The Lower Limb Issue - August 2016

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Feature

Meeting the Prosthetic Needs of Patients With Greater Body Mass
By Maria St. Louis-Sanchez


As O&P practitioners encounter more patients who are overweight, they need to be creative in finding solutions and may have to look beyond their preconceived notions about the patients' abilities. While treating patients who are larger can pose unique challe...

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Feature

Symmetry for Symmetry’s Sake: A Beneficial Goal in Prosthetic Gait?
By Phil Stevens, MEd, CPO, FAAOP


Nearly 30 years ago, authors David Winter, PhD, PEng, and Susan Sienko, BSc, challenged some fundamental assumptions associated with prosthetic gait that continue to this day. "Throughout all the amputee-related literature," they assert, "continuo...

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Feature

Adherence Among Users of Orthopedic Footwear and Lower-limb Orthoses
By John T. Brinkmann, MA, CPO/L, FAAOP(D)


During my orthotic residency, a physical therapist and I were discussing orthotic options for a patient with post-stroke hemiparesis. The therapist had concerns about the KAFO I was recommending and advocated for an AFO. As I explained the rationa...

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Innovation

Max Conserva: Self-advocacy Fuels an Improved KAFO Design
By Laura Fonda Hochnadel


Photograph courtesyof Jeffrey P. Worthington. Max Conserva, 35, can often be found working out or teaching a class for adaptive athletes at San Francisco CrossFit, his muscles well-defined under the strain of a 300-pound squat or a 150-pound deadl...

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Shop Talk

The Q-check KAFO/AFO
By Micah Alford, MSPO


One difficult patient presentation many O&P practitioners haveencountered is severe genu recurvatum of 15-30 degrees witha lateral rotational thrust or corkscrew moment. A heavy-duty,stainless-steel sidebar KAFO is often the only device option for...

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Perspective

O&P Professionals Deserve Fair Reimbursement
By Rick Stapleton, CPO


Do you know what gets my blood boiling? When the reimbursementworld treats me as a vendor rather than as a trained medical professionalwho treats patients with difficult pathologies and helpsthem manage and restore their health and mobility and im...

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Sports

Rio 2016: Canoe Sprint and Triathlon Come to the 2016 Summer Paralympics


On September 7-18, worldwide attention will turn to Rio de Janeiro, Brazil, for the 15th Summer Paralympic Games. Over the course of the event, para-athletes from across the globe will compete in 23 different sports. This year, canoe sprint and tr...

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Sports

DoD Warrior Games Held in West Point


The 2016 U.S. Department of Defense (DoD) Warrior Games were held at the U.S. Military Academy, West Point, New York, June 15-21.

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Advocacy

The Orthotic and Prosthetic Alliance: The Sum of its Parts


The Orthotic and Prosthetic Alliance (the Alliance) is a unifying forceestablished to elicit the cooperation and coordination of like-mindedorganizations in the O&P profession and among consumer groups. Itsefforts are spent raising awareness of pu...

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Got FAQs?

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 whenpreparing your claims. This month's column answers your questionsabout denials for knee orthoses and criteria for prov...

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Viewpoint

Progress by Challenging Assumptions
By Andrea Spridgen


In this issue of The O&P EDGE , dedicated to meeting thechallenges of lower-limb O&P interventions, several ofour articles have an underlying theme about examiningassumptions. Our first feature tackles a subject that can besensitive-patients with...

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Online Exclusive

Providing Comfort & Performance to Amputees


Since becoming a transtibial amputee in the early 1950s, Jeff Witt struggled to find comfort in his prosthesis. The stump socks he used would wrinkle and cause sores on his residual limb. The advent of silicone liners didn’t bring Jeff any comfort either.

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Online Exclusive

UAlberta Using Robotic Gait Training for Children With CP


Researchers at the University of Alberta (UAlberta), Edmonton, Canada, are studying the use of robotic gait training for children with cerebral palsy (CP). The randomized control trial is being led by Lesley Wiart, PhD, assistant professor of physical therapy at UAlberta’s Faculty of Rehabilitation Medicine.

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Online Exclusive

Endolite Linx Limb System Wins the 2016 MacRobert Award


Established in 1969, the prestigious MacRobert Award is regarded as the leading prize recognizing innovation in U.K. engineering.

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Online Exclusive

Just in Time for the Annual Meeting: AOPA Sessions Sneak Peeks


To enhance your experience at the 2016 American Orthotic & Prosthetic Association (AOPA) National Assembly to be held September 8-11 in Boston, this Online Exclusive presents additional details about two session presentations. We hope the details enhance your experience at the Assembly or provide you with more insight into the proceedings.

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