The American Academy of Orthotists and Prosthetists
38th Annual Meeting and Scientific Symposium 2012
March 21-24, 2012 • Atlanta, GA
Experience Exceptional O&P Education

Join us to understand how the POWER KNEE uses its unique-to-the-field powered knee motion to aid with normalization of gait for amputees with high-level functional deficit, while positively affecting endurance, pain, and function for others. Discover appropriate clinical prescription for POWER KNEE and best fitting and training practice.
The SYMBIONIC LEG by Össur combines the positive attributes of both the RHEO NEE and PROPRIO FOOT within a single integrated design. Users in initial clinical fittings report improved confidence and less fear while significantly improving transfemoral amputee gait.
Discover how RHEOLOGIC Workbench software improves interface with the RHEO KNEE and also allows access to clinically-relevant data collected by the RHEO KNEE over extended periods of use. Presenter: Kurt Gruben, CPO, National Clinical Manager—Bionics, Össur Americas, Inc.

A look inside Smart MPK technology, learn how this becomes beneficial to amputees as we introduce our latest advancements in microprocessorcontrolled knees and feet. Subjective surveys from amputees often cite pain and discomfort as the leading concern, along with restriction in motion. This is caused primarily by unnecessarily high loading at the socket interface and is particularly profound when standing and walking on inclined surfaces. The visco-elastic and adaptable nature of muscle control makes it easy for the biological joint to be perfectly balanced in any number of angular positions. This workshop will discuss how the biomimetic combination of fluid damping and springs was conceived to mimic nature.

This workshop will include an overview of the selection of the type of socket and interface in relation to residual limb shape, tissue type, components, and projected vocation, along with alignment

This lecture will begin with a biomechanic overview of the function of prosthetic foot and ankle mechanisms. The attendee will gain an understanding of the basic differences in prosthetic feet when compared to physiologic function. Although the basic families of feet still exist, such as single axis, SACH, multi-axis, and dynamic response, new subsets are emerging that blur the lines between these accepted classifications. Using the design principles previously discussed, the Element and IBEX foot has been designed with a number of functions using a novel mid-tarsal flexing element. This works to 1) push support to the toes, 2) provide longer anterior rollover, 3) create more forgiving heel rollover, and 4) eliminate forefoot deadspot. The new Motion Foot and Hosmer Raize hydraulic ankles will also be presented and discussed with respect to plantarflexion control and heel height adjustment. Case studies from initial fittings and interactive demonstrations will also be presented. Speakers: Gerald Stark, MSEM, CPO/L, FAAOP; Jack Richmond, CFo; Craig Armstrong, CP; Eric Rubie; Jeremy Farley, CPO

Review and recertification for:

• The U3+ Arm
• Utah Hybrid Arm (both with lighter weight Li-Ion battery pack)
• MC Hand & Electric Terminal Device (ETD) - Brushless DC Motors for higher speed and durability
• MC Wrist Rotator - Higher speed and torque than earlier rotators.

Speakers: Harold Sears, PhD; Craig Armstrong, CP

This interactive session will provide O&P practitioners with a comprehensive review of bracing options, features, and benefits that can enhance patient outcomes and compliance. Attendees will take a virtual tour of Townsend's manufacturing facility to gain a greater understanding about capabilities and technologies incorporated in current and future brace designs. Practitioners will also receive global perspectives about manufacturers' historical and current business practices that influence market dynamics. The session will conclude with a clinically-based overview of technically challenging specialty bracing options and solutions.

Whether you've never used elevated vacuum suspension before or you're an experienced user who wants to learn about the latest developments, this fullday workshop is for you. We'll discuss the principles of elevated vacuum, share the keys for creating an airtight socket, and explain all aspects of LimbLogic® VS function. You'll leave this seminar with the knowledge you'll need for everything from patient selection to fitting and follow-up. You'll also learn about upcoming enhancements that will help you to be even more effective in providing your patient with a secure and comfortable suspension.

This workshop will engage you in fabrication techniques and teach you valuable procedures that will save you time and money while providing the best solutions for your facility and patients. Having practical fabrication materials to apply and remain cost effective maximizes the practitioner's ability to handle today's reimbursement challenges.

Spinal Technology, Inc., leader in Custom Spinal Orthoses, is presenting its popular Providence Nocturnal Scoliosis System course. Learn a new option in the nocturnal treatment of idiopathic adolescent, juvenile, congenital, and neuromuscular scoliosis. Practitioners will learn how to satisfactorily address the needs of these patients through review of scoliosis principles and use of innovative technology to improve fit and enhance comfort. Don't miss the opportunity to learn about this innovative system. Join us— space usually fills up fast for this popular course. We look forward to seeing you in Atlanta.

Learn about the operation of the i-limb ultra, biosim software, conducting patient evaluations, functional testing for control sites and other fitting concerns, use and care, therapy training protocol, reimbursement issues, as well as touch bionics' i-limb digits and livingskin prostheses.

bebionic v2 multi-articulating hands from SteeperUSA feature new motor technology allowing the hand to react very quickly under smooth, fast, proportional control. Advanced electronics provide up to 14 selectable grip patterns whilst on-board microprocessors continually monitor the motion of individual digits, ensuring grip patterns can be reliably repeated. bebalance programming software offers customized configuration for each individual user. This workshop will showcase bebionic v2 hands, providing a thorough understanding of their design, operation, and programming features, in addition to highlighting the application of latest technology solutions in the field of upper extremity prosthetics.

Compression therapy assists the legs by providing a force that helps keep the blood moving and preventing pooling in the veins of the leg. DVT, varicose veins, venous stasis ulcers, and other conditions require compression to improve blood flow and prevent the progression of the condition.

We all see many different foot types in our practices. One shoe does not fit all. Learn the importance in matching foot type to shoe type as well as accommodating foot orthoses and bulky AFOs. Dynamic computerized foot evaluation will also be demonstrated.

This is a demonstration of the new Seattle carbon composite feet and Trulife knees. The education is intended for certified prosthetists, residents, and those who are board-eligible. Attendees will gain a full understanding of the design element of all products, along with functional application, alignment, patient selection, and market indications. Biomechanics and gait cycle will be reviewed, as well as further discussion with respect to appropriate L coding and reimbursement. Speaker: Harry Bowne, BOCP

As Stance Control Orthoses (SCOs)grow into the standard of care, it is imperative to be educated on the latest technologies. You will leave this course qualified to assess, appropriately choose, and fit SCOs to benefit your patients and your practice. Lecture and hands-on training are implemented to ensure the best experience.

Devices in the past have been functionally static, preventing real-time adaptation of prosthetics to meeting patients' needs through the range of their daily activities. Advanced applied research is enabling manufacturers to introduce state-of-the-art, commercially viable products to help clinicians meet the increasing demands of their patients.

Best practices in utilizing the Pediatric WalkAide System for treatment of foot drop in children.

Learners will increase their knowledge of available orthotic treatment options, including the new one-size-fits-all Miami J Advanced, Miami Lumbar, TLSO, and Resolve Halo adjustable vest. A review of affected anatomy and indications will frame the rationale for orthotic treatment. Product selection guidelines will be provided based on clinical condition. A better understanding of the newest treatment options will benefit both practice and patients through enhanced outcomes.
Learning Outcomes:

1. A review of relevant anatomical structures & bracing indications.
2. A review of Össur current product offerings.
3. A review of recent advancements in orthotic design, materials, and technology.
4. Orthotic selection, hands-on fitting, and modification to optimize outcomes.

Speaker: John Parks, CO, Clinical Specialist

This comprehensive certification course will cover all the clinical needs for the next-generation microprocessor knee design. Presentation of the present design with regard to major systems of structural knee component, hydraulic cylinder, microprocessor control, and on-board electrical systems will be given. The REL-K Knee will be demonstrated by patients and adjusted by attendees for optimal function. Design challenges of the initial trials will be discussed with their solutions. Possible anticipated issues will also be discussed and simulated for clinical implementation. Suggested foot, ankle, interface, and alignment interaction will be discussed with respect to optimal performance. Contraindications will also be discussed. A short certification exam will be given afterward to certify practitioners as REL-K providers. Speakers: Gerald Stark, MSEM, CPO/L, FAAOP; Jack Richmond, CFo; Craig Armstrong, CP; Jeremy Farley, CPO

Having lower and upper extremity orthotic designs that are new, multifunctional, practical to apply, and cost effective maximizes the practitioner's efforts in today's challenging health care arena. This workshop will engage the practitioner in the review of current literature, the associated natural history, and pathophysiology to enhance the endresults for your patients. Orthotic considerations, design alternatives, current trends, and associated functional outcomes will be discussed. Stroke, TBI, MS, CP, osteoarthritis, Blounts, and general musculoskeletal injuries are the primary etiologies of the day's workshop. Participation will enlighten you on the newest unique but practical designs and associated applications in the management of the neuro rehab and orthopedic patient populations. Current L coding and medical necessity specific to these new designs will be reviewed.

ST&G will offer an interactive technical workshop covering a variety of application techniques that utilize unique materials and innovative products. Learn more about the highly anticipated magnetic suspension system and its benefits to ease the frustration of a low K2 through mid K3 patient when donning a pin lock liner for a prosthetic device. The MAGLOCK offers the security of a pin lock system—44 lbs of magnetic force and large magnetic target, which offers ease of lock location. Display and discuss newly-released and revolutionary devices for the everyday lab. Check out a new line of components that give you modular versatility to shift and rotate as needed, cosmetic covers that eliminate the need to grind and shape, as well as discussions around products to be launched in 2012-2013.

OPIE Software is the O&P industry standard for complete practice management. OPIE provides seamless workflow through the administrative, clinical, fabrication, billing, and collections processes, and then gives you extensive reporting tools to analyze the data and make improvements.

The Becker family of Stride stance control products has continued to evolve into a complete modular component group. New options and enhancements have been developed to offer the practitioner component options for almost all clinical presentations. The workshop will review current application cases for the acute and legacy patient population, as well as a set-up practicum on the PreStride. Speakers: Gary Bedard, CO, FAAOP; Pamela K. Hale, CPO

The therapeutic orthotic management portion covers clinical assessment of the pediatric and adult neuromuscular patient with spasticity and use of R1 and R2 for determining orthotic design to maintain and improve muscle length. The Adjustable Dynamic Response™ (ADR™) portion covers assessment of pediatric pathological gait and influencing knee and shank kinetics and kinematics with UltraSafeGait™ Adjustable Dynamic ResponseTM (ADRTM) knee and ankle technology. The adult portion focuses on gait rehabilitation and improving gait kinetics and kinematics with the utilization of UltraSafeStep™ Adjustable Dynamic ResponseTM (ADRTM) knee and ankle technology.

Join Freedom Innovations, a worldwide leader of lower extremity prosthetic devices, in a comprehensive educational seminar. Discover how Freedom Innovations maximizes composite technology in the largest selection of graphite foot products, from the new high-performance Renegade A•T to specialized foot products for adaptive sports. Become familiar with the nextgeneration Plié 2.0 MPC Knee and learn how it benefits the active transfemoral amputee. Discover how to achieve the best clinical outcomes with Plié 2.0 MPC Knee and gain understanding of its features, indicated use, alignment, and setup via a live demonstration.

Increase your pediatric referrals and save time and money while answering your patient needs. Pediatric gait poses several challenges for the O&P practitioner—namely, how to concurrently: • Improve dynamic posture of the locomotor system; • Minimize development of deformities and gait abnormalities; • Enhance trunk stability and reduce energy consumption during gait; • Minimize spasticity; • Overcome neuromuscular inhibitions leading to crouch gait; and • Optimize comfort. Current medical literature leads to solutions whereby the pediatric orthotist can influence the neuromuscular system, which in turn will help achieve all of the above goals. This workshop will present concepts on how to apply evidence-based data into unique orthotic interventions that benefit the child in ways that go beyond optimizing static posture. Case studies and live patient models will be presented to demonstrate the effect that these new thought processes have on a child's ability to be more stable during gait and to function at a higher level.

This course will provide the practicing orthotist with an in-depth overview of the "Gomez Orthotic Spine System" systematic approach to the comprehensive management of spinal pathologies, including idiopathic scoliosis, neuromuscular disorders, as well as degenerative spine disorders. The emphasis will be on understanding proper spine alignment and balance and the importance of conducting a detailed clinical evaluation, combined with objective assessment of tri-planar spinal flexibility to create a comprehensive biomechanical plan for successful treatment of spine deformities and instabilities. Each participant will learn the use of simple tools to measure and record clinical signs to be used in the orthosis design. The course will be taught by Jose Miguel Gomez, MD, LO, developer of the "Gomez Orthotic Systems" and founder of Laboratorio Gilete in Bogota, Colombia, SA, and Rachel Friddle- Johnson, CPO, director of Fabrication and Product Development at Friddle's Orthopedic Appliances, Inc.

Receive an overview on prosthetic foot theory and function, and learn what iST (Integrated Spring Technology) is achieving for prosthetic foot design. This course will also cover the differences between activity level and impact level during foot selection, endoskeletal noise causes and cures, as well as a special section on quantitative outcomes based measurements. Speaker: Steven Hoover, CP, LP, Technical Services Manager, College Park Industries

With a continued mission to enhance individuals' confidence, independence, and mobility, Otto Bock HealthCare presents the latest advances in microprocessor knee technology. The new technology further reduces deviations in natural gait and enables improved mobility in real-world environments such as stairs, obstacles, and uneven surfaces. This session will provide clinical and technical information comparing and contrasting our full family of microprocessor knees, including their features and benefits. Users will provide product demonstrations.

With the current challenges facing the O&P industry, businesses are finding it harder to maintain the standards of service that their patients have come to expect. Vorum, creators of Canfit CAD/ CAM solutions for O&P, believe that making the choice to automate your business can help you to continue to provide the best possible patient care and clinical outcomes. In this workshop, Canfit technology will be used to illustrate the power of CAD/ CAM and its ability to transform and improve your business. Through live patient demonstrations, participants will watch as orthotics and prosthetics are designed digitally. Using scanned data and measurements, a 3D image of each patient will be created. The 3D images will then be modified to suit the patient's needs and enable a customfitted appliance to be manufactured. Participants will see how CAD/CAM technology helps users to develop a more streamlined and efficient process, benefiting both the business and the patient. Participants will also have the opportunity to hear clinicians speak about CAD/CAM and its effect on their practices.

Systems In this workshop, learn about our new Synthex© composite fiber, which has 10 times the impact resistance of carbon. The performance characteristics of Synthex© fibers are perfectly balanced for use in prosthetic and orthotic composite applications. This workshop will demonstrate the new fiber and its unique properties and compare and contrast it to carbon, spectra, and other composite fibers commonly used in O&P. Also presented will be detailed lamination techniques, with an emphasis on reducing manufacturing costs. Speakers: Scott Wimberley, CTPO; Greg Mattson, CTPO

This course is designed for practitioners experienced in dynamic lower-extremity bracing. Participants will discuss how to customize dynamic ankle foot orthoses (DAFOs) to address complex patient presentations. Working with video case studies, participants will explore a variety of brace styles and optimizations designed to achieve the best fit and functional outcome for each case. Course participants will learn how to systematically plan a bracing project, adding specific details outside of the standard options. Active participation and lively discussion are encouraged with the goal of building knowledge and skills that will lead to the design of the best brace possible for every patient.

The Scoliosis Orthotic Management Program with Spinal Technology will provide in-depth information on idiopathic and neuromuscular scoliosis orthotic treatment using full-time scoliosis orthoses. This is a workshop designed to review clinical and technical techniques in detail, using clinical and radiographic images from multiple patient cases. An overview of spinal orthotic practice management will be illustrated throughout the program.

• Practice management of a spinal orthotic program
• Idiopathic scoliosis
• Pathomechanics of idiopathic scoliosis
• Patient clinical evaluation
• Measurement technique
• X-ray analysis at initial treatment
• Spinal orthosis design and pad placement
• Orthotic fitting and patient management
• In orthosis x-ray analysis
• Technical adjustments and modifications to maximize effectiveness
• Follow-up protocols
• Case studies
• Neuromuscular scoliosis
• Pathomechanics of neuromuscular scoliosis
• Spinal orthoses casting techniques
• Clinical care of neuromuscular scoliosis
• Postoperative scoliosis spinal management
• Severe back pain and spinal trauma management of adults with scoliosis<.li>

Speakers: Tom Colburn CO, CPed, FAAOP; James Benelli, CPO

Spend the afternoon learning about business strategies, sales tactics, and effective products that make up a successful pediatric practice. Whether you want to break into the market or grow what you already have, SureStep will help you get there. Speaker: Bernie Veldman, CO & Founder of SureStep