Duchenne Muscular Dystrophy
The Search for New Treatments Races against the Clock
By Miki Fairley
One out of about every 3,500 boys worldwide is born with Duchenne muscular dystrophy (DMD). DMD is the most common as well as the most severe of the more than 30 types of muscular dystrophies, comprising about 50 percent of all cases. Young men wi...
Beyond Cosmetic Concerns
Functional Deficits Associated with Deformational Plagiocephaly
By Phil Stevens, MEd, CPO, FAAOP
Functional Deficits Associated with Deformational Plagiocephaly After discussing the rationale, timelines, and costs of cranial remolding orthoses, many parents of infants with plagiocephaly ask, "What happens if we don't correct this head sha...
Successful Incorporation of Engineers into Patient Care: A Case Report
By Erin Sutton; Robert Hoskins, BS, BME; and Tyler Fosnight
A patient who loses a limb due to a rare condition presents a challenge to prosthetists because current technologies and methods may not apply to his or her specific disorder. One way to address the challenge is to incorporate research and develop...
MaLea Fox: Tracking Milestones
By Laura Fonda Hochnadel
Sit Before You Stand MaLea and her mother, Ashley Graber. Photographs courtesy of Oregon Health & Science University/Ken Olsen. Like most mothers, Ashley Graber tracks her daughter's developmental milestones, and at seven-and-a-half months of...
Big Challenges in Serving Young O&P Patients
By Justina S. Shipley, CO, BOCPO, MEd, FAAOP
I have been in the O&P profession for more than 25 years and have focused most of that time in pediatrics, including working in pediatric O&P specialty facilities, pediatric O&P education, and consulting for pediatric orthopedic programs. Serving...
From a Jig to a Joint: Replacing a KAFO Knee Joint Made Easy
By Tony Wickman, CTPO
Here's an interesting job that came into the lab recently: a well-worn KAFO with a broken knee joint. Some might assume that it was time for a new KAFO, but for a number of different reasons that wasn't going to happen, so we had to figure out a w...
College Student Develops Pain Free Socket
By Betta Ferrendelli
Device aims to eliminate phantom pain in amputees using thermal biofeedback. Katherine Bomkamp, a West Virginia University sophomore, developed the Pain Free Socket-a device she hopes will eliminate phantom pain in amputees. Photograph courtesy of...
Looking Back, Looking Ahead
Reflecting on the Past Decade of Serving Children
By Andrea Spridgen
Don Cummings. Photograph courtesy of Texas Scottish Rite Hospital for Children. Small patients sometimes have big needs.
Face to Face
Alicia McGarty, COA
"A certificate does not make you certified. Attitude, performance, commitment to self and team—these and a certificate make you certified." While the author of this maxim is unknown, it certainly rings true for many O&P professionals—including Ali...
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 or a question about a denial, "Got FAQs?"...
Industry Review — Conference
Hanger Education Fair Features New Location, New Identity
Hanger unveils its new brand identity during the opening ceremony. Subject to shareholder approval at the company's annual shareholder meeting in May, Hanger Orthopedic Group will be renamed Hanger, and Hanger Prosthetics & Orthotics will be renam...
Introducing EDGE Custom Publications
The O&P EDGE has a symbiotic relationship with O&P professionals and patient care facilities. We are in business because you are in business. As such, we have a vested interest in making sure the information we provide to you is as accurate, inf...
Uncomfortable Liners Can Make or Break a Fitting
EDGE Direct It's no secret that many prosthesis wearers suffer from painful socket pressure sores. That's why socket comfort is a high priority during a fitting. Now you can offer patients an outstanding solution from Ottobock-the new 6Y512 Anat...
Duchenne Muscular Dystrophy: Research Takes Personal Turn for UCLA Scientists
By Miki Fairley
Stanley Nelson, MD, is a professor in the Department of Human Genetics at the University of California, Los Angeles (UCLA); his wife, Carrie Miceli, PhD, is a professor at the UCLA Department of Microbiology, Immunology, and Molecular Genetics. Bo...
With the Alpha® Silicone Liner and the retrofit options within the Alpha family, WillowWood is able to meet any liner needs you may have.
Alpha Silicone Liners use proprietary platinum-cured, medical-grade silicone designed for comfort and performance.
- A custom blend of silicone with Vitamin E and skin conditioners for a non-greasy and non-tacky surface.
- One-way stretch Select fabric controls pistoning without using a distal matrix.
- A flexible knee panel provides enhanced knee flexion.
- A flared shape that contours to a limb's surface.
- Sizes medium through large.
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 are maintained throughout the gait cycle.
Constructed of lightweight and rigid compositematerials, the FullStride Shadow's sleek and open design offers patients an unparalleled blend ofform and function.
New Prosthetic Foot for Geriatric Amputees.
Gery®, another patented product from PROTEOR, is specially designed for K1-K2 patients with limited indoor walking requirements and low-level activity. The innovative rigid core and Keasy®-like foam provide an easy gait, which reduces pressure forces to the socket and thus reduces pain to the residual limb. Less physically capable wearers are able to take symmetrically longer steps.
The pyramidal connector and malleolar clip are included.
- Lightweight: 30% lighter than the SACH foot.
- Easy step completion.
PROTEOR Handicap Technologie
OPIE is the first O&P software with an app written specifically to function for the new Kindle Fire. To celebrate our progress, OPIE has a limited-time offer for new OPIE customers through April 30.
- FREE Kindle Fire.
- FREE OPIE Mobile Appfor Android tablets.
- $500 discount on initiallicense fees.
Schedule an online demonstration orvisit our website to learn more about OPIE Mobile.
Allard USA is proud to announce the availability of its first-ever complete catalog. Easily find product numbers, sizing information, and replacement-component information for all Allard USA innovative products: ToeOFF® Family, SWASH®, Kid-Dee-Lite™, CHECK, X-LITE®, 3D-Lite™, and Cut-4-Custom.
You will also find an electronic version of the catalog at www.allardusa.com. The electronic version includes an interactive table of contents so you can just click on any item and immediately transfer to the page that details the information for that specific product.
Assess Your WalkOn Patient Anywhere!
At the hospital, clinic, home, or office—evaluate your foot drop patients on the spot for a WalkOn® AFO, with either the 28T1N WalkOn Fit Kit or the 28T2 WalkOn 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.
Now with a higher weight limit!
Patients up to 275 lb. can now benefitfrom the advanced science of Ottobock's Harmony® P3 vacuum system. Harmony P3 creates an optimal limb environment, with volume management, excellent
suspension, plus internal and external rotation for easier maneuvering and shock absorption. Ideal for your low- to high-mobility patients—they'll feel the difference immediately in comfort, security, and
Contact your Ottobock sales representative.
The STAR™ family of cranial remolding orthoses has been usedto treat positional plagiocephaly, brachycephaly, scaphocephaly, and other head-shape deformities in infants aged 3-18 months. Nearly 100,000 infants have been suc-cessfully treated with the STARband®. Orthomerica's cranial remolding orthoses can be fabricated from an unmodified cast or a scan of the infant's head using the STARscanner™. In less than two seconds, the STARscanner collects the baby's head shape data, which is then transmitted to Orthomerica for fabrication of the cus-tom cranial remolding orthosis. For more information, visit us at ACPOC.
The recently PDAC-approved L-1845 Gladiator ACL Max™ is only one of Optec USA's newest braces added to the knee-bracing family. This heavy-duty brace was designed with both physicians' needs and patients' care and comfort in mind. Equipped with sturdy, dual-adjustable hinges with flexion/extension control, lightweight metal frame, anti-migration straps, and inside padding, these needs have been satisfied. Typical indications for the Gladiator ACL Max are for patients dealing with ACL, PCL, medial, and lateral instability; and for postoperative care.
The Mt. Emey® Medical Collection of shoes from Apis Footwear is designed for hard-to-fit feet or feet with larger orthotics needs. The Medical Collection offers a variety of closures for ease-of-fit adjustability. These shoes will accommodate mild or severe foot deformities related to conditions such as edema, Charcot, bunions, and rheumatoid arthritis, and are in stock for on-time delivery.
Whether you need to order custom orthotics only or from the large selection of Apis shoes, we offer great package deals. Call our friendly customer service representatives for more details.
Apis Footwear Co.
SYMBIONIC LEG is the first commercially available, complete bionic leg that combines a microprocessor knee and a powered, microprocessor ankle. It provides unmatched toe clearance for enhanced safety and enables transfemoral amputees to stably and confidently traverse terrain they might otherwise avoid, without the gait deviations commonly seen in MPK users. SYMBIONIC LEG is insurance billable using existing, approved L-Codes and, when used with RHEOLOGIC Workbench software, offers the ability to document actual user cadence variation to reduce insurance reimbursement risk. SYMBIONIC LEG is the newest addition to the industry-leading Bionic Technology by Össur platform.
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. The perfect, lightweight design promotes confidence and security for lower-impact patients.
Key features include:
- Smooth, proportional response with integrated springtechnology (iST).
- Low-profile 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
More versatile and more affordable.
The Pace is great for treating foot drop; however, it is not just a foot drop stimulator. During gait, the Pace can help to offset weakness of the calf, quad, hamstring, or glut. This versatility can help stroke patients as they progress or MS patients as their needs change. With preprogrammed stimulation patterns for each muscle group, set up is a cinch for all applications. The Pace also has an exercise mode as well as built-in recordkeeping to document usage.
The Pace beats the competition in all areas.
The HOOPSTER basketball TD was inspired by a design by Hector Picard, a bilateral, upper-limb amputee and tri-athlete. Molded from high-performance polymers, the HOOPSTER absorbs and returns the energy required to expertly handle, dribble, and shoot a basketball one handed. A special stainless-steel wrist adapter and coupler allow the extension angle to be customized and locked in for each user.
The HOOPSTER's tapered shape captures a basketball perfectly on both its dorsal and ventral surfaces, providing excellent control, while its stiff but flexible material provides a safe interface for interpersonal contact. Available now!
SpineCor® is a dynamic system that uses postural re-education to target four key progression factors of idiopathic scoliosis: neuromusculoskeletal dysfunction, growth asymmetry, postural disorganization, and spinal deformation.
- Movement: Treatment allows and encourages normal activities, sports, dancing, riding, etc.
- Cosmesis: Easily worn underneath the patient's regular clothing for optimal cosmesis.
- Success: 89% effective; clinically proven in a 400-patient, ten-year study.
Suggested L-Code: L-1005; U.S. Patent No. 5,599,286.
Contact us for more information.
Optec USA welcomes the new Gladiator ACL Lite™ as an addition to the Gladiator family of knee-braces. This low-profile brace is equipped with sturdy, dual-adjustable hinges with flexion/extension control, lightweight frame with shape-retaining plastic, and silicone pads and liners to eliminate migration. Typical indications for the Gladiator ACL Lite are for patients with ACL, PCL, medial, and lateral instability; as well as for post-operative care and sports care. This brace was recently PDAC approved as L-1845 for HCPCS purposes.
The Fillauer MiniShock is a smaller, lighter version of the DuraShock, with the same functionality and durability forchildren and lightweight adults. The smoothmotion of the MiniShock is due to the dynamic elastomer, which requires no lubrication or bumper changes and results in increased comfort for higher-activity amputees. Fillauer's compact design requires minimal clearance due to the 2.38-in. (6cm) build height and carries a weight rating of 132 lb.
- Up to 60° axial rotation (30° in eachdirection).
- 1cm (3/8 in.) of vertical shock.
- Intermediate pyramid size, proximalor distal.
PEL Supply Company
PEL Supply offers the smallest ankle jointavailable with 40° plantar and dorsal adjustment. The KID-Dee-Lite™ from Allard USA enables dynamic treatment of a child's foot. The ankle joint is small and light enough to fit AFOs for children younger than five or under 55 lb. (25kg).
The KID-Dee-Lite allows early dynamic ankle/foot management for neuromuscular disorders such as cerebral palsy or spina bifida.
- Maintain critical correction.
- Improve gait.
- Influence muscle tone.
- Prevent contracture.
The PEL kit includes an alignment tube, curved (blank) and straight uprights, assembled joints, and mounting components.
PEL Supply Company
Grace Prosthetic Fabrication's 1210-D Domed Sealed Plate allows the prosthetist to utilize a single plastic pull or single lamination while maintaining a sealed distal end when a 4-hole pattern is desired. The "domed" distal shape of the plate works well with most non-lockingsilicone liners.
Our 1210-D Domed Sealed Plate is best used when a suction socket or Elevated Vacuum Socket is needed, utilizing a 4-hole pattern design.
For more information on our plates, please visit www.gpfinc.com
Grace Prosthetic Fabrication
Extend your title or begin your P&O career with a NUPOC certificate. No need to wait for the 2013 master's in P&O or to repeat your training in the MPO! Enroll now to earn your post-graduate certificate in orthotics or prosthetics. Complete six months of online coursework and three months of on-campus clinical training in the fall or winter 2012 P&O certificate program. Contact Northwestern University Feinberg School of Medicine
Northwestern University Prosthetics-Orthotics Center
Now it is easier than ever to get a child in and out of his or her clubfoot brace. Just put the open-toe shoes on the child's feet and click them into place on our new quick-release Dobbs Bar.
The quick-release mechanism allows shoes and custom AFOs to snap on and off for diapering, car seats, and highchairs. A variable spring reset brings the child's feet back to neutral in a resting position. New forefoot extensions keep the brace flat on the floor so the child can stand easily in the brace.
M.J. Markell Shoe Company Inc.
Comfort Products introduces Ipocon Gel Sheets made by Uniprox. Made of pure silicone gel, the viscoelastic properties of Ipocon Gel Sheets work great for partial pressure relief. The sheets are free of Lycra coating and are great for spot pressure reduction and for foot inlays in the case of diabetes.
The sheets can be bonded with silicone adhesive and used as padding material for prostheses and orthoses.
Ipocon Gel Sheets can be cut with scissors, but make sure to obtain a clean edge to avoid initial tearing of the trimmed parts.
Comfort Products Inc.
The TESTSOCKET2 is a new concept in socket-by-measurement systems that allows for a physical fitting, pretest socket! Fit the TESTSOCKET2 adjustable brim, take your measurements, and order a socket—it's that easy. The brim applies tension to the limb and anchors your measurements for a great fit. The plastic of the brim helps to manage the soft tissue while providing a simple template from which to align with the anatomy while the tape measure provides a locked, fixed reference point that is not hindered by modesty, clothing, or tissue.