FES: The ‘Quiet Revolution'
By Miki Fairley
Photograph courtesy of Bioness Inc. FES devices may actually be assisting the brain to recover function through a phenomenon known as neuroplasticity. Today's applications of functional electrical stimulation (FES) are fairly recent developments.
The Stance Control Orthosis: Has Its Time Finally Come?
By Judith Philipps Otto
Bilateral SCOKJ wearer with polio walks in the woods with his dog. Photograph courtesy of Horton's Orthotic Lab. For years, inventive minds have known whatwas needed: A free-swinging orthotic joint that allows the knee tobend and flex under the we...
'Hanging Tight': Elevated Vacuum Suspension Systems Step Forward
By Miki Fairley
"It feels like I got my leg back!" This is how amputee Andy May described the first time he ran with a prosthesis incorporating the new LimbLogic™ VS prosthetic vacuum suspension system from Ohio Willow Wood, Mount Sterling, Ohio. Otto Bock's Har...
Hannah Ganoe: Growing Up with WalkAide
By Brady Delander
Brady Delander As Hannah Ganoe plays basketball, she uses a bit too much muscle. Instead of dropping her shotssoftly through the hoop, she rears back and fires the foam ballright off the Dora the Explorer backboard, and the ball ends upsomewhere...
The Desire to Achieve
By Zach Harvey, CPO
A little creative adaptation can go a long way toward helping recreational enthusiasts pursue their passions. The tattoo on this high-definition cosmetic cover adds the finishing touch to restore this patient's lost limb. Recreational activities a...
Partnering for Patient Care: BridgePoint Medical
By Miki Fairley
BridgePoint offers O&P clinicians a new kind of partnership. You are an O&P clinician, and perhaps you're getting tired of spending so much time "paper pushing" and "bean counting." You wish you had more time to focus on your patients and referral...
Are We Doing Enough to Meet Future Needs?
By Keith Crownover, CPO
After serving for some time on the educational side ofthe O&P profession, I must ask myself whether myesteemed colleagues truly care. I mean, as a whole do we reallycare about the future of this profession? Not our independentfinancial futures and...
Laminations and Carbon Fiber
By Craig MacKenzie, CP, RTP(c)
Not all carbon fiber braid is created equal. There are two main suppliers for carbon braid and several different variations within each company. The two main differences in the variations are angle of weave and weight of material.
Working with People: The Good, the Bad, the Love
By Kristin Carnahan
One of the many reasons I chose to pursue a career in O&P was so I could work with people. "I just want to work more closely with people," I would say, or "I really want to help people directly." I'm not sure what exact image I had in my head a...
Veterans Prepare to Make 'Miracles on Mountainside'
By Brady Delander
Sandy Trombetta used to bring disabled veterans of war to the ski slopes one at a time in the 1980s. As a recreation therapist at the Grand Junction Veterans Affairs Medical Center in western Colorado, Trombetta recognized the physical and ment...
Face to Face
Five questions for Kevin Scribner, CO
Kevin Scribner, CO, is the director of orthotics at the University of Mississippi Medical Center in Jackson, where he teaches in the residency programs for orthopedics, neurosurgery, neurology, rheumatology, and family practice. Born in Nashua, Ne...
Progress on Parity
Virginia Pulls Out All the Stops
By Morgan Sheets
On January 24, amputees from across the state ofVirginia visited the capitol to meet with lawmakers to urge them tosupport Senate Bill 645. SB 645 would require that prosthetic carebe covered on par with other medical services. The lobby day waspa...
By Lisa Lake-Salmon
Denials are difficult to identify and timeconsuming to appeal. Because we know you want to do it right thefirst time so your payments are not delayed, count on "Got FAQs?"to answer your most pressing Medicare and reimbursementquestions. Q: We have...
You Asked, We Listened
By Karen Henry
I don't know about you, but the first three months of any given year are hair on fire for all of us at The O&P EDGE. During the first quarter of the year, we generally have our largest concentration of trade shows and educational conferences. F...
EDGE Direct Sponsored Story
Immediate Improvement for Foot Drop Patients
More than 700 orthotists and clinicians now offer a prescriptionthat can provide an immediate, substantial improvement in the gaitof patients with foot drop. Using sophisticated sensor technology,WalkAide® collects gait pattern data, analyzes, and...
Technology in Practice
By Paul E. Prusakowski, CPO, FAAOP
Reviewing product information at a manufacturer's website with a patient while in the patient room. You probably already have computers in many areasof your practice, but have you ever considered putting them in yourpatient rooms? With the price o...
Ossur's 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 of any activity level.
The new Mauch Knee offers:
- Increased weight limit to 300 lb.
- Proximal and distal male titanium pyramids.
The new Mauch Knee Plus offers:
- Weight limit of 365 lb.
- Flexible proximal and distal adapter options; threaded or
Why sacrifice your patients for profit? 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
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. The VertaMaxs sizing
system includes five unisex sizes ranging from a 22½- to a
60½-in. waist with neutral or pendulous abdomen.
SPS now has the new
LimbLogicTM VS from
Ohio Willow Wood on its shelves and is available for immediate
As the first water-resistant system on the market, the
LimbLogic VS represents signifcant design
advancement in vacuum technology. The streamlined system features a
lightweight (210g, four-hole housing) and quiet design with "Set It
and Forget It" technology. Smart leak detection notifies users of
leaks and limits pump operations.
Visit booth #T73 at the Academy meeting in Orlando, Florida, to
view the LimbLogic VS.
Advancing liner technology one step further, the
new Iceross®Seal-In® is
as close as we have come to complete prosthetic attachment, with
the convenience of a simple step-in-and-go system. The new system
for transtibial users applies pure suction but does not require an
external sleeve, saving time and money.
A proprietary design with five separate seals bridges between
the residual limb and the internal socket wall. Unique seal design
conforms and clings tightly, guaranteeing suspension, rotation
control, and proprioception, while allowing for unprecedented knee
freedom. The release button on the socket valve makes doffing
The Centri® Absolute Suspension
Sleeve optimizes comfort, durability, and range of motion.
The combination of Centri's extra-soft gel and
Spectralon® fabric creates a comfortable yet durable fit for
active lifestyles. The preflexed design allows maximum range of
motion and alleviates posterior milking when the knee is flexed.
Available in six sizes and choice of beige or black.
Features and benefits of the Centri Absolute Suspension
- Maximum comfort and suspension.
- Spectralon fabric, reinforced at the knee.
- Micro-coated friction reduction.
- Preflexed for knee flexion.
- Stain resistant and easy to clean.
Allard USA has announced the latest addition to
the carbon composite ToeOFF® family of products:
BlueRockerTM in XS size.
With a footplate length of just 8¼ in. and an anterior
tibia plate length of 14 in., the XS will often fit children as
young as age 7, womens shoe size down to 4, and male shoe size down
BlueRocker is identical in shape and design to
ToeOFF, but is considerably more rigid for use when added orthotic
control is required. The extra stability will improve balance and
posture and give the wearer greater security.
Designed with ease of fabrication in mind, the
Camber Axis TechnicTM is a
cost-effective, durable, free-motion ankle joint based on the
proven technology of the Camber Axis Hinge®. Compared to
fabricating plastic "overlap" ankle joints, the pre-contoured,
stainless steel Technic reduces labor time and
material costs by providing a prefabricated ankle joint that is
easy to install.
Low-profile, stainless steel cambered hinges match the contours
and co-axial alignment of the anatomical ankle joint and provide
strength and stability. The Technic, intended for
youth and adult patients, is available in one size with an optional
black, non-corrosive finish.
Our latest innovation in microprocessor knee
technology. Activate it, and walk around. The
SmartIP programs itself!
The SmartIP adjusts to the optimum function as
it automatically detects what is happening during the gait cycle.
At any time, the wearer can activate the knee and reprogram it to
suit specific activities and environments.
Includes the following key benefits:
- Enhanced range of walking speeds.
- Smoother gait.
- Cost effective.
- User friendly.
- Proven technology.
Endolite North America
Friddle's 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.
Friddle's Orthopedic Appliances
FLO-TECH has added a seventh, new size of
APOPPS FLO-TECH-TORTM for your larger
amputee - 3XL. It is now available without "custom" fees. The
foundation for a good prosthesis starts with a
FLO-TECH-TOR for protective, immediate post-op,
and early weight bearing prosthetic management of transtibial
Measurements for the 3XL FLO-TECH-TOR are 21 to
22 in. for MPT; 20 to 21 in. for distal; and 19 to 23 in. for
FLO-TECH O&P Systems Inc.
Dynamic Walk is a dynamic AFO
made of lightweight thermoformable TFC, carbon-fiber composite, and
double-sided PEEK rods that provide strength and flexibility. The
Dynamic Walk M-L rod design and PEEK material
allows patients to drive vehicles and climb stairs with stable,
free movement and a constant lifting of the foot. Visit booth #213
at the Academy meeting to see live demonstrations.
Features of the Dynamic Walk include:
- Dynamic action.
- High strength.
- M-L stability.
- Lightweight, thermoformable TFC construction.
- Open heel.
- Fits easily into regular shoes.
- Allows for everyday activities.
No matter the terrain, Endolite's new
Esprit® Foot can handle it. The lightweight,
low-profile foot is designed for active walkers
with a variety of cadences and styles.
The independent heel-and-toe design responds and adapts to all
types of terrain, absorbing shock and increasing comfort, and
Esprit's tripod design is built for superior
ground compliance. The tripod system enhances ramp and turning
abilities while providing added limb stability.
The foot provides soft rollover with excellent
energy return, shock absorption, and forward progression. A foot
shell and glide sock is included.
Endolite North America
Receive 10 percent off the purchase price of all
SPS purchase orders dated March 1, through May 31, 2008, for the
QuikDrawTM with Rigid Anterior Panel
The QuikDraw with RAP by Aspen Medical Products
is designed to quickly restore functional mobility by providing
powerful compression for immediate pain relief. When partnered with
a RAP, the QuikDraw will help lead to quick and
lasting pain relief.
With just a few sizes that correspond directly to mens or womens
clothing sizes, the QuikDraw reduces inventory
requirements while simplifying the fitting process.
Did you know that Becker Oregon offers traditional
thermoplastic and metal and leather AFOs and KAFOs?
What to expect from Becker Oregon:
- Highly trained technicians.
- Highest standards of workmanship and unsurpassed service.
- Competitive pricing.
- Quick turnaround times.
- Guaranteed customer satisfaction.
Consider Becker Oregon for your next custom
A Becker Orthopedic Company
We asked prosthetists what their clients needed.
They said a durable, economical sleeve for transtibial suspension
that was comfortable and easily applied yet secure. In response,
Syncor's research team developed the Durasleeve
EZ, an air-tight, hypobaric suction environment that
provides virtually fail-safe suction.
The Durasleeve EZ is pre-flexed with no
bunching, increasing comfort while making it less obtrusive. This
also eliminates seams, reducing pressure on the patella.
Constructed of cream-colored Hypalon®, the sleeve is less
likely to cause irritation. Sizes available from S to XL, and
custom orders are welcome.
Receive 10 percent off the purchase price of an
Air-Lock or Small Air-Lock by
Coyote Design when you place your purchase order through SPS
between February 1 and March 31, 2008.
The waterproof and lightweight Air-Lock and
Small Air-Lock are ideal for single lamination
fabrications and applicable for amputees of all activity levels.
The durable and long-lasting Acytel pin construction is a
self-lubricating material that does not wear with friction or
The Air-Lock is rated to 120kg in laminated
sockets and 100kg in definitive thermoformed sockets. The
Small Air-Lock is rated to 100kg in laminated
Available from PEL Supply
The new AK liner from ALPS offers
an unparalleled combination of the softness, strength, and
elasticity found in the Alps EasyGel with the comfort and
durability wearers expect - at a price everyone will like.
AK liner includes the following features:
- New gel liner for transfemoral and active BK amputees.
- 80 percent less vertical stretch than other Alps gel
- Distal end wider to ease donning and displace pressures from
- One-year warranty; two-year on two liners.
- Value-priced - call PEL!
PEL Supply Company
Advance Footwear encompasses a complete range of
footwear from the new Advance Walking Comfort
Footwear line to the original Advance Orthopedic and
Advance Comfort Footwear lines. SoleTech has engineered these
innovative shoes to offer features and benefits that are
unequaled-depth, roominess, and style.
Advance Walking Comfort Footwear features an
incomparable level of comfort, while the styling rivals that of
today's best walking and comfort shoe brands. When your patient is
looking for the best combination of athletic styling and comfort,
Advance Walking Comfort Footwear can meet all of
A Revolution in Clubfoot Treatment
Matthew Dobbs, MD, designed this new
dynamic clubfoot bar to allow active movement,
preserve muscle strength in the foot and ankle, and be less
restrictive to the child than traditional fixed-bars. Children
using the Dobbs Bar can crawl and kick their legs
independently. Children will sleep better because they can get
comfortable in the Dobbs Bar,
and heel blisters commonly associated with fixed-bars are no longer
a problem. The Dobbs Bar is completely adjustable from 8 to 14
inches to accommodate growth; no need to buy replacement bars. The
foot plates are universal and can be attached to shoes and AFOs.
The results are better compliance, a more active child, and happier
D-Bar Enterprises LLC
New cranial functionality is
available in OMEGA® Tracer® version 10.5. Using the OMEGA
Scanner, clinicians can easily and safely scan childrens craniums
for the creation of cranial remolding orthoses.
Recently designated as a Class 1 laser device, the OMEGA Scanner
is faster than casting for cranials and less traumatic for young
patients. Clinicians may choose to modify the electronically
captured cranium shape using OMEGA Tracer software or to leave it
unmodified. Becker Orthopedic, the official OMEGA partner for
cranial remolding orthosis fabrication, accepts either type of
Contact us for a free in-facility demonstration.
Ohio Willow Wood
The STS Company has developed a new water curable
polyurethane resin for its 17- and 30-in. tubular
fiberglass casting socks. This creamier resin will
maintain the softness of the fiberglass sock, allowing it to be
more easily unrolled. The new resin more closely
resembles the properties of plaster but without the side effects of
prolonged setup and mess, while its shelf-life has been increased
to 18 months. The cure time is 2-3 minutes, and the finished
negative impressions will be more rigid than the previous version.
Negative molds are an ideal alternative to fiberglass rolls or
plaster bandages, and the positive molds require less finish work
with greater accuracy.
SprayzoinTM is an
easy-to-use, hands-free Tincture Benzoin Compound spray in a
special spray vehicle. This non-aerosol, economical, antiseptic,
and antipruritic spray toughens skin and increases adhesion of
bandages without irritation. It is used by surgeons, orthopedists,
orthotists, and prosthetists. A cost-effective replacement to
Aerozoin©, the low-cost spray comes in a
shatterproof plastic bottle.
Sprayzoin is available through wholesalers,
distributors, and direct, as well as on GPO contracts. Don't wait.
Call today to obtain free samples.
The Sure-LokTM is the
world's first infinitely adjustable cable lock and retainer system
for body-powered prostheses. This revolutionary technology mounts
on the patient's voluntary opening (VO) or voluntary closing (VC)
prosthesis. VO users can lock the cable to avoid damaging objects,
and VC users no longer have to maintain cable tension to retain
With the Sure-Lok engaged, it's possible for
your patient to obtain greater pinch forces than with VO setups,
even while relaxed. The Sure-Lok disengages
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
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.
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
- Install in any socket material.
Dycor's ADL-LCD Lisfranc/Chopart Energy
Returning Foot provides maximum flexibility and
resiliency, strength of attachment, and anatomical support of
hindfoot, with minimum weight (12.5 oz. with foot shell, 26cm med)
and socket clearance (3/8 in. including foot shell).
The forefoot is horizontally split into five segments to
maintain the same degree of forefoot flexibility regardless of
medial and lateral shift of the floor reaction. Integrated carbon
fiber "tie-ins" around the heel portion of the keel are epoxied
directly to the end of the socket, forming a stronger lap joint
between the heel segment of the keel and the prosthetic socket.
- Immediate cash: plan your future.
- We solve business issues, allowing you to focus on your
- 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 are
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
- Locking or cushion versions.
- Durable fabric cover.
- Locking liners available with the new flexible shuttle.
- Very competitively priced.
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
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.
"Fun With The ABC's" DVD from Little
Horizons Inc. is an animated learning adventure embracingspecial needs children that delivers education through
entertainment. Share the experience with your waiting room
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.