Bringing Research Into the Clinic - March 2017

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O&P Research Supports Evidence-based Care

Feature

With the increased emphasis on demonstrating the effectiveness of O&P care, establishing evidence is a vital step toward providing third-party payers with clinically based justification for reimbursement decisions. Research results, however, are not only for payers; they are also used by O&P providers to deliver evidence-based care-the best solution for patients' needs, chosen from a changing multitude of options. Research is also being conducted to reach a more holistic understanding of the patients themselves, helping to increase the value of patient-centered care.

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The Rest of the Story

Feature

Courtesy of Shutterstock Inc. Just under three years ago, the O&P profession was startled by the publication of the first randomized controlled trial (RCT) on the efficacy of cranial remolding orthoses. 1 It was somewhat surprising that an RCT had been conducted at all.

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Turning Knowledge Into Action: Using Research to Improve Patient Care

Feature

Images courtesy of Shutterstock Inc . Introduction Knowledge translation (KT) is "the use of knowledge in healthcare decision making," and it is often discussed in the context of intentionally changing clinical decisions and behaviors based on evidence from formal research. More than 90 terms have been identified for research use, including implementation science, research utilization , and knowledge-to-action.

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An In-depth Look at BIPA Section 427: What It May Mean for the O&P Profession

Feature

Courtesy of Shutterstock Inc . One of the last regulations proposed by the Obama administration was published in the Federal Register on January 12 by the Centers for Medicare & Medicaid Services (CMS): a Notice of Proposed Rulemaking interpreting Section 427 of the Benefits Improvement and Protection Act (BIPA) of 2000. Comments on this proposed rule are due March 13, and it is not yet clear whether the new president's actions will further delay the publication of a final rule on this topic.

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Academy Society Spotlight: Advancements in Adult Scoliosis Bracing Using a Custom-made Adult WCR Brace

Feature

Aim This case study presents a description and timeline of the results achieved by applying Schroth therapy (Barcelona Scoliosis Physical Therapy School) and a modified Chêneau-type brace using Rigo principles-a Wood-Chêneau- Rigo (WCR) brace-for the conservative treatment of a 68-year-old adult female with scoliosis. Conservative Treatment of Scoliosis in Adults Scoliosis bracing for adults has been limited for decades. The most common form of treatment is an accommodative TLSO, with variations that range from a custom-made brace fabricated from a mold and/or measurements of the patient, to an off-the-shelf, prefabricated TLSO fitted to the patient.

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The Cycle of Service: Clinical Trials Through the VA

Perspective

Clinical Trials (CTs) are considered the pinnacle of medical evidence, as recognized by the Oxford Centre for Evidence-based Medicine, England. A lot goes into CT operations: planning, conducting, and then analyzing the data, as well as budgeting labor, materiel, and fringe costs. A given CT could conceivably involve hundreds of study personnel and external reviewers; sometimes thousands of patients will enroll.

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The Biomechanics of Running

Stepping Out

Courtesy of Shutterstock Inc . In the late 1870s the eccentric Eadweard Muybridge began pioneering work photographing bodies in motion. His iconic pictures of people and animals opened a new chapter in understanding movement and the human body.

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App Supports Self-management of Prosthetic Socket Fit Issues


Clinicians know that for new prosthesis users the task of donning a prosthetic limb and achieving a comfortable fit can become a frustrating stumbling block. Due to the variable shape and volume fluctuations of the residual limb, along with the potential to misunderstand the donning sequence, an individual can experience difficulty obtaining a proper prosthetic socket fit without the help of a clinician. While many self-management educational materials exist to help clients manage the fit of their devices, sometimes those aren't enough-especially for people with complex suspension solutions or mild cognitive impairments.

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Six Nifty Lamination Tips

Shop Talk

After fitting a patient with a new prosthesis, do people say to him or her, "Hey, that leg is awesome. Where did you get it?" Custom laminations are definitely the way to get those kinds of comments. Here are a few tips to make your laminations easier.

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Best Practices: How to Assess Accounts Receivable

On Topic

Your accounts receivable (AR) are the heartbeat of your practice, and keeping a finger on the pulse is imperative to the health of your company. A bounced check or financial pressures should not be the triggers spurring you to look at your AR reports. Instead, your AR reports should be reviewed, updated, and monitored continually.

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Hanger Education Fair and National Meeting


With the theme "Empower Together," more than 1,100 employees from Hanger, Austin, Texas, convened in Las Vegas for the company's annual Education Fair and National Meeting, January 30 through February 3. The conference provided continuing education about the latest O&P and therapeutic solutions, as well as a platform to recognize employees' achievements, examine company strategy, and discuss how best to empower patients and customers in the changing healthcare landscape. AJ Montgomery The opening ceremony, held January 31, highlighted nine Hanger Clinic patients, who helped kick off the event.

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What Does Research Mean to You?

Viewpoint

It's easy to think that research and everyday clinical patient care are separate entities that have little in common. However, clinical practice and research are very much intertwined. In this issue of The O&P EDGE , we explore how practitioners can apply information from research studies to their clinical practices, and we get a glimpse into the way clinical challenges inspire research efforts.

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Study: Amputation Level May Affect Post-op Pain

Online Exclusive

Phantom limb complex includes phantom sensation (PS), residual limb pain, and phantom limb pain (PLP). A study of the association between phantom limb complex in patients who had not received treatment for it and the level of lower-limb amputations found that the intensity and frequency of untreated PLP were higher early in the post-operative period in patients who had knee disarticulations, transfemoral amputations, or hip-level amputations. After six months, there were no significant differenc

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ALPS Anterior Posterior Tapered Liner

Online Exclusive

ALPS New AP Tapered Liner is gradually tapered from the anterior to the posterior to provide superior comfort. This liner is available in a pin and locks system or suction suspension. The AP Tapered Liner features our black high performance fabric with gel to assist in reducing bunching in the popliteal region.

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