Building Function, Building Hope: Orthotic Management of Pediatric Spinal Cord Injury
By Morgan Stanfield
Life, as they say, can turn on a dime. One of the everyday pleasures in a child's life—a car trip, school football game, or bounce on a trampoline—can end with a disastrous snap . Partial or complete spinal cord injury (SCI) currently...
Tiny AFOs: Bracing for Premature Babies
By Morgan Stanfield
When you see the tiny bootie in the palm of Ken Kane's hand, it's not surprising to learn that he went to college to be a toymaker. The sole of the wee lacer doesn't begin to span the width of the six-footer's big palm, and he might— might &...
Expert Witness in Litigation, Life Care Planning: Should This Be Part of Your Practice?
By Miki Fairley
"They told me he wouldn't make it." With a catch in her voice, Cathy Speciale Culver of Lusby, Maryland, describes going through almost every mother's nightmare. Riddick-Grisham The saga of Culver's son James, then age seven, began with a slight...
Coming Full Circle: Jack Richmond’s Team in Training
By Morgan Stanfield
Jack Richmond, CFo, is a runner. And, he wears a prosthesis in place of his right foot and lower leg. However, he's not an amputee runner, he asserts.
Making a Difference for Kids with Crouch Gait
By Keith M. Smith, CO, LO, FAAOP
The orthotic management of crouch gait patterns from tight hamstrings is a subject of great debate among orthotists and rehab clinicians. The key to managing crouch gait is understanding that there is more to it than treatments that center around...
Tiffany Moe: Making the Right Moves
By Brady Delander
For the most part, Tiffany Moe endured childhood more than she enjoyed it. Life seemed to turn in all directions for Moe—except the right one. And then in 2007, her life took a devastatingly hard turn, when, at age 15, she was diagnosed with...
Choosing Shoes for Children
By Séamus Kennedy, BEng (Mech), CPed
When it comes to children's footwear, we may have to re-examine the notion of what we consider to be "good shoes." For most of the 20th century, there was a general consensus that when buying children's shoes you should, among other things, ensure...
Miracles on a Mountainside
By Crystal Ettridge
VA Assistant Secretary for Public and Intergovernmental Affairs, Tammy Duckworth, takes to the slopes at the 24th National Disabled Veterans Winter Sports Clinic on March 31, 2010. VA photo by April Eilers . The havoc that war inflicts on warriors...
The Finish Line
By Michael Carroll
As I complete the final semester of my bachelor of applied science degree in orthotics and prosthetics at the J. E. Hanger College of Orthotics and Prosthetics at St.
Face to Face
Face to Face: Brian K. Pinkston, CP, LP
If the wisdom of the ages could be condensed into one phrase, " nosce te ipsum "-know thyself-Brian Pinkston is a wise man. Unlike many Americans with their nomadic paths through life and career, Pinkston found early on what suited him and has spe...
By Lisa Lake-Salmon
Denials are difficult to identify and time consuming to appeal. Count on "Got FAQs?" to help keep your O&P billing running smoothly. This month's column tackles your questions about licensure, denials on lumbar-orthosis claims, and the revised tim...
Industry Review - Parity
We've Come a Long Way, but There's More Work to be Done
By Melanie Staten
The Amputee Coalition of America (ACA) hasbrought federal and local issues important tothose in the limb-loss community to the forefrontof our 2010 efforts. Our grassroots workand that of our industry partners have attractedincreasing attention fe...
Optimizing Care When Tragedy Strikes
By Karen Henry
When serious illness or injury happens, it's difficult for patients, family, and loved ones alike. But when the illness or injury involves a child, it becomes all the more heart wrenching. As families struggle to come to terms with a prognosis tha...
bebionic Launches in Leipzig
bebionic , the next generation of fully articulating myoelectric hands, was officially launched to the international market at the combined meeting of the 13 th ISPO World Congress and Orthopädie & Reha-Technik international trade show on May 12-1...
The ParaPod comes in a kit-form that can be sized and assembled easily, and costs significantly less than conventional HKAFOs. The kit provides an exoskeleton worn over clothing that consists of shoe clamps, aluminum uprights, foam knee blocks, and upper-back and chest supports. The aluminum uprights are sized at the knee and hip and are cut to length. Additional tubes can be cut to a longer length to accommodate growth.
You've been asking for it. Friddle's now offers custom On the Spot sublimation transfers with low minimum-order requirements. Call and ask about getting your company logo or custom On the Spot transfers. These transfers can be used on nylon or Dacron straps, or plastic.
Friddle's Orthopedic Appliances
The Alpha® AK Locking Liner with symmetrical gel style features hybrid gel which has a higher durometer that combines durability with comfort. The liner features 9mm distal gel thickness and 2.5mm anterior/posterior gel thickness. The symmetrical design of the gel allows the liner to be rotated for extended wear.
The liner utilizes one-way stretch fabric for controlled pistoning without a rigid distal matrix and provides tissue compression without uncomfortable pressure on the limb. A flexible accordion umbrella blends with a patient's anatomyfor an almost unnoticeable feeling.
Ohio Willow Wood
A More Realistic Appearance, Naturally!
Durable and easy to clean, Skin Natural gloves provide more realistic characteristics due to a multilayered structure that creates an impression of depth. The PVC-based material provides robust features for the gloves, showing high durability compared to other materials. Skin Natural is appropriate for patients wearing myoelectric, body powered, and passive arm prostheses.
Otto Bock HealthCare
Mechanical Advantage with NO STRINGS ATTACHED!
The innovative NINJA is a 6X mechanical-advantage orthosis that is like a string brace, but it uses straps, not strings. The straps are more durable; they won't fray, tear, tangle, or wedge.
The NINJA belt is the foundation of each brace (L-0627, L-0631, and L-0637) in the NINJA Progressive Spinal System. It has a soft mesh inside and an aggressive loop outside. The one-pull strap is easy to tighten and fasten. The NINJA LSO is pictured.
HOPE Orthopedic: "WHEN YOU NEED IT RIGHT FAST."
The STAR™ family of cranial remolding orthoses has been used to treat positional plagiocephaly, brachycephaly, scaphocephaly, and other head-shape deformities in infants aged three to 18 months since 2000. Tens of thousands of infants have been successfully treated with the STARband®. Orthomerica has received FDA clearance for the STAR family of cranial remolding orthoses for post-operative craniosynostosis. Orthomerica's cranial remolding orthoses can be fabricated from an unmodified cast or a scan of the infant's head using the STARscanner™.
The new Centri Dynamic Walk Single Side AFO features open-heel construction to allow for optimal fit and comfort, and also provides dorsi-assist with subtalar inversion and eversion control. The high-activity design enables freedom of motion and allows for walking, running, and climbing stairs.
- Easy donning and doffing.
- Fits normal or narrow shoes.
- Flexible for multi-plane action.
- Medial/lateral stability.
- Flexible calf band.
- Moldable, lightweight thermoplastic Comfil® carbon-composite cuffs.
- Six-month warranty.
PEL Supply Company
Continuing our tradition of excellence, OPTEC introduces the Stealth X, our newest revolutionary, streamlined design. The Stealth X design provides unmatched saggital-corronal support. The closure system glides to provide smooth compression that can be regulated by your patients. Our unique, durable, and flexible polymer closure straps provide additional reinforcement and support to the posterior for complete rehabilitation. Stealth X combines the benefits of a post-op and rehab brace, all in one innovative design.
PDAC recently determined that L-0637 is the appropriate HCPCS code for the Stealth X. Order the Stealth X now through June 30, 2010, to receive 15% OFF the regular price.
The Venture® combines College Park's trademark multiaxial design with a higher frequency dynamic response for more active users.
The Venture Foot includes the following key features:
- True multiaxial function with transverse rotation.
- Extended toe lever facilitates immediate power and increased response with each stride.
- Adjustable Stride Control™ helps fine-tune gait without disassembly.
- Scaled design allows for more natural proportions.
- Same-day, custom-built to order.
SPS provides two new styles of the popular Answer 2 youth shoes. The adorable Mary Jane for girls has an extra-long Velcro strap that can be trimmed. The handsome lace-tie Oxford for boys has a larger throat to facilitate easier entry.
Each is designed to provide extra support and girth at the ankle and added width at the toe. Symmetrical straight last and symmetrical cut lines allow easy sole modifications. Added depth (8mm) is deeper than conventional straight-last shoes. Both designs accommodate an AFO.
Allard USA has announced new, smaller sizes for the popular carbon-composite KiddieGAIT™ ToeOFF products, available from PEL Supply. Three new "baby" sizes support the foot in its early stages and beyond, to stimulate and assist standing and toddling, and to provide support for correct posture and gait. KiddieGAIT will now fit kids from about nine months to approximately nine years. It is even more kid-friendly when paired with the new SoftSHELL™ slip-on sleeve that comes in pink or red fun-print patterns. All sleeves are machine washable.
PEL Supply Company
Intended for patients up to 320 lb. or those individuals with a severe biomechanical deficit, the Model 1017-A38 Automatic Angled Lever-Lock Knee Joint is the latest addition to our comprehensive range of orthotic knee joints. Equipped with in. x ¾ in. (9.5mm x 19.1mm) aluminum uprights, the Model 1017-A38 is modular in design and may be used in either a unilateral or double upright configuration. The Model 1017-A38 can be fabricated into a variety of orthotic designs including conventional metal and leather, thermoplastics, and composites.
SPS offers the sleek, slim-line design of the new Ibex Foot System™ from Fillauer, with its "must-feel-to-believe" performance.
The unique micro-slice pylon design and split heel plate contribute to an overall foot system inversion/eversion of 13 degrees. The lightweight, low-profile design weighs 16.2 oz. (27cm Category C spring) and has a build height of 6.75 in. The full-length heel plate and resilient carbon structure allows Ibex users to reach foot flat sooner while expending less energy. The stable, durable design is appropriate for users weighing up to 330 lb.
New: Ultraflex Toe Pads-Ideal for Neurologically Involved Patients
Ultraflex toe pads are available for purchase individually or with Ultraflex customfabricated orthoses made in the Ultraflex Lab. Ultraflex toe pads are an ideal addition for neurologically involved patients. They come in extra small ( ∆ ≾ 2 3/8 in.), small(2 3/8 in. ≾∆ ≾ 2 5/8 in.), medium (2 5/8 in.≾ ∆ ≾ 2 15/16 in.), and large (2 15/16 in.≾∆ ≾ 3 1/8 in.). Ultraflex toe pads are recom-mended for use with Ultraflex Adjustable Dynamic Response™ UltraSafeGait™ for managing gait deviations.
The redesigned Plié 2.0 MPC Knee microprocessor knee is in stock and available at SPS. Its synergistic microprocessor and hydraulic technologies deliver a highly responsive prosthetic knee, while facilitating a natural and intuitive mobility. Microprocessor control of both swing and stance phases delivers advanced stumble-recovery capability. The finely tuned control system delivers near instantaneous adaptation to gait dynamics.
Freedom Innovations' Plié set-up wizard streamlines programming and set-up of the knee, using automated parameter settings to maximize performance.
The GXL-Knee (GX-Locking Knee) incorporates the best of both worlds from our Key Lock™ (1015) and GX-Knee (9000) knee joints. Integrating the extension-assist feature of the GX-Knee with the locking mechanism of the Key Lock gives you and your patient a whole new level of confidence and convenience.
Model 9015 is a free-motion knee joint that is designed to provide extension assist, not prevent knee flexion. In addition, the GXL-Knee has the option of locking at full extension for use as a locked knee joint.
OPTEC consistently offers high-quality, cutting-edge products at a fair price. OPTEC also helps your practice to be successful by submitting braces to the Pricing, Data Analysis, and Coding (PDAC) Center.
PDAC recently reviewed many OPTEC products, with the following decisions: VertaMax L-0627; Stealth PRO L-0631; Stealth Rehab L-0627; Stealth X L-0637; Stealth LSO LP L-0637; Stealth CB L-0637; Stealth Xtreme L-0637; Stealth TLSO with DLK L-0462; and Stealth TLSO with ATE L-0464.
The Stealth LSO, Oasis LSO, and Oasis LSO LP continue to be L-0637.
When someone says they can't wear a lock, remember that not all locks are created equal. Many locks are difficult to engage and can cause milking and irritation.
The new Suction Lock combines a lock system with an air-sealing valve to create an airtight suction socket. This improves suspension, reduces pistoning and milking, and increases comfort, even without a sleeve.
Endolite's updated EliteVT, available at SPS, has been re-engineered with a new titanium spring (previously stainless steel) to achieve a lighter, more robust foot with superb dynamic response.
The updated EliteVT incorporates vertical compression and axial rotation. The progressive response to axial loading simulates the elastic properties of natural leg muscles. Its compact, maintenance-free design allows for easy cosmetic finishing. It provides K3-K4 users with the ultimate in versatility, shock absorption, rotation, and stability in one complete package. EliteVT ships fully assembled.
New: Ultraflex Universal Joint - Comparably Smaller, Lighter, and Stronger
The Ultraflex Universal Joint uses a tried-and-true clevis design for maximum M-L strength, yet is extremely lightweight and low profile. The Ultraflex Universal Joint is comparatively smaller, lighter, and stronger. It can be used on ankles, elbows, or wrists, as well as for both adult and pediatric applications. Recommended as a companion joint to Ultraflex ADR™. Molding dummy included. Dimensions: Length: 17/16 in., width: 7/16 in., height: 19/64 in., weight: 0.5 oz.
SPS is offering an additional 10% limited-time promotional discount on Orthomerica's® CALIFORNIA™ line of prefabricated spinal orthoses.
This limited-time offer is extended to SPS purchase orders through June 30, 2010, and is available exclusively through SPS.
Includes ECO, Soft Spinal System, Mid-Profile, Chairback, Compression, Compressor, Compressor Combo C3, CPO, LOMBAR™, Low Profile, CEO™ Cruciform, Corset Brace, COSMIC™, Kydex® Chairback, and Knight Taylor brace, as well as LIDO2® Cervical System.
Specifically excludes AirBack® Spinal System, MRI Extended Cervical Orthosis, Supra-Lite™ Cervical Orthosis, TORSO Lite™ Spinal System, and TORSO™ Spinal System.
Take a step in the right direction!
Easy to fit for practitioners and even easier for patients to use, this integrated, low-profile joint provides the best in electronic stance control and helps your patients enjoy a more active lifestyle. With the help of simple onboard programming, the E-MAG Active calibrates itself to capture the user's unique gait pattern. This unique feature adds a new dimension of functionality for people who previously had limited bracing options. Help your patients get back into the swing of things with the E-MAG Active.
Otto Bock HealthCare
Orthofeet has added new Tie-Less shoes, featuring its patent-pending system that offers a unique fasten-ing solution for people who have difficulty tying laces. This revolutionary system combines laces with hook-and-loop straps and offers easy fastening on eitherside of the shoe. Additional unique features include soft, seamless fabric lining with foam padding and Ergonomic Stride™ sole design.
The Alpha® Original MP Liner from Ohio Willow Wood is now available at a new, lower price from PEL Supply. Available for immediate shipment, the Original MP Liner offers 6mm of gel thickness, uniform style, and original green/gray fabric. All sizes of either locking or cushioning MP Liners are available at the lower price, and all offer a 12-month warranty.
It's the most popular Ohio Willow Wood liner, with the most popular gel thickness and profile, in the most popular fabric-and now at a new, lower price from PEL Supply.
PEL Supply Company
Designed for high function and low fuss, the CQL™ Auto Expulsion Valve (CD105) quietly expels air throughout the day without a whooshing noise. It has a slightly higher crack pressure to create a higher level of suction. The valve is protected from the elements by a filter that can be cleaned or replaced. The CQL Valve can be retrofitted or used with new fabrication tooling for easy installation in new sockets.
Your #1 source for O&P central fabrication specializing in:
- Lower-extremity prosthetics.
- Custom orthotics.
- Leather gauntlets.
Mention this ad, and receive a discount on your first order. Quality and rapid turn-around are the hallmarks of our practice.
Allow us to help you help others!
View the latest release of Delcam's 2010 OrthoModel and OrthoMill for the design and manufacture of custom orthotic insoles at http://releasecentre.orthotics-cadcam.com/
See how you can repeat identical prescriptions with no messy plaster casting or cast dressing.
Delcam's orthotic CAD/CAM solutions are designed by medical professionals for medical professionals, which means that new users can become proficient in under a day.
Delcam will work with you to choose the material, software, and scanner that will best suit your business needs.
The new Child's Play Knee, with increased weight limit (up to 121 lb.) and modernized design, is now available at SPS.
Trulife's Child's Play Knee with manual lock utilizes a mechanical locking system with a manually operated release lever.
This low-profile knee for pediatric amputees includes the following features:
- Lightweight (310g).
- Four-bar polycentric design provides 140 degrees of flexion.
- Friction swing-control and extension-assist.
- Adjustable stability setting.
- Removable manual lock.
- Rotatable knee-disarticulation adapter available.
- Two-year warranty.
Titanium pyramids are now standard with Dycor's new K2 DR2 (unassisted transfer/assisted ADL) and K3 DR3 (unassisted ADL) feet. The K2 version is 30 percent more flexible than the K3.
Dycor's DR feet are light-weight and resilient because they rely on deflection of the varying-thickness leaf springs imbedded in the upper keel member, rather than compression of rubber bumpers. The DR feet are ground compliant because they incorporate uni, bi-, or tri-axial ankle articulation with low- or medium-profile options.
Weight, including titanium pyramid and foot shell, is 312g (11 oz.).
The TSS Vaculink Vacuum Pump from MICA Corp. was created for elevated vacuum socket management, enhanced suspension, and moisture control. The Vaculink is a mechanical pump mounted to a tibial component and driven by stance phase or combined foot and ankle flexion. The pump design is simple and effective, ensuring extended life, efficiency, and zero maintenance.
Features and benefits include:
- Zero battery dependence.
- Enhances blood circulation.
- Stabilizes limb volume and prevents fluctuation.
- Firmly secures socket to limb.
- Increases user awareness of limb/prosthesis position.
- Easily adjustable vacuum.