Feature
Managing Patients’ Fit Expectations, Where Prosthetic Expertise and Coaching Skills Meet
By Maria St. Louis-Sanchez
When it comes to wearing a lower-limb prosthesis,experts say the key to mobility lies in the socket fit.Even if a patient has a device with the most advancedtechnology, it won't help if he or she can't, or won't,wear it. "Without the appropriate f...
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Feature
Where Are They Now? SCO Technology Flourishes—But Usage Fades
By Judith Philipps Otto
When early versions of stance control orthoses (SCOs) began appearing inthe 1980s and 1990s, they were hailed as an option for people who neededhelp with lower-limb deficiencies but who found their locked-knee KAFOdesigns cumbersome and frustratin...
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Feature
Polishing the Crystal Ball: Predicting Prosthetic Usage after Lower-Limb Amputation
By Phil Stevens, MEd, CPO, FAAOP
In 2009, a research team fromLeeds, England, published asystematic literature reviewreporting on preamputationpredictors of walking abilityafter prosthetic fitting. 1 Theundertaking was an immenseone and reviewed the findingsof 57 publications wit...
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Innovations
New Stimulator System Designed to “Restore” Feeling in Amputated Limbs
By Betta Ferrendelli
Weber developed the Phantom-Stimulator system, a device designed to trigger nerves that have been shown to produce sensation in a prosthesisuser's missing limb. Photograph courtesy of Theresia Weber . In 1998, Karl-Heinz Weber was on a businesstri...
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Extraordinary O&P
Barbara Adside: Finding the Rhythm of Life
By Laura Fonda Hochnadel
Rhythm-it is a common denominator of playing drums andperforming freestyle dressage. When playing drums, rhythm isthe arrangement of sounds to make music; when performingfreestyle dressage, rhythm is involved in the arrangement, or choreography,of...
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Sports
Paralympian April Holmes / ESPN Winter X Games / DSUSA Receives $80,000 Grant
Paralympian April Holmes Honored with Inspiration Award Photograph courtesy of the U.S. Paralympics . U.S.
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Perspective
Clinical Care Guidelines
By R. James Fenton, CPO/L
Clinical care guidelines are beingpromulgated throughout the entirespectrum of medicine, from hospitalsto physicians to therapists to O&Pprofessionals. A multinational publishing companypurchased the major purveyor of clinicalcare guidelines, MCG...
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On Topic
The Culture of Compliance: What Does Compliance Mean to You?
By Erin Cammarata
Merriam-Webster defines compliance as theact or process of doing what you have beenasked or ordered to do: the act or processof complying. The definition of compliancefor many of us in the O&P profession: WhateverMedicare asks or orders us to do....
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Face to Face
Mark Kroll, CO
As a native Minnesotan from an O&P family, Mark Kroll, CO, gives back to the profession as a member of the executive board of the local chapter of the American Academy of Orthotists and Prosthetists (the Academy), and as a lecturer and advisory co...
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Viewpoint
Expectations
By Andrea Spridgen
Expectations are tricky things, and there are variousschools of thought about the best ways to manage them.A 2014 study conducted at University College London,England, led by Robb Rutledge, PhD, suggests that ourhappiness may depend largely upon h...
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Online Exclusive
Endolite Presents the LiNX at the AAOP Show in New Orleans
Endolite was pleased to introduce our latest innovation to attendees of the recent AAOP Annual Scientific Meeting in New Orleans. The LiNX is the world’s first fully integrated microprocessor controlled limb system.
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Online Exclusive
Thank You!
On behalf of the prosthetics and orthotics graduating class of 2016 at the British Colombia Institute of Technology, we would like to thank everyone who supported our attendance at the American Academy of Orthotists and Prosthetists 41st Annual Meeting & Scientific Symposium in New Orleans on February 18-21.
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Online Exclusive
Össur Custom Fabrication Services Help CPs Maximize Their Clinical Effectiveness
As the prosthetics industry continues evolving, CPs are increasingly focused on clinical patient care rather than the artisanal skills that once largely defined the profession.
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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.
866.501.2992
www.simona-america.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
The new version of our Summit Lock, the
Proximal Lock, mounts the same way,
but with an easier-to-use, flexible, silicone
adhesive. The Proximal Lock glues to most
fabric-backed liners with no problem, and
locks into the socket with nothing needed on
the distal end; use the adaptor of your choice
to maximize clearance. The Proximal Lock
controls rotation and offers suspension and security.
Features and benefits include:
- Zero-clearance lock.
- Controls rotation.
- Ideal for long limbs with minimal clearance.
- Flexible attachment rolls on easier.
- Can be used with liners with a seal band.
- Lock can be retrofit.
Coyote Design
800.819.5980
www.coyotedesign.com
With a moveable seal ring to ensure optimal seal positioning, Iceross® Seal-In® X offers maximum comfort for users with uniquely-shaped or sensitive limbs, and easier donning and doffing for users with compromised hand dexterity. Seal-In X also features seamless, anatomy-conforming fabric, a durable yet flexible weave that comfortably controls soft tissue and elongates over the knee without bunching in the popliteal region. Plus, Seal-In X is Unity® compatible, so your patients can experience all the benefits of sleeveless vacuum, as well.
Visit our website or contact your Össur® rep today to learn more.
Össur
800.233.6263
www.ossur.com
Harmony between Security and Fluidity.
The Symphony is a six-bar polycentric knee
designed for patients who need both safety
and dynamics. It orchestrates the phases of
the gait cycle to offer a harmonious solution
with security, comfort, and fluidity. The
p-MRS system mechanically detects the
different gait phases and adapts stability
accordingly. At heel strike, the system locks
the knee geometrically and cushions with
a stance flexion dampening feature. The
selective lock function enables the patient to
lock the knee manually whenever security is
needed. At the preswing phase, the Symphony unlocks for an
effortless switch to swing phase.
Nabtesco Proteor-USA
855.517.4414
www.nabtesco-proteor-usa.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
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 TAD system for people with upper-limb amputations is designed to temporarily replace the hook or prosthetic hand on body-powered or electronic upper-limb prostheses to allow the user to safely perform a wide range of activities. For people with partial hand amputations or hand dysfunction, the system components can also be used with a WHO brace equipped with a quick disconnect coupler in the palm.
TAD's quick insert-release terminal device holds a wide variety 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
The TRS MULTI-D (Multi-Diameter) TD expertly controls cylindrical handles, tools, and sports equipment that have diameters from 1. in. to 1. in. The 1-in. wide, heavy duty, quick-release ratchet strap and buckle system provides easy adjustability. The MULTI-D is perfect for rowing, river kayaking, using long-handle tools like shovels or axes, and using hatchets and
dumbbells.any tool or sports equipment with cylindrical handles. High strength but flexible body and excellent rocker action allow for wide angles of control. It's less than 4-in. long
and weighs less than 10 oz. Use L-6704. Available now.
TRS Inc.
800.279.1865
www.trsprosthetics.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
Features include:
- The comfort of SoftKIT
- Fun covers just for kids!
- Cool, grey skulls
- Cute, pink hearts
- Available for Youth Sizes, S-XL
Allard USA
888.678.6548
www.allardusa.com
Evolution Custom Origin Liners are now Össur!
Truly custom throughout, from the proximal end to the distal
end, both inside and out. Evolution Truly Custom Liners
deliver consistent compression of the limb.
Evolution Industries Inc.
888.839.6213
www.evoii.com
#43 Vega Aligner
This brace is designed to stabilize the
motion of the knee joint, keeping it aligned
during flexion and extension movements.
Constructed entirely from breathable
materials, the next-to-skin layer is made
from antibacterial and antiallergy fabric.
Its complex structure, equipped with patella
stabilizer, offers comfortable containment
of the patellar compartment, which is useful
in cases of associated conditions (medial
or lateral ligament, anterior or posterior
cruciate ligament, and patellar instability).
Learn more and check out our other products and product lines
on our website.
M-Brace
866.374.4050
www.m-brace.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
Evolution C-Fab is now Össur!
Evolution Industries C-Fab is now Össur Custom Fabrication.
But while our name has changed, our quality and flexibility remains.
Evolution Industries Inc.
888.839.6213
www.evoii.com
The Infinite Socket™ is the first modular and adjustable socket that
empowers clinicians and users. Built-in tensioning systems, custom
modular components, and advanced materials allow adjustability at
the socket as the residual limb changes.
LIM Innovations
844.888.8546
www.liminnovations.com
In 2001, Boa launched our premium
closure system on snowboard boot
brands K2 and Vans. Since then, our
portfolio of brands and products
has grown to include sporting
goods, pro-cycling shoes, golf shoes,
utility boots, medical bracing and
more. Over 200 brands around the globe partner with Boa for the fit,
comfort, and ease of use our technology provides.
Brands such as Exos Medical, Ossur, Futuro, Ace, DeRoyal, Dr.
Comfort, and Revolimb have incorporated Boa into medical bracing,
diabetic shoes, and prosthetic products. The proven fit, convenience
and single-handed micro adjustment of Boa Technology consistently
deliver outstanding benefits to both patients and providers.
Boa Technology Inc.
303.455.5126
www.boatechnology.com
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
With the increased sophistication of prosthetic limb systems, the interface is now even more critical to a successful outcome. Endolite is proud to be developing technology in this area to enhance appropriate interface interactions and support seamless and comfortable prosthetic wearability for all users.
For more information, contact your local Endolite territory manager or visit our website.
Endolite
800.548.3534
www.endolite.com
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
Motion Unlimited is proud to announce Dynamic Prepreg fabrication to their service offerings. Completely customizable forefoot and spring flexibility configurations. Fabricated without incorporating an external acrylic lamination. Available in a variety of colors and patterns.
The benefits of a 100% Prepreg Orthosis include:
- Reduced bulk
- Responsive dynamics
- Lightweight
- Low profile
- Easier shoe application
- No de-laminating
Call or visit our website for an order form.
Motion Unlimited LLC
763.316.6472
www.motion-unlimited.com
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