The American Academy of Orthotists and Prosthetists
36th Annual Meeting and Scientific Symposium 2010
February 24 - 27, 2010 - Chicago, IL
Experience Exceptional O&P Education

Advanced concepts of carbon/epoxy foot design will further your understanding of the products available today, enabling you to achieve the best possible clinical outcomes. An overview of new products will be provided including selection criteria, alignment guidelines and fabrication techniques. A report covering the Plié™ MPC Knee's design, patient selection criteria and a summary of testing will further your understanding of the product's capabilities. Patient demonstrations will enhance this learning opportunity.

This course provides an in-depth study of traumatic spine fractures including fracture classification and cervical and thoracolumbar spine anatomy overview. Also, comprehensive spinal injury evaluation and treatment; initial patient evaluation, patient stabilization, pathophysiolgy of the more common diagnoses and orthotic intervention will be discussed.
Presenter: Michael L. Martin, CO, FAAOP

For many decades, rehabilitation experts have been searching for an orthosis that will safely support a weakened or paralyzed leg without locking the knee and interfering with swing phase function. Horton's Stance - Control Knee™ Joint [SCOKJ®] automatically engages and disengages a lock against flexion, offering the patient both stance phase security and swing phase toe clearance. Preliminary gait studies have demonstrated a substantial reduction in the energy cost of ambulation compared to a locked-knee gait. This special two-part workshop will be taught by John W. Michael, MEd, CPO, FAAOP, FISPO and will include a detailed review of the sagittal plane mechanics of normal and pathologic gait. Practical instruction on selection, fabrication, adjustment, fitting, and troubleshooting the SCOKJ® will be presented in a multimedia format. Please note that the morning session runs from 8:30am-12:30pm; the afternoon session is from 1:30-5:30pm. ABC Certified orthotists and prosthetists, BOC Certified orthotists and prosthetists, State Licensed orthotists and prosthetists, and residents going through the NCOPE program who successfully complete both the morning and afternoon sessions and the written examination that follows will be qualified to purchase the SCOKJ. Technicians and other interested individuals are also welcome to attend but will not become qualified.

This course will be divided into 4 fast paced, power-packed segments: (1) An eye-opening look at foundation principles for orthotic and prosthetic intervention. (2) Custom fabrication procedure for lightweight KAFO—lab session. (3) Whole new look at orthotic/prosthetic management of partial foot. (4) Custom fabrication of a TLSO in less than 1/2 hour—lab session.

1	Foundation Principles/Controlled Mobility
1	KAFO
45	Partial Foot
45	TLSO

An overview into the selection of the type of socket and interface in relation to stump shape, tissue type, components, and projected vocation along with alignment considerations.

Learn when, why, and how to fit the Non-Invasive Halo instead of a traditional invasive Halo for better patient outcome. This program begins by illustrating the indications and pathologies for use of this unique orthosis. See how the Non-Invasive Halo promotes faster healing which leads to a significant reduction in the patient's recovery time. William (Bill) Holt, CO and Leo J. Clark, MD (Neurosurgeon) have studied over a hundred cases combined, and they will share their expertise and results on these amazing findings. Finally, Bill will instruct a hands-on, step-by-step fitting of the Non-Invasive Halo, including modification techniques to accommodate bariatric patients and follow-up care.

This course is designed for clinicians who have experience in ordering and fitting Cascade DAFOs, and who would like practical, in-depth information on successful DAFO bracing for their most challenging pediatric patients. The presentation focuses on Cascade's methods of enhancing DAFO wear for patients who exhibit extreme presentations such as severe pronation and supination, hyperextension, crouching, strong plantarflexion, or unstable or uncorrectable foot positions. Methods highlighted include casting techniques, brace features, design modifications, and materials used to provide a DAFO whose fit and function encourage patient compliance. Class interaction is encouraged and practitioners are welcome to bring questions.

From the new, highly adjustable Miami Advanced™ Cervical Collar, to the modular Miami Lumbar™ LSO, Ossur offers a wide variety of treatment options for the clinician. These innovative, anatomically-shaped products provide the latest in universal sizing and patient comfort. The Miami Lumbar™ also offers a number of modular stabilization options addressing multiple indications. Ossur's complete spinal product line will be reviewed and based on clinical indications, appropriate product selection and sizing will be discussed, including a hands-on workshop.

Our latest innovations utilize Biomimetic principles to change the lives of lower extremity amputees. The Echelon foot offers self aligning functionality. The Elite VT offers high energy management in one foot for the widest range of activities. Gain a look inside the Adaptive Knee technology and the latest microprocessor knee from Endolite.Presenters: Alan Kercher, Clinical Education Manager; Andy Sykes, Blatchford Electronics Engineer and Rhonda Hoffman, Endolite, CP

Several techniques that can optimize gait with low and high tech solutions will be introduced to aid the orthotist in gait mechanics. Closed and open chain mechanics of the lower limb will be shown with the affect of orthotic management. Several case studies will be presented with unique challenges and subsequent clinical solutions.
Presenters: Karl Fillauer, CPO, FAAOP; John Schulte, CPO and Gerald Stark, CPO/L, FAAOP
Learning Outcomes
1) Review of motion control by orthotic management.
2) Biomechanical advantages of mimicking physiologic hip and knee motion.
3) Clinical solutions to optimize orthotic gait and function.

Features UE products (recertifies previously-trained) & New eMotion Foot.
• The U3+ Arm: 2-Stage Lock, Silent Freeswing, Bluetooth; compatibility with iLimb
• Utah Hybrid Arm
• MC Hand, ETD, Flexion Wrist, Multi-Flex Wrist, Modular Wrist Rotation
NEW!! - eMotion Foot: 50° ROM hydraulic ankle - stable, with dynamic response.

The Stride family of modular orthotic components represents the 2nd generation of stance control knee joints from Becker Orthopedic. The modular capability of the system provides maximum adaptability by allowing interchange between various knee joints, uprights, ankle joints, and pneumatic assist components. In adult acute rehab, the knee ankle foot orthosis can be configured in a static mode to enhance balance training and be mode changed into stance phase capability as the patient's gait abilities progress. Participate in this workshop to see how this dynamic system can serve the needs for your acute as well as chronic patients.Presenter: Gary G. Bedard, CO, FAAOP

Research has demonstrated the C-Leg® and Compact™ are beneficial for a wide-range of patients. With over 30,000 users worldwide these microprocessor-controlled knees have been used successfully on people with limb deficiencies at the hemi-pelvectomy, hip disarticulation, bilateral trans-femoral, bilateral trans-femoral and trans-tibial combination as well as the unilateral trans-femoral level becoming the "standard of care" for individuals with trans-femoral amputations. This 4-hour course is designed to help you understand the C-Leg settings using the latest version of C-Soft and establishing integrated alignment using the L.A.S.A.R. posture. These tools will be demonstrated along with case studies and research examples to allow participants to optimize their fitting outcomes.

Application of functional electrical stimulation for foot drop requires an understanding of the physiological and biomechanical impact of the adjustments of settings. This workshop will review the concepts and application of the NESS L300™ Foot Drop System with particular focus on "tuning" various parameters and settings to address a variety of challenging clinical presentations and responses. Topics will include gait, fatigue, stance control, symmetry, tolerance, and nerve recruitment.

This two part workshop will cover advanced practice in the use of the original SpineCor® Dynamic Corrective Brace (DCB), and also introduce attendees to the new SpineCor® Pain Relief Back Brace. The SpineCor® Dynamic Corrective Brace is a flexible brace that is principally prescribed for Idiopathic Scoliosis patients. This presentation will outline the major factors that are involved in progressive spinal deformities and will provide an overview of SpineCor® treatment principles, dynamic bracing concepts and patient selection criteria, clinical application and published outcomes. The SpineCor® Pain Relief Back Brace is a new and innovative approach to spinal orthotic management in the adult population. It is being successfully used in the orthotic management of various spinal conditions and can effectively reduce pain caused by abnormal spinal loading and abnormal posture. This workshop will cover treatment objectives, clinical indications, treatment outcomes, clinical application and efficacy. Attendees must complete both parts of the workshop (Workshop 15 and 29).
Presenters: Andrew J. Mills, MBAPO, MISPO and

This workshop is for both previously trained WalkAide Clinicians and for clinicians who want to expand neuroprosthetic technology into their O&P practice. The training will discuss Functional Electrical Stimulation (FES) technology influence on functional mobility, motor recovery, motor control, sensory and proprioceptive awareness. The training will additionally discuss product advancements, reimbursement, revenue impact opportunities, maximizing outcomes through simplified application, and discuss expanded resources available through Innovative Neurotronics. Upon completion, attendees will have a clinical and strategic plan for maximizing outcomes.

O&P¹ and Ward Medical Innovations have teamed-up to deliver this product. The Future Made Present. The Impossible Made Possible. The HAWK (Heightened-Above-Weight-Keeper) unweights the entire foot and ankle above the foot bed up to 100%. A major university assessed and reviewed the HAWK orthoses and during the 6 hour assessment they performed a gait study that clearly reveals and proves the 100% offloading capability of the foot and ankle. This is made possible by using the HAWK orthoses. The HAWK C-Brace was invented by Hawk and originally built by Jonathan Batzdorff, CPO. Ward Medical Innovations requires all CPOs be qualified in the HAWK C-Brace Training Program before utilizing this product.

Register and join us for this workshop, get a FREE PAIR of Orthofeet superior therapeutic shoes (your choice), and experience a high quality educational workshop. You will learn how the combination of important foot bio-mechanic concepts along with innovative designs of all shoe components (sole, upper, lining and closure) can be perfectly integrated in attractive therapeutic shoes. You will also receive a complete overview of the entire Diabetic Shoe Program, which will include all the important details you should follow to make this program beneficial to your patients and profitable to you.

This workshop will present the latest designs for the foot and ankle which emphasize the dynamic nature of resistance rather than locking out different motions. Attendees will gain an understanding of the basic differences in prosthetic feet when compared to physiologic function. The various prosthetic classification subsets will be covered. As foot designs incorporate new technology other terminology becomes necessary to differentiate the different classes of feet. New terminology will be presented that individually represents the component parts of current foot design. New ankle componentry will be presented. The function allows rotation, provides shock absorption and adjusts for slopes. Additional information will be presented with respect to the function of stance flexion in walking as well as unique case studies.
Presenters: Gerald Stark, CPO/L, FAAOP and Jeremy Farley, CP/LP
Learning Outcomes:
1) Review of biomechanics of gait using various classes of prosthetic feet and their affect.
2) Present the functional subsets of dynamic response feet and correlate to patient requirements.
3) Present the functional role of ankle componentry to prosthetic gait and classify function.

For many decades, rehabilitation experts have been searching for an orthosis that will safely support a weakened or paralyzed leg without locking the knee and interfering with swing phase function. Horton's Stance - Control Knee™ Joint [SCOKJ®] automatically engages and disengages a lock against flexion, offering the patient both stance phase security and swing phase toe clearance. Preliminary gait studies have demonstrated a substantial reduction in the energy cost of ambulation compared to a locked-knee gait. This special two-part workshop will be taught by John W. Michael, MEd, CPO, FAAOP, FISPO and will include a detailed review of the sagittal plane mechanics of normal and pathologic gait. Practical instruction on selection, fabrication, adjustment, fitting, and troubleshooting the SCOKJ® will be presented in a multimedia format. Please note that the morning session runs from 8:30am-12:30pm; the afternoon session is from 1:30-5:30pm. ABC Certified orthotists and prosthetists, BOC Certified orthotists and prosthetists, State Licensed orthotists and prosthetists, and residents going through the NCOPE program who successfully complete both the morning and afternoon sessions and the written examination that follows will be qualified to purchase the SCOKJ. Technicians and other interested individuals are also welcome to attend but will not become qualified.

Attendees at this workshop will learn how to create a comfortable and secure suspension for lower-limb amputees using Ohio Willow Wood's LimbLogic™ VS - the only fully-integrated, remote-controlled, waterproof vacuum suspension system on the market today. Features, operation and fabrication techniques for both laminated and thermoplastic sockets will be presented.

Review the characteristics of the PROPRIO FOOT®, Ossur's unmatched new bionic product, and look at several successful case presentations. Presenter: Ian Fothergill, BSc P&O, Ossur Academy Manager, Ossur Americas.
Learning Outcomes:
1. Understand the functional characteristics and application procedure for RHEO KNEE® andPROPRIO FOOT®.
2. Advanced patient evaluation protocol for RHEOKNEE® and PROPRIO FOOT®
3. Develop an understanding of initial and advancedRHEO KNEE® and PROPRIO FOOT® gait training.

Become qualified on two stance control KAFOs andreceive hands on experience with diagnostic stance controlorthoses. Results of over 30 SCO KAFO Clinics will bediscussed. Diagnostic tools will be donned by participantsto better understand the patient experience when walkingwith a SCO KAFO for the first time.
Presenters: Kelly Clark, CO and Curt Kowalczyk, CO

OPIE Software is quickly becoming the O&P industry standard. OPIE provides seamless workflow through the administrative, clinical, fabrication, billing, and collections processes, and then gives you extensive reporting tools to analyze everything that is happening and make improvements. Come see why so many O&P practices have switched to OPIE!

The use of innovative Comfort Products materials can greatly reduce the amount of carbon used in a prosthetic socket. When applied correctly, SpectraCarb Stockinette can allow practitioners ease of adjustment through heat without delaminating effects. We will provide suggested lay up techniques for AK & BK applications using SpectraCarb Stockinette.

The Dynamic Response Ankle Foot Orthosis (DRAFO) is a completely new approach to orthotic intervention in treating children with varying neuromuscular and orthopedic pathologies. This entire system (evaluation, cast, fitting and tuning of device) allows the practitioner the ability to achieve better long term outcomes utilizing appropriate biomechanical alignment to induce the most effective functional gait in their patients from casting to fit. They then will be able to recognize the simple keys to fine tune and improve the quality of gait with an orthosis.

Learn about the operation of the i-LIMB Hand, conducting patient evaluations, functional testing for control sites and other fitting considerations, use and care, therapy training protocol, reimbursement issues and Touch Bionics' ProDigits and LIVINGSKIN prostheses. Participants will be eligible to become accredited i-LIMB Hand practitioners.

Learn how to choose the right foot and have the data to prove it. Are they really a potential K3 patient? This course will show you new technology to prove it.

This two-part workshop will cover advanced practice in the use of the original SpineCor® Dynamic Corrective Brace (DCB), and also introduce attendees to the new SpineCor® Pain Relief Back Brace. The SpineCor® Dynamic Corrective Brace is a flexible brace that is principally prescribed for Idiopathic Scoliosis patients. This presentation will outline the major factors that are involved in progressive spinal deformities and will provide an overview of SpineCor® treatment principles, dynamic bracing concept and patient selection criteria, clinical application and published outcomes. The SpineCor® Pain Relief Back Brace is a new and innovative approach to spinal orthotic management in the adult population. It is being successfully used in the orthotic management of various spinal conditions and can effectively reduce pain caused by abnormal spinal loading and abnormal posture. This workshop will cover treatment objectives, clinical indications, treatment outcomes, clinical application and efficacy. Attendees must complete both parts of the workshop (Workshop 15 and 29).
Presenters: Andrew J. Mills, MBAPO, MISPO and

Focus on patient evaluation findings, including range, strength and observational gait analysis, to develop a comprehensive orthotic management plan for lower extremity gait dysfunction. Ultraflex's therapeutic bracing as well as functional Adjustable Dynamic Response (ADR) technology for both pediatrics (UltraSafeGait™) and adults (UltraSafeStep™) will be discussed.

Canfit™ Design software - a revolutionary advancement in CAD/CAM technology - allows you to increase your efficiency in the CAD process by enabling you to optimize your design process. This workshop will outline the most effective design processes and the best tools to use for specific clinical cases. Canfit™ Design software ... design without limits.
Presenters: Carl G. Saunders, CEO, Vorum Research Corporation

Not all feet are the same!! Different feet, deformities, and AFO's require different lasts. Shoe molds may also be necessary. This workshop will discuss how to make the right choices and how to modify Aetrex Footwear. A hands on fitting and evaluation workshop is included.

O&P professionals are increasingly being consulted on diabetic foot care. Learn about the biomechanics of the diabetic/neuropathic foot, footwear, pedorthic/orthotic interventions, and friction science. The presentation will focus on using ShearBan® to prevent and treat foot problems such as calluses and ulcers and will give participants opportunities to install ShearBan® using a variety of techniques.
Presenters: Dennis J. Janisse, CPed and Mark Payette, CO

1:30 to 2:30 p.m. - Orthopedic and O&P Industry Business Trends —This session will provide information about market trends and significant factors that are shaping the fabrication, distribution, fitting and billing of orthopedic products. This presentation will cover how the business strategies of various manufacturers and physician clinics have impacted O&P providers. There will be suggestions for how O&P practitioners can use marketing and communication strategies to increase physician referrals, and how to expand their business model to improve patient satisfaction.
2:30 to 5:30 p.m. - Functional, OA and Specialty Knee Bracing — This session will cover Townsend's bracing technology, fabrication processes, casting and measurement procedures, and ways customers can achieve positive patient outcomes as timely and cost-efficiently as possible. Townsend will compare and contrast our technology and fabrication to the knee bracing products offered by other leading orthopedic manufacturers. We will focus on innovations, new product releases and opportunities to reduce costs.
Presenter: Rick Riley, CEO

Prosthetists will learn the who, what, when, where and why of vacuum donning. The development of modular vacuum donning components allows more amputees the ability to don transfemoral suction suspension prostheses. In this workshop practitioners will gain first hand experience of all three vacuum donning systems with live amputee demonstration. Guidelines for use and maintenance of these systems will be presented.

In this workshop, participants will learn how to use the BioBrim™ System to obtain the best fitting Transfemoral test socket-by-measurement that utilizes your hand skills. All aspects of the BioSculptor system will be reviewed with emphasis on hands on learning.

It is estimated that 30% of children with Cerebral Palsy that are ambulatory at age 6, will not be ambulatory at age 21. Why? Could a change in the orthotic environment early on — as early as 9 months - alter this long term result? Because the foot/ankle complex is now seen more from a perspective of dynamic tri-planar function during gait rather than of static postural immobilization, a more dynamic hybrid orthotic environment has been created to address the postural, developmental and functional needs of the involved child. "Controlled Motion" is a new approach to orthotic management of pediatric gait. In this workshop, we will review scientific foundation principles and orthotic environments geared toward creating development of more functional heel-to-toe gait.

The purpose of this study was to address questions regarding how substantial volume changes are, what effect patient activity has and how maintaining a liner on the limb affect residual limb extracellular fluid volumes.

The purpose of this randomized cross-over study was to assess the effect of different ankle components on the gait of adults with post-stroke hemiplegia who wore articulated AFOs.

The purpose of the current research was to extend an initial investigation comparing shape matches between electronic data files sent to ten central fabrication facilities and the actual returned sockets to assess exclusively the carving phase of socket fabrication. Shape differences between carved positives and electronic shape files were investigated.

"Knowledge Translation" is becoming the new buzz-word in healthcare because it represents a long-overlooked link between research findings and their beneficiaries. It's one thing to conduct top-quality, clinically applicable research but another to disseminate that research to the healthcare community in a way that is relevant, comprehensible, and accessible. This session will summarize discussion at a July 2009 meeting on Barriers to Evidence Based Practice and will highlight modern venues for knowledge translation, including Critically Appraised Topics, Evidence Notes, and Patient-Oriented Evidence that Matters.

This session will include a classification of devices based on their use of power; research describing power and energy in physiologic systems that suggest a need for powered devices for certain tasks; and research and development toward future powered lower limb prostheses and orthoses.

Learn from over 10 years of consulting experience in the O&P profession to present valuable and practical business information including common pitfalls in running a business, how to gain market share and how to create an entrepreneurial niche for your practice.

Review the case of a partial foot prosthesis under elevated vacuum that was fabricated and fit to a 68-year-old male with a transfemoral amputation on the right side and a partial foot amputation on the left.

A new interface design that relies on targeted compression and soft tissue relief solves these issues. Three examples will be presented involving subjects with transfemoral, transradial and transhumeral amputations illustrating the application of the VECTR interface.

Examine research that was intended to gain outcome knowledge regarding elevated vacuum suspension and the effects on residual limb volume at different vacuum pressure levels.

The purpose of this research was to provide outcome information concerning elevated vacuum suspension. Research was also done to quantitatively evaluate the amount of distal displacement of "pistoning" three suspension systems generate under dynamic movement.

The purpose of this study was to compare the energy expenditure required to climb an indoor rock wall utilizing five different prosthetic configurations.

What is the current thinking about Arthrogryposis and how does orthotic management factor in to the overall treatment for this population? Come to this session and learn what experts are saying about these and other questions related to Arthrogryposis. You will hear from members of the medical team as they describe their experience, current research, and what the evidence is telling us about the most effective treatment for Arthrogryposis. The team will consist of a Physician, Orthotist, Physical Therapist, and Patient. The format will include presentations by each member of the team followed by a panel discussion and question and answer period.

This symposium will describe the results of the work completed in the last five years towards a consensus in the area of outcome measures for upper limb prosthetics. The recommended assessments will be identified and the work required to further develop other potential assessment tools will be reviewed. Research priorities have been identified in this area and the potential for world-wide collaborative research will be discussed.

This roundtable discussion will allow the manufacturers of each system a forum to present their various scanning technology for the benefit of the attendees.

Work with an industry expert with more than 20 years experience in the O&P profession on the healthcare changes and trends ahead and how they will impact you.

The purpose of this study, as part of a larger study (Carey 2008), was to determine the difference between ranges of motion of elbow with and without the effects of the trimlines of the transradial myoelectric prosthesis.

Examine the result of this study that aims to measure pressure magnitude and its distribution at the upper limb-socket interface during various arm positions and applied weights and to establish the relationship between pressure magnitude and discomfort levels.

The intent of this study was to route the cable and housing inferior to the axis of the elbow joint to allow the patient with a body powered transtibial amputation to harness elbow flexion as a control method in operating the terminal device.

This paper discusses how treating the residual limb and prosthetic socket as two rigid bodies rather than one, it is possible to accurately measure the inferior translation of the prosthetic socket on the residual limb and elbow angles.

Discuss etiological factors and the natural history of idiopathic scoliosis including indications and contra-indications for the use of orthoses to manage scoliosis.

This year's Academy Grand Rounds will demonstrate how best available scientific evidence can be used to shape contemporary clinical decisions. This physician/practitioner/ researcher team will discuss selected aspects of the management of two typical cases who are being evaluated for replacement prostheses. The first is a person with unilateral transfemoral amputation interested in a microprocessor-controlled knee; the second, a person who has undergone forefoot-level partial foot amputation. The focus of this session will be on the synthesis, application and limitations of scientific evidence when making patient-centered decisions about clinical care.

Gain insight on proven ways to keep youremployees happy and productive and your businessthriving.

The author proposes the use of handheld digital laser scanning technology as a clinical method for measuring Pectus Carinatum deformities and anthropometric changes resulting from orthotic treatment.

Review the results of this single patient case study, the SCO knee joint incorporated a pneumatic swing phase assist component. The pneumatic component was added to the orthotic management plan to match the patient's desire for a normalized active lifestyle.

The objective of this current study is to develop a motorized device which could be used to quantitatively investigate the AFO alignment and mechanical properties.

There are typical protocols for crouch knee gait due to limited Range of Motion (ROM) in a child with CP. This presentation considers an innovative program based on two treatments.

This study reports on the results of using a custom made knee orthosis as an alternative to surgical intervention and in four patients with valgus/varus deformity in excess of 20 degrees.

Discuss the results of this study done to investigate the efficacy of a stance control Orthosis for patients with Inclusion Body Myositis.

Review a case study and outcome measures of a young (30s) patient with CMT that has gone through a gamut of different AFO fabrication types all in an effort to keep him active. Review the forces surrounding the foot and ankle in normal gait. Discuss work with pneumatic muscles and the potential future of AFOs that will provide assistive energy to the patient.

This session focuses on the ways to optimize prosthetic functional outcomes by individuals with upper limb differences. The presenters will focus on the important relationship between the individual's prosthetist and their occupational therapist.

Focus on the necessary financial, organizational, and personnel controls needed to effectively manage an O&P company. From benchmarks and budgeting to employee fraud, we will review these important issues as well as many others.

The objective of this study was to follow recently conducted research on infants with unilateral limb loss crawling with locked and unlocked knees to determine the impact of the knee following transition to walking.

The mission of this study was to examine a new generation of powered prosthetic devices based on lightweight, energy storing springs that will create a natural, more functional gait.

The objective of this paper is to analyze surgical and rehabilitation program in trans-tibial amputation for peripheral vascular disease: a 10-year prospective cohort study.

The purpose of this study was to evaluate the importance of 3D polycentric hydraulic motion for patient function.

The purpose of this study was to compare a VASS with a current standard of care in a randomized cross-over experiment.

The successful amputation of a lower limb can mean the difference between becoming an active prosthetic user or enduring a lifetime of pain and discomfort due to a poorly amputated limb.
This year we will hear from some of the world's leading orthopedic surgeons who view amputation as a constructive surgical option. These physicians are developing advanced techniques for giving their patients functional residual limbs that allow for comfortable ambulation on prostheses.
Dr.'s Christian Ertl, Jan Ertl, William Ertl, Frank Gottschalk, and Douglas G. Smith will outline their techniques for achieving the best outcomes, including several case presentations.
Kevin Carroll, MS, CP, FAAOP will present on the value of communication between the prosthetist and the physician, emphasizing the importance of building relationships in order to guarantee successful prosthetic outcomes. Kevin will question the surgeons on their expectations of the prosthetist and how their techniques might affect post-operative management and socket design.

Hone your skills to present to medical practices, hospitals and other audiences. These techniques will help you in your efforts to increase business or put on a clinical presentation.

Discuss the utilization of a floor reaction AFO in conjunction with a FO (dynamic deceleration orthosis) to help control the foot in stance and also help manage stress on soft tissue in the transition phases of getting the foot onto and off of the ground.

Examine a process utilizing a unique fabrication method for pre-preg carbon fiber in application with an ankle foot orthosis (AFP) design.

This clinical case study describes and demonstrates the promise of the innovative suspension method for shoulder disarticulation patients.

This report will review our experience with a class II handheld laser scanner and the Rodin 4-D software in fabricating and reporting patient outcomes in a multi facility, multi-practitioner facility.

Cranial Remolding Orthoses are applied as a post operative treatment for craniosynostosis by at least three surgical groups in the Texas medical center area. The purpose of this presentation is to report the current treatment methods used in one of the world's largest medical centers.

Four systematic literature reviews have been published in the domain of deformational cranial abnormalities in the past two years. The goal of this presentation is to familiarize clinicians with the conclusions and recommendations from these recent systematic reviews.

This session will provide a comprehensive evaluation of the peer-reviewed literature on microprocessor-controlled prosthetic knees (MPKs). The available scientific evidence will be reviewed in detail with specific attention paid to the methods of identification and appraisal of the literature, the quality of the reviewed literature, the resulting scientific evidence related to the use of MPKs, and recommendations for future research related to MPKs. The focus of this session will be the synthesis and interpretation of the existing body of knowledge related to microprocessor knee technology and it's implications for clinical practice.

The need for research has long been a point of consensus within the O&P community. Consumers of research recognize the importance of having a useful knowledge base that is developed through research and improves the quality and consistency of clinical practice. Producers of research contribute to the body of knowledge through a range of activities as diverse as the O&P profession itself. To what extent do the visions of consumers and producers of research converge? This symposium will bring together both groups to identify emergent needs and search for common goals.

Targeted Muscle Reinnervation (TMR) is a new surgical technique that enables improved control of myoelectric prostheses. This paper reviews the surgical outcomes of the first 30 patients. TMR results were reviewed for available patient data at 6 centers around the world. Cases were reviewed for level of amputation, number of nerve transfers and whether the patients were successfully fit with a prosthesis. Complications are also noted.

The objective of this study was to fabricate a prosthetic device that would facilitate a more symmetric lifting pattern without over loading the remaining digits. This was accomplished with a relatively simple design which transferred lift loads from the digits and palmer surface of the hand to the dorsal surface of the forearm. Design and material considerations will be presented.

This study discusses how pattern recognition can be used for transradial level amputees without targeted reinnervation necessary to control a physical device by using a multifunction hand-wrist system with seven hand and wrist movements.

This presentation will document a case study of a bilateral upper limb loss individual in the early stages of his rehabilitation process.

The focus of this presentation will be a case study on a bilateral UE amputee in the early stages of his rehabilitation process from the prosthetists point of view.

Consider the power requirements of devices individual and in total when specifying and fabricating a new prosthesis.

Discuss normal spine biomechanics versus the scoliotic spine with emphasis on the biomechanical analysis of the effect orthoses have on the outcome of spine management.

TOPICS TO BE COVERED
 • Safety
 • Going Green
 • Proper Use of Sheet Materials
 • Laminates
 • Epoxies
 • Pre Preg
 • Carbon Fiber
 • Clean Manufacturing

The addition of Stance Control technology was a huge advancement to the field of orthotics. But, like most higher tech designs and systems it requires education and training on proper patient evaluation, selection, component options, fitting and alignment, training, and trouble shooting in order to achieve the maximum outcomes. This session will focus on those areas.

This will be a hands on session focused on teaching specific functional outcome measures useful in lower extremity prosthetic and orthotic clinical practice. Upon completion attendees should be able to confidently implement simple functional outcome measures in their clinical practice.

Address sub-atmospheric suspension systems within a prosthesis design for an upper extremity amputation including clinical applications, patient criteria and case studies.

Address current available treatment methods (Charleston, Providence, Boston, Milwaukee, Spine-Cor, Tri-Ac, Gomez, Atlanta, and potentially others) including a description of the systems and their unique characteristics.

Going green can help you "green" your bottom line. Learn the do's and don'ts of an effective green marketing campaign. Learn six simple ways to "go green" while generating great publicity.

The objectives of this paper are to indentify the benefits of participation in a journal club as well as discuss the various methods utilized to facilitate an effective learning environment.

Serial casting is an option for patients with early onset progressive infantile scoliosis. The casting technique and plan of care is unique and quite unlike any traditional treatment approach. It involves casting under anesthesia and using a special casting frame to support the head, arms and legs but keeping the trunk free and accessible. Certified Orthotists are an integral part of the treatment team. Each cast is worn (24/7) for 2-4 months depending on the age and growth of the child. This ensures 100% patient and family compliance. Outcomes have been very positive and encouraging. The panel will include orthopaedic surgeons, PAs, and orthotists currently involved in the casting and treatment protocol.

This presentation will familiarize attendees with several common, practical outcome measures which address the various aspects of balance.

Change is happening in our lives at a faster pace than ever before. How do we cope with all of the changes in our lives? This program will not stop change, but it will provide tools to take a little more control of your life. You can either let change control you, or you can harness change to your benefit.

This general overview of The New Arm will include technical aspects, control options and software programming.

This presentation discusses a new approach for compensating shoulder joints for transhumeral amputees.

A team at Orthocare Innovations conducted tests to determine if tactile feedback measurably improved subject performance in maintaining grip force and this paper summarizes their findings.

This clinical case study describes and demonstrates the promise of the innovative suspension method for shoulder disarticulation patients.

Review information addressing the ways in which ProDigits technology is applied to standardize techniques including future plans for the adoption of 3D scanning for socket design, myoelectric site location and aesthetic coverings.

This case study discusses the treatment of a left hand dominant individual suffering from traumatic bilateral upper extremity limb injury.

Discusses an overview of available sub-atmospheric suspensions systems, clinical applications, criteria for selection, comparison to negative pressure wound therapy with a theory of future variations.

Discusses the appropriate parameters of prosthetic socket interface design with emphasis on the understanding of how the physics of sub-atmospheric systems should be incorporated. Includes criteria of interface designs for partial foot to upper extremity prostheses.

Discusses an overview of available means to prove effective outcomes when utilizing Sub-Atmospheric Suspension Systems. This session includes avenues for clinicians to utilize existing information to begin creating evidence with pilot studies, outcome measures and research.

This paper reports on a small-scale pilot and exploration study that developed a tool for the evaluation of multimedia learning objects designed for prosthetic education (PMET).

This presentation discusses that during high impact activities such as running, the importance of the forces experienced increases both for the health of the residual limb and for the fatigue life the components.

This case study presents upon the use of several clinically relevant outcome measures to assist in the determination of whether our case subject, who had undergone bilateral transfemoral amputations and amputation of the left upper limb at the transhumeral level, was better served by regular use of her bilateral "stubby" prostheses or bilateral C-leg prostheses.

This presentation will describe our approach ofusing experimental prosthetic feet to systematicallyalter one mechanical property at a time to examineits effect on gait.

This paper presents the results of a short registry survey that was completed by 466 Vietnam veterans with combat related amputations for the Indiana-Ohio Center for Traumatic Amputation Rehabilitation Research. A random sample of 20 veterans was drawn from the registry respondents and each one completed two-hour in-depth interviews regarding the circumstances around their injuries and their experiences living with amputations over the full period since their combat injuries occurred.

This study follows the development of a transfemoral control device that addresses this problem by using smart programming techniques to optimize the point of stance support release in the gait cycle.

These studies employs a new method of assessing the combination of 3D total knee prosthetics kinematics and socket-stump kinematics/slippage during high-speed strenuous activities using DRSA. Also addressed in a separate study was a 3D socket-stump where kinematics were assessed by Biplance Dynamic Roentgen Stereogrammetric Analysis.

Discuss the objective of this study to characterize weight distribution symmetry between the intact limb and the amputated limb for the five events of a stand-to-sit (STS) maneuver.

Review study results that hypothesized that a thick gel liner would increase compliance at the limb-socket interface and create a more uniform distribution of peak pressure across the residual limb and that its increased compliance would allow subjects to walk at a faster self selected speed and alter other gait parameters, such as ground reaction force profile and kinematics.