Developing Evidence-Based Care Protocols
ev·i·dence: noun that which tends to prove or disprove something; ground for belief; proof. something that makes plain or clear; an indication or sign: His flushed look was visible evidence of his fever. data presented to a court or jury i...
The Balancing Act: Scene 2
The first installment of our discussion of balance among individuals with lower-limb amputations examined various techniques that have been developed to quantify balance in this population, and some of the broad influences that can affect balance,...
High-Fi Flies High in New Prosthetic Interface: Tissue Compression/Release Concept Gains Control
"I've been an amputee for 35 years, and I am very, very particular about the fit and finish of the socket. In fact, when I was asked to try Randy's new interface socket, I thought, 'Okay, I'll agree to have him mold his new and improved, whiz-bang...
Cooperative Care: Good for Patients, Good for Business
"We're just another tool in the practitioner's toolbox." -Todd Anderson, CP, FAAOP, vice president of business services,Otto Bock HealthCare, Minneapolis, Minnesota Charles Kuffel, CPO, FAAOP, president and clinical director of Arise Orthotics &...
Prosthetists and Technicians: Tell Us What Tools You Need to Innovate
Some friends and I started OpenProsthetics.org in 2006, after a year in which I became disappointed in the true state of the art of prosthetic arms, even for a very well-insured customer. I've written the article "Open Arms" about what I believe a...
Considerations for Biomechanical Evaluations
Although there are protocols for orthotic treatment based on standard diagnoses, no two cases are the same-every patient presents with a unique set of circumstances. Slight differences in physiology, lifestyle, or even patient temperament can make...
Amy Palmiero-Winters: Running for Her Life
On June 26, Palmiero-Winters became the first amputee to complete the Western States Endurance Run,commonly listed as one of the five toughest races in the United States. Photographs courtesy of Amy Palmiero-Winters. On a racetrack in France, peop...
Extremity Games 5; CAF Has Another Record Year
Extremity Games 5 Takes Texas by Storm Second-place kayak finisher Jim Wazny strokes to shore. Photographs courtesy of Sean Spangler. Extremity Games® 5 (eX5) was welcomed with genuine southern hospitality into New Braunfels, Texas, despite de...
O&P Graduates: Advice from the Profession
"We don't receive wisdom; we must discover it for ourselves after a journey that no one can take for us or spare us." -Marcel Proust, French novelist, 1871-1922 To honor those individuals who are just beginning their journey into the O&P professi...
Face to Face: Paul Barker—from Patient to Producer
Face to Face
Like so many others before him, Paul Barker became familiar with the O&P profession for personal reasons. His original intent was to learn more about himself and how his prosthetic limb worked—he has worn a prosthesis since losing most of hi...
Running an O&P practice gets more complicated every year. When billing questions or denials have you at your wits' end, count on "Got FAQs?" to help restore your sanity and keep your accounts receivables on track. This month's column addresses you...
ACPOC/ORA Communities Come Together in Florida
ACPOC's close proximity to Clearwater Marine Aquarium provided the perfect opportunity for a special presentation about Winterthe dolphin. Joe Malo, (left) director of education at the aquarium presented Winter's story, and Dan Strzempka, CPO, (ri...
Providing Optimal Solutions
O&P professionals know the feeling of intense pride and satisfaction that comes with finding a solution to a complex problem. But when a patient with a challenging presentation comes into a clinician's office, the best solution may involve a devic...
SPS Adds Custom Dimension to Its Service Offering
The challenge for any company that has been around as long as SPS is to reach beyond its comfort zone into new areas and offer new services that fulfill the changing needs of our customers," commented Ron May, president and COO of SPS. In SPS' cas...
White House Responds to Allegations of O&P Tax on Veterans
On March 25, when Congress passed the Health Care and Education Reconciliation Act (HCERA) to solidify the Patient Protection and Affordable Care Act (known as "PPACA" or "the Affordable Care Act"), HCERA included a 2.3-percent excise tax on all m...
SPS now offers the new low-profile version of the Silhouette VS prosthetic foot that provides shock absorption and multiaxial ground compliance to ease progression onto otherwise unforgiving surfaces.
- Vertical shock absorption softens heel-strike impact, providing comfort and preserving residual-limb health.
- Optimized sole plate with tri-durometer urethane strips transfers load from lateral to medial plane with each step for more natural medial rollover.
- 3/8 - or ¾-in. heel heights available to broaden footwear choices from dress shoes to work boots.
- Rated to 365 lb., the Silhouette LP-VS is appropriate for low- to moderate-impact K3 ambulators.
Orthofeet is introducing low-heel diabetic shoes that offer the "Slip-On" look with the comfort of adjustable-strap shoes. These unique Slip-On shoes feature a wide opening for easy on/off, along with a two-way strap system that enables fastening on either side of the shoe and easy adjustment of the strap length to perfectly fit swollen feet or feet with a high instep. Additional comfort features include a soft, protective lining with seamless design, and a lightweight cushioning sole with Ergonomic-Stride™ construction.
The Element Foot System™ was designed to support each phase of the gait cycle, resulting in unsurpassed smoothness, stability, and performance. Now Fillauer has added the DuraShock to increase vertical shock absorption and add axial rotation. The elastomers and carbon components work together to absorb, store, and return energy in vertical and horizontal planes. The result is a foot system that provides high-level function and requires only 6.5 in. of clearance. Rated for patients up to 275 lb. (125kg), the Element DS Foot System offers maintenance-free design and a three-year warranty.
PEL Supply Company
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 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.
The new Alpha Select Liner provides controlled pistoning with unlimited flexion. Featuring a new design, material, and construction, Select is available at all SPS distribution centers.
- Progressive gel measures 9mm distally and 6mm over the tibial crest, thinning to 2.5mm behind the knee and proximally.
- New accordion umbrella permits conformance to the wearer's own contours, rendering the attachment mechanism unnoticeable.
- Select panel is an abrasion-resistant yet flexible fabric that allows the limb to easily flex without pulling or tightening at the knee.
- Pistoning is controlled through the one-way stretch fabric without a distal matrix.
The California® Soft Spinal orthosis has been designed to alleviate pain, limit undesirable motion, and provide circumferential pressure to stabilize the spine. The basic system is modular, comprising rigid components inside a soft and comfortable interface, and the strapping arrangement provides easy-to-adjust compression. The orthosis can be effective for more superior spinal problems between T7 and L3, by adding either an anterior, posterior, or combined upper-thoracic component. All components are pre-drilled for retrofitting and interchangeability.
In addition to spinal braces, Orthomerica offers a comprehensive array of prefabricated, semi-custom, and custom orthotic products.
This new lamination anchor simplifies fitting patients who have hip-flexion contracture, making it easier for you to optimize alignment. Otto Bock's new 4R119 features an angled posterior arm. That angle means less bending that can also weaken a component and lead to failure. The durable, stainless-steel construction accommodates a 330-lb. weight limit. Offered exclusively from Otto Bock, you can trust the quality built into everything we do.
Otto Bock HealthCare
Our popular Navigator and Senior feet for K2-level amputees are now available in light- and dark-tone foot shells. The Navigator offers a multiaxial flexible keel design, and the Senior offers a flexible keel design.
Other features and benefits include:
- Durable, replaceable foot shell.
- Integrated male pyramid.
- Full-length toe lever.
- Sandal toe.
Now through October 29, 2010, SPS is offering the new Summit 637™ LSO for 15% off.
The Summit 637 delivers the same effective compression and motion limitations as the Summit 631, but with additional coverage. Rigid side panels provide additional lateral support while maximizing comfort.
The Summit 637 includes the following features:
- Effective compression.
- Conform back panel provides a custom silhouette feel while administering direct pain relief to the lower back.
- Ergonomic, comfortable fit accommodates diverse anatomies and diagnoses.
- Four sizes accommodate 26- to 60-in. waist circumferences.
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 Xtreme L-0637; Stealth TLSO with DLK L-0462; and Stealth TLSO with ATE L-0464, along with many custom spinal products.
The Stealth LSO, Oasis LSO, and Oasis LSO LP continue to be L-0637.
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: 1 7/16 in., width: 7/16 in., height: 19/64 in., weight: 0.5 oz.
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.
Build a state-of-the-art custom KAFO within your own facility today! PEL Supply offers the new Combo Custom KAFO from Allard USA. It creates an innovative orthotic solution for the management of foot drop combined with genu-recurvatum by providing a removable knee-brace attachment for the popular ToeOFF® or Blue Rocker™.
Features and benefits include:
- Low profile and lightweight.
- Uprights easily shaped and adjusted to optimum height for patient.
- Modular components accommodate variances in thigh and calf circumferences.
- Easy to don and doff.
PEL Supply Company
Life is filled with compromises. Choosing a prosthetic foot shouldn't be. The Fusion™ Foot's design delivers exceptional functionality without compromise!
The Fusion's high performance in vertical shock, smooth heel-to-toe transition, and inversion/eversion are due to its integrated, harmonious design. This design permits the foot's carbon-fiber shank, heel, and foot plate to work together through each step. The height of the Fusion Foot may be trimmed to meet patients' needs.
Fusion has a 36-month warranty and comes with a unisex, full-height, high-activity foot shell that has a nine-month warranty.
Ohio Willow Wood
Model 1013 is a posterior-offset adjustable knee joint that allows the orthotist to fine tune the A-P alignment of the knee; these features enhance knee stability and help broaden the clinical application. The A-P alignment and the extension/flexion angle can be changed by simply removing two screws; this allows easy adjustability without the need to physically alter the angle of the uprights.
Model 1013 comes equipped with an optional bail-lock that can be engaged when the patient reaches full extension.
Trustep® wearers experience unsurpassed comfort and natural-feeling mobility. The Trustep is carefully and concisely crafted to offer nearly the same vertical motion, rotation, and balance as an anatomical foot, allowing for a natural gait and optimal performance on any terrain.
Key features and benefits include:
- Polycentric design provides advanced stance-phase control and facilitates independent heel and toe adjustment.
- Superior range of motion for a natural gait pattern.
- True multiaxial function with transverse rotation for optimum terrain compliance.
- Shock-absorbing cushioning provides a smooth, controlled stride.
- Same day, custom built to order.
College Park Industries
For nearly 15 years, OPTEC has been a leader in custom spinal orthotic manufacturing. OPTEC provides the products and services you need from your central fabricator. With around-the-clock technical support, high-quality products at a fair price, and availability to take orders anytime, OPTEC fits your needs. Further, you will get your custom brace when your patient needs it, just the way you want it.
Visit our website to see PDAC L-Code determinations and letters online. Plus, order a custom spinal brace now through August 31, 2010, to receive $50 OFF the regular price!
Evolution Industries and SPS have expanded their distribution agreement to include all Evolution Industries products, including its full line of Evolution Silk custom liners and Evolution Origin liners. Purchases can be made through any of SPS' distribution centers in Georgia, Texas, California, and Pennsylvania.
Evolution's custom Silk liners, renowned for their quality and fabrication excellence, can be purchased through SPS via a negative cast, positive cast, or AOP files from INSIGNIA or other systems. SPS also offers the full range of Evolution's standard pin and cushion configurations of the Origin liners.
Hosmer introduces a smaller version of the Entegra Knee, the Entegra SV. The Entegra SV has hydraulic swing-phase control and is constructed with a durable, lightweight aluminum alloy. Its compact design is perfect for smaller patients and cases where clearance and weight are a concern.
- 7in. (18cm) tall.
- 135° range of motion.
- Integrated kneeling pad.
- Rugged thru-bolt design.
- Maintenance-free Oilite® sleeve bearings.
- Four proximal attachments.
- ISO tested and rated for 220 lb. (100kg).
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 new Miami J Advanced collar, with clinically proven superior immobilization and convenient adjustability, is available through SPS.
Miami J Advanced combines soft overmolded edges and breathable Sorbatex™ padding to inhibit skin breakdown and the formation of dangerous pressure points. Its two distinctly shaped pads-one for the front and one for the back of the collar-make skin care simple and intuitive.
The new adjustable, phenotype-driven sizing facilitates convenient application without sacrificing a precise fit. The ratchet mechanism provides quick and easy height adjustment while the "living" hinges adapt to the patient's anatomy.
Allard USA incorporates its versatile 3D-Lite low-temperature thermoplastic into a line of pre-cut TLSOs and LSOs, called Cut-4-Custom (C4C). Front and back sections have straps pre-attached. Both sections are ready to be heated and custom-molded to the patient. Four heights accommodate the prescription and patient anatomy. 3D-Lite becomes soft and is ready to mold to patient contours in less than ten minutes. This innovative material may be re-heated, flattened, and re-molded. It is aerated for breathability and is lightweight, non-toxic, and may be worn in the shower.
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.).