Walk On: Prosthetic Success for Geriatric Patients
By Judith Philipps Otto
Successful, goal-oriented amputee rehabilitation is seldom based on a simple formula. Regardless of age, each patient presents unique and often complex challenges—many of which are further complicated in the case of an older adult. For older men a...
Osteoporosis: Orthoses Match Wits with the ‘Silent Thief’
By Miki Fairley
"Persons with osteoporosis ...will expire prematurely if they cannot be managed for pain and lack of mobility. Currently there are few medical or surgical options for these people that will get them back on their feet. In my estimate, the populati...
Bra Ladies? Not on Your Life!
By Rhonda F. Turner, PhD, JD, BOCPO
Breast-prosthesis scanner technology. Photographs courtesy of the American Association of Breast CareProfessionals (AABCP) . One in eight.
Lymphedema: What You Need to Know
By Patti Graybeal, CFom, CMF, COF
I am a Tennessee-licensed orthotist and have been fitting compression garments and mastectomy products, as well as bracing, for nearly 20 years. I have a deep concern for patients suffering from lymphedema and hope to educate the public and the me...
Go Almost Anywhere: Wheelchairs Enable Users to Navigate a Variety of Terrains
By Miki Fairley
Wheelchairs can open the door to mobility and independence—quite the opposite of what is implied in such common expressions as "confined to a wheelchair" or "wheelchair-bound." Even prosthesis users sometimes prefer to use a wheelchair part time w...
Endeavor Games Bring Together Elites and Beginners
Young athletes await competition at the 2009 Endeavor Games. Photograph courtesy of UCO PhotographicServices . The Endeavor Games came back to the University of Central Oklahoma (UCO), Edmond, from June 11-14 for another record-breaking year.
By Michael Carroll
During the final weeks of our spring semester, I had the opportunity to attend the American Orthotic & Prosthetic Association (AOPA) Policy Forum in Washington DC. The meeting was extremely informative and provided me with an excellent opportunity...
Face to Face
Jason Evans, RTP
Many O&P professionals have grown to love their careers, but Jason Evans, RTP, is unusual in that he entered the profession for love. In 1989, Evans was an artistic, detail-oriented high-school graduate working in an auto-body repair shop when he...
Billing and Collections Q&A
By Lisa Lake-Salmon
Denials are difficult to identify and time consuming to appeal. When you have a question, turn to 'Got FAQs?' to help get your billing back on track. This month's column takes on your questions regarding billing for therapeutic shoes and inserts,...
Progress on Parity
Ensuring that Amputees Are Not Left Behind
By Morgan Sheets
Congress is committed to enacting legislation to reform the U.S. healthcare system this year. To ensure that the needs of amputees are being heard, the Amputee Coalition of America (ACA) launched a legislative initiative around healthcare reform.
Numbers Support the Need, Individuals Support the Growth
The numbers say a lot. According to the U.S. Census Bureau, there are more than 39 million people aged 65 and older living in the United States.
The new low-profile i-LIMB Hand provides a significant benefit
to female upper-extremity amputees as well as smaller-framed
men. The low-profile i-LIMB Hand is approximately 2.5 percent
shorter in length and 14.6 percent smaller at the wrist than
the small hand. It is available in natural or black, with options
for standard, wrist-disarticulation, above-elbow, or single-site
Additionally, the new
slim-line battery allows
each cell to be positioned
either side-by-side, one
atop the other, or separated
by 135mm within
the socket for maximum
The GeriMac knee is a single-axis knee
incorporating a novel, automatic mechanical
lock that provides maximum stability during
the stance phase of gait. This knee is perfect
for geriatric needs and requires very little
Features of the GeriMac knee include:
- Automatic knee locks at full extension.
- Rated for up to 175 lb.
- Adjustable stance flexion.
- Low-profile proximal adapter.
- Free-swing design.
- Friction swing-control adjustment.
The Alpha® Flex Sleeves feature Kevlar®-reinforced Alpha gel for greater durability, greater puncture resistance, and greater abrasion resistance, while still providing increased range of motion.
Alpha Flex Sleeve fabric is highly
flexible and provides comfort and flexibility
when worn. The sleeve features
an interior polyurethane pad at the
socket brim line. This pad provides
extra protection against wear for sleeve longevity.
Designed to use with LimbLogic™ VS, the Alpha Flex Sleeve is
also compatible with traditional suction and locking suspension
The sleeves are available in black and buff fabric and have a
Ohio Willow Wood
With nearly effortless rollover, the Promenade prosthetic foot
provides an excellent alternative for the diabetic and vascular
amputees in your practice.
The dynamic heel combines with a supple toe to
provide users who have low-impact ambulatory
skills with a more symmetrical gait. The
energy return of the Promenade
will assist basic ambulators in
achieving efficient stride lengths
and facilitate greater comfort and
increased participation in daily activities.
- Full-length sole plate.
- Partial split toe.
- Active heel with cushion wedge.
- 325 lb. weight rating with 60-day trial period and 36-month warranty.
A new, modern design approach inspired Becker Oregon to
combine the conveniences of a modular system with the rigidity
and lightweight characteristics of composites to
create a laminated system that is user-friendly to
Components can be easily detached from the
orthosis and adjusted for ease of fitting, adjustment,
and replacement. The laminated section of
the orthosis are now fabricated around the metal
components and attached with screws.
This cosmetically appealing orthosis system
has a streamlined design and is lightweight.
The typical KAFO weighs only 2.6 lb.
Friddle's offers the new, preassembled Seattle Lightfoot2 with
Titanium Pyramid, which offers effortless alignment
and comes ready to install at an attractive
price. The Lightfoot2 is for patients with
a low to moderate K2-K3 activity level
with a maximum weight of 300 lb.
A few of the Lightfoot2's performance
a uniform mounting surface,
and a split toe for sandal
Friddle's Orthopedic Appliances
As prosthetists, our designers know the
importance of a good fit. We also know
that different clients have different needs
and that there are times when an off-theshelf
TES Belt or Durasleeve will not meet
those needs. For those special clients, Syncor
Ltd. offers custom-designed TES Belts
Our complete line can be adapted to
meet the needs of clients with transfemoral
amputations. We can also custom make
the Durasleeve for transtibial suspension,
including the Durasleeve HD for exceptionally
active clients and the Durasleeve EZ
for clients with limited dexterity. For special
orders, contact your Syncor supplier.
The Spinomed® III spinal orthosis
is revolutionizing conservative
treatment of vertebral compression
and chronic back pain related
to osteoporosis. The indications
for use of the Spinomed III are
osteoporotic bone collapse in the
thoracic and lumbar spine as well
as hyper-kyphosis with chronic
The evidence-based medical
study of Spinomed published in
the American Journal of PM&R
showed dramatic increase in core strength along with a decrease
The LOMBAR™ is a streamlined, low-profile, customizable orthosis that promotes thoracic extension through targeted vertebral separation.
LOMBAR's "aluminum spine" provides strength while conforming intimately to the patient's body
to provide stability and pain relief. The contoured spine can be further customized without tools. The apron front has Velcro® closure via dual pull tabs with finger pockets for controllable, adjustable abdominal compression.
Padded straps are easily adjustable to optimize comfort. Removable lateral panels allow the brace to be worn with reduced support. Innovative non-twisting strap design makes application and compliance as simple as donning an overcoat.
Friddle's Orthopedic is proud to
introduce several new coloring
papers, including Tattoo, which
is shown in the photo. Look for
a complete listing of coloring
papers at Friddle's online store,
or call us to receive a free poster.
Friddle's Orthopedic Appliances
Model 2009 is a non-protrusion knee
joint that combines the simplicity and
security of a standard drop lock with
automatic locking. When joints reach
full extension, the rings are automatically
engaged by springs that are internally
housed within the midsection. This
feature gives the user the convenience of
Made with X-Static Silver fiber for proven antimicrobial protection and therapeutic properties, the new AK Shrinker™ from Comfort Products has a soft, flexible EasyWear belt to accommodate a 32-50 in. waist.
- X-Static Silver provides antimicrobial protection.
- Easy adjustability.
- Stay-put gel band helps reduce migration.
- Seamless design.
- Contoured distal end improves fit and control.
- 20-25mm Hg medium compression.
- Five widths, three lengths.
- Machine wash and dry.
PEL Supply Company
Dynamic, yet stable, the new Element™ foot system is an excellent
choice for active amputees (K3 and K4 activity levels).
The extraordinary lightweight Element weighs 11 oz.
(size: 27cm without the footshell). The low-profile
design requires a clearance of 3.75 in. to facilitate
greater component choices when assembling the
prostheses. The unique carbon-fiber spring
design provides a smooth rollover with
- Interchangeable heel elastomers for fine-tuning heel stiffness.
- Modular design provides superior flexibility.
- ISO-22675 tested for durability.
- 275 lb. weight rating in sizes 22-30cm.
Consistent with being the industry's innovation leader, we are the first company to incorporate silver yarn into a sheath product.
Embedded with X-Static® silver yarn, the Comfort Products Silver Liner Sheath™ helps eliminate skin problems that are common to many liner wearers, including dermatitis, rashes, and odor, all without compromising suspension.
The Silver Liner Sheath is compatible with all liners, as well as standard prosthetic socks.
Prosthetic practitioners are advised to consider the Silver Liner Sheath for their patients. Call for a free sample.
Comfort Products: the innovation leader in knitted orthotic and prosthetic products.
With one of the largest and most extensive selections of diabetic and orthopedic footwear, stepping in style has never been so easy!
Our footwear stock includes BoxerDogs, Mt. Emey, and Answer2. We also offer Medicare-approved custom diabetic inserts, as well as toe fillers, prefabricated diabetic inserts, and other products pertaining to diabetic-foot management. We guarantee value pricing, huge product selection, and a commitment to excellent service you have to experience. Our 2009 catalog is available.
Apis Footwear Co.
Titanium pyramids are now standard on Dycor's K2 DR2 (unassisted transfer/assisted ADL) and K3 DR3 (unassisted ADL) feet. DR feet flex on leaf springs inside the upper keel rather than on compressed rubber bumpers. They are ground compliant, with uni-, bi-, or triaxial ankle articulation (transverse torque DR2/STM 5 ft.-lb. and DR3/AGM 10 ft.-lb.) on low- and medium-profile options. Total weight: 312g (11 oz.).
The K2 is 30 percent more flexible than the K3. For bilateral transfers and ADLs, use a firmer DR2 or DR3 foot on the dominant side.
Genesis II Systems from MICA Corp. provide the industry's most natural range. The systems feature 12 degrees of axial rotation and vertical deflection in both directions, 12-25 degrees of inversion and eversion, 20-30 degrees of plantarflexion, and 7-15 degrees of dorsiflexion, with a promise for free bumper replacement for the life of the foot.
- Smooth, natural gait.
- Sizes 22-30cm for users up to 215 lb.
- Easily interchangeable bumpers with a lifetime guarantee.
- Thirty-day trial period from the time of fitting, with a 36-month warranty.
Orthofeet is adding great-looking models to its Tie-Less shoes collection. These innovative, patent-pending shoes combine laces with hook-and-loop straps, allowing users to wear regular lace-up shoes without needing to tie them.
Additional features include:
- Soft, seamless fabric lining, padded with foam.
- Lightweight Ergonomic Stride™ soles with functional Toe-Spring.
- Non-binding uppers design across the bunions.
Visit us at AOPA booth 223.