Helping Patients Optimize Sports Performance and Avoid Injury Through Fitness Training
By Miki Fairley
Photograph courtesy of USF. While not all of your patients withamputations will aspire to becomeelite athletes, those who participatein a sport and want to take their performanceto the next level may find the maze of training andfitness informatio...
Back to Work
By Phil Stevens MEd, CPO, FAAOP
A meta-analysis was recently conducted on many of the major outcomes that occur following trauma-related lower-limb amputations; the study authors culled data from a comparatively high number of subjects extracted from numerous, previously publish...
Using Video to Improve the Patient Experience
By Cara Negri, BSME, CP
With access to a growing body of online resources andtechnologies, O&P patients are not only more educated aboutcomponents than in the past, but they are more involved inthe selection and fitting of their devices. As practitioners, wehave an oppor...
CMS' Annual RAC Update at Odds with Reality for O&P Community
By Peter W. Thomas, JD, and Sarah Imhoff, JD
The Centers for Medicare & Medicaid Services(CMS) recently released its fiscal year (FY) 2013Medicare fee-for-service (FFS) Recovery AuditContractor (RAC) program report to Congress,as required by federal law. The RAC programwas implemented nation...
Warrior Games 2014: Triumph of Ability over Disability
By Laura Fonda Hochnadel
Above: Photograph by Heather Swanson. Below: Army Chief Warrant Officer 2 Daniel Carlton, left, takes a shot during a wheelchair basketball game between the SOCOM and Marine Corps teams. Photograph by Staff Sgt.
Program Profile Series: Eastern Michigan University and Northwestern University Prosthetics-Orthotics Center
The O&P EDGE continues its series of National Commission on Orthotic and Prosthetic Education (NCOPE)-accreditedmaster's level O&P educational programs. Eastern Michigan University, Master of Sciencein Orthotics and Prosthetics (ORPR) program Bac...
This Day Was Different
By James O. Young Jr., CP/L, FAAOP
I hate mornings. I do not like waking up to an alarm blaring and the light streaminginto my eyes. I'm a slow starter, but once I am up, I can operate at full throttle, andthis particular Wednesday was no exception.
Understanding Adult-acquired Flatfoot
By Séamus Kennedy, BEng (Mech), CPed
Unilateral calcaneal eversion and forefoot abduction are typical signs in Stage II. Adult-acquired flatfoot (AAF) is the term used to describe the progressive deformity of the foot and ankle that, in its later stages, results in collapsed and badl...
A Guide to Sealing Sleeve Repair
By Travis Petersen, CPOA
For those of you who work with vacuum or suction suspensionsystems, you may have realized that the sealing sleeve is theweak link. Constantly replacing sealing sleeves is costly, but if asealing sleeve only has a few small holes in it, it can be r...
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 how to differentiatebetween the new knee...
Industry Review - Conferences
AOPA 2014 National Assembly: Viva O&P
By Andrea Spridgen
The 2014 American Orthotic and Prosthetic Association (AOPA)National Assembly, held September 4-7 in Las Vegas, Nevada,officially kicked off that Thursday evening with the exhibit hallopening ceremony and ribbon cutting as Anita Liberman-Lampear,...
Letter to the Editor
Re: Perspective Column, September 2014
The following letter is in response to the Perspective column in theSeptember 2014 issue of The O&P EDGE, "Payer Requests forManufacturer Invoices: A Call for a Unified Response," by SusiEbersbach, MT (ASCP), MBA. Dear Editor, The article about in...
Beyond the Day-to-Day
By Andrea Spridgen
While I spend a great deal of time reading about practitioners'experiences and do my best to understand theday-to-day challenges you face, I have to admit that Ihave not walked the proverbial mile in your shoes. SoI can only speculate that perhaps...
The RUSH Foot—Changing Lives with Every Step
Ability Dynamics designs state-of-the art prosthetic foot products, with a patient-first focus on flexibility, like nothing else on the market today. Innovative thinking, coupled with the Flexeon™ glass composite, has resulted in the new RUSH™ foo...
A perfect balance of stability and dynamics.
Featuring a new actuator and kinematic sensor,
RHEO KNEE® 3 offers increased resistance
across a wider range of stance flexion. This
improved support helps increase the confidence
of all users, especially low K3 users. At the
same time, we didn't sacrifice the dynamics that
RHEO KNEE is known for and that high K3
users expect. In fact, we improved the dynamics
via a more powerful actuator and a faster swing
Contact your Össur® rep today to get certified
or to see a RHEO KNEE 3 demonstration.
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 failsafe 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.
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.
Get the best of both worlds with the most advanced transtibial locking liner along with the only shuttle lock with a flexible pin and magnetic guidance. Deliver great outcomes to your low to moderately active patients with this winning combination.
- Anatomy-specific geometry-thicker in bony areas and thinner where flexibility is needed.
- Silky-textured inner surface provides comfortable contact with the skin.
- Distal matrix helps reduce elongation.
- 20° flexion.
- Flexible pin and magnetic guidance for ease of entry into lock.
- Lightweight construction.
The Raize remote app is now available from the App Store and at Google Play for people who wear the Raize foot. The app features resistance adjustments, lock and unlock modes, and step counts.
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 composite materials, the FullStride Shadow's sleek and open design offers patients an unparalleled blend of form and function.
The Most Complete Line from One Manufacturer
Offered in PETG, PP Homopolymer and Copolymer, High- and Low-Density PE and EVA in Flex and
Superflex grades, SIMOLIFE® Sheet enables you to meet diverse requirements without compromise.
It is available in transparent, natural, flesh, black and white colors and a broad range of gauges, in sizes from 16 in. (406 mm) square to 48 x 96 in. (1219 x 2438 mm). All grades are FDA compliant and feature low, consistent shrinkage.
Call for Free Samples to Test Form
SIMONA AMERICA INC.
We now offer a new way to
simultaneously disengage our bail lock
knee joints. The BLISS, model MX-003-BLISS, was developed in collaboration
with Trinity Orthopedic as an alternative
to traditional lever-release systems. The
BLISS does not require any specialized
tools and can be installed in a matter
of minutes. Simply loop the bail straps
over both levers, insert the plastic plugs
into the lever openings, and secure the
proximal straps to the thigh section of
the KAFO. The BLISS is lightweight, durable, cost effective, and
available in one universal size.
Combining quality with economical pricing, the protect.4 evo offers the comfort, stability, and support required for ligamentous injuries. Featuring a durable, yet lightweight, malleable frame, the product utilizes the four-point design principle for optimal stabilization, as well as effective reduction of medial rotation.
Features and benefits include:
- Polycentric hinges for anatomical tracking.
- Numbered straps to ensure simple and correct application.
- Strong, yet light, aluminum frame for easy customization of fit.
- Low profile.
- Flexion, extension, and immobilization settings follow all popular protocols.
Coyote Composite is made by melting basalt (volcanic rock),
which is then extruded into a filament and braided to our
proprietary specifications for use in prosthetics and orthotics.
Basalt has applications in fields that demand extremely tough,
lightweight material that retains flexibility, including the aerospace
and hockey equipment industries.
Features and benefits include:
- Noncarcinogenic and nontoxic.
- Less itch than carbon.
- Tough and durable.
- High saturation.
- Cost effective.
- Easy to use for rigid or flexible layups.
- Fully compatible with all prosthetic resins.
- Because of its superior saturation, Coyote Composite finishes as good as, or better than, carbon laminations.
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.
From the occasional jogger to the avid marathon runner, the bladeXT assists users in meeting their fitness routine requirements. This cross-trainer-style foot allows users to quickly transition from cardio to weight training without sacrificing safety, stability, or performance.
With an overmolded sole cover for improved traction and durability on all terrain, along with a heel wedge that can be added to stiffen heel action, this foot allows for the versatility that cross-training requires.
The same level of therapeutic pain relief and support you rely on with Aspen's sized Summit braces is now available in an adjustable brace. The patented Sure Slot™ sizing mechanism offers multiple sizes in one brace that comfortably fits waists 26-60 in., and up to 70 in. with the extension panel. One-size adjustability means the correct size is always on hand, minimizing inventory requirements and significantly reducing costs. Adjustable and sized Summit 456, Summit 637, and Summit 631 braces are available and offer experts significant modification options to support various patient conditions. Codes L-0456, L-0637, and L-0631 approved.
Aspen Medical Products
The new medi 4Seal TFS Liner combines a revolutionary sealing technology with a unique self-gliding surface, providing extraordinary suspension, comfort, and ease of use for those with transfemoral amputations.
Features and benefits include:
- Integrated seals for easy inversion and a highly secure fit.
- Easy Glide PLUS outer surface-no donning aids or sprays required.
- Excellent tissue control due to a highly effective, full-length matrix.
- Optimal radial stretch for greater comfort.
- Simple to use gel-grip spacer socks for easy application (available separately).
You asked, we listened!
Allard USA is proud to
announce ToeOFF 2.0.
The same function you
have come to appreciate
in ToeOFF-just a
little face-lift to show
you we listened. D-ring
straps with alligator tabs
are easily applied for
right- or left-hand pull and reduce the chance of losing a strap.
MicroFIX is now pre-applied for faster application of SoftKIT or
ComfortKIT. New manufacturing technology offers a smoother
and more scratch-resistant surface. The XL has been increased
by ¾ in. to accommodate patients with longer tibias.
The slim and robust 7E9 Monocentric Hydraulic Hip Joint is currently the only hip design approved for a body weight of up to 275 lb. The 7E9 is also the only hydraulic swing and stance hip approved for use with mechanical knees (3R60 and 3R106) as well as the C-Leg and Genium microprocessor legs. The flexibility of these component combinations ensures high functionality, safety, and improved mobility for those with hip disarticulation or hemipelvectomy amputations.
Customize Tensitube® Blue shrinkers with your company logo and promote your facility to doctors and rehab professionals. An elastic postop shrinker, Tensitube® Blue applies controlled compression to help provide pain relief and reduce hypertrophic scarring and edema. A complete product line is available in sizes ranging from 2-6 in. widths, and in 18, 24, and 30 in. lengths. For a free sample with your company logo, visit www.tensitubeblue.com
Specializing in lower-extremity socketry.
All of our sockets are made with a special weave and weight of carbon fiber and fiberglass, which results in a lighter, stronger socket that patients can count on day after day.
Evolution Industries, Inc.
Intended for both small adults and pediatric
patients, the Compact Double Action Ankle
Joint from Becker Orthopedic comprises a
precontoured, stainless steel upright and stirrup,
which reduces fabrication time and provides a
lightweight and low-profile enhancement to the
Features and benefits include:
- Designed specifically for use with thermoplastics.
- Provides pins in the anterior panels and springs in the posterior panels that afford the patient a normal gait.
- Provides control in the sagittal plane and increased mediolateral stability of the knee and hip.
The KMO™ (Knee Management Orthosis)
features a single posterior jointed, modular
frame that is a cost-effective, patient-friendly,
and simple approach for optimal sagittal static
progressive positioning and stabilization of the
knee, as opposed to the limited adjustability of
common knee immobilizers. The ROM positioning
is adjustable from 0 to 110 degrees (additional
ROM may be attained and alternate customization
options are available). Indications for the
KMO™ are pre and post operative management
of bony and soft tissue injuries, neuromuscular weakness, or contracture
management. The KMO™ is protected under U.S. Patent
No. 7,122,016; the PDAC-approved L-Code is L-1831.
Anatomical Concepts Inc.
Specifically designed for people with Chopart
amputations, as well as Lisfranc, Pirogoff, Boyd,
or partial foot amputations, the RUSH76™ has
a dynamic design that gives users the ability to
be active and do more of what they want to do
without limitations. The unique glass composite
outperforms carbon fiber and is engineered to
be more flexible and durable than any other
Chopart device available today.
Contact us to learn more about the
RUSH76, RUSH81™, or RUSH87™. The RUSH™
feet are proudly handcrafted in the United States.
The Mountain Master
combines a high-strength,
flexible polyurethane body
with a handlebar-supported,
steel, pedestal ball mount.
The Master provides secure,
accurate control of the handlebars, yet allows the rider to disconnect
with a controlled pull-up off the ball mount. The flexible
frame absorbs shock, and the pivoting design provides control of
the handlebars through a wide range of angles. Versatile enough
to pull wheelies and avoid obstacles, it also has a built-in, user-controlled
release capability to facilitate dismounts, and a passive
hook feature for carrying the frame. L-6704 approved.
A complete system for cost-effective
automation in facilities of all sizes.
Scan, modify, carve, and
thermoform. The cordless S1
Scanner allows fast, accurate 3D
shape capture with unmatched
ease of use and at low cost. Newly
released ProvelCAD modification
software is easy to use and
template based. The C7 Carver
is not only fast and precise, its self-contained dust collection
system is extremely quiet. The T7 Thermoformer, now with
IR sensing, consistently produces high-quality thermoplastic
sockets from industry-standard preforms. Compatible with
AOP, OBJ, and STL files.
Now Accepting Applications!
NUPOC's 21-month MPO program allows you to complete your first two quarters (6 months) and final quarter (3 months) online, plus four quarters (12 months) of supervised practicum on campus, where you practice P&O skills with individuals who live with neuromusculoskeletal impairments.
NUPOC graduates are eligible for NCOPE residencies and P&O certification examinations. The NUPOC MPO prepares students to become proficient, compassionate clinicians; assess, prescribe, and deliver comprehensive P&O services; apply research to clinical practice; and contribute meaningfully to the P&O profession. Apply today!
Northwestern University Prosthetics-Orthotics Center
Feinberg School of Medicine