|Time||Program Code||Thursday, March 5|
|2:40 PM - 4:10 PM||F1||Free Papers
Forces in the Uprights of a KAFO
Kenton Kaufman, PhD, PE, Kathie Berhardt
Review the results of a study undertaken to quantify the restraining forces at the knee joint of a KAFO.
Quadriceps Muscle Strength in Patients After Knee Arthroplasty: A Literature Review
Gary Bedard, CO, FAAOP
Utilize the results of this literature review of Arthrogenous muscle inhibition (AMI) to decide if an orthotic protocol should be established for patients, especially with the availability of function and stability restoring stance control Orthoses.
Management of Bilateral Complex Clubfeet - A Clinical/Parental Perspective
Karl Barner, CPO, LPO
Examine results of a case study in treating a patient born with complex clubfeet and the treatments that occurred in the care.
Dynamic Lycra® Orthoses: A Literature Review
Martin J. A. Matthews, MBAPO
Discuss the literature review carried out as part of a post graduate research degree into the use of Lycra® leggings as an orthotic intervention in children with spastic diplegia.
Single Case Study - Traditional AFO vs. Adjustable Dynamic Response - A Comparison Study
Taffy Bowman, CPO
Explore a study that demonstrates how to utilize a pedometer to objectively measure activity levels and a simple AFO patient satisfaction survey to subjectively assess patient's self perception of function in two separate Orthoses outside the clinical setting.
Utilization of Stance Control Orthoses for Individuals with Combined Weakness of Quadriceps and Hip Musculature
James H. Campbell, PhD, CO, FAAOP, Santiago Munoz, CPO
Consider the problems associated with combined weakness of the quadriceps and hip musculature and discuss a series of case studies that highlight the clinical strategies that can be adopted to allow successful utilization of stance control technology.
How Copper Plays a Key Role in Angiogenesis & Skin Regeneration
Richard C. Zatcoff, DPM
Review the results of a study that strongly supports introducing copper-oxide in wound-dressings to enhance healing of chronic ischemic wounds.
|Time||Program Code||Friday, March 6|
|8:10 AM - 9:55 AM||F8||Free Papers
Landing Patterns in Children with Unilateral Lower Extremity Amputation
Markita L. Reid, MS, PT, Mark D. Geil, PhD
The aim of this study was to investigate how children with unilateral lower limb amputation land from a vertical drop.
Effect of Prosthetic Foot/Ankle Alignment on Balance Efficiency While Standing on Sloped Surfaces in Persons with Transfemoral Amputations
Brian L. Ruhe, MS, Steven Gard, PhD
Examine results of this study that investigated how prosthetic foot/ankle alignment affects balance efficiency on sloped surfaces in persons with transfemoral amputations.
Clinical Guidelines for Adapting the Bicycle to Recreational Cyclists with Transtibial Amputations
W. Lee Childers, MSPO, Robert Kistenberg, MPH, CP, FAAOP, Robert Gregor, PhD
Review guidelines that are from a review of data and experience acquired from on going Persons with a Transtibial Amputation (PTA) cycling studies in conjunction with a computer model to investigate basic questions.
The Effect of Posterior Backpack Loads on Static Balance and Postural Sway in Children with Unilateral Lower Extremity Amputation
Kevin J. Wasco, MS, Mark D. Geil, PhD
Discuss results of a study that compared the ability of children with limb loss to maintain balance during backpack carriage with similar overall results to their typically developing peers.
Do Clinical Studies Prove Microprocessor Knees are More Effective?
Kenton R. Kaufman, PhD, PE
Examine whether or not there is sufficient clinical research supporting the claim that microprocessor-controlled knees provide greater efficiency and effectiveness over conventional lower-limit prostheses.
Symmetry of Weight Distribution While Rising from a Chair in Transtibial Amputees
Vibhor Agrawal, MS, Christopher O'Toole, Ignacio Gaunaurd, MSPT, Robert Gailey, III, PhD, PT
Explore results of a study to characterize loading patterns of the intact and amputated limbs during the various phases of sit-to-stand (STS) activity for the two conditions of rising from a commercially available standard height chair without the use of upper limbs and rising from the same chair with the aid of hands placed on the armrests.
Decreased Ambulatory Heart Rate in a Geriatric Client Following C-Leg
M. Jason Highsmith, PT, DPT, CP, FAAOP
Examine the first year of rehabilitation of a deconditioned geriatric client with unilateral Transfemoral amputation. Discuss the interventions and assessments used to improve and document the ambulatory effort used with this client.
|10:00 AM - 11:30 AM||F15||Free Papers
Randomized Cross-Over Study of AFO Ankle Components in Adults with Post-Stroke Hemiparesis: Preliminary Results
Stefania Fatone, PhD, BPO (Hons), Steven Gard, PhD, Rebecca L. Stine, MS
Review results of this randomized cross-over study that was done to assess the effect of different ankle components on the gait of adults with post-stroke hemiparesis who wore articulated AFOs.
The Effect of Orthotics in Industry with High Pedal Demands
Markus Walther, MD, PhD
Examine results of a study that investigated if well being, absenteeism from work and quality of life can be influenced by orthotics.
Perceptions and Acceptance of Osseointegration Among Individuals with Lower Limb Amputations: A Prospective Survey Study
Joseph B. Webster, MD
Review study results to determine perceptions and acceptance of Osseointegration as a means of prosthetic suspension among individuals with lower limb amputations and to identify factors which may relate to an individual's willingness to consider the procedure once it is available in the United States.
Kinematic Effects of Sloped Surfaces on Shank Angle for Persons with Drop Foot
Kristin Carnahan, MSPO
This study examined the impact of sloped surfaces on the shank angle and the resulting reliability of the tilt sensor for stimulation control for people with Drop Foot.
Diligent Durability Testing
Adam Erickson, PE
Gain an understanding of the significant time and resources that are spent on durability testing to ensure that a product is durable and reliable.
Axis Congruence and Axis Migration of Knee Orthoses in Practice - Results of Kinematic Investigations
Kevin Wasco, MS
Review results of a study that was designed to enable the fit of the orthosis and any change in the fit to be measured visually during a defined load.
|1:35 PM - 3:05 PM||F21||Free Papers
The Zwolle Isala Prosthesis (ZIP)
C.H. Emmelot, MD, PhD
Discuss the author's development of a prosthesis which should be comfortable, light weight, hardwearing, cheap, and which can be used as long as possible.
A New Hip Joint System Used to Minimize Gait Deviations through Design and Function
Mark Edwards, MHPE, CP
This session will review the history of hip disarticulation biomechanics and describe new solutions available through this new hip joint system.
Early Amputee Rehabilitation - Preliminary Experience with a Double Centrode Polycentric Knee Joint
Wieland Kaphingst, CPO
Review results of a study of the Double Centrode Polycentric Knee Joint as a potentially versatile and safe prosthetic component.
Classifying New Techniques in Lower Extremity Computer Controlled Prosthetics
Jay Martin, CP, LP
This presentation will discuss the differences between the new categories of lower extremity computer controlled prosthetics from both an engineering development perspective and clinical considerations perspective so that practitioners can better understand which device may be best suited for the user.
Digital Measurement with Image 3D and ScanCam - Experience of 50,000 Measurements
Gerd Ebert, MD
This presentation will provide information on the difference of circumference measurements considering demographical aspects such as sex, age, rural and urban population.
The Biomechanical Effects of Heel Heights on a Unilateral Transtibial Amputation
DeAnna Clough, MSPO, CO
The goal of this research project was to study the biomechanical effects of heel heights on a subject with a unilateral Transtibial amputation using gait analysis and force plate data collection.
|3:10 PM - 4:40 PM||F27||Free Papers
Case Study: Severe Positional Plagiocephaly Related to a Giant Mandibulo-Facial Tumor
Patricia Rogel, CO, OTR/L
This presentation will review the infant's course of treatment and outcomes. It will broach the subject of ethical considerations for the practitioner when considering treatment options for infants with complex head shapes related to progressive or dire disease states.
A Retrospective Comparison Between Different Modification Techniques of Cranial Remolding Orthosis in the Treatment of Plagiocephaly and Brachycephaly
Chelsey B. Anderson
The purpose of this study is to investigate the difference, if any, between two modification styles of cranial remolding devices.
Case Study - Former 25 Week Premie with Hydrocephalus and Scaphocephaly Referred for Cranial Remolding
Patricia Rogel, CO, OTR/L
This presentation will discuss the course of treatment and outcomes for an infant born 25 weeks prematurely weighing 1 pound 7 ounces.
A Kinematic Comparison While Using Body-Powered and Myoelectric Prostheses
Stephanie L. Carey, PhD
This study examined the kinematic differences of a bilateral transradial amputee using body-powered and myoelectric prostheses during select activities of daily living.
Active Socket - Activity Adjusting Negative-Pressure TransRadial Socket
Adam R. Finnieston, CPO, LPO
This presentation will discuss the recently introduced clinical technique for achieving negative-pressure in TransTibial sockets (without the use of mechanical/electrical components) and how it has been modified to apply to TransRadial sockets.
Wrist Innovation to Improve Function of Electric Terminal Devices
Harold H. Sears, PhD, Edwin Iversen, MS, Shawn Archer, MS, Tony Jacobs
Review results of a study that concluded that wrist function is clearly an important contributor to function of the Terminal Device and thus the prosthesis. Evolution of designs will be described in response to wearer feedback.
|5:50 PM - 6:50 PM||F33||Free Papers
A Model Program to Coordinate Prosthetic & Orthotic Outreach (P.O.C.C.) Activities
Robert Kistenberg, MPH, CP, FAAOP
Review the history of the Prosthetic & Orthotic Component Clearinghouse, the impact this project has had on developing world prosthetics and orthotics as well as offer suggestions for how others can participate with international humanitarian P&O mission activities.
A Model for Applying Evidence Based Practice (EBP) to Orthotics and Prosthetics
Sean Zellar, MSPO
The objectives of this study are to give participants an understanding of EBP, indicate the barriers to implementing EBP, present a useful model for applying EBP to clinical practice, and to discuss clinical experience developing an evidence based practice using this model.
Pendulum Dynamics in Gait
Russell Ward, CPO
Review how pendulum dynamics can be used to improve the function of an artificial device.
Dynamic Lycra® Orthoses Treatment for Shoulder Instability
Martin J. A. Matthews, MBAPO
This presentation will describe a dynamic Lycra® shoulder stability Orthosis specifically designed to provide a means of supporting, but allowing as full range of movement as possible coupled with the provision of integral shoulder stability and pain reduction often experienced by this client group.
|Time||Program Code||Saturday, March 7|
|7:00 AM - 8:30 AM||F37||Free Papers
Analysis of Impression, Mold Rectification, and Socket Shapes for Transtibial Total Surface Bearing Sockets
Chris Robinson, MBA, CO, ATC, Jason Wening, MS, CP, Bridget Tenner, PhD
The objective of this study was to assess the impression, check socket, and final socket shapes to determine the relative differences in volume, sagittal/coronal diameter, circumference and contours between various techniques employed in the fitting of TSB sockets.
Clinical Biomechanics of the Partial Foot
Gerald Stark, Jr., CPO/L, FAAOP
The purpose of this study was to compare the accepted principles of partial foot amputation to current evidence regarding pressure, biomechanics and prosthetic recommendation.
Elevated Vacuum: Amputee Patient Outcomes - Evaluating Patient Verbal Opinion and Pressure Data
Jeffrey A. Denune, CP/LP, Maria J. Gerschutz, PhD
The purpose of this study was to provide outcome information concerning elevated vacuum levels for amputee patients.
Transtibial Prosthesis Alignment: The State-of-the-Science
Edward S. Neumann, PhD, CP, PE
The goals of this study were to develop Evidence Statements that could be used to guide clinical decision-making, indicate the level of confidence that clinicians could place in the statements, identify methodological concerns with the research methods that have been used and make recommendations concerning future research.
Bilateral Knee Flexion Indicates Symmetry During Use of Articulating Prosthetic Knees in Crawling Children
Colleen Coulter-O'Berry, PT, MS, PCS
Review the results of a study to assess the implications of an articulating knee component on crawling children with limb loss.
The Effect of Contemporary Prosthetic Design on the Physical Function of the Transfemoral Amputee
Bill Marmaras, CPO
This study independently evaluated the effect of contemporary prosthetic devices on the physical function of a group of Transfemoral amputees.
|7:30 AM - 8:30 AM||F43||Free Papers
Treating the X-Rays vs. Treating Cosmesis and Balance in Idiopathic Scoliosis
Jose Miguel Gomez, MD, LO
Review the importance of skilled observation, clinical evaluation and individual consideration for optimal patient care. An appropriate assessment process can provide feedback for the continuous improvement of the treatment process.
Orthotic Management of Pectus Carinatum
James Del Bianco, BSE
The purpose of this presentation is to provide a description of the orthotic management of pectus carinatum — a chest wall deformity in which the sternum and adjacent costal cartilages protrude anteriourly in a convex manner.
Two Case Studies that Demonstrate the Importance of Accurate Classification in Adolescent Idiopathic Scoliosis
Valerie Vachon, MS
The goal of this report is to present two cases of adolescent idiopathic scoliosis and to highlight the importance of accurate classification. The impact and problems associated with the mis-classification of similar curves will be discussed.
Coronal Plane Alignment in Orthotic Treatment of Adolescent Idiopathic Scoliosis
Nicole Yeh, MS
This is a retrospective study examining coronal plane spine radiographs of 50 adolescents diagnosed with idiopathic scoliosis and prescribed a Boston Brace-style thoracolumbosacral orthosis.
|10:40 AM - 12:25 PM||F47||Free Papers
Clinical Overview of Dynamic AFOs
Karl Fillauer, CPO/L, FAAOP
Review current designs that utilize composite uprights and their corresponding affect to the joint motions during gait. Different classes of dynamic AFOs will be compared and differentiated from existing designs. The integration of various composite, thermoplastic and thermosetting materials will be discussed to achieve proper resistance, stiffness, flexion, and conformability to optimize gait.
The Efficacy of Combining FES Treatment With a Low-Profile Articulated AFO for Patients with Food Drop
The aim of this study was to investigate the efficacy of combining FES treatment with a low-profile, articulated AFO for patients with foot drop.
Focus on Footwear: International Workshop on Integrated Treatment for Elephantiasis, Leprosy and Diabetes
Mary Jo Geyer, PT, PhD, CPed, Dennis Janisse, CPed, Ray Burdett, PT, PhD, CPed
Discuss footwear problems in relation to Elephantiasis, Leprosy and Diabetes.
A Concept of Orthotic Hip-Joint Design Utilizing Robot Engineering
Liang-Wey Chang, PhD, CO, PE
The purpose of this study was to utilize a concept of robot end effect with a systematic design procedure to illustrate a new way to thinking in terms of hip-joint design for orthotics.
What is the Effect of Lift Modalities in a Leg Length Discrepancy to the Apathological Sagittal Plane of the Lower Extremities to the Transverse Plane of the Foot?
Rick Woodland, CPed
The purpose of this presentation is to show the reasoning why a heel lift should extend proximal to the met heads. It is also to show why full length sole lifts are to be used above a certain leg length discrepancy.
Shoe Fit & Shoe Insert Comparison on the Reduction of Lower Extremity Injuries Due to External Factors
Barry Whiteside, PT, LTC
Explore whether poor military boot performance justifies the initiative to develop a better approach to foot measurement and foot/boot fit for better performance.
The Capacity of the Prosthetic Profession to Provide Lower Extremity Prosthetic Limbs within the State of Georgia
Robert Kistenberg, MPH, CP, FAAOP
The central purpose of this study was to investigate the number of lower-limb prostheses produced in Georgia during the years 2000 and 2004.
The Usefulness of Self Audits in Finding Lost Revenue
Pam Filippis, CO
Gain an understanding of self audits and how they can affect lost revenue.
Establishing Outcomes in an O&P Practice
Jim Alaimo, CPO
This presentation outlines one approach to measuring the efficacy of clinical intervention in O&P and shows the results obtained in a one year period.
Health and Satisfaction Issues for Service Members with Major Traumatic Amputations from Vietnam and OIF/OEF
Gayle Reiber, PhD
Review study results that identify key health and prosthetic-related issues for Vietnam and OIF/OEF service members with major traumatic amputations occurring in a combat theater.