Feature
3D Printing of Upper-Limb Prosthetics: Present Reality, Future Potential
By Miki Fairley
ABOVE: Albert Chi, MD, a trauma surgeon at Johns Hopkins Hospital, Baltimore, makes an e-NABLE hand. BELOW: enlargement of 3D pieces of e-NABLE hand. Photograph courtesy of e-NABLE and Jen Martin Studios.
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Feature
Defining Success at Higher Levels: What Constitutes a Successful Outcome in Upper-Limb Prosthetics?
By Phil Stevens, MEd, CPO, FAAOP
Several years ago, I received a communicationfrom an occupational therapist askingme to participate in a survey-based study. Ididn't realize it at the time, but I was beingsnowballed into the research effort, asenrolled participants were asked to...
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Feature
Thrive! Reinventing Life With Activity-Specific Prostheses
By Sherri Edge
Emerging prosthetic technologies suchas the DEKA Arm, the Johns HopkinsUniversity Applied Physics Laboratory'sModular Prosthetic Limb (MPL), andthe Alfred Mann Foundation's ImplantableMyoelectric Sensor (IMES) oftenlead the way in gaining media co...
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Feature
ACADEMY SOCIETY SPOTLIGHT: Keys to Optimizing External-Powered Prostheses
By Jeremy Farley, CPO
There are about 1.7 million individuals with major limb loss in the United States, most of whom have lower-limb amputations. 1 The population of people with upper-limb amputations is a mere fraction of the size-numbering about 41,000 individuals-w...
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Today's Consumer
Ryan Beesley: Moto On
By Laura Fonda Hochnadel
Beesley sights in the track. Photograph courtesy of Laura Fonda Hochnadel . Riding a dirt bike takes hand-footcoordination and a balancebetween throttle and clutchcontrol.
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Shop Talk
The “New” Pelite Liner: The Duralite Liner
By Travis Petersen, BOCP, COA
There are a lot of different interfaces for prostheses, ranging from theclassic Pelite liner to gel liners to flexible inner sockets. When selectingwhich interface to use, it is important to consider the patient's needsand preferences. Some patien...
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Perspective
Education or Experience
By Milan Patel
The O&P profession is at the beginning ofa transitional phase, one that aims to set ahigher standard for clinicians in regard to theeducation and clinical training they receive, as wellas in their patient management skills. This shift ineducationa...
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On Topic
Superheroes Among Us
By Erin Cammarata
We have all heard stories or seen videos of a crime beingcommitted in which no one jumped in to help. Is it that thewitnesses are horrible people? Are they so detached from realityand living through their camera phones that they don't care?
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Sports
OPAF First Swing Clinics Held in Idaho
Rehab Systems Orthotic and Prosthetic Technologies, Boise andTwin Falls, Idaho, hosted back-to-back OPAF First Swing Learnto Golf Clinics on September 11 and 12. Area therapists,practitioners, and professional golf instructors were invitedto these...
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Sports
First-Ever ISA World Adaptive Surfing Championship Held in California
The inaugural International SurfingAssociation (ISA) World Adaptive SurfingChampionship was held at La Jolla Shores,La Jolla, California, September 24-27. Theevent was presented by Challenged AthletesFoundation (CAF); Hurley, Costa Mesa,California...
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Viewpoint
Measures of Success: Real and Potential
By Andrea Spridgen
The experiences of people with upper-limb amputationsvary significantly compared to people with lower-limbamputations, and their prosthetic care poses unique challengesas well-it's generally accepted that there is a muchlarger percentage of people...
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Online Exclusive
Study: Adaptive Knee Control Beneficial for Middle-Aged, Older Users With Transfemoral Amputation
Contemporary prosthetic knees include passive (mechanical), adaptive (computerized), or active (motorized) control systems and have the potential to mitigate amputation-related functional impairments and activity limitations. Researchers at the University of Washington studied physical performance and self-report outcomes associated with use of each type of knee in persons with unilateral, transfemoral amputation.
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Ten-foot lengths are now available!
Coyote Composite, made from basalt filament is a safe, tough material
for composite sockets and AFOs. It's a great alternative to itchy,
expensive carbon fiber braid, and is easier to cut and finish compared
to other materials.
Features and benefits include:
- Less expensive and less itch than carbon
- Extremely durable, strong, and lightweight
- Finishes easily
- Uses typical prosthetic resins
- Not an inhalant risk
- Inert, noncarcinogenic, and nontoxic
Coyote Composite is more flexible than carbon (we consider this to be an advantage). For more information, call your distributor or Coyote Design.
Coyote Design
800.819.5980
www.coyotedesign.com
The élan biomimetic foot and ankle system with microprocessor-controlled plantarflexion and dorsiflexion resistance is now more user-friendly. New Micro-D port makes for easier charging and Bluetooth connection.
Features and benefits include:
- Microprocessor-controlled terrain response
- Sensors initiate change instantly
- Batteries contained within the ankle
- Variable response to changes in speed, inclines, and declines
- Bluetooth-enabled programming; new Micro-D dongle is easier to attach and features visual connection indicators
- User-friendly charger port for users with dexterity or visual challenges
Endolite
800.548.3534
www.endolite.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
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 Guardian Suction Liner from
ALPS features raised GripGel bands
that grip the socket wall to form a
secure interface between the socket and
liner to prevent slippage or premature
release. These low-modulus GripGel
bands stretch against the socket wall,
while the inner wall conforms easily to
the residual limb to ensure there is no
restriction of blood flow or stiffening to
inhibit donning. No seams and a single-piece
construction improve durability. Available in both transfemoral
and transtibial models, the Guardian Suction Liner can be fully
inverted for ease of donning.
ALPS
800.574.5426
www.easyliner.com
The revolutionary Peak Scoliosis Bracing System is an unloader brace specifically designed to relieve the pain associated with adult scoliosis. This patented, highly adjustable brace from Aspen has been shown to:
- Significantly Relieve Pain
- Improve the Quality of Life
- Increase Mobility
- Promote Better Posture
- Increase Patient Compliance
Code L1005 Approved
Aspen Medical Products
800.295.2776
www.aspenmp.com
Exclusively from SPS-receive a free YETI Tundra 45 Cooler with the
purchase of a qualifying microprocessor product. For more details,
visit www.spsco.com/yeti.
SPS
800.767.7776
www.spsco.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.rushfoot.com
Coyote Design has introduced two new, heavy-duty, solid brass pin options for its Air-Lock and Easy-Off Lock lines. Coyote found the new brass pins are more durable, have less deflection, and have exceptional wear characteristics. These pins increase the Air-Lock weight capacity from 265 lb. to 350 lb. Like most Coyote products, they are noncorrosive and water resistant, making them great for active people and heavier weight patients, and the pins help eliminate noise issues.
CD103P8H (eight click brass pin), CD103P11H (eleven click brass pin), and CD103H (Air-Lock with brass pin).
Coyote Design
800.819.5980
www.coyotedesign.com
The best just got better. ESP liners are simply the most cost-effective
liners on the market. Now with new, enhanced lockstitch textile to
reduce pistoning.
ESP LLC
888.932.7377
www.wearesp.com
medi USA is proud to announce its third and latest addition to the innovative Panthera family of feet with the new Panthera CF III-providing dynamic and smooth walking for the K3 amputee.
Features and benefits include:
- Plug-and-play adjustable heel for ease of use
- Excellent multiaxial compliance via integrated carbon and elastomer layers
- Pivoting dynamics mimic ankle motion
- Comfortable heel strike
- Fluid rollover and dynamic toe-off due to innovative, continuous carbon spring technology
- Available in beige, light brown, and dark brown
medi USA
800.633.6334
www.mediusa.com
We use Coyote Quick
Adhesive in the fabrication of
our prosthetic locks, socket
adaptors, and valves. It's used
for attaching componentry
and repairing sockets and is
very quick to set, with no sag.
It ships non-hazardous, is
safe to use, and has no odor.
Coyote Quick Adhesive
works in any situation when you need something glued quickly
and easily.
Coyote Design
800.819.5980
www.coyotedesign.com
Hydraulic feet can provide K2
patients with an incredible range of
controlled motion, as well as assist
in force absorption, enhance knee
stability, and promote good posture.
The OdysseyK2™ from College Park
has a patented curved hydraulic ankle,
Intelliweave™ composite foot base, and
customizable dual StrideControl™.
This revolutionary foot provides a superior range of motion in a
lightweight and low-profile design for an unbeatable combination
of K2 patient benefits. See it in action at www.youtube.com/CollegeParkInd, or learn more at www.college-park.com/odysseyk2.
College Park Industries
800.728.7950
www.college-park.com
Features and benefits include:
- Airtight suction or vacuum suspension, with the safety and security of a pin
- Easy donning and doffing with lever release
- Self-lubricating materials reduce wear
- Water-resistant
- Can be used with elevated vacuum
Coyote Design
800.819.5980
www.coyotedesign.com
Low-Profile M-Spine LSO #584
The M-Spine lumbar-sacral orthosis is designed to support the patient at all stages of recovery. The moldable panels are to be applied post-operatively without delay for effective immobilization and kept in place throughout the rehabilitation phase. Later, the corset, worn alone, can be adapted to provide comfortable daily support thanks to the progressive immobilization capabilities of our unique locking system featuring intercrossed straps and flexible, plastic-covered steel stays. Learn more and check out our other products and product lines on our website.
MIH International
866.374.4050
www.m-brace.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
We are now offering 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
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
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
800.295.2776
www.aspenmp.com
Virtually indestructible even in the most extreme conditions. Maintain a natural gait even in the most rugged or uneven terrain. One foot for all adventures. Water? Mud? Sand? No problem. Carbon feet can't say the same. To learn which RUSH™ Foot is right for your patient, visit www.rushfoot.com. Online ordering is now available.
Ability Dynamics
855.450.7300
www.rushfoot.com
Partial Foot, An Illustrative Guide,
is a comprehensive 12-page guide for
the management and fabrication of
a partial foot prosthesis. Reduce
friction, reduce shearing, reduce
pressure, restore propulsion, restore
limb length, and preserve the residual
limb. The guide has professional
illustrations and step-by-step
instructions. We support our customers
to provide better lives for patients.
Call or e-mail to
request your free copy.
Allard USA
888.678.6548
www.allardusa.com
We offer the best prices on lightweight 3K carbon tapes in a finished
edge (DW) and non-finished edge (FR) configuration. Our carbon
tapes are highly formable, wet out quickly, and should be used with
all your carbon or Synthex composite layups. They come in 1-in., 2-in.,
3-in., 4-in., and 6-in. sizes. Sold in 50-ft. cut sections and 50-yd. rolls.
Fabtech Systems
800.322.8324
www.fabtechsystems.com
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.
Freedom Innovations
888.818.6777
www.freedom-innovations.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