The Upper Limb Issue - March 2021
Feature
Survey Says? Findings From the Field’s Largest Study of People With Upper-limb Amputations
By Phil Stevens, MEd, CPO, FAAOP
Under the direction of Linda Resnik, PT, PhD, FAPTA, an effort was recently undertaken to better understand the quality and outcomes of care received by veterans with upper-limb loss. The resulting survey data from over 800 individuals was the lar...
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Human-device Integration: Introducing the Biotensegrity Bridge
By Randall Alley, CP
Most of us in O&P recognize the interface as being the core of an upper- or lower-limb prosthetic system, and we are familiar with what we're told is its basic role of accepting and transferring the stresses of weight bearing, suspension, and moti...
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Washington Welcomes New Faces and New Opportunities for O&P Priorities
By Peter W. Thomas, JD; Leela Baggett, JD; and Taryn Couture, MPA
The new year has ushered in a wave of change in Washington DC, including a new Congress, a change in Senate control, and a new administration. The changes on Capitol Hill come with new policy priorities and new challenges. However, it gives the O&...
More...Stepping Out
The Effectiveness of Foot Orthotics, Part III
By Séamus Kennedy, BEng (Mech), CPed
On a daily basis, orthotists, pedorthists, and prosthetists deliver an array of devices and care that markedly improve their patients' quality of life, and many in the profession take deserved satisfaction in witnessing these successful outcomes....
More...Today's Consumer
The Taska Hand Helps With the Tasks at Hand
By Betta Ferrendelli
When Philip Byrd went to work at his carpentry job one morning in late May 2017, he knew he'd spend a good part of his day cutting boards with a miter saw, just as he had done for nearly the last dozen years. Byrd had used a miter saw so many time...
More...On Topic
Clinical Notes: Everyone’s Favorite Topic
By Erin Cammarata
The importance of good clinical notes has been a topic of discussion for O&P practitioners for several years. Clinical notes are key to effective communication, painting the story for patient care, as well as ensuring your claims withstand an audi...
More...Perspective
Why Don’t We Get More Referrals?
By Darya Shahrokhi, CPO, FAAOP
At least once a month I have a patient with a sad story. But last month was one of the worst cases I have seen. I treated a 47-year-old woman who was in a car accident four years ago that led to brain damage and paralysis of her left side.
More...Editor's Message
Editor's Note - March 2021
By Andrea Spridgen
Upper-limb amputations are far less frequent than lower-limb amputations with an estimated incidence ratio of one to four, and upper-limb prosthesis rejection is common. Increased study and inquiry into prosthetic interventions and the experience...
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College Park 
The Aria HV Plate Valve by Cypress Adaptive was developed for use with any elevated vacuum system. Its all-in-one design features auto-expulsion, push-button release, and built-in fitting for vacuum hose connection. The barb fitting has an internal check valve to prevent loss of vacuum should the hose become damaged or disconnected. The Aria HV Plate Valve saves on fabrication time as it simply bolts to any four-hole mounting plate. It is durably constructed and easily disassembled for cleaning and servicing. To learn more, call or visit our website.
The PDAC-approved RUSH ROGUE® provides the most realistic and dynamic foot and ankle motion available. The Vertical Loading Pylon (VLP) provides vertical shock relief while offering +/- 8° torsion, allowing the user to push the foot and themselves to the limits. The RUSH ROGUE is made of our advanced fiberglass composite which is three times more flexible than conventional prosthetic feet. The roll through characteristics of the foot provide exceptional energy return with no dead spot. The RUSH ROGUE is also available in the EVAQ8 elevated vacuum and H2O models. #goROGUE%2FSC_STNG.jpg)
We believe you will feel the difference. 
The Becker GEO™ is a prefabricated, carbon composite evaluation orthosis used to assess the benefit of an AFO on ankle and knee stability. Please contact our customer service department today for more information.
Propel your stride to perfection with the Propulsion® PDE AFO. The PDE AFO is a custom-fabricated, dynamic response, carbon fiber AFO that stabilizes the ankle while reducing forefoot abduction/adduction. It provides proximal PTB unloading, similar to a BK prosthesis. The PDE AFO has an interchangeable dynamic posterior strut and a rigid rocker bottom footplate design to minimize midfoot stress. Send scans to scans@tillgestechnologies.com.
Upgrade to active vacuum volume management for your transtibial patients with the New Harmony P4 Modular pump. This modular fourhole version is easy to upgrade into existing vacuum sockets using an external tube connection and includes a Standard 4R182 and Heavy Duty version 4R183 that can accommodate up to 330 lb.
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All 2 ½ models include the 2.0 features you love: choice of wrap-around or D-ring straps, shorter wings, and a Starter SoftKIT™. It is easier to adapt ToeOFF® 2 ½ & BlueROCKER® 2 ½ to shoes with lower heel heights because there is a lower forefoot curvature and more space in the shoe toe box.
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