Feature
Evidence-Based Practice in O&P: Where are we now? Where are we going?
By Miki Fairley
Evidence-based practice (EBP) is having an increasing impact on O&P clinical decision making and patient care. The gap between research and clinical application is being bridged. Funding dollars are being generated within and outside of the O&P pr...
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Feature
Jury Duty: Understanding the Process and Importance of Peer Review
By Phil Stevens, MEd, CPO, FAAOP
There are two broad categoriesof reading material withinthe world of O&P. The easiertypes to access and read arearticles like this, found in ourindustry trade publications such as TheO&P EDGE and others like it. Distinctfrom these lighter-reading...
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Feature
Medicare O&P Utilization: A Longitudinal Review
By Brian Gustin, CP
Industry Overview The common myth in O&P is that the increasingincidence of obesity and diabetes indicates a promisingoutlook for patient volume in O&P. However,a review of Medicare utilization data over an 18-year period tells a distinctly differ...
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Feature
O&P Threats and Opportunities as 114th Congress Gets Under Way
By Peter W. Thomas, JD; Christina Hughes, JD, MPH; and Sara Rosta, MA
Healthcare issues are expectedto take center stage in the newCongress while the Obamaadministration continues to pursueits healthcare agendaby issuing Medicare regulationsand continuing the implementationof the Affordable Care Act (ACA).This prese...
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Better Business
What’s in It for Me? Advantages to Allowing Others to Complete Patient Care Hours at Your Facility
By Terry Reed, BOCPD
I took course work to become a certified pedorthist at Kennesaw StateUniversity. As I was nearing the end of my studies, I wondered how Iwould complete my 1,000 patient care hours, which are required by theprofession's governing bodies in order to...
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Today’s Consumer
Kevin Johnson Puts a New Suspension System to the Test
By Betta Ferrendelli
Johnson flies helicopters as part of his role operating his own utility and excavating company. Photographs courtesy of Kevin Johnson. Before Kevin Johnson became a clinical trial test patient for a newsuspension system that could improve comfort...
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Perspective
The Need to Improve the Clinical Relevance of O&P Research
By Edward S. Neumann, PhD, PE, CP, FAAOP
As a reviewer for journals and research proposals,I have read many O&P studies, and most fallshort of being clinically relevant. To me, clinicalrelevance means that clinicians will find the informationor results of interest in their clinical pract...
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Sports
The Hartford Ski Spectacular 2014
By Laura Fonda Hochnadel
A participant receives one-on-one instruction. Photograph by Laura Fonda Hochnadel. Retired Army Staff Sergeant Orlando Gill said he attendedThe Hartford Ski Spectacular for the first time in December2005.
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Stepping Out
Assessing Adult-Acquired Flatfoot
By Séamus Kennedy, BEng (Mech), CPed
Adult-acquired flatfoot (AAF) is defined as a progressive deteriorationof the static and dynamic structures that support the foot. Althoughfrequently linked with posterior tibial tendon dysfunction (PTTD),AAF is a far broader syndrome that describ...
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Shop Talk
A Metal Lathe in an O&P Lab?
By Travis Petersen, CPOA
Injection molding, resin casting, milling, lathing, and other proceduresmay be used when fabricating O&P devices and components. But whathappens when a part is needed posthaste and it's backordered or doesn'texist? One solution is to make the part...
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Advocacy
The O&P Alliance: Providing a Unified Voice
This article is the first in a series in 2015 that willhighlight the unified advocacy efforts of the O&PAlliance. In subsequent articles, The O&P EDGE has invited representatives from the organizations thatcomprise the Alliance to share what the j...
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Face to Face
Sarah Wooden, CPO
As part of the bachelor of science degree program in rehabilitation servicesat Springfield College that Sarah Wooden, CPO, was pursuing, she took arequired course called Introduction to Rehabilitation, designed to familiarizestudents with the alli...
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Got FAQs?
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.
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Viewpoint
Celebrating New Offerings
By Tonja Randolph
As I write this, we are preparing for the AmericanAcademy of Orthotists and Prosthetists' (the Academy's)Annual Meeting in New Orleans, February18-21. We are excited to meet with our readers andhave discussions about the status of the profession a...
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Online Exclusive
Hundreds Expected to Participate in 2015 Össur Mobility Clinics, Presented by Challenged Athletes Foundation
Amputees of all ages and abilities are welcome at Össur Mobility Clinics, a series of specialized workshops designed to enhance lower-limb amputees' experience in sports and recreational activities, which will take place across the U.S. in 2015. T...
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SPS is excited to feature the new SPS online store, SPSCO.com, the world's largest O&P online store. Featuring the most comprehensive O&P product portfolio, live chat, custom shipping options, side-by-side product comparisons, advanced search, and a fast and user-friendly experience.
SPS
800.767.7776
www.spsco.com
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
extension.
Contact your Össur® rep today to get certified or to see a RHEO KNEE 3 demonstration.
Össur
800.233.6263
www.ossur.com
Fillauer's new Trautman Expansion Arbors are designed to prevent the sanding cone from flying away. When the expansion arbor spins, it expands and applies pressure to the inside of the sanding sleeve-holding the sleeve on the arbor.
Features and benefits include:
- Provides a smoother grinding surface for straighter lines and a higher quality finish.
- Eliminates grinding chatter that hard grinding surfaces give.
- Available in three sizes and as a kit of three.
- Available in 1/2-13, 5/8-11, and M16 threads to fit most O&P machinery.
Fillauer LLC
800.251.6398
www.fillauer.com
TAD products are designed for people with upper-limb amputation, partial hand amputation, or hand dysfunction. The TAD system temporarily replaces the hook or prosthetic hand on body-powered or electronic UE prostheses. The system can also work with a WHO brace to which a quick disconnect coupler is attached in the palm area of the brace. TAD's quick insert-release terminal device can hold a wide selection of interchangeable tools and implements including dining or cooking utensils; personal grooming devices; and tools for gardening, carpentry, mechanic work, sports, and hobbies.
Texas Assistive Devices
800.532.6840
www.n-abler.org
Our new posterior dynamic strut AFO combines the fit and comfort of a custom AFO with a posterior-mounted dynamic
strut for optimal ambulation. The strut can mount to either a custom thermoformed or laminated AFO. Purchase struts and tooling from Coyote and fabricate in your own facility, or we can make the entire custom brace for you.
These AFOs are great for foot drop; they improve gait and are designed with affordability and adjustability in mind. To learn more about Coyote Design's Dynamic AFO Strut, check out the video testimonials on our website.
Coyote Design
800.819.5980
www.coyotedesign.com
To help celebrate, we are now offering:
- Free UPS Ground shipping within the continental United States (January-April 2015).
- Free courier service within a 30-mile radius of GPF (restrictions apply).
We are family owned and operated, and continually provide outstanding customer service with exceptional attention to detail on quality orthotics and prosthetics. We have over 150 years of experience and highly trained and ABC-certified fabrication technicians.
Grace Prosthetic Fabrication
800.940.5347
www.gpfinc.com
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.
888.937.2747
www.bignwideshoes.com
Of course, you already knew that.
Results from a recent study have confirmed what most of you already
know-when it comes to customer service, people prefer PEL. And
we're going to do everything we can to keep it that way.
Benefits include:
- Always reliable and timely service.
- Easy access to advice for better clinical outcomes.
- Innovative solutions for better economic outcomes.
- Focused on independent practitioner success.
PEL LLC
800.321.1264
www.pelsuppy.com
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.
Fillauer LLC
800.251.6398
www.fillauer.com
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
800.301.8275
www.hersco.com
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.
888.839.6213
www.evoii.com
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).
medi USA
800.633.6334
www.mediusa.com
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.
Becker Orthopedic
800.521.2192
www.beckerorthopedic.com
Features include:
- Thinner profile (2mm).
- New black knitted fabric.
- Seamless, single-piece construction.
- Formulated with ALPS gel, the SFB suspension sleeve seals with the skin without restricting circulation.
ALPS
800.574.5426
www.easyliner.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.
Ability Dynamics
855.450.7300
www.abilitydynamics.com
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.
medi USA
800.633.6334
www.mediusa.com
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.
Syncor Ltd.
920.435.1199
The Mountain Master
combines a high-strength,
flexible polyurethane body
with a handlebar-supported,
snap-on/snap-off, stainless
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.
TRS Inc.
800.279.1865
www.trsprosthetics.com
Keasy is a prefabricated cone for manufacturing high-quality thermoformed liners in a blink-no welding, no gluing, and it's seamless. Keasy's regular thickness allows a vacuum thermoforming that perfectly takes on the cast. According to the Keasy dimension, we recommend a 338° F heating temperature for 75 seconds to three minutes. Sweat and cleaning agents do not soak into the EVA closed cells structure. Keasy is easily washable and hygienic. Keasy withstands friction, crushing, and stretching for patient's durable comfort over time. Available in six sizes.
Nabtesco-Proteor-USA
855.517.4414
www.nabtescoproteor-usa.com
This dynamic corrective system joint ensures fast, efficient, and effective treatment of contractures resulting from neurological conditions. It is simple and uncomplicated with just two joint sizes to accommodate any extremity joint, and no complicated order forms to complete.
You determine and control the three simple adjustments:
- Flexion/extension. Just flip the joint housing internal spring based on the anatomical location.
- Range of motion. Limit at 12 degree increments (small) or 14 degree increments (regular).
- Force control. Up to 3.4 Nm/30 in.-lb. (small) or 10.2 Nm/90 in.-lb. (regular).
Allard USA
888.678.6548
www.allardusa.com
Log in today to:
- Check your CEUs
- Search for credit opportunities
- Pay your annual fee
- Update your information
- See your personalized alerts
- And so much more!
American Board for Certification/ABC
703.836.7114
www.abcop.org
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.
Features include:
- Water-friendly design.
- Integrated pyramid.
- Low profile.
- Removable foot shell with sandal toe.
- Weight limit up to 275 lb.
College Park Industries
800.728.7950
www.college-park.com
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.
Freedom Innovations
888.818.6777
www.freedom-innovations.com
The ORION2 microprocessor knee is programmed and customized to each individual user's walking patterns. The increased yield rate, fixed angle flexion lock, and cycling/free swing mode make the knee even more versatile for the user. The knee can be programmed via the PC-based ORION software and/or OnBoard Smart Programming.
Endolite
800.548.3534
www.endolite.com
He knows whom to call when he's ready to take that first step.
Available from Friddle's, Cascade, SPS, and PEL Supply.
Limbguard
www.limbguard.info
Real-world results from a gait lab without walls.
The iPecs™ Lab System opens the door for gait researchers. It's a portable research-grade tool that accurately measures three-axis forces and moments experienced by a prosthesis user.
Without wires, you choose the environment.
RTC Electronics Inc.
734.741.8700
www.rtcelectronicsinc.com
Apply today!
From your home, complete the first two quarters (6 months) and final quarter (3 months) of the NUPOC 21-month MPO. Spend four quarters (12 months) in mentored practicum at NUPOC, building P&O skills by working with people who have neuromusculoskeletal impairments. NUPOC graduates are eligible for NCOPE residencies and P&O certification examinations. The NUPOC MPO prepares you to become a proficient clinician, deliver comprehensive P&O services, integrate research into clinical practice, and contribute to the P&O profession. NUPOC accepts candidates on a rolling admissions basis.
Northwestern University Prosthetics-Orthotics Center
Feinberg School of Medicine
NUPOC
312.503.5700
www.nupoc.northwestern.edu
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.
Provel Inc.
509.857.2009
www.provel.us
Simple and Versatile, with True Outcome Measures.
CIR Systems Inc., creator of GAITRite®, the gold standard in temporal/spatial gait analysis, is expanding with GAITRite BASIC-designed specifically to meet the needs of the smaller clinical practice with limited space and budget. GAITRite BASIC is offered in two economically priced lengths and includes targeted clinical features. Now even more portable (lighter, smaller, narrower profile), it's easily transportable between locations. GAITRite BASIC includes standard reports for most conditions, as well as a customizable report generator for patients with multiple
conditions.
GAITRite
888.482.2362
www.gaitrite.com
New E-Series adhesives can be used for most items you currently use +PLUSeries adhesives for-we find the properties of E-Series adhesives work great when transferring devices and laminating, and when recycling set-up
componentry for reuse is desired.
Features include:
- Thinner viscosity.
- Add heat for easy release.
- Works with all +PLUSeries mixing tips and dispensers.
- Lower cost.
Currently offering 220ml sizes in 60-second gel times, and in tan
and black colors. Call for more details.
Fabtech Systems
800.322.8324
www.fabtechsystems.com
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