Losses Beyond the Limb
By Phil Stevens, MEd, CPO, FAAOP
An analysis of the co-morbidities and challenges associated with upper-limb loss. In working with patients who have suffered an upper-limb amputation, prosthetists must be aware that the limb loss represents only one of several morbidities with wh...
Society Spotlight The Healing Effects of Self-Expression for the Prosthetic Patient
By Chris Lake, CPO, LPO, FAAOP; and Mary Lake
Figure 1: An early example of using the finished appearance as a form of self-expression. This bilateral lower-limb amputee and military veteran has images of calendar girls painted on his prostheses. Photograph circa 1949.
Q&A: Caring for Patients with Upper-Limb Loss
By Andrea Spridgen
Tiffany Ryan, MOT, OTR/L, offers prosthetic training to bilateral partial hand amputee Bruce Burris, who is wearing a body-powered prosthesis called M fingers. (Photographs courtesy of Advanced Arm Dynamics.) There are an estimated 15 times more...
The O&P Technician: Where Insight, Theory, and Experimentation Collide
By Pam Martin
Necessity is the mother of invention, it is true, but its father is creativity, and knowledge is the midwife." -Jonathan Schattke If anyone is going to figure out how to fit a square peg into a round hole, it's the O&P technician. Self-descri...
Is the Patellar Bar Dead?
By Brent Wright, CP, BOCO
Walking around the exhibit hall at a conference, I stopped at one of the booths to chat with a buddy of mine. I leaned over and said in a smug, sarcastic voice, "You're kidding me, right? These are the craziest trim lines for a BK I have ever seen...
Negotiating the New World of Upper-Limb Prostheses
By Waldo O. Esparza, CP, LP
It has taken two wars, innumerable improvised explosive devices (IEDs), and thousands of injured servicemen and women to push prosthetists forward in the management of upper-limb amputations. The terminal device has undergone a metamorphosis from...
Hector Picard: Don’t Stop Living
By Betta Ferrendelli
Hector Picard rides the bike he designed with brakes on the frame that allow him to squeeze with his thighs to stop the bike. (Photographs courtesy of Michael Farrel.) When Hector Picard introduces himself to an audience, he begins by saying he i...
The Essential Guide to KAFO Fabrication, Part 3
By Pedro Salazar
Part 3: How to Make Modifications to a Plaster Cast In "The Art of Mold Modification" ( The O&P EDGE , September 2011), Tony Wickman, CTPO, did a terrific job of explaining various plaster modification techniques. However, in this final installm...
Creative Business Model Brings Interface Technology to O&P Patients Nationwide
By Betta Ferrendelli
Developing a new product is only half the battle. Getting people to use it is the other half. Randy Alley, CP, LP, CEO and chief prosthetist of biodesigns, Thousand Oaks, California, is the inventor of the High-Fidelity (HiFi) Interface™, a patent...
Inspiration Abounds at the CAF San Diego Triathlon Challenge
By Laura Hochnadel
The answer: "Inspirational!" From left: Cody McCasland (bib 919) and Harvey Parry (bib 906) sprint down the SDTC Kid's Run course. Harvey and his family travelled from England to attend the event. The question: "What do you think of this?" "Th...
Face to Face
Face to Face: John D. King, CP
John King says his life's calling is to serve others. This is evidenced by his military service as a Hospital Corpsman during the Vietnam War, his pursuit of a bachelor's degree in occupational therapy, and his avocational pursuits such as singing...
Industry Review - Conferences
Skills for Life Conference Offers Tips, Support for Those with Bilateral Upper-Limb Loss
About 100 people from as far away as Sweden, Austria, and Madagascar attended the United States National Member Society of the International Society for Prosthetics and Orthotics (US ISPO) Skills for Life 3 conference in Denver, Colorado, October...
Billing and Collections Q&A
By Lisa Lake-Salmon
Running an O&P facility in today's landscape of enhanced scrutiny and changing billing requirements can leave even the most seasoned billing professional feeling frustrated. If you have a billing question, "Got FAQs?" can help you get the answers...
A Decade of Excellence
By Tonja Randolph
While wrapping up the last issue of 2011, I can't help but be excited for the coming year. As we head into 2012, The O&P EDGE will mark its tenth anniversary—a significant milestone for any magazine. Estimates indicate that 60 percent of magazin...
Endolite Expands Training Program
EDGE Direct In support of the launch of the ORION, our newest microprocessor knee, Endolite is pleased to announce an expanded training program that includes certification courses for the ORION. Our expanded training program began April 8, with...
O&P's Family Tree: A Sneak Peek
For three or more generations, these families have maintained their passion for the O&P profession through changes in technology, business climate, and family relationships. The O&P EDGE is pleased to present you with this exclusive sneak peek o...
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 120° flexion to full extension.
- Low profile, sit-to-stand slide lock/safety release is easy to engage and disengage.
- ADR ankle, 0-40° dorsiflexion, 0-40° plantarflexion resistance or dampening effects.
- Adult and pediatric versions.
Becker Oregon's CRO Walker is a neuropathic healing boot designed to offer maximum flexibility and patient comfort, as well as ease of maintenance for the attending practitioner. The orthosis consists of a custom-molded clamshell design in your choice of composites or thermoplastics, with a removable, self-molding plantar liner and sub-liner available in 5mm and 10mm Plastazote® or Aliplast®. Removable, interchangeable liners allow for swelling and edema issues and assist in cleaning and replacement.
The Alpha® Hybrid AK Liner with symmetrical profile 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. This symmetrical design of the gel allows the liner to be rotated for extended wear. The liner's one-way stretch Select fabric controls pistoning without using a rigid distal matrix and provides tissue compression without uncomfortable pressure on the limb. A flexible accordion umbrella changes with the size of the liner, allowing it to blend with a patient's anatomy for an almost unnoticeable feeling.
Knit-Rite's SmartKnit® AFO Socks now come in a new charcoal color, available in child-small, child-regular, adult-small, and adult-regular sizes. Patented SmartKnit AFO and KAFO Socks are seam-free, wrinkle-free, and fit like a second layer of skin, providing exceptional soft ness and wicking moisture away from the skin. In addition to being free of seams and the pressure that seams cause, each sock features a "heelless" design to ensure a perfect fit every time. Antimicrobial fibers help inhibit odor in the socks.
Every ToeOFF® and BlueRocker should have a soft interface between the orthosis and tibial crest. We now offer a beige Soft KIT to match perfectly with the ivory-colored ToeOFF Fantasy. The kit includes pre-cut, pressure-sensitive MikroFIX tabs to easily affix the pad to the orthosis. The system also includes two narrow neoprene pads to create a pressure-free channel to help relieve any potential discomfort from bony prominences. Each Soft KIT comes with an extra pad so that one can be worn while the other is being laundered.
As prosthetists, our designers know the importance of a good fit. We also know that different clients have different needs and that there are times when an off -the-shelf TES Belt or Durasleeve will not meet those needs. For those special clients, Syncor Ltd. off ers custom-designed TES Belts and Durasleeves.
Our complete line can be adapted to meet the needs of clients with transfemoral amputations. We can also custom make the Durasleeve for transtibial suspension, including the Durasleeve HD for exceptionally active clients and the Durasleeve EZ for clients with limited dexterity. For special orders, contact your Syncor supplier.
Take advantage of this new fabrication service from Otto Bock HealthCare. Our unique coating technology makes it possible to print an almost seamless decor on complex shapes of prostheses, orthoses, and more! And with 30 different designs to choose from, your patients will be sure to find something they like. Contact Otto Bock Fabrication Services at 800.795.8846 for color specifications and to order.
Otto Bock HealthCare
Orthofeet is introducing an innovative boot, which integrates style and biomechanical performance.
Features and benefits include:
- A combination of an elastic lace and a one-strap closure offers easy On/Off along with convenient fastening.
- Double-depth design accommodates thick orthotics and braces.
- High heel-counter provides excellent Medio-Lateral support.
- Special upper design allows unrestricted sagittal plane motion.
- Seamless lining with extra foam padding enhances comfort and fit.
- Lightweight Ergonomic-Stride™ Sole helps propel the foot forward.
New: Enhanced adult Adjustable Dynamic Response™ (ADR™), UltraSafeStep® for managing gait dysfunction.
New enhanced joint design benefits include:
- 100% more dynamic
- 40% lighter
- 30% smaller
- 5% stronger
- Improved corrosion resistance.
- Improved adjustable dynamic load response and magnitude.
- Covered by existing L-codes
Adults: Post-stroke, post-polio syndrome, and ankle instability. Adolescents: Cerebral palsy, spinal bifida, TBI, challenging neurological and developmental conditions, post-stroke, indiopathic toe-walking syndrome, and spinal-cord pathology
The ALPS Extreme Locking or Cushion Liner and the Extreme Sleeve have been designed for transfemoral and active transtibial amputees, respectively. They eliminate 80% of vertical stretch, resulting in increased contact while stabilizing redundant tissue movement. Both feature ALPS' new GripGEL™ to gently but firmly support the residual limb and sensitive tissues. Liners are available in 3mm and 6mm uniform thicknesses, in eight sizes. The Extreme Sleeve seals against the skin without restricting circulation. Grip-GEL helps prevent the sleeve from rolling down. It is available in 3mm or 6mm, in sizes 20-70cm.
PEL Supply Company
Brand new for 2011! Bringing College Park's innovative, composite technology into the K2 market, the Celsus combines proven durability with controlled stability. Its balanced design and natural motion provide smooth, stable transitions. Th e perfect, lightweight design promotes confi dence and security for lowerimpact patients.
Key features include:
- Smooth, proportional response with integrated spring technology (iST).
- Low-profi le design.
- High weight limit of up to 136kg (300 lb.).
- Maintenance-free design.
- Sandal-toe feature.
- Same-day, custom built to order.
College Park Industries
Featuring a Newly Enhanced Slip-Resistant Interface.
The Pacific™ Adjustable Collar has been enhanced to provide patients with effective control of cervical spine motion. The collar now features a slip-resistant interface to achieve increased security while also ensuring optimal alignment.
- New, slip-resistant interface ensures optimal alignment and increased security.
- Thick, open-cell foam liners provide comfort, breathability.
- Low-density polyethylene shells provide stability, flexibility.
- Accommodates all your adult patients in two adjustable sizes.
- New, reduced price.
Dr. Comfort's Double Depth collection provides a half-inch more depth than our standard extra-depth shoes. Perfect for the hard-to-fit individual who requires extra volume due to enlarged feet and ankles—such as swelling, edema, and foot deformities. These shoes can also accommodate internal braces and AFOs. Give more of your patients the best fit possible with Dr. Comfort's Double Depth collection! By providing the finest in style, comfort, and quality, Dr. Comfort products help increase patient compliance and improve patient outcomes.
At the hospital, clinic, home, or office—evaluate your foot drop patients on the spot for a Walk On® AFO, with either the 28T1N Walk On Fit Kit or the 28T2 Walk On Flex Fit Kit.
Each kit comes in a handy carrying bag and contains four WalkOns (two small, L&R; two medium, L&R; plus four calf pads). With the smaller footplates, there's no need for grinding to get them into the shoe. Get an instant check of the WalkOn function—and then take the order for a fit.
Otto Bock HealthCare
Orthomerica, a leading worldwide provider of prefabricated and custom orthoses, is pleased to announce the new Spectrum AFO System. These superiorly designed custom AFOs offer optimal fit without comprising comfort. Orthomerica's dedicated custom fabrication team of certified orthotists, skilled technicians, and customer-service representatives are focused on delivering prompt and exceptional service at highly competitive prices.
Spectrum products include:
- Mid-Calf AFOs: Split Upright; Free Motion; and Dorsi-Assist.
- Leather and synthetic ankle gauntlets.
Visit Orthomerica's website to see its comprehensive array of prefabricated, semi-custom, and custom orthotic products.
OPIE Mobile now has an iPad® app ready for FREE download on iTunes that allows your iPad to help you with...
- Viewing patient schedules.
- Capturing digital patient signatures.
- Reviewing patient notes.
- Updating patient note files.
Schedule an online demo to learn more about OPIE Mobile.
- Three mounting options.
- Water-resistant case.
- High-interference rejection.
- Gain adjustments on preamp.
- Compatible for use with:
- Utah Arm 3 and 3+ (kit: p/n 4050214).
- Utah Hybrid Arm (kit: p/n 4050214).
- ProControl Systems (kit: p/n 4050216).
- Otto Bock electrode cables.
Friddle's new MINI-VAC 10-gallon Vacuum System off ers unmatched functionality and quality for your fabrication lab in a convenient, compact design. Our low-maintenance unit is designed for convenience and longevity and is made from the finest materials and components available. Purchase the MINI-VAC along with Friddle's VAC-MAC Vacuum Press (table) and SAVE $100!
Vacuum pressure gauge Check valve 10-gallon vacuum tank Solid metal tubed hoses Adjustable pressure switch Automatic on/off switch ¼-h.p. oil-less vacuum pump 36"W x 10"D x 22"H 115-volt, single phase.
Friddle's Orthopedic Appliances
Quality Outcomes introduces its latest program: Q-Chart™, a HIPAA-compliant, simple, cost-effective, and efficient way for small practices to document pedorthic care.
With Q-Chart, practices can spend more time on patient care and less time writing notes. Designed for all O&P disciplines, Q-Chart uses chart forms that ensure all relevant and required documentation is included in each patient's clinical record. Q-Chart features all clinical elements to meet Medicare accreditation requirements and payer standards.
Poorly documented care can cost O&P practices time and money in correcting charting errors. Using Q-Chart can help eliminate that concern. Learn more at www.q-chart.com
The new and improved Pyramid Receiver PR-SL-R-TI is the newest addition to Prosthetic Design's Pyramid line. It offers sliding and 360 degrees of rotation with a low profi le of only 30.5mm. This component is manufactured of titanium and is compatible with the European 4-hole pattern. The rotation is locked into place by tightening the four adjustment set screws on the receiver. The rotation is positively controlled in three-degree increments with the use of interfacing radial serrations. The slide function is locked at the same time the receiver's four adjustment set screws are tightened.
Prosthetic Design Inc.
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 competitively priced!
Special: Order a T.S.S. Vaculink Pump and receive a free Genesis II foot (220-lb. weight limit). Offer expires December 31, 2011. Big savings!!
Human Intelligence Technology
Dycor's "K Series" K3U* (L-5981) feet have been upgraded to meet the ever-increasing demands of "high-end" K3-level ADL with a new aluminum alloy dome/ titanium pyramid and integrated, fi berglass-reinforced foot shell.
Dycor's sales policies minimize profi ts at the manufacturing and distribution levels, which allows prosthetists the greatest opportunity to maximize rehabilitation potential in their clients through our energy-storing technologies.
Dycor's full ADL product line is available through SPS, PEL Supply, OrtoPed, and Dycor. For additional technical or clinical information, please visit our website. *Patent and patent pending
Our shrinkers are made with a gel locking system to keep them from migrating. The X-Silver AK Stump Shrinker is made with a soft and flexible easy-wear belt that can accommodate waist sizes from 32-50 in. Both versions are seam-free and provide 20-25mm Hg medium compression. Available in five widths and three lengths.