Are We Giving Kids a Hand? Wrist and Hand Splints in the Management of Cerebral Palsy
By Phil Stevens, MEd, CPO, FAAOP
In 2008, the International Society forProsthetics and Orthotics (ISPO)convened a consensus conferencein Oxford, England, called RecentDevelopments in Healthcare forCerebral Palsy: Implications and Opportunitiesfor Orthotics. I participated inthe e...
ACADEMY SOCIETY SPOTLIGHT - There’s a New Touch in Prosthetics: Have You Considered Silicone Lately?
By Elaine N. Uellendahl, CP
HCR Silicone What do you think about when you consider the use of silicone in prosthetics fabrication?Do you think about the aesthetics of custom restoration, such as silicone gloves?Do you think about gel liners? Those are both correct, of course...
By Phil Stevens, MEd, CPO, FAAOP
THE CONCEPT OF PATTERN RECOGNITION AS A CONTROL SYSTEM FOR UPPER-LIMB PROSTHESES HAS BEEN AROUND SINCE THE LATE 1960S AND EARLY 1970S. 1 HOWEVER, WITH THE RECENT COMMERCIAL EMERGENCE OF COAPT'S COMPLETE CONTROL™ SYSTEM, IT HAS MOVED FROM THE RESEA...
Yale Graduates Hope Device Will Encourage Brace Compliance in Children with AIS
By Betta Ferrendelli
The Smart Strap Monitoring System Provides Real-Time Feedback When Yale University, New Haven, Connecticut,graduates Levi DeLuke, Sebastian Monzon, andEllen Su were accepted into the university's Centerfor Engineering Innovation and Design's (CEI...
Amar Patel: Figuring It Out and Moving On
By Maria St. Louis-Sanchez
Amar Patel. Photographs courtesy of Chris Lake. When Amar Patel lost his left arm due to injuries he sustainedin a car accident, he and his prosthetist were determined not tolet his amputation get in the way of Patel's dream of becominga dentist.
Assessing Prosthesis Design Priorities from the User’s Perspective
By Susannah Engdahl, BS
The majority of commercially available upper-limb prostheses havelimited ability to provide dexterous movements and sensory feedback.Perhaps unsurprisingly then, it is common for people withupper-limb loss to abandon use of a prosthesis. While num...
CAF SDTC 2014: The Best Day in Tri
By Laura Fonda Hochnadel
It is called "the best day in triathlon" for good reason: camaraderie,smiles, and support abound. It is a misnomer, however,to call it the best "day" because the festivities surrounding theChallenged Athletes Foundation's (CAF's) Aspen Medical Pro...
Program Profile Series: Century College, Francis Tuttle Technology Center, and Spokane Falls Community College
The O&P EDGE concludes its series of National Commission on Orthotic and Prosthetic Education (NCOPE)-accredited O&P programs by featuring three O&P technology education programs. Century College, Orthotic Technology and/or Prosthetic Technology,...
Face to Face
Jack Steele, CO, LPO, FAAOP
In 2011, after working in O&P for more than 30 years, Jack Steele, CO, LPO, FAAOP, opened the Centerfor Orthotics & Prosthetics Inc. (COPI), Memphis, Tennessee. He sees patients, most of whom arechildren, at the two COPI locations, as well as at v...
Billing and Collections Q&A
By Lisa Lake-Salmon
Billing for O&P devices and care is complicated. Count on "Got FAQs?" to help ensure you are using the most current information when preparing your claims. This month's column answers your questions about documentation forprosthesis repair and rep...
Industry Review - Conferences
Uniting Frontiers: The Future Is in Your Hands. Sow and Grow!
Perdomo welcomes conference attendees as he moderates the opening ceremonies. Photograph by Phil Stevens. For the sixth time in ten years, a coalition ofInternational Society for Prosthetics andOrthotics (ISPO) chapters from Mexico,the Caribbean,...
Industry Review - Conferences
Footcare Professionals Convene for PFA’s 55th Annual Symposium
The Pedorthic Footcare Association (PFA) held its 55 th Annual Symposium & Exhibition in Orlando, Florida, October 24-26. Attendees had the chance to earn continuing education credits by attending business and scientific programming, visiting the...
Letter to the Editor
Re: On Loss, Limitations, and Overcoming Them, October 2014
The following letter is in response to the Viewpoint column in the October 2014 issue of The O&P EDGE, "On Loss, Limitations, and Overcoming Them." Dear Editor, Your Viewpoint in the October 2014 issue reminded me of a life event I thought your r...
…Another Auld Lang Syne
By Andrea Spridgen
I borrowed the title of my column from a line in a Dan Fogelberg song in which the characters reflect on the past while contemplating the present and future, in the spirit of the widespread use of the song "Auld Lang Syne" to mark endings and new...
Endolite élan Foot Coding Verification
Following the recommendation of the PDAC, Endolite has been working with CMS to establish a new code that adequately describes the function of the élan microprocessor foot system. In a preliminary decision, CMS has verified that the élan meets the...
Innovative Prostheses Enhance Skiing, Snowboarding Experience
By Miki Fairley
With the arrival of winter snows, avid skiers and snowboarders, including some who have lower-limb amputations, flock to the mountains to enjoy the exhilarating rush of motion and freedom in settings of spectacular natural beauty. Prosthetists have used their creativity and expertise to design lower-limb prostheses to make an exciting experience even more enjoyable. Here are two examples that might spark innovative solutions for others.
While the ORION already offers users the stability and confidence to perform daily routines, we have added new features to benefit users even more. From fixed angle flexion lock to an enhanced yield rate, the ORION has been readapted to not only fit the needs of everyday life, but also to give the user opportunities to participate in more activities. Our new ORION software allows the knee to be programmed and customized via computer to each individual's walking patterns.
The Absolute Suspension Sleeve optimizes comfort, durability, and range of motion. The sleeve is made of thermoplastic elastomer and covered with a reinforced Lycra®-type material. The preflexed design allows maximum range of motion and alleviates posterior bunching when the knee is flexed. The Absolute Suspension Sleeve is available in multiple sizes and your choice of beige or black.
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
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).
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.
The Skeo family of silicone liners includes an internal matrix to reduce pistoning plus a slick outer surface to aid in donning and doffing. Choose from a variety of options that include preflexed for enhanced fit, and SkinGuard protection to reduce odor. Our copolymer liners are ideal for lower activity patients, and our Anatomic 3D Urethane liner is preferred for Harmony vacuum or valve systems. Whether your patients need a silicone, urethane, or copolymer solution, Ottobock can help you find the right fit.
Call your local sales rep to find out more.
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.
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 new Modular Ring Lock Knee Joint, model 1402-B, offers innovations like casted holes for optional ball catches (included) that can be easily installed at any time without machining or the use of specialized tools. In addition, the ring lock has been designed to improve grip for patients with poor hand dexterity and to increase rigidity to resist stretching. The 1402-B is also capable of accepting 3/16 in. x 5/8 in. and 1/4 in. x 5/8 in. uprights to help minimize inventory. Lamination uprights are also available for fabrication with composites.
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
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.
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 Breeze™ is a revolutionary K2 foot from College Park. The water-friendly system has an optional water drain port, corrosion-resistant materials, and special modifications to clear water from the entire prosthetic system. The Enviroshell™ is infused with a UV inhibitor and pure silver for proven antimicrobial properties, and built with a special toe-rollover assist. The Breeze foot brings a maximum solution for a minimum cost.
- Water-friendly design.
- Integrated pyramid.
- Low profile.
- Removable foot shell with sandal toe.
- Weight limit up to 275 lb.
College Park Industries
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
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.
Choose the best Evolution liner for your patient: Origin OTS
for a variety of regular sizes, Custom Origin for
uniquely shaped limbs, or the UNIFORM for comfort.
Evolution Industries Inc.
The Seattle Victory Foot features the patented S-shaped shank, which absorbs shock at heel strike and actively plantarflexes to provide increased ground compliance and smooth rollover. The split keel and narrow shank provide multiaxial compliance to uneven terrain, increasing stability and limb comfort.
Features and benefits include:
- Improved full-length keel shape enhances mid-stance transition while increasing energy return at toe-off.
- Lightweight materials reduce fatigue for active lifestyles.
- Lower build height.
PEL Supply Company
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.
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 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.
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American Board for Certification/ABC
- A soft, thick, one-size sock that enhances patient comfort and manages limb volume fluctuation.
- An affordable, easily adjustable limb protector that fits both left and right side transtibial residual limbs.
- A combination that works for your patient and for your budget.
Available from Friddle's Orthopedic, SPS, Cascade, and PEL.
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