Orthotic Management of Low-Tone Children
The Earlier the Better
By Susan Glairon
Cusick Children with low tone need early orthotic intervention to prevent gait problems down the road. When Ting Cusick arrived in the United States in 1998, the newly adopted one-year-old had nonfunctioning lax hips and feet. But despite these...
Turning Kids on to Weight Loss: Technology Teams with Tradition
By Miki Fairley
New and creative meets tried and true as video game technology, cell phone texting, and bariatric surgery team up with better nutrition and traditional exercise to help kids and teens who are obese to move, lose, and get healthy. Sometimes it seem...
Tracking Functional Development: A Case Report
By Tracy C. Slemker, CPO
Introduction Approximately 133,000 amputation-related hospital discharges occur each year in the United States, 31 percent of which are at the transfemoral level. 1 The healthcare team's primary concerns for new amputees are assessing and improvin...
Society Spotlight: Tips for Success When Working with Children
By Deborah Wilde, MS, CPO, FAAOP, and Sarah Thomas, CPO
Working with children who need prosthetic and/or orthotic intervention is both challenging and rewarding for everyone involved-the clinician, the patient, and the family. Achieving successful outcomes when working with children depends not only on...
Helping Kids With Their Leaps and Bounds
By Pam Martin
Advanced Biofidelic Lower Extremity Kids (ABLE Kids) Prosthesis Project aims to help kids hit the playground running. Prosthetics manufacturers have traditionally shied away from the special challenges presented by the pediatric market. For techni...
Obesity in Children with Physical Challenges: Taking a Path in the Right Direction
By Janet Marshall, CPO, LPO
The bleachers are filled with anxious parents cheering for their sons and daughters. Socializing with the surrounding crowd, the parents share grins of pride and exchange encouraging words. One of the common bonds among members of this audience is...
CJ Torretti: Just Your Typical Kid
By Laura Hochnadel
From left, CJ and his sister Faith. Silly. Ornery.
How to Do Ply Reductions Using Vacuum
By Jason Kimmel
Learning how other technicians fabricate is always exciting. You get to see their tricks-of-the-trade and apply them to your own fabrication techniques. The best tricks offer a simple solution to speed up a common and tedious process—like the neve...
Face to Face
Face to Face: Kacy Moran Powers, CO
Kacy Moran Powers has been intrigued by the O&P profession for as long as she can remember. That is because her father, Ed Moran, CPO, has 38 years of experience in O&P. While involved in a summer research internship during her undergraduate studi...
By Lisa Lake-Salmon
Denials are difficult to identify and time-consuming to appeal. If you have a billing question or a question about a denial, "Got FAQs?" can help you sift through the confusion and get you the answers you need. This month's column addresses your q...
Hanger Family Comes Together at Annual Education Fair
By Pam Martin
"Develop a passion for learning. If you do, you will never cease to grow." —Anthony J. D'Angelo, The College Blue Book Hanger Orthopedic Group's annual Education Fair, held February 1-5 in Reno, Nevada, opened with the stories of nine pediatric p...
International Collaboration Defines 2011 United Forum
The 2011 United Forum of the Americas was a rare opportunity to share experiences and ideas in an international, and yet relatively intimate, setting. Speakers, exhibitors, and attendees representing 19* countries gathered February 13-16 in San Jo...
PrimeFare West Unveils New Format, Retooled Sessions
Nearly 100 attendees and exhibitors from 14 U.S. states and Canada gathered at the Salt Palace Convention Center, Salt Lake City, Utah, for PrimeCare O&P Network's western scientific symposium. Held February 17-19, PrimeFare West included an assor...
When We’re In the Know, So Are You
By Karen Henry
One of the most gratifying aspects of my job here at The O&P EDGE is keeping pace with emerging O&P technologies. Reporting on these technologies, though, is a double-edged sword. While it's exciting to learn about robotic orthoses and advancement...
One Researcher's Passion for Solving Patient Problems
By Pam Martin
If I have a thousand ideas and only one turns out to be good, I am satisfied. -Alfred Nobel, as quoted by Ammanath Peethambaran, MS, CO, FAAOP, University of Michigan Orthotics & Prosthetics Center researcher. The current fabrication method for a...
Success Creates Its Own Reality
Most people say, "Change is good. You go first." Intellectually everyone agrees that change is necessary. Yet we are all, on some level, uncomfortable with change and resist adopting new processes and methods.
For above-knee patients and all socket styles, Knit-Rite's A/K Brim Sheath is designed to separate and protect the soft tissue in the top brim of the socket by bridging the gap between the top edge of any roll-on liner and the groin. The A/K Brim Sheath will work on pin suspension and seal-in liners. It uses stretchy, slick nylon material constructed in two angled sections to allow the fabric to appropriately fit the high lateral and lower medial shape, and includes gripper elastic to secure to outer socket. Patent pending.
OPIE Mobile for iPad, a free add-on available now to OPIE Software users, allows you to gather patient documents and capture patient signatures directly on the iPad and then transmit them back to the OPIE system in your office. You can also sync your patient schedule to the iPad, manage purchasing and inventory, and access the full OPIE system via a remote desktop application. We have plans to make OPIE Mobile available on other platforms later this year. Purchase OPIE before April 30, 2011, and we'll include a free iPad2 running OPIE Mobile!
New: The Adjustable Dynamic Response™ (ADR™) KAFO-No Cable Release Needed.
When an AFO is not enough to treat severe crouch and gross LE weakness, the Ultraflex ADR KAFO provides a good alternative.
Features and benefits include:
- Safe stance control without locking the knee, ADR 0-30 flexion.
- Sit-to-standing ratchet support from 120flexion to full extension.
- Low profile, sit-to-stand slide lock/safety release is easy to engage and disengage.
- ADR ankle, 0-40dorsiflexion, 0-40plantarflexion resistance or dampening effects.
- Adult and pediatric versions.
For use in laminated or thermoplastic sockets, the G-Lock provides suction suspension through a one-way expulsion valve and a standard pin lock. Amputees receive the security of a pin while minimizing pistoning through the use of suction.
The G-Lock has a CAD-friendly, drop-in design yet remains easy to work with in traditional fabrication processes. The G-Lock comes with a 38mm pin and has a four-hole pattern that allows for attachments to the socket. The lock has a 250-lb. weight limit, and has a 12-month warranty.
The Fillauer II Standing Frame is an adjustable metal exoskeleton attached to a stable support base that allows the child crutch-less, hands-free standing. While supported in the Fillauer II Standing Frame, the child gains all the physiological benefits of standing along with the ability to use his hands to explore his environment.
Features and benefits include:
- Easy-to-assemble kit.
- Custom fit to child.
- Accommodates for growth.
- Allows for hands-free activities.
- Useful as a training tool for progression to other assistive devices.
- Recommended for ages one to three years.
$59 Oasis Rehab LSO
The bivalve Oasis Rehab™ with rigid anterior and posterior polymer panels provides compression and stabilization from L1 to L5 vertebrae. The Rehab anterior is available in neutral or pendulous abdomen; the posterior is available in three different degrees of lordosis, resulting in an intimate fit that provides support, comfort, control, and increased patient compliance.
This promotion applies to standard pricing and cannot be combined with any other discounts or promotions. Find out more about these and other products on our website
Specially designed to work with expulsion or vacuum systems, the Aura™ is a locking seal that allows the prosthetist to select the height of the locking seal for both transtibial and transfemoral patients. The Aura locks an uncovered liner (such as an Evolution Origin Liner) to the interior of the socket, thereby suspending the entire prosthesis to the patient's residual limb.
- Excellent choice when using expulsion or vacuum systems.
- Eliminates the need for sleeves or double-wall systems.
- Works with any uncovered liner.
- Seal height can be customized.
Evolution Industries Inc.
New: Enhanced adult Adjustable Dynamic Response™ (ADR™). Coming June 1, 2011.
New enhanced joint design benefits include:
- 40% lighter.
- 30% smaller.
- 5% stronger.
- Improved corrosion resistance.
- Improved adjustable dynamic load response and magnitude.
The enhanced adult ADR™ UltraSafeStep™ will be similar in size to the pediatric version of the ADR™ UltraSafeGait™. Ultraflex's exclusive Adjustable Dynamic Response™ technology is designed for managing gait dysfunction, crouch, equinus, and variants of crouch and equinus.
The new THRIVE™ from Freedom Innovations is the world's first load-activated prosthetic foot. Ideal for those who work in construction, farming, or any occupation that requires heavy lifting, the dual-keel design manages additional loads (up to 30% of the user's body weight) by providing incremental support. This ensures consistent performance and ultimately greater confidence among users.
The FullStride™ Shadow from Becker Oregon is a lightweight KAFO that combines structural strength and cosmetic appeal with the FullStride mechanical stance-control orthotic knee joint. The inherent rigidity of the FullStride Shadow ensures that optimal joint alignment and function are maintained throughout the gait cycle. Constructed of lightweight and rigid composite materials, the FullStride Shadow's sleek and open design offers patients an unparalleled blend of form and function.
Friddle's new Silicone Polishing Arbor, #700501, is composed of high-durometer silicone, which provides extended life of the arbor. Dimensions are 2-inch diameter by 4-inch long tapered, with standard ½-13 threads. This arbor is perfect for polishing all thermoplastics. It is not suitable for polishing metals or composite materials. A variable speed router is recommended.
Friddle's Orthopedic Appliances
Take a Step in the Right Direction!
New feature allows patients to temporarily deactivate the locking function-great for biking or physical therapy! The integrated, low-profile joint provides the best in electronic stance control and helps patients achieve a more active lifestyle. Simple onboard programming helps the E-MAG Active calibrate itself to the user's unique gait pattern, adding a whole new dimension of functionality for people who previously have had limited bracing options, such as a locked knee or manual device. Help your patients get back into the swing of things with the E-MAG Active!
Otto Bock HealthCare
20% off Stock LSO and TLSO Modular Braces
OPTEC USA's stock modular braces restrict unwanted movement and control the spine in single or multiple planes of motion. Prefabricated sizes can be trimmed, molded, or modified to provide a custom fit. OPTEC USA's rigid spinal system provides the superior stabilization and support that your patients need with the ultimate comfort they deserve.
SALO not included in sale.
This promotion applies to standard pricing and cannot be combined with any other discounts or promotions. Find out more about these and other products on our website.
Orthofeet is adding a variety of Stretchable Mary Jane shoes to its large selection of diabetic stretchable-shoe collection. These elastic shoes integrate an attractive design with unique comfort features:
- Seamless, padded-foam lining.
- Non-binding design throughout the entire forefoot area.
- Lightweight sole with Ergonomic Stride™ design.
The shoes are washable and coded A5500.
The STAR™ family of cranial remolding orthoses has been used to treat positional plagiocephaly, brachycephaly, scaphocephaly, and other head-shape deformities in infants aged 3-18 months. Nearly 100,000 infants have been successfully treated with the STARband®. Orthomerica's cranial remolding orthoses can be fabricated from an unmodified cast or a scan of the infant's head using the STARscanner™. In less than two seconds, the STARscanner collects the baby's head shape data, which is then transmitted to Orthomerica for fabrication of the custom cranial remolding orthosis. For more information, visit us at ACPOC.
Brand new for 2011! Delivering a lower profile, the Velocity™ foot's coupled toe springs work together to provide a progressively smooth roll over. It combines high functionality and no maintenance, with easy heel adjustment capabilities for fine-tuning. We are offering a special introductory price now through June 30, 2011.
Key features include:
- Smooth control from heel strike to toe off throughout stance phase.
- Highly sophisticated dynamic response.
- Precision gait matched for out-of-the-box performance.
- Weight limit up to 125kg (275 lb.); three-year warranty.
- Same-day, custom built to order.
College Park Industries
TRS, Boulder, Colorado, announces an O&P product delivery and development partnership with Boa® Technology, Denver, Colorado, and EXOS Corporation, Minneapolis, Minnesota. Boa manufactures high-performance closure and lace-tensioning systems for high-tech footwear and specializedapplications. EXOS is a pioneer in developing fracture-brace systems that use proprietary, low-temperature, thermoformable laminates incorporating Boa technology.
Working together, TRS will be a primary vehicle for the delivery of these companies' current and exciting new products to O&P facilities and clinicians.
The new SmartKnit® seamless AFO socks from Knit-Rite offer a form-fitting foot and ankle interface specifically sized and designed for pediatric AFO and KAFO wearers.
Features and benefits include:
- High-tech fibers wick moisture away from the skin and help inhibit odor.
- Corespun, high-stretch fibers "hug" feet like a protective second skin.
- Seamless design helps prevent skin irritations and pressure over the toes.
- Heel-less design ensures a perfect fit every time.
- Non-binding Halo Top™ fits comfortably to minimize indentations.
PEL Supply Company
The most important enhancement to Delcam's OrthoModel is its ability to create a library of 3D metatarsal pads and metatarsal dome models that can be wrapped onto the foot orthotic to complete the design. Eliminating the need to create a new shape for every patient expedites the soft orthotics design process. In addition, Delcam's OrthoMill has the ability to increase production because the software can program multiple blocks of material on a machine with differing densities. This is important for manufacturers using EVA or polyurethane materials.
Mica Corporation's T.S.S. Vaculink Micro Vacuum Pump was created for elevated vacuum socket management, enhanced suspension, and moisture control.
Features and benefits include:
- Zero battery dependence.
- Enhances blood circulation.
- Stabilizes limb volume and prevents limb-volume fluctuations.
- Firmly secures socket to limb and increases user awareness of limb/prosthesis position.
- Easily adjustable vacuum.
- Extremely lightweight.
Simple, user-friendly design, and priced competitively!
Human Intelligence Technology
With SkinGuard® Antibacterial Technology
This new laminating resin for carbon-fiber technology is another of Otto Bock's antibacterial products for improved patient outcomes. Made with the unique SkinGuard® technology, C-Orthocryl® Sanitized® is ideal for fabricating components with low proportions of resin, providing an optimum ratio of matrix to reinforcing materials.
Plus, as with all Otto Bock antibacterial products, the integrated SkinGuard® technology protects against a wide range of microorganisms. The high-tech additives help increase comfort and durability, improve hygiene, and reduce odor. To learn more, contact your Otto Bock sales representative.
Otto Bock HealthCare
The Modular Ratchet Lock, Model 1018 knee joint promotes full extension by providing knee stability to the patient through a range of knee flexion. The joint features a long, angled, locking lever that is easy for the patient to operate. The lever may also be shortened or configured into a standard bail.
Model 1018 is interchangeable with Becker's 1017, 9005, and 9006 models. This interchangeable new series of knee joints allows the practitioner to quickly and easily change the orthosis' knee-joint function.
PEL Supply now offers the smallest infant and pediatric joint available on the market. The Close Contour Joint from OTS offers the following:
- Contour within ½-in. of knee center.
- Available in three sizes: Size 4 for non-ambulatory use and size 4.5 for ambulatory use.
- Designed for use on traditional leather, metal, or thermoplastic orthoses.
- Ratcheting StepLock® features a built-in lock retainer.
- Single position UniLock (shown) includes bail.
- Unparalleled strength-to-weight ratio with OTS alloy; nickel-plated finish for durability.
PEL Supply Company
With any SPS purchase of a Plié 2.0 MPC knee through April 2011, you will receive a FREE Freedom Series™ prosthetic foot (includes Pacifica®, Pacifica LP, Highlander®, or Sierra® Foot) and a FREE foot shell.
Alternatively, you may choose a Freedom Vertical Shock* foot product for 50% off list price plus a FREE foot shell with your SPS purchase of a Plié 2.0 MPC knee.
*All Renegade® and Silhouette® models as well as the Thrive™ prosthetic foot are eligible under this limited-time promotion.
Dycor's new Heavy Duty (HD) FDS energy-returning prosthetic foot (L-5981) is designed for unassisted ADL (K3). Keel deflection specifications are determined by multiplying the weight of your client in pounds by the client's foot length in centimeters. The HD-FDS foot is recommended when the resulting value is between 7,500 and 10,000. Complete weight (including EVA foot shell and titanium pyramid) is between 6-16 oz., depending on weight and foot size.
The FDS foot is a non-stocked, customized product. Please allow three working days for processing. For additional information, contact Dycor's technical service department.
The new and improved Pyramid Receiver PR-SL-R-TI is the newest addition to Prosthetic Design's Pyramid line. It offers sliding and 360 degrees of rotation with a low profile of only 30.5mm. This component is manufactured of titanium and is compatible with the European 4-hole pattern. The rotation is locked into place by tightening the four adjustment set screws on the receiver. The rotation is positively controlled in three-degree increments with the use of interfacing radial serrations. The slide function is locked at the same time the four adjustment set screws of the receiver are tightened.
SPS now has the new Touch Bionics™ electrode for use on all i-LIMB™ hands and most other upper-limb myoelectric prostheses.
The electrode ships with all components required to manufacture laminated and thermoplastic inner socket options. The high-frequency shielding and filtering minimize the effects of electromagnetic interference.
BioSim software can be used to create custom electrode adjustments for the i-LIMB Pulse hand. The electrodes have an operating temperature range of 5-140° F and a frequency bandwidth of 90-450Hz.
During 2Q11, you'll receive a second year of Performance Protection Plan FREE with each Pulse purchase.
"Skill is the unified force of experience, intellect and passion...."
You have the intellect and the passion! Build your experience and skill at a NUPOC Certificate Course in Prosthetics/Orthotics. Enter the field or extend your title. Very few Certificate Courses remain before the 2013 master of science mandate. We welcome all highly motivated individuals who want to be prosthetists and orthotists. For more information, e-mail
Northwestern University Feinberg School of Medicine
Northwestern University Prosthetics/Orthotics Center
+PLUSeries® Solvent Replacement Wipes are specifically designed to replace the use of acetone and other toxic solvents in your work environment, greatly reducing your exposure to harmful chemicals.
Features and benefits include:
- Organic ingredients and a 100% biodegradable formula.
- Nonflammable, noncombustible.
- Low-pressure vapor (evaporates slowly).
- No hazardous air pollutants (HAPs).
- Ships DOT non-regulated.
- Greatly reduces health and safety issues.
See our website for more information and how-to videos.
Fabtech Systems LLC
Consistent with being the industry's innovation leader, Comfort Products is the first company to incorporate silver yarn into a sheath product. Embedded with X-Static® silver yarn, Comfort's Silver Liner Sheath™ helps eliminate skin problems 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-in stock for immediate availability.
Comfort Products: the innovation leader in knitted orthotic and prosthetic products.