Maximizing Patient Potential in an Audit-Intensive World
By Judith Philipps Otto
"Today the research is able to demonstrate the functional value of sophisticated prosthetic feet and the potential reduction of harm to the sound-side limb in people with dysvascular and traumatic amputations." -Robert Gailey, PhD, PT Althou...
Outcome Measures: Avenues for Optimizing Prosthetic Performance
By Vibhor Agrawal, PhD, ATP
Are you optimizing prosthetic performance in yourpatients? Is improved performance translating intobetter health for your patients? Are you measuringoutcomes to document the health-related benefitsof the prostheses you provide to your patients?
Outcomes: Creating Medical Services with P&O Devices
By Phil Stevens, MEd, CPO, FAAOP
The P&O profession is somewhat unique among the alliedhealthcare disciplines in that our efforts can be reduced bysome to the provision of devices rather than the provision ofmedical services. As eager as we are to distance ourselves fromthe label...
Upper-Limb Prosthetics: Seeking the Sense of Touch
By Miki Fairley
I feel, therefore I am. Although philosopher and mathematician Reneì Descartesactually said, "I think, therefore I am," feeling, not onlyin the sense of emotions but also in the literal fifth sense,touch, helps us interact with the world around us...
O&P Preparation for the Transition to ICD-10
By Maria St. Louis-Sanchez
All entities covered by the Health Insurance Portability andAccountability Act (HIPAA) will be required to transition to thetenth revision of the International Statistical Classification ofDiseases and Related Health Problems (ICD-10) by October 1...
Prostheses in Physically Demanding Work
By Craig Heckathorne, MS
Although the American workplace continues to shift away from physically challengingcivilian occupations dependent on strength and endurance, there are still occupations, suchas those involving agriculture, where physical challenges are an integral...
How to Fabricate a Molded KAFO, Part II
By Louise Bensley, CTPO
In the first installment of this series ( The O&P EDGE ,September 2013), I covered creating a positive mold andsurfacing the mold. We also marked our ankle height,final AFO height, knee center, and distal thigh trim. Inthis installment, we'll fina...
Andrew Lourake: Independence Day
By Laura Fonda Hochnadel
Amidst the daylong Fourth of July festivities-a barbecue withfriends, water sports, and fireworks-Lt. Col. (Ret.) AndrewLourake experienced his own personal independence day whenhe realized the true versatility of the Ottobock X3 microprocessor-co...
Keeping Athletes in the Game with Custom Sports Orthotics
By Howard Hillman, CPed
On a recent early morning, I sat in my sunroom getting readyto head out on a training ride and started thinking about all ofthe specialized equipment that I was wearing. I was wearing theteam kit (jersey and shorts) and appropriate moisture-wickin...
Swimming and Golf Championships
IPC Swimming World Championships Long gets ready to compete. Photograph by André Petit, courtesy of the IPC. The 2013 International Paralympic Committee (IPC) Swimming WorldChampionships, which were held in Montreal, Quebec, Canada, cameto a clos...
Face to Face
Sidney Nicely, CP
When Sidney Nicely, CP, was a newborn in 1947, his sister kept asking their parents about a spot onhis right foot. Physicians diagnosed the spot as osteogenic sarcoma, and Nicely underwent a transfemoralamputation at ten weeks old. At two years ol...
Billing and Collections Q&A
By Lisa Lake-Salmon
Denials are difficult to identify and time-consuming to appeal. Count on "Got FAQs?" to help you sort through the complexities associated with O&P billing. This month's column addresses your questions about O&P licensure or certification requireme...
A Season of Change
By Tonja Randolph
The changing of seasons brings even more changesto Western Media. With the EDGE Quick Creditprogram in full swing, we hope that our readers arefinding an additional, cost-effective way to obtaincontinuing education units (CEUs) from the comfortof...
The New DuraWalk™ Foot
Low-activity feet are sometimes overlooked for flashier moderate-activity feet and for the potential of patient improvement. This no longer needs to be the case. The new DuraWalk™ Foot combines multiaxial performance with a sleek design commonly r...
AOPA 2013 World Congress
To the theme of a "Whole New World," more than 2,000 members of the O&P community from 43 countries convened for the 2013 American Orthotic & Prosthetic Association (AOPA) World Congress in Orlando, Florida, for four days of education, networking,...
The Stride4™ Shadow is a lightweight KAFO that combines structural strength and cosmetic appeal with the new Stride4 mechanical stance control orthotic knee joint from Becker Orthopedic.
Stride4 features include:
- Three operation modes: stance control, free motion, and locked with stance phase knee flexion.
- Four-bar linkage mechanism to afford stability and mimic anatomical knee motion.
- Integrated extension assist.
The inherent rigidity of the Stride4 Shadow ensures that optimal joint alignment and function is maintained throughout the gait cycle.
College Park Industries has increased its offerings to include a line of commonly used endoskeletal components. Utilizing knowledge from 25 years of material research and product design, these endo components are carefully engineered for structural integrity and noise abatement. Tested to the highest quality standards, the endo components perfectly complement the performance and outcomes that College Park prosthetic feet are known for.
College Park Industries
By integrating high-performance processing
capabilities and a cutting-edge hydraulic
system, the Plié® 2.0 is the most responsive
MPC knee ever developed. Rapid reaction to
changes in gait allows users to stay in stance
phase longer, take small steps in confined
spaces, and change walking speeds more
fluidly. The result is a knee that provides
increased stability and safety from falls
while performing naturally and comfortably.
The Plié 2.0 is quickly and easily programmed using a software
wizard. And as the first water-resistant microprocessor knee with
a replaceable battery and a line of designer fairings, the Plié 2.0
offers a full range of benefits for both the clinician and end user.
Lightweight, low profile, and extremely
tough, the WalkOn® Reaction is a great
solution for patients with dorsiflexion
weakness. With an anteriorly placed
calf cuff and longer strut, the WalkOn
Reaction uses ground reaction forces
to help extend the user's knee. Like
other Ottobock WalkOns, the Reaction
is fabricated from a prepreg advanced
carbon composite and helps users walk
more naturally. Fitting is fast and easy,
as is donning and doffing. Your patient
gets great support, smooth rollover,
and comfort all in one.
- Specifically engineered for K2 patients.
- Unique flexible keel/multiaxis design.
- Flexible, impact-reducing design.
- Roll-over shape (ROS) designed for a natural gait.
- Compliant dynamics for comfort and stability.
- Positive-lock foot shell interface for stability.
- Simple, maintenance-free design.
- Foot comes assembled in the foot shell for an easy, out-of-the-box fit.
Every client is different. For the exceptionally
active client in need of transtibial
suspension, Syncor's Durasleeve HD is
constructed of the highest-quality, heavyduty
neoprene for exceptional durability.
Limited dexterity creates its own challenges,
and the Durasleeve EZ meets
them with the security of a virtually failsafe
suction system, yet it is easy to don
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.
Orthomerica® Products is pleased to introduce the new Spectrum Slim™-now heat adjustable-a valuable addition to our 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 challenging 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 or black or white synthetic material.
medi is proud to announce a new addition
to the innovative Panthera family of feet:
the Panthera CF II-adaptable to the individual
needs of the K3 or K4 amputee.
Features and benefits include:
- Finely adjustable heel and forefoot resistance via trimmable elastomer inserts.
- medi Torsion Flex Control provides multiaxial compliance via integrated elastomer layers.
- Early plantar contact for increased stability.
- Vertical shock absorption provides greater comfort.
- Fluid rollover and dynamic toe-off due to the continuous carbon spring.
Hersco has a new line of Tri Lam
custom foot orthotics with several
material choices. Tri Lam technology
layers materials of different
durometers, giving the practitioner
the ability to vary thickness and shock
absorption. Hersco Tri Lams include
Plastazote and PPT for accommodative
devices, or more durable Sky for
active patients. You can also choose the base layer of firmer cork
or softer EVA.
More information and pictures are available on our website.
Certified pedorthists are ready to answer any questions you may
have regarding our custom products.
Hersco Ortho Labs
Coyote Composite is an ideal replacement for braided carbon
fiber in prosthetic and orthotic laminations. It's made from
basalt (volcanic rock), which is tougher and more flexible than
carbon for more comfort in prosthetic sockets and orthotic
bracing. The inert nature of this material
has less inhalant risk and causes less
irritation to the skin than alternatives.
- Extreme durability.
- Tougher than fiberglass.
- Safer, with less itch than carbon.
- Easy to use for rigid or flexible layups.
- Can be used with traditional or flexible resins.
A new low-friction fabric technology dramatically reduces friction and
related shear forces between the skin
and prosthesis. GlideWear™ prosthetic
liner patches are indicated for amputees
who encounter irritation and skin
breakdown from prosthetic liner and
socket use. Simply position the patch
between the prosthetic liner and skin
each day for continuous protection.
Choose from two sizes. GlideWear
prosthetic liner patches are sold in a pack of two patches.
The Freedom DynAdapt™ foot is a
slim-profile, carbon-fiber foot system
with a slender, anatomic design for easy
fit and finish. Its multiaxial function
provides maximum comfort and the
uninterrupted strands of carbon fiber
in the full-length heel provide patients
with effortless rollover and a more
natural gait. The new EnduraCore™
Technology composite laminate delivers up to three times
the fatigue life of a standard laminate in a design that also
returns more energy. The result is a highly durable product that
preserves users' energy so they can do more with confidence.
The avalon foot provides 12° of controlled ankle motion, allowing the user to safely negotiate stairs, ramps, and environmental obstacles with increased confidence and security.
- Dorsiflexes from midstance to toe off for a smooth rollover.
- Remains dorsiflexed through swing phase for improved toe clearance, to minimize the risk of falls.
- Provides a more natural gait; reduces the need to compensate by hip hiking, circumduction, or lifting the knee to clear the toe during swing phase.
- Biomimetic ankle motion encourages equal loading during ambulation, which leads to less stress and thereby preserves the sound side.
Evolution's new Unity Plate works with Össur's
Unity system and our locking seals.
Evolution Industries, Inc.
medi USA is proud to introduce
the SLEEQ® series of spinal bracing
solutions. The SLEEQ Spinal Therapy
System's InvisAdjust™ technology
enables a universal fit for nearly all
patients while dramatically reducing
the hassle and cost of unwanted
inventory. SLEEQ's state-of-the-art
TruGlide™ tightening makes it easy
to achieve optimal compression for the most effective pain
relief. The advanced eco-friendly Q-Lex™ OrthoSport Material
promotes air flow to keep patients cool and dry. The low-profile
ventilated AeroFlex™ support system automatically conforms
to the patient's anatomy for a custom fit, providing optimum
comfort and pain management or operative treatment support.
The Moore Balance Brace (MBB) is
a new product that may be used as
an integral part of a comprehensive
fall-prevention program. The MBB
was designed to be lightweight,
easy to don and doff, easily fit
into a variety of footwear, and
flexible enough to allow for some
the gait cycle.
Find out more about this exciting
new product and how it can be used
to help our ever-growing
TRS has just introduced the Ishi
archery terminal device designed
to fit modern compound bows and
traditional-style bows. An offset
flexible aperture captures the bow's
handle which allows the bow to
cradle comfortably for perfect arrow
alignment. A ratchet strap and buckle
lightly secure the bow in place. The
Ishi weighs only 6 ounces, bows up
to 45 pounds of draw weight, and
is made for archers five years old and above. The Ishi mounts
right or left handed and has a USA standard threaded mounting
Kinterra™ combines hydraulics and carbon-fiber technology to
provide K3 ambulators with 12° of motion and an exceptionally
normal walking gait-regardless of surface angle or speed. The
result is rock-solid stability and the confidence for users to choose
a new path.
Kinterra's articulating ankle provides:
- Improved stability and safety, especially on slopes and varied terrain.
- Reduced socket pressure for healthier residual limbs.
- Enhanced comfort while sitting or squatting.
- Increased ground contact and a more symmetrical gait.
See the Kinterra in action on our website.
Mauch Knee® offers similar energy efficiency to
certain MPK knees. Plus, it is compatible with a
wide variety of dynamic Flex-Foot® feet, like the
new Vari-Flex® XC Rotate™. And with our 30-day
no obligation trial, trying one is easy.
- Clinically proven, adjustable stance flexion enables precise comfort and shock absorption.
- Unique manual locking mechanism provides stance security when needed.
- Optional, high-viscosity cylinder ensures stability on stairs, ramps, and level ground.
- New three-year warranty.
Our accommodative foot orthotics
are specially designed for patients
with foot deformities. We offer
a variety of materials for foot
conditions such as neuropathy,
Charcot foot, edema, or amputation;
or conditions resulting from health
issues like obesity, diabetes, sports
injuries, or heart conditions. Custom-made foot orthotics
provide support and relief wherever necessary. Apis provides
you with a free 3D camera to eliminate impressions or casting-
now it's just a push of a button. Fulfill all of your pedorthic
needs under one roof. Call our friendly customer service
representatives for more information or free samples.
Apis Footwear Co.
The guide provides information about:
- Terms to know.
- Types of audits.
- Planning ahead.
- The RAC audit process.
- And more!
Ask your Endolite territory
manager about getting your
PreStride™ demonstrates stance
control's capability and FullStride™
delivers it to the patient.
The formula for success in the
application of a stance control orthosis
(SCO) is tied to a thorough patient
assessment. The PreStride stance
control assessment orthosis allows
the orthotist to evaluate the patient in
various component configurations
to determine the optimal setup
before fabricating the definitive
The Freedom Agilix™ is a multiaxial, shock-absorbing,
flexible foot system designed
to manage loading impacts, reduce socket
shear forces, and improve comfort while
walking on nearly any terrain. The ultra-lightweight
design offers low-impact K3
ambulators shockingly comfortable
performance at a value
like no other. Learn more
about the Agilix on our website.
Amfit is a world leader in
technology for digital casting,
design, and fabrication of
custom foot orthotic devices.
The process allows a user
to quickly cast and create a
full custom product quickly,
accurately, and at low-cost.
Choose from two 3D scanners-the Contact Digitizer™
or Impress Scanner-and combine with an on-site Amfit
CAD/CAM Mill or Amfit Lab Services offered by our skilled
technicians. Correct & Confirm™ design software allows detailed
prescriptions to be easily satisfied. Amfit combines cutting-edge
technology and more than 25 years of experience serving foot
care professionals worldwide.
TRS introduces the COBRA SB11
softball-throwing prosthetic sports
accessory and terminal device.
Following up on the success of
the revolutionary COBRA HB
baseball-throwing TD introduced
this year, the COBRA SB11 is
specifically designed for throwing
softballs with an 11-inch circumference.
The COBRA SB11 is completely adjustable for traditional
overhand throws or for tossing or pitching underhand
in fast-pitch or slow-pitch softball. The COBRA SB11 comes
in black, weighs 9.5 oz. (270g), and is 8 in. (20cm) long when
fully extended. A regulation softball and tuning instructions are
- The comfort of SoftKIT
- Fun covers just for kids!
- Cool, grey skulls
- Cute, pink hearts
- Available for Youth Sizes, S-XL
Positive feedback about our silicone liners
and our symmetrical profile made the
creation of an Alpha Silicone AK Liner
an easy decision. Our unique blend of
medical-grade silicone, vitamin E, and skin
conditioners yields a smooth, nongreasy, and
nontacky surface that is comfortable against
Our symmetrical profile provides extra
protection to the distal femur and allows
the liner to be rotated for extended wear. The
profile allows the liner to retrofit with both the Alpha Hybrid AK
Liner and Alpha Classic AK Liner with symmetrical profiles.
The medial Arch Suspender is
an innovation that provides an
adjustable lifting strap under the
talonavicular joint to resist collapse
of the medial arch and ankle and
hindfoot eversion. This modification
is indicated for severe PTTD and
severe pronation disorders of the hindfoot.
The lateral Arch Suspender resists ankle or hindfoot inversion.
Indications include peroneal tendinopathy and varus deformity of
the ankle and rearfoot.
Casting methods and tips are available on our website. Certified
pedorthists are available to answer questions regarding Richie
Hersco Ortho Labs
Accepting Applications Now!
Begin your P&O career at NUPOC! Learn from leaders in the P&O profession! The NUPOC MPO is a 21-month graduate curriculum that prepares you to enter an accredited residency, sit for certification examinations, and become a P&O practitioner.
The online portion of the program includes live and streamed lectures, videoconference discussions, group projects, and case-study sessions that help you learn, apply, and review knowledge.
The on-campus practicum offers supervised opportunities to practice technical and clinical skills with patient models who have neuromusculoskeletal impairments.
Northwestern University Prosthetics-Orthotics Center
Feinberg School of Medicine
Tired of throwing away too
many nylon seconds? Try our
MasterCraft hosiery! Essential
to your O&P applications, from
laminations to pulling plastic,
these nylons will help make
fabrication easier. Made with first-quality
nylon, our open-toe nylons
reduce your throwaways! Available
in a 1-lb. box of approximately
80 nylons, or a 5-lb. box of
approximately 400 nylons.
Call for e-mail for more