health care reform

by Mark A. Caselli

J. Am. Podiatr. Med. Assoc. 1997, 87(1), 2-5; https://doi.org/10.7547/87507315-87-1-2 - 1 Jan 1997

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Abstract

Health care reform will have great impact on the podiatric physician as the podiatric medical profession continues to integrate into the general medical community. The role of medical education in addressing five major issues that affect health care reform is explored. These issues [...] Read more.

Health care reform will have great impact on the podiatric physician as the podiatric medical profession continues to integrate into the general medical community. The role of medical education in addressing five major issues that affect health care reform is explored. These issues include specialization, economics, continuous quality improvement, ethics, and fraud. Full article

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J. Am. Podiatr. Med. Assoc., Volume 87, Issue 1 (01 1997) – 7 articles , Pages 2-37

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