Robots Take on Testing
The single-arm, orange robots normally used to punch and weld sheet
metal components for cars
are taking on a much more human task—walking. According to a
recent article in Technology News Daily, researchers at the Fraunhofer
Technology Group TEG in Germany have created a 3-D test rig that
simulates human movement, allowing anything from running shoes to foot
prostheses to be tested under realistic conditions.
“Thanks to bio-mechanical analyses, we understand the rolling
movements of the foot,” said TEG project manager Andreas
Reindl.
“We use this know-how to program the robot. As a result, we
can
teach it all kinds of movements.”
The robotic arm is mounted to a treadmill and “can almost
perfectly imitate the natural walking movements of a human
being,” according to the article. For the first time,
three-dimensional forces can be tested on prosthetic feet and other
components while the robot turns, pushes or pulls in any
direction—something conventional testing devices are
incapable
of, according to the researchers.
Engineers use pressure measuring plates to determine load capacity of a
prosthesis, and video recordings and optical recognition systems test
which material is best for stability and proper roll.
For more information, visit
www.technologynewsdaily.com/node/6616.
Prosthetic Tail for
Dolphin
Clearwater Marine Aquarium announced that it has assembled a consortium
to develop a prosthetic tail for one of its dolphins,
“Winter.” Hanger Orthopedic Group’s Vice
President of
Prosthetics, Kevin Carroll, CP, FAAOP, was chosen to develop and fit
the dolphin’s prosthetic tail.
Winter, an 18-month-old Atlantic bottlenose dolphin, was stranded near
Cape Canaveral in December 2005 after being caught in a crab trap. The
severe damage to her tail fluke by the trap’s rope
entanglement
made the fluke eventually come off.
Winter was transferred to Clearwater Marine Aquarium, a non-profit
Florida organization dedicated to marine animal rescue, rehabilitation
and release. She survived, but developed a less efficient and
potentially damaging side-to-side swimming style, as there was no tail
fluke to give her thrust.
The consortium developing the prosthetic tail will be advised by Mike
Walsh, DVM, former lead veterinarian at SeaWorld; Steve McColluch,
director of dolphin research and conservation at Harbor Branch
Oceanographic
Institution; and Juli D. Goldstein, veterinarian and marine mammal
specialist.
“I am honored to be selected by the Clearwater Marine
Aquarium for this unique patient case,” Carroll said.
For more information, visit
www.SeeWinter.com.
Studies Continue on
Microprocessor Knee
A recent study published in the
Journal
of Rehabilitation Research & Development examined
whether microprocessor knees improved an amputee’s gait any
more than a traditional prosthesis.
The small study tested the biomechanical gait data of eight subjects
while each wore a microprocessor knee and, later, a common,
non-computerized knee, with comparison to control subjects. Preliminary
conclusions from the eight subjects involved included minimal
differences between gait biomechanics of subjects walking with the
microprocessor knee versus the traditional knee, although the
prosthetic limb step length with the microprocessor knee resulted in
increased symmetry between limbs.
In their literature review, the authors mentioned that other studies
found stronger positive effects of microprocessor knees and recommended
that additional, rigorous research be done, especially on more
challenging ambulatory tasks.
A study published in the February 2007
Archives of Physical Medicine
and Rehabilitation Research
tested seventeen subjects with transfemoral amputation on function,
performance and preference. Subjects experienced measurable benefits
from the microprocessor knee compared to non-microprocessor
counterparts, including improved ability to descend stairs, fewer
reported stumbles, with fourteen registering a preference for the
microprocessor knee.
For more information, visit
www.rehab.research.va.gov/jour/jourindx.html
and
www.elsevier.com.
OPAF Holds Successful
'First Bid'
In March the Orthotic & Prosthetic Assistance Fund Inc. (OPAF)
of
Langhorne, Penn., held "First Bid," a live and silent auction that
raised over $20,000 for the O&P philanthropy organization. This
was
OPAF's "largest single fundraising event ever," said Robin Burton,
executive director.
Over 100 attended the event, which featured a string quartet sponsored
by Ohio Willow Wood, cash bar and such items for bid as a Hawaiian
vacation, tickets to a taping of "Saturday Night Live" and Yankees/Red
Sox tickets.
For more information visit
www.opfund.org.
California Amputee Center
Expands
Amputee soldiers who call the West Coast home soon may be able to
receive the care they need without traveling to San Antonio or
Washington, D.C. The Navy Medical Center in San Diego will expand next
month to accommodate 40 beds, and may grow to 100 beds, as reported by
the Associated Press.
The West Coast’s first major amputee center has seen an
increase
in patients as more injured soldiers return from Iraq and Afghanistan.
It is part of the unit the Navy is building to treat traumatic brain
injury, serious burns, combat stress and other debilitating battlefield
injuries.
For more information, visit
www.navy.mil.
Michigan Group Works Fast
to Assist Amputees in Dominican Republic
In March, a group of doctors and prosthetics professionals from the
Michigan Society to Advance Rehabilitation (M-STAR) went to the
Dominican Republic to fit 32 patients with prosthetic limbs—a
feat that normally takes months, accomplished in about a week.
Adult residents of the Caribbean nation had been waiting up to 20 years
to receive the prosthetic devices they needed to walk again, according
to Dr. Saul Morris, founder of M-STAR and coordinator of the trip.
Other patients were children who had never taken a step.
“Talk about tears. We [fitted] kids who had never walked
before,” said Morris.
David Ballantyne, CP, FAAOP; Robert Maniere, CP, FAAOP; Jim Williamson,
RTOP; and Dr. John Sealey also made the trip. The team worked in a
prosthetics clinic at a rehabilitation hospital in Santo Domingo.
Comfort Prosthetics and Orthotics of Clinton Township,
Mich.—of
which Ballantyne and Maniere are co-owners—funded the mission
that involved the reassembly of donated and previously-used components
with a donation of nearly $15,000.
M-STAR hopes to make annual visits to the Dominican Republic.
For more information, visit
www.m-star.org.
South Carolina CPO Sets
Up Advisory Board
Alexander L. Lyons, CPO, president of Lyons Prosthetics and Orthotics
of Conway, S.C., has established an advisory board composed of
surgeons, nurses, doctors, physical therapists and other health care
providers with the goal of opening the lines of communication between
“first-level” care providers and O&P
practitioners.
“At first, I selected people [for the advisory board] who I
had
dealt with through referrals,” said Lyons. Chiropractors,
podiatrists and physical therapists were also chosen to broaden the
professions represented on the board, added Lyons.
Lyons said the advisory board is a forum for health care providers not
directly affiliated with O&P to learn more about the various
O&P organizations and their goals.
“We want people to know what it means to be certified and why
that’s important for patients,” said Lyons.
“It’s going to turn into an educational forum to
keep in
touch with what’s going on in O&P.”
Other topics discussed have included state sales tax on orthotic and
prosthetic devices, licensure and insurance issues.
For more information, contact Alexander L. Lyons, CPO at
lyonspo@sccoast.net.
OPP Donates Components
A retired welder no longer needs to repair his old Trautman hook after
15 years of repairing it himself, thanks to the Open Prosthetics
Project (OPP). OPP—the open-source research collaboration
that
the
O&P Almanac first reported on last September—has
donated
four of its “reverse engineered” Trautman hooks to
longtime
users of the device so that they can test and evaluate them.
OPP posts its prosthetic hardware designs on the Internet free of
charge. Both individuals and companies have equal access to the
research.
For more information, visit
www.openprosthetics.org.
Training Phantom Limbs
A team from Dycor Manufacturing and the Health Care Technology Group
Inc. of Wharton, Texas is exploring whether it is possible to train the
brain to interpret signals from the residual limb as if it were getting
signals from a sound limb. They hope such training would increase a
patient’s ability to anticipate specific physical events,
such as
when the heel of a prosthetic foot would begin to slip.
To do this, they have developed a prototype device called the B3P.
Michael Wilson, the CPO associated with the project, says that the B3P
is designed to take data from sensors on a patient’s sound
foot
and prosthetic foot, as well as data from inclinometers and
accelerometers, in order to measure a patient’s ability to
anticipate events that occur with the prosthetic foot. He proposes that
they will be able to increase “neurogenic
correlation,” or
the ability of the brain to interpret residual-limb signals so that it
has just as much information about position and movement of the
prosthetic foot as it would from the sound limb.
Wilson states that this hypothesis still needs to show that it is
“consistent with established theory of how the brain
works.” Once that is established, the group may proceed to
clinical trials.
For more information, contact Dycor at
dycor@houston.rr.com.
AOPA Offers Half-Price
Membership Deal
AOPA is now offering six months of membership for a six-month price:
$735. This offer is only for patient care facilities and includes full
AOPA membership benefits through Dec. 31 of this year.
To join, or to receive more information, visit
www.AOPAnet.org for
a membership form or contact Kelly O’Neill at
koneill@AOPAnet.org
or (571) 431-0852.
Find the 1500 Form
Confusing?
In response to member requests, AOPA’s upcoming telephone
seminar
on June 21 will give participants a line-by-line explanation of how to
complete the new CMS-1500 form. AOPA’s experts will pay
particular attention to new fields on the form, including those
involving the National Provider Identifier (NPI).
To register, visit the AOPA Web site at
www.aopanet.org.
Sensors Help Rehabilitate
Amputees
The Department of Defense has awarded TenXsys—a privately
held
corporation in Eagle, Idaho—a contract to develop and test
new
sensors that will measure energy and movement patterns of amputees. The
organization received $100,000 initially for start-up funding and,
later, $749,000 for a second phase of the project.
The Sensor Monitoring and Relay Transmission (SMART) sensors are based
on radio telemetry. They send signals to a nearby computer that
interprets and gives instant feedback about subtle balance and fatigue
conditions.
TenXsys is partnering with Boise State University and the Center of
Orthopedic and Biomechanics Research (COBR) to carry out the testing of
the sensors.
For more information, visit
www.tenxsys.com.
Results In from Walter
Reed Inquiry
Since the April 2007 “In the News” item about
The Washington Post’s
series on conditions at Walter Reed Army Medical Center, additional
articles have reported on the Department of Defense Independent Review
Group’s conclusions about the facility. Defense Secretary
Robert
Gates, in a recent press conference, agreed with the group’s
recommendation that the center be closed as planned in 2011, if not
earlier, and the hospital’s capabilities moved to the
National
Naval Medical Center at Bethesda, MD.
Secretary Gates advised, “Far better to make an investment in
brand-new, 21st-century facilities,” such as the Naval
Medical
Center expansion and the planned medical center at Fort Belvoir, Va.,
than to put more money into keeping Walter Reed open longer.
The investigation found that lapses in leadership and oversight, lack
of money, and Pentagon neglect were the main reasons for the
bureaucratic delays and for the substandard physical conditions in some
areas of the center.
The review group has pressed Congress to legislate and pay for the
necessary improvements to Walter Reed themselves, and not to rely on
the Pentagon to ensure that the changes are made.
For more information, visit
www.washingtonpost.com.
People in the News
Oscar Pistorius, the 20-year-old South African
Paralympian, has set
three new world amputee sprint records by shaving time off his own 100
meter, 200 meter and 400 meter world records. His 10.91-second time in
the 100 meter sprint makes Pistorius the first amputee to officially
break the 11-second mark.
Leslie Roberts has been named regional sales manager for
Freedom
Innovations of Irvine, Calif. Roberts is covering the Alabama,
Tennessee, Kentucky and Mississippi territories.
Jami Morton, CO, has joined the staff of Sound Limbs
Orthotics and
Prosthetics of Lewiston, Maine. Morton, a graduate from Northwestern
University in Chicago, has more than 17 years of experience in the
profession.
Jim Williams has rejoined SPS of Alpharetta, Ga., as a
customer service
specialist. Williams had previously worked for SPS in the central
fabrication facility in Atlanta.
Alan Gracon has been promoted to director of logistics at
PEL Supply
Company of Cleveland. Gracon has been with PEL Supply since 1979.
Businesses in the News
ABC has formally changed its name to The American Board
for
Certification in Orthotics, Prosthetics and Pedorthics Inc., following
the successful integration of the Board for Certification in Pedorthics
(BCP).
The American Medical Association has released its
2007–2008
Health Professions Career and Education Directory. It contains listings
on more than 70 health professions and educational
programs—all
with contact information, class capacity, start dates, program length,
tuition costs and more. To order, visit
catalog.ama-assn.org.
Arimed Orthotics Prosthetics has moved to a new location
at 362 2nd Avenue (at 21st Street), New York, NY, 10010.
Asheville Orthotic Prosthetic Center, based in Asheville,
N.C., has
launched a new Web site with information about its products and
locations along with stories from the center’s clients. The
Web
site,
www.ncopc.com,
features information about the development and manufacturing of its
pre-fabricated, semi-custom and custom orthotic and prosthetic devices.
The Board for Orthotist/Prosthetist Certification (BOC)
has announced
its 2007-2008 leadership. Jim Newberry, BOCPO, continues as interim
executive director. Teresa Alpert-Leibman, BOCO, C.Ped, will serve as
chair; Preston Madler, BOCO, as vice chair; Polly-Jo Hightower, BOCO,
CMF, as treasurer/secretary; Mark Collins, BOCPO, as member-at-large;
and Kay L. Zehms, BOCO, as past chair. Serving as directors are
Kimberly Hertz, BOCO, CMF; Scott R. Baranek, BOCP, CP; Harry F. Brandt
Jr., BOCO; William K. Fredenburg, BOCO; Sharon Nichelson, COF, CMF;
John J. Rush, MD; Rhonda F. Turner, BOCPO, CMF; Rick E. Sevier, C.Ped,
RPOA; and Theresa McLeod, COF, CMF.
Martin Bionics of Oklahoma City has been awarded an
Oklahoma
Nanotechnology Applications Project Award for $250,000. The company is
focused on researching nanoparticle platform technology, including a
superhydrophobic nanoparticle powder that can be sprayed onto liners to
repel perspiration.
Ohio Willow Wood, based in Mt. Sterling, Ohio, recently
donated
OMEGA® Tracer® software and shape capture tools to the
Oklahoma
State University-Okmulgee’s O&P Technician program.
Ohio
Willow Wood will also provide the school with 10 complimentary
fabrication services, Alpha® liners and Ohio Willow Wood feet
at no
charge.
OPAF recently announced that Ohio Willow Wood has returned
as a gold
level sponsor for 2007 with its $10,000 contribution to the O&P
philanthropy organization.
OPP Inc. of Little Rock, Ark., has launched a new Web
site,
www.opparkansas.com,
with information on its annual education fair, educational
opportunities and more.
Ossur, based in Aliso Viejo, Calif., received a 2007
Medical Design
Excellence Award for its Propio Foot. The awards recognize
contributions and advances in the design of medical products, according
to the organizers, Canon Communications LLC of Los Angeles.
In Memoriam
William L. Bartels, CO, of Gaston, Ore., has died. The
AOPA past
president owned and operated William L. Bartels Orthopedic and
Prosthetic Appliances Inc. from 1953 to 1992 before his retirement.
Bartels is survived by his wife Gloria, his son William and his
daughters Kathryn and Linda.
Harry J. Lawall Sr., CP, of Philadelphia passed away on
March 15. He
founded Harry J. Lawall & Sons in 1977 with his son, Harry J.
Lawall Jr. Over the years, his business expanded to include Lawall
Prosthetics/Orthotics and Lawall at Hershey. It encompassed 17 patient
care centers throughout Pennsylvania, New Jersey and Delaware with a
staff of over 200 people. In all, five sons and a granddaughter of
Lawall are working in O&P.
Lawall is survived by his wife Rosemary, nine children and 30
grandchildren.
Donald C. Truesdale, CPO, founder of East Carolina Brace
& Limb
Co., has died at the age of 71. Truesdale—who devoted over 34
years to the profession—first worked for an O&P
facility in
Charleston, S.C., before moving his family to New Bern, N.C.
East Carolina Brace & Limb Co. now has seven locations
throughout eastern North Carolina.
Survivors include his wife, five sons, two daughters, fourteen
grandchildren and two great-grandchildren.