Feature
Research to Clinical Practice: O&P Builds the Bridge
By Miki Fairley
Orthotics and prosthetics-related research is currently enjoying a vibrant, supportive atmosphere. And while advances have been made, challenges remain. Metaphorically speaking, O&P research is in its adolescence, growing into adulthood.
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Feature
Outcomes Project Explores User-Friendly Ways to Measure Mobility
By Judith Philipps Otto
For years, O&P professionals have been debating the benefits of outcome measures while struggling to get a grip on how best to implement evidence-based practice. Today, it appears that although most O&P professionals have been convinced of the nee...
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Feature
The Poetry of…Microprocessors
By Phil Stevens, MEd, CPO, FAAOP
In the article, " The Poetry of...Feet? " ( The O&P EDGE, October 2010), I introduced the concept of Patient-Oriented Evidence that Matters (POEMs). The premise behind the POEMs concept—as originally described in the British Medical Journal 1 —i...
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Feature
Healthcare Issues Feature Prominently in 112th Congress Agenda
By Peter W. Thomas, JD; and Adam R. Chrisney
Big Issues in Play with Significant Impact on O&P As the new 112th Congress convenes and leadership in the House of Representatives shifts to Republican control, a host of healthcare and budget issues clog the Congressional docket. Congress is o...
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Feature
Facility Accreditation: Wait and See or Take Action Now?
By Susan Glairon
As the number of new O&P facility accreditation applications level off, O&P accreditation organizations respond with simpler, faster processes. Wayne Rosen, CPO, CPed, FAAOP, owned and operated an O&P facility for more than 20 years, but when illn...
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Perspective
Making the Case for Knowledge Translation
By Mark Geil, PhD
Despite the filing cabinets and shelves in my office, I prefer to stay organized by creating tidy little stacks of documents on the floor. It's easy to tell when I'm overworked, as the stacks tend to surround me and inhibit my escape. In one of th...
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Stepping Out
Planes, Chains, and Foot Orthotic Biomechanics Part III
By Séamus Kennedy, BEng (Mech), CPed
The most widely taught and accepted theory of foot biomechanics was developed by Merton Root, DPM, and his colleagues during the second half of the 20th century. Root's studies were instrumental in creating the modern foot orthotic industry and re...
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Shop Talk
Whatever Happened to TPE?
By Tony Wickman, CTPO
Remember TPE (thermoplastic elastomer)? I first heard about it when I read an article in 1990 by Ron Sutton, BSE, CO, in the Journal of Prosthetics & Orthotics (JPO) . When used to fabricate an AFO, this cool new material was just rigid enough to...
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Industry Leader
Dudley Childress, PhD: A “Renaissance Man” Exerts a Lasting Influence on P&O
By Miki Fairley
Few persons have been as towering a presence in the field of rehabilitation research and engineering as Dudley S. Childress, PhD, director emeritus of the Northwestern University Prosthetic Orthotic Center (NUPOC), Chicago, Illinois, and professor...
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Extraordinary O&P
Daphne Hegreness: On the Right Track
By Leslie O’Donnell and Laura Hochnadel
Hegreness tests her new Cheetah Flex-Foot. "It was like Christmas when I found out that [Limbs of Love] wanted to get it for me," she says. On a rain-dampened high school running track, under an overcast sky, Daphne Hegreness took her first few sp...
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Better Business
Social Media? Really!
By Cynthia Marsh, Patty Johnson, and Kit Goyette
Because "everyone is doing it" was never a good reason to take part in an activity as a teenager. But we're sure even Mom would agree that participating in social media, the current web-based, highly accessible, interactive marketing, communicatio...
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Sports
The IPC Track and Field World Championships
A Record-Smashing Success
By Pam Martin
Photographs courtesy of Össur Americas. Between January 21-30, more than 1,000 competitors from 70 countries gathered at the International Paralympic Committee (IPC) World Championships in Christchurch, New Zealand, where athletic greats battled f...
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Residency Report
What about the United States?
By Ronald Dickson
I just returned from a week-long mission to Haiti with Prosthetic & Orthotic Associates (POA), Orlando, Florida, as part of a team that donated its time to provide prosthetic care for victims of last year's devastating earthquake. Working for five...
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Face to Face
Face to Face: Charla Howard
Charla Howard recently joined the staff at Methodist Rehabilitation Center, Jackson, Mississippi, as a prosthetic research associate. A biological engineering graduate out of Mississippi State University (MSU), Starkville, Howard is working toward...
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Got FAQS?
Got FAQs?
By Lisa Lake-Salmon
Whether you are new to O&P billing or have years of experience, denials can be frustrating to handle and difficult to appeal. Count on "Got FAQs?" to provide you with the information you need to save time and frustration. This month's column addre...
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Viewpoint
The O&P EDGE: Maintaining a Global Conscience
By Tonja Randolph
If you receive the print version of this magazine, you probably had to tear open the plastic polybag holding together The O&P EDGE and The Academy TODAY for mailing. One of our readers recently asked us whether or not there was a more environmenta...
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Online Exclusive
Function and Comfort: Coexisting Within a Prosthesis
EDGE Direct Security and function from a prosthesis are requirements for any amputee...and ideally the prosthesis should also be comfortable to wear. Achieve security, function, and comfort from a cohesive solution: an Alpha Select Cushion Liner...
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Online Exclusive
Prosthetics Research: Consumers' Perspective
The result of prosthetic research ideally is better patient care and outcomes. The chain starts with research studies, then links clinically relevant findings into clinical practice, which positively impacts function and quality of life for person...
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Dycor's toe-filler (L-5000) and ankle-height (L-5010) partial foot prostheses incorporate custom silicone liners (L-5681) and advanced composite sockets (L-5629). A flexible keel can be extended from the socket into the forefoot (L-5972). Low-definition protective covers (L-5962) are available in tan or brown and made from urethane or silicone.
Cast the residuum inside the appropriately fitting shoe and on top of the corrective device, if used. Indicate trim lines, ML/AP vertical reference, a tracing of the contralateral foot, and the shoe in which the cast was taken. Prior to molding, call Dycor technical services.
Dycor
800.794.6099
www.dycormfg.com
Provel offers cost-effective, fast, easy-to-use, and reliable O&P automation. The D2 digitizer, C7 carver, and T7 thermoformer are appropriate for small clinics as well as large central fabs. All are AOP-file compatible and backed by a two-year warranty. The D2 digitizer allows automated shape capture of prosthetic casts with unmatched accuracy. The C7 carver is not only fast and precise, its self-contained dust-collection system is extremely quiet. The T7 thermoformer consistently produces high-quality thermoplastic sockets from industry-standard preforms.
Provel Inc.
509.857.2009
www.provel.us
"Skill is the unified force of experience, intellect and passion...."
-John Ruskin
You have the intellect and the passion! Build your experience and skill at a NUPOC Certificate Course in Prosthetics/Orthotics. Enter the field or extend your title. Very few Certificate Courses remain before the 2013 master of science mandate. We welcome all highly motivated individuals who want to be prosthetists and orthotists. For more information, e-mail
Northwestern University Feinberg School of Medicine
Northwestern University Prosthetics/Orthotics Center
NUPOC
312.503.5700
www.nupoc.northwestern.edu
Two new TLSO models have been added to the Becker Orthopedic Spinal System (B.O.S.S.), now available from PEL Supply. This series of prefabricated, modular, hyperextension TLSOs offer your patients enhanced comfort with the addition of an articulation, spring-loaded pelvic section. This allows the pelvic section to move with the patient's changes in posture, allowing greater comfort in all positions.
Features and benefits include:
- Adjustable lateral uprights with serrated discs for easy angular adjustments.
- Flexible back pad for added comfort.
- Swivel sternal pad.
PEL Supply Company
800.321.1264
www.pelsupply.com
Experience the Element Foot System with enhanced multiaxial performance through micro-slice technology. The Element Foot supports each phase of foot function in the gait cycle-from heel strike, to mid-stance, to toe-off. The result is a foot with unsurpassed smoothness, stability, and performance throughout the gait cycle.
Features and benefits include:
- Unique 3rd Element technology.
- Adjustable heel wedge for fine tuning stiffness.
- Innovative micro-slice technology for multiaxial performance.
- Rated for patients up to 275 lb. (125kg).
- Incredibly lightweight; only 11 oz. (310g).
- Three-year warranty; 30-day patient trial.
Fillauer LLC
800.251.6398
www.fillauer.com
For above-knee patients and all socket styles, Knit-Rite's A/K Brim Sheath is designed to separate and protect the soft tissue in the top brim of the socket by bridging the gap between the top edge of any roll-on liner and the groin. The A/K Brim Sheath will work on pin suspension and seal-in liners. It uses stretchy, slick nylon material constructed in two angled sections to allow the fabric to appropriately fit the high lateral and lower medial shape, and includes gripper elastic to secure to outer socket. Patent pending.
Knit-Rite Inc.
800.821.3094
www.knitrite.com
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., profile: 11/32 in., weight: 0.5 oz.
Ultraflex Systems
800.220.6670
www.ultraflexsystems.com
PEL's new Prosthetic Catalog showcases more than 400 pages of prosthetic products, components, tools, and accessories, including all of the items from the Tools and Fabrication Catalog and new products from hundreds of manufacturers. Product descriptions include specifications, options, measuring instructions, warranty and weight-limit information, ordering instructions, examples, L-Code reference guides, and a conversion chart.
The catalog, also available online at www.pelsupply.com, is divided into 18 sections with a quick-reference master index. The new PEL Helps tab features PEL's Focus Programs. These are products typically in stock in standard sizes.
PEL Supply Company
800.321.1264
www.pelsupply.com
The new ProSeal System creates a proximal seal between the socket and liner, and is suitable for suction sockets for transfemoral amputees. The system consists of the 452A1 ProSeal Ring, an uncovered liner, and the 21Y14 PushValve auto-expulsion valve. The ProSeal Ring maximizes the surface area and enhances the vacuum effect on the entire residual limb-not just the distal end. Users benefit from increased suspension in the socket plus easy donning and doffing. To learn more, contact your Otto Bock sales representative.
Otto Bock HealthCare
800.328.4058
www.ottobockus.com
New Prosthetic Foot for Geriatric Amputees
Gery®, another patented product from PROTEOR, is specially designed for K1 patients with limited indoor walking requirements and low-level activity.
The innovative rigid core and Keasy®-like foam provide an easy gait. This results in reducing pressure forces to the socket, thus reducing pain to the residual limb. Less physically capable wearers are able to take symmetrically longer steps.
The pyramidal connector and malleolar clip are included.
Benefits include:
- Comfort.
- Lightweight-30% lighter than the S.A.C.H. foot.
- Easy step completion.
PROTEOR Handicap Technologie
www.orthopaedics.proteor.com
Features and benefits include:
- Ten locking positions throughout knee flexion.
- Helps to increase knee range of motion.
- Provides stability for standing before reaching full extension.
- Designed for knee flexion contracture management.
- Unlocks to enable sitting and reclining.
- Effectively blocks flexion while allowing free extension.
- Unparalleled strength, plus a nickel-plated finish for extra durability.
OTS Corp.
800.221.4769
www.ots-corp.com
Orthomerica® Products is pleased to introduce the new Spectrum™ Slim™, a valuable addition to our latest Spectrum AFO product line. This slimmer and sleeker eye-catching gauntlet is designed to allow your patients a greater range of shoe options. The Spectrum Slim is ideal for patients who find standard gauntlets a challenge to get into a shoe. Its low-profile design makes donning and doffing much easier for the patient, and its soft leather offers maximum comfort. The Spectrum Slim is available in black or tan leather, and black or white synthetic material.
Orthomerica
877.737.8444
www.orthomerica.com
Every client is different. For the exceptionally active client in need of transtibial suspension, Syncor's Durasleeve HD is constructed of the highest-quality, heavy-duty neoprene for exceptional durability. Limited dexterity creates its own challenges, and the Durasleeve EZ meets them with the security of a virtually fail-safe suction system, yet it is easy to don and doff.
All Durasleeve designs are constructed with uncompromising air-tight integrity. Outside, seams are reinforced with color-matched blind stitching. Inside, our exclusive, patented reinforcement panel minimizes wear. Custom orders are always welcome through your Syncor supplier.
Syncor Ltd.
920.435.1199
The new custom-fit, carbon-composite Matrix Split Toe (ST) and Matrix Max Split Toe (ST) AFOs from Trulife improve patient balance and increase stability. The split-toe footplate acts like a natural spring, making these AFOs ideal for hallux amputations. With height-adjustable anterior shells and trimmable footplates, they feature an open calcaneal design and a lateral strut anterior to the malleolus.
The Matrix ST is indicated for low-activity patients with simple, unilateral drop foot, while the Matrix Max ST accommodates low- to high-activity patients with unilateral or bilateral drop foot.
PEL Supply Company
800.321.1264
www.pelsupply.com
For amputees requiring low-activity feet, Ohio Willow Wood offers its SACH Foot with titanium pyramid and its Single-Axis feet. The feet have lifelike, unisex cosmeses and patient weight limits of 250 lb.
The SACH Foot with titanium pyramid is a durable foot that may be used in endoskeletal or exoskeletal applications. The incorporation of the titanium pyramid requires no additional foot bolt, saving time, money, and weight.
The Single-Axis Foot features a lightweight, durable composite keel with interchangeable anterior and posterior bumpers. The foot is offered in both endoskeletal and exoskeletal versions.
Ohio Willow Wood
800.848.4930
www.owwco.com
Educational Presentation Sponsored by Becker Orthopedic and Tamarack Habilitation Technologies.
Upon completion of a short exam, qualifying professionals will receive two PCE credits from the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC).
Presentation outline:
- Orthotic and pedorthic intervention.
- Coefficient of friction overview.
- Principles of shear offloading.
- Case examples.
- Technical aspects of friction management.
- Installation techniques.
Please contact Becker Orthopedic to request your free educational CD today!
Becker Orthopedic
800.521.2192
www.beckerorthopedic.com
Specially designed to work with expulsion or vacuum systems, the Aura™ is a locking seal that allows the prosthetist to select the height of the locking seal for both transtibial and transfemoral patients. The Aura locks an uncovered liner (such as an Evolution Origin Liner) to the interior of the socket, thereby suspending the entire prosthesis to the patient's residual limb.
Benefits include:
- Excellent choice when using expulsion or vacuum systems.
- Eliminates the need for sleeves or double-wall systems.
- Works with any uncovered liner.
- Seal height can be customized.
Evolution Industries Inc.
888.839.6213
www.evoii.com
The new THRIVE™ from Freedom Innovations is the world's first load-activated prosthetic foot. Ideal for those who work in construction, farming, or any occupation that requires heavy lifting, the dual-keel design manages additional loads (up to 30% of the user's body weight) by providing incremental support. This ensures consistent performance and ultimately greater confidence among users.
Freedom Innovations
888.818.6777
www.freedom-innovations.com
Take a Step in the Right Direction!
New feature allows patients to temporarily deactivate the locking function-great for biking or physical therapy! The integrated, low-profile joint provides the best in electronic stance control and helps patients achieve a more active lifestyle. Simple onboard programming helps the E-MAG Active calibrate itself to the user's unique gait pattern, adding a whole new dimension of functionality for people who previously have had limited bracing options, such as a locked knee or manual device. Help your patients get back into the swing of things with the E-MAG Active!
Otto Bock HealthCare
800.328.4058
www.ottobockus.com
EZ Step Leather Ankle Gauntlets are discounted $100 through March 31, 2011. The EZ Step's custom fabrication combines incomparable comfort with unparalleled control, helping to make each step easier than the last.
Stealth TLSOs are discounted $50 through March 31, 2011. The Stealth TLSO provides motion restriction for the thoracic and lumbar regions. The posterior extends from the sacrococcygeal junction to the inferior of the scapular spine, wrapping around the trunk to provide lateral strength.
These promotions apply to standard pricing and cannot be combined with any other discounts or promotions.
OPTEC
888.982.818
www.optecusa.com
OPIE Mobile for iPad, a free OPIE add-on that will be released in March 2011, allows you to gather patient documents and capture patient signatures directly on the iPad and then transmit them back to the OPIE system in your office. You can also sync your patient schedule to the iPad, manage purchasing and inventory, and access the full OPIE system via a remote desktop application. We have plans to make OPIE Mobile available on other platforms later this year. Purchase OPIE before April 30, 2011, and we'll include a free 3G iPad running OPIE Mobile!
OPIE Software
800.876.7740
www.oandp.com/opie
Otto Bock's most advanced off-the-shelf liner maximizes patient comfort through anatomic-specific geometry and varying wall thicknesses-thicker in typically sensitive areas and thinner in others for increased flexibility. The liner is pre-flexed 20°, reducing wrinkles behind the knee while providing easier flexion. Polyurethane (PUR) ensures even pressure distribution and a precise and comfortable fit, ideal for sensitive, bony, or scarred residual limbs. Patients from low to very high mobility grades will benefit from the 6Y512 Anatomic 3D PUR liner's advanced design. Available in uncovered and integrated fabric-sheath versions for use in vacuum and suction-socket systems.
Otto Bock HealthCare
800.328.4058
www.ottobockus.com
Therafirm® Core-Spun Gradient Compression Socks, now with a cushioned sole, are made with the unique core-spun yarn technology for a patent-pending, true gradient compression sock that is ultra stretchy, easier to don, and more comfortable to wear. Core-Spun look and feel like everyday socks while delivering a controlled amount of pressure to promote better circulation, reduce swelling, and energize tired legs and feet. Moisture-wicking fibers provide a comfortable coolness. The comfort top is non-restrictive while staying in place. Mild support (15-20mmHg) available in white and black. Moderate support (20-30mmHg) available soon.
Knit-Rite Inc.
800.821.3094
www.knitrite.com
The FullStride™ Shadow from Becker Oregon is a lightweight KAFO that combines structural strength and cosmetic appeal with the FullStride mechanical stance-control orthotic knee joint. The inherent rigidity of the FullStride Shadow ensures that optimal joint alignment and function is maintained throughout the gait cycle. Constructed of lightweight and rigid composite materials, the FullStride Shadow's sleek and open design offers patients an unparalleled blend of form and function.
Becker Oregon
800.866.7522
www.beckerorthopedic.com
OPTEC USA has become an official supplier partner of the Orthotic and Prosthetic Group of America (OPGA), Waterloo, Iowa. All OPGA members will receive a membership discount off of our full range of products. OPTEC offers a wide variety of spinal braces, as well as custom and prefabricated orthotic and lower-limb braces. We look forward to working with you as well as building our partnership with OPGA.
OPTEC
888.982.8181
www.optecusa.com
The new Ribby® Articulating Ankle/Foot Orthosis from Anatomical Concepts is available at PEL Supply. The Ribby incorporates the functions of ambulation, stability, and positive positioning into one AFO. If necessary, the ankle can be locked out while continuing to provide static adjustability of dorsiflexion or plantar flexion to optimize patient function.
The unique quick-disconnect design permits rapid transition between various lining options and the use of a more conventional walking shoe, and it ensures a positive connection for each application to maintain the AFO's integrity during ambulation.
PEL Supply Company
800.321.1264
www.pelsupply.com
Brand new for 2011! Delivering a lower profile, the Velocity™ foot's coupled toe springs work together to provide a progressively smooth roll over. It combines high functionality and no maintenance, with easy heel adjustment capabilities for fine-tuning. We are offering a special introductory price now through June 30, 2011.
Key features include:
- Smooth control from heel strike to toe off throughout stance phase.
- Highly sophisticated dynamic response.
- Precision gait matched for out-of-the-box performance.
- Weight limit up to 125kg (275 lb.); three-year warranty.
- Same-day, custom built to order.
College Park Industries
800.728.7950
www.college-park.com
TRS, Boulder, Colorado, announces an O&P product delivery and development partnership with Boa® Technology, Denver, Colorado, and EXOS Corporation, Minneapolis, Minnesota. Boa manufactures high-performance closure and lace-tensioning systems for high-tech footwear and specializedapplications. EXOS is a pioneer in developing fracture-brace systems that use proprietary, low-temperature, thermoformable laminates incorporating Boa technology.
Working together, TRS will be a primary vehicle for the delivery of these companies' current and exciting new products to O&P facilities and clinicians.
TRS Inc.
800.279.1865
www.oandp.com/trs
Orthofeet is introducing new Slip-On® men's dress shoes that are designed to offer ultimate protection for the diabetic foot.
Additional comfort features include:
- Seamless fabric lining with extra foam padding.
- Cushioning lightweight soles with Ergonomic-Stride™design with solid midsole and rubber outsole that can be easily modified.
- Easy Slip-On design opens wide for easy on/off.
- Extra-deep last offers a roomy fit and allows for the incorporation of braces.
The shoes are A5500 coded by Medicare for the Therapeutic Shoe Bill.
Orthofeet Inc.
800.524.2845
www.orthofeet.com
New: The Adjustable Dynamic Response™ (ADR™) KAFO-No Cable Release Needed.
When an AFO is not enough to treat severe crouch and gross LE weakness, the Ultraflex ADR KAFO provides a good alternative.
Features and benefits include:
- Safe stance control without locking the knee, ADR 0-30 flexion.
- Sit-to-standing ratchet support from 120flexion to full extension.
- Low profile, sit-to-stand slide lock/safety release is easy to engage and disengage.
- ADR ankle, 0-40dorsiflexion, 0-40plantarflexion resistance or dampening effects.
- Adult and pediatric versions.
Ultraflex Systems
800.220.6670
www.ultraflexsystems.com
Friddle's new Silicone Polishing Arbor, #700501, is composed of high-durometer silicone, which provides extended life of the arbor. Dimensions are 2-inch diameter by 4-inch long tapered, with standard ½-13 threads. This arbor is perfect for polishing all thermoplastics. It is not suitable for polishing metals or composite materials. A variable speed router is recommended.
Friddle's Orthopedic Appliances
800.528.9339
www.friddles.com
+PLUSeries® Solvent Replacement Wipes are specifically designed to replace the use of acetone and other toxic solvents in your work environment, greatly reducing your exposure to harmful chemicals.
Features and benefits include:
- Organic ingredients and a 100% biodegradable formula.
- Nonflammable, noncombustible.
- Low-pressure vapor (evaporates slowly).
- No hazardous air pollutants (HAPs).
- Ships DOT non-regulated.
- Greatly reduces health and safety issues.
See our website for more information and how-to videos.
Fabtech Systems LLC
800.322.8324
www.fabtechsystems.com
With each SPS purchase of an Alpha Select Liner and an Alpha Flex Sleeve, you will receive a second Alpha Flex Sleeve for free. The second sleeve may be of any size or color (buff or black) available.
The Alpha Select Liner boasts a one-way stretch fabric to control pistoning without a potentially irritating distal matrix. Its hybrid gel provides a combination of durability and comfort. The progressive profile has extra distal cushioning, yet is thin behind the knee and proximally for added comfort.
Please stop by SPS Tables #19-24 at the 2011 Academy Annual Meeting and Scientific Symposium.
SPS
800.767.7776
www.spsco.com
More and more of our customers are discovering Farabloc™. Invented to stop phantom pain in amputees, Farabloc is now being used for all kinds of pain relief and to speed injury recovery. Farabloc is a specially woven, light-weight fabric, made from stainless steel and nylon, that helps to shield wearers from high-frequency electrical waves from televisions, microwaves, cell phones, and much more. We can design and tailor this product into various shapes and sizes that can be used for wraps, mitts, and blankets.
Call for a free catalog.
ABC Health Solutions
877.631.4551
www.abchealthsolutions.com
Mica Corporation's T.S.S. Vaculink Micro Vacuum Pump was created for elevated vacuum socket management, enhanced suspension, and moisture control.
Features and benefits include:
- Zero battery dependence.
- Enhances blood circulation.
- Stabilizes limb volume and prevents limb-volume fluctuations.
- Firmly secures socket to limb and increases user awareness of limb/prosthesis position.
- Easily adjustable vacuum.
- Extremely lightweight.
Simple, user-friendly design, and priced competitively! Come by and see us at Table 84 in Orlando!
Human Intelligence Technology
888.750.6840
www.humanitechnology.com
Javelin, manufactured by Endolite, is a dynamic pylon foot designed to provide excellent energy return and ground compliance. Its independent heel and toe ensure a smooth and symmetrical rollover.
Javelin's design is streamlined to focus on the essential mechanisms that govern walking-flexibility, stability, and terrain compliance-in a lightweight envelope that delivers an enjoyable walking experience. The slim line continuous shin and toe spring flexes for greater energy return and reduced strain on the back, knee, and leg muscles.
Please stop by SPS Tables #19-24 at the 2011 Academy Annual Meeting and Scientific Symposium.
SPS
800.767.7776
www.spsco.com
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