Feature
Seeking the Perfect Marriage in Prosthetic Liners
By Miki Fairley
Photograph courtesy of Ohio Willow Wood. Otto Bock liner inspector Rocio Holguin. Photograph courtesy of Otto Bock HealthCare.
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Feature
Custom Options Address Challenging Cases
By Miki Fairley
The wide array of prefabricated prosthetic liners available today can meet the needs of the majority of amputees. However, there are times when only a custom liner can do the job. For amputees with short, scarred, bony, invaginated, or unusually s...
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Feature
Embracing New and Advanced Materials
By Kim M. Norton
For technicians, using advanced material in O&P makes way for lighter, more durable devices. A socket fabricated with polytol resin. Photographs courtesy of Otto Bock HealthCare The O&P profession has come a long way from the days of leather and...
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Perspective
Veterans Administration 101
By Jeffrey M. Brandt, CPO
Since founding Ability Prosthetics & Orthotics Inc. in 2004, I have become increasingly intrigued by the Veterans Administration (VA) hospital system and how it procures providers of O&P care. We all have read numerous articles over the years a...
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Today's Consumer
Michael McDaniel: Back on the Job After Amputation
By Sherry Metzger
Amputation won't prevent one of Cobb County's finestfrom returning to active duty. Sherry Metzger Wrapping up a long evening onpatrol , Officer Michael McDaniel of Atlanta, Georgia,approached the back of an ambulance to ask a few last questions...
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Innovations
EMG ‘Hides in Plain Sight’ in Spinal Stenosis Diagnosis
By Miki Fairley
Back pain wears many disguises; unmasking the real culprit can require some skillful detective work to arrive at an accurate diagnosis and thus, accurate treatment. Frequently, the perpetrator is spinal stenosis. Spinal stenosis- a narrowing of th...
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Residency Report
How to Push the Reset Button
By Ronald A. Roiz
I am on the way to part three of my residency story. I wish I could say this has been a fairy tale so far...but then I am a realist and don't believe in such stories. I could recount the time that I have spent at work since my last column, but ins...
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Industry Leader
Finding Solutions, Not Problems
By Brady Delander
Kevin Carroll has devoted his life to helping people, and he has changed the face of prosthetics in the process. Delander Kevin Carroll, MS, CP, FAAOP , is one of the most recognizable faces in the world of prosthetics, and it's not just because...
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Stepping Out
Material Choices in Foot Orthotic Design
By Séamus Kennedy, BEng (Mech), CPed
One aspect of the orthotic industry that can often be overwhelming and confusing to newcomers is the range of materials available. In addition to the many different types and varieties of actual materials, there are also a myriad of trade names to...
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Sports
IAAF Denies Pistorius' Campaign to Compete Against Able-Bodied Sprinters
It is all over...for now. The International Association of Athletics Federations (IAAF) barred sprinter Oscar Pistorius from competing in the 2008 Beijing Olympics, saying his prostheses provide an advantage. Photograph courtesy of Ossur.
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Face to Face
Five Questions for Tony Wickman, RTPO
Tony Wickman was an experienced technician and lab manager before he opened Freedom Fabrication Inc., Havana, Florida, in 1992, and that knowledge helped him turn his company into the fastest growing orthotic central fabrication facility in his...
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Progress on Parity
New Jersey Becomes State No. 8
By Morgan Sheets
At 8:45 p.m. on the last day of the legislative session, the New Jersey legislature passed a bill ensuring access to comprehensive coverage for orthotic and prosthetic care. Sponsored by Senator Nia Gill, Senate Bill 502 mandates that insurance pl...
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Got FAQs?
Got FAQs?
By Lisa Lake-Salmon
Denials are difficult to identify and time consuming to appeal. With competitive bidding, mandatory accreditation, aging technology, and increased billing errors, running an O&P shop gets more complicated each year. Whether your question is about...
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Viewpoint
The New EDGE Direct
By Karen Henry
The O&P EDGE , the industry's most-read O&P professional publication, and oandp.com, the industry's online portal, have joined forces to bring you EDGE Direct , your source for O&P news and information delivered once a month straight to your e-mai...
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EDGE Direct
Evolution Liners Enters the Pediatric Market
Evolution Liners Inc. is pleased to announce its entrance intothe pediatric market with new liners that are designed and sizedespecially for kids. Evolution's new Chameleon liners are availablein a cushion or a locking design in four different col...
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EDGE Direct
Technology in Practice
By Paul E. Prusakowski, CPO, FAAOP
Imagine that you could search through all of your O&Pbookshelves in seconds to find a bit of information that could helpyou solve a problem right now. Wouldn't that be amazing? The information that you need to manage a challenging case orprovide b...
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The JumpStart is an
off-the-shelf, low-cost, no-casting-required orthosis, designed for
early intervention patients who can be difficult to cast and fit
properly. The new JumpStart family offers varied
support levels for the low- or high-tone child with mild to
moderate pronation, supination, inconsistent ankle modulation, or
excess plantarflexion. Now available in five different models, with
new names and logos: JumpStart Cricket (formerly
Low), JumpStart Leap Frog (Mid), JumpStart
Bunny (Bunny Ears), JumpStart Kangaroo
(High) and JumpStart Combo (includes Leap Frog and
Kangaroo inner shells, along with an outer foundation shell).
Cascade Dafo
800.848.7332
www.dafo.com

The FullStrideTM is
the stance control option youve been waiting for. Delivering
maximum control of varus/valgus instability and knee
hyperextension, the FullStride automatically locks
and unlocks during the gait cycle, providing natural movement with
superior stability and comprehensive knee joint control.
Easily converted into an automatic spring-lever lock knee joint,
the FullStride is also interchangeable with other
joints in the Becker Stride stance control family.
Easy to fabricate and easy to fit, you can pair the
FullStride with any ankle joint on the market. Its
the logical next step in orthotic stance control knee joints.
Becker Orthopedic
800.521.2192
www.beckerorthopedic.com

From the simplest AFO to the most complex custom
KAFO design, Becker Oregon has evolved and expanded into a
full-service central fabrication facility. In addition to its
custom orthoses, Becker Oregon offers a selection of
prefabricated orthoses for your convenience.
Products available through Becker Oregon
include:
- Noninvasive Pediatric HALO System.
- PacificTM Adjustable Collar.
- TalonTM, adjustable wrist-driven hand
orthosis.
- Hip Abduction Rotation Orthosis 2000" (HARO).
- Maple Leaf" Orthosis.
To inquire about our line of prefabricated products, please
contact us or view our catalog online.
Becker OregonA Becker Orthopedic
Company
800.866.7522
www.beckerorthopedic.com

Ossurs new Mauch® Knee and
Mauch® Knee Plus have a great new look with a
tough aluminum frame and mechanical extension stop, making them the
most durable and secure knees available. Enhanced features improve
durability and provide more security for amputees at any activity
level.
The new Mauch Knee offers the following
features:
- Increased weight limit to 300 lb.
- Proximal and distal male titanium pyramids.
The new Mauch Knee Plus offers the following
features:
- Weight limit of 365 lb.
- Flexible proximal and distal adapter options: threaded or
through hole.
Ossur
800.233.6263
www.ossur.com

The Newport® Universal Hip
orthosis, manufactured by Orthomerica®, is now available from
PEL Supply. Designed and engineered to provide the most comfortable
hip orthosis for your patients.
Universal hip orthosis has the following
features:
- Fits either the right or left side.
- Male/female adjustability with unique patented disc
technology.
- Virtual® Hip Joint offers abduction, adduction, flexion,
and extension adjustment.
- Hip joint is also available in an extended length version.
- Available in S, M, L, and XL.
- Modular components allow for mixed sizes for pelvic and
thigh.
PEL Supply Company
800.321.1264
www.pelsupply.com

Rehabilitation Technical Components Inc. (RTC)
shows the new high-tech look of the welded AFO
pad, which eliminates the stitching and strengthens the
bond. These pads can be ordered in white and beige. Our three
sizes
(1 in., 1½ in., and 2 in.) are sealed in packages of ten.
These pads are also available in strap kits (five per pack).
Our welded pads will enhance your patients comfort and add
convenience. Priced less than most conventionally stitched
pads.
Rehabilitation Technical Components
800.782.5678
www.orthoremedy.com

OPTECs new VertaMax offers
maximum support, quality, and profit. The VertaMax
orthosis is designed to support your patients at every stage of
recovery. The breathable, highly consistent elastic material
provides 50 percent more compression than those conventionally used
to increase lumbar containment.
VertaMax features front and back moldable
polymer panels, a unique closure system for maximum compression,
and arthritic grips for ease of donning and doffing.
Detachable polymer panels can be removed as the patient
progresses in rehabilitation. VertaMax is
available in five unisex sizes ranging from a 22½-in waist to
a 60½-in. waist with neutral or pendulous abdomen.
OPTEC
888.982.8181
www.optecusa.com

Weighing in at only 12.5 oz., Dycors
Dynamic Response ExtraADL
"E"Foot is ideal for wearers who require
more stability than a flexible keel with articulated ankle, and
where resiliency is preferred. The optional aggressive gait
management (AGM) torque absorber provides appropriate yield and
return for moderate-level extra-ambulatory activity. Available in
uni, bi, or triaxial with low (½ - 1 in.) and medium (1 -
1½ in.) heel-height options. Weight includes an integrated EVA
foot shell. Titanium option available.
Dycor
800.794.6099
www.dycormfg.net

The Dycor
ADL-FDSFoot features
functionality, durability, and simplicity. The foot is segmented
horizontally into five layers. The titanium foot adapter is
integrated into the advanced composite keel, minimizing socket
floor clearance. The heel portion of the keel (posterior to the
adapter) is a flexible urethane-fiberglass composite, which
deflects to cushion heel contact.
Patented and patent pending.
Dycor
800.794.6099
www.dycormfg.net

The Alpha® Original and
Spirit Suction Seals deliver added security with a
suction socket. When used in conjunction with suction suspension
options, such as the Alpha Suction Pro or Alpha Suction Pyramid,
the products aid in creating airtight seals.
Both suction seals contain Alpha gel and feature interior fabric
cuffs to prevent gel damage at the socket trim line. The Alpha
Spirit Suction Seal fabric is compatible with Velcro® to
achieve a securely fitting seal that wont migrate. Both seals are
available in buff or medium brown fabric. Various size options are
offered.
Ohio Willow Wood
800.848.4930
www.owwco.com

With one of the largest and most extensive
selections of diabeticand orthopedic
footwear, stepping in style has never been easier.
Our footwear stock includes BoxerDogs, Mt. Emey, and Answer2. We
also offer Medicare-approved custom diabetic inserts as well as toe
fillers, prefab diabetic inserts, and other products pertaining to
diabetic foot management. We guarantee value pricing, a huge
product selection, and a commitment to excellent service. The 2008
catalog is available.
Apis Footwear Co.
888.937.2747
www.bignwideshoes.com

Friddles Orthopedic Appliances continues its
innovative reputation with the introduction of its new
variable-speed router, which is tailored to meet
the specific demands of the orthotics and prosthetics industry.
Exacting engineering, superior materials, and expert craftsmanship
make this tool a pleasure to operate.
Includes the following features:
- Heavy-duty ¾ horsepower, stainless steel, dust-free A.C.
motor with 115 volt 50/60 Hz 1 ph input.
- Variable-speed drive 0-3450 RPM.
- Easily adjustable height.
- 15-in. shaft with ½-13 threads, which is compatible with
TrautmanTM and Rout-Man carvers.
- Task lamp with adjustable arm.
- Cast-iron base.
- Complete set of urethane arbors.
Friddles Orthopedic Appliances
800.528.9339
www.friddles.com

When a more natural alternative is needed for your
BK patient, choose the ESP SoFlex silicone liner.
The SoFlex liner was designed to be soft and
lightweight without compromising the unique design and features
found in all ESP liners.
SoFlex features include:
- 3mm thick.
- Made of pure, soft, lightweight silicone.
- Pre-flexed at 43 degrees for comfort and unrestricted range of
motion.
- Locking or cushion versions.
- Durable fabric cover.
- Locking liners available with the new flexible shuttle.
- Very competitively priced.
ESP LLC
888.932.7377
http://wearesp.com
- Immediate cash: Plan your future.
- We solve business issues, allowing you to focus on your
patients.
- We are not a broker, buyout fund, or corporate CPA.
- We are well-funded, have experienced O&P management and are
focused on creating a great company.
- If you are interested in finding a partner to run the business
side of your practice, contact us. All discussions
confidential.
BridgePoint Medical
859.260.8576
http://bp-medical.com/page8.php

The new Black Iron Trainer is a
lighter version of the heavy-duty, high-performance Black Iron
Master. While the Black Iron Trainer is smaller
and lighter in weight, it is capable of handling the wide range of
handle diameters that are encountered in modern fitness and
exercise facilities.
The completely manual operation and positive locking and
unlocking design provides uncompromising security and stability for
bench pressing, dumbbell flys, dead lifts, pull-downs, and more.
The Black Iron Trainer, with a load-rating of 440
lb., also carries a smaller price tag than its larger cousin.
TRS Inc.
800.279.1865
www.oandp.com/trs

Compact, reliable, and easy to use, ESPs
Lyn Valve RV SLIDETM suction
socket valve with reliable auto-expulsion also features maintained,
hands free, open operation. Simply slide the operator button in any
direction, and the valve stays open.
RV SLIDE features include:
- Auto expulsion with ½ psi release pressure.
- Great for AK and BK applications.
- Audible "click" indicates manual operation. Click back to
center to restore auto-expulsion function.
- High air flow with low noise venting in auto-expulsion and
manual open modes.
- High-compression housing seal design for reliable socket
installation.
- Install in any socket material.
ESP LLC
888.932.7377
http://wearesp.com

ESP welcomes the AEGIS TF Liner,
a transfemoral silicone liner, to its product line. The
AEGIS TF is made with a new silicone formula that
is soft yet tough and abrasion resistant. Its shape and thin
profile are such that it may be retrofit into existing socket
designs as a cost-effective alternative for above-knee
amputees.
AEGIS TF features include:
- 3mm thick.
- Retrofit into existing socket designs.
- Made of soft, strong silicone.
- Five sizes available.
- Locking or cushion versions.
- Flexible shuttle with locking liners.
- Durable fabric cover.
- Very competitively priced.
ESP LLC
888.932.7377
http://wearesp.com

"Fun With The ABC's" DVD from
Little Horizons Inc. is an animated learning adventure embracing
special needs children that delivers education through
entertainment. Share the experience with your waiting room
visitors.
Little ones will love dancing and singing along to the fun music
and rhymes as they journey through this visually exciting
presentation. They will soar through the sky into outer space,
visit the North Pole, explore the depths of the jungle, take a
train ride into the Wild West, race off toward the finish line, or
dive deep beneath the sea.
Little Horizons Inc.
786.566.7815
www.littlehorizons.com