The American Academy of Orthotists and Prosthetists
39th Annual Meeting and Scientific Symposium 2013
February 20-23, 2013 • Orlando, FL
Experience Exceptional O&P Education

Sponsors

As of 12/20/2012

Program-at-a-Glance

View the Preliminary Program in Flip Format

KEY

TL
Thranhardt Lecture
PD
Professional Development
F
Free Papers
SP
Society Presentations
UL
Contemporary Mangement of the Upper Limb Prosthetic Patient
DW
Dermatology and Wound CAre for Prosthetists and Orthotists
OS
Organized Sessions
CT
Clinical Techniques
SE
Special Event

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Time Program Code Wednesday, February 20
8:00 AM - 12:00 PM W1 Technical Workshops: Tier 1  (Workshop 1)
Prescription Filling
Sponsored by: Aetrex Worldwide, Inc.
We all receive prescriptions that can be very vague. This workshop will break down the various conditions and pathologies that we see in our practices. We will discuss how to recognize rearfoot, midfoot, and forefoot problems and apply solutions that alleviate the uncomfortable symptoms that our patients experience. We will include hands-on evaluation techniques as well.
This workshop is approved for credit for both CPed and CFTs credentialed individuals
  W2 Technical Workshops: Tier 1  (Workshop 2)
A Vertebrae Above
Sponsored by: Allard USA
From mild support to custom, we’ve got your back! Learn solutions to fill the stat prescription with cost-effective spinal orthoses. You’ll participate in a hands-on lab to fit and customize off-the-shelf and custom LSOs/TLSOs. A recognized coding expert will even answer your questions regarding the latest information for spinal products.
  W3 Technical Workshops: Tier 1  (Workshop 3)
Socket Selection Criteria and Alignment Considerations
Sponsored by: Alps South
Prosthetists have come to adopt liners with pins and locking devices as their mainstay suspension method for transtibial amputees. While this is a major improvement over previous suspension methods, not all amputees have the proper tissue and limb configuration to be fit with locking suspension. The stresses created at the distal end will cause skin and suspension problems in many amputees who may have difficulty donning a pin.
  W4 Technical Workshops: Tier 1  (Workshop 4)
Advances in Care for Neurological Conditions: The Kickstart™ Kinetic Orthosis
Sponsored by: Cadence Biomedical
The Kickstart™ Kinetic Orthosis is a novel custom orthosis that helps people with severe lower limb weakness—particularly at the hip flexors—walk. In this workshop, we will explore gait biomechanics for neurological injuries and proper patient selection for Kickstart™. We will also cover casting, fabrication, and fitting. Lastly, we will examine case studies illustrating successful outcomes using Kickstart™.
  W5 Technical Workshops: Tier 1  (Workshop 5)
Beyond DAFO® Basics: Brace Optimizations
Sponsored by: Cascade Dafo, Inc.
This course is designed for practitioners experienced in pediatric lower-limb bracing. Participants will discuss customization of dynamic ankle foot orthoses (DAFOs) to address complex patient presentations. Working with video case studies, participants will explore the range of brace styles and options available to achieve the best possible patient outcome.
  W6 Technical Workshops: Tier 1  (Workshop 6)
Treatment of Compromised Skin in Patients with Silver-Based Fabrics
Sponsored by: Comfort Products, Inc.
Some of the most common complaints facing orthotic and prosthetic users today directly relate to compromised skin and its associated wound care. In this session, participants will learn about two studies that address these issues and will assist in developing the appropriate treatment protocol, including the use of products powered by X-STATIC® antimicrobial technology when appropriate.
  W7 Technical Workshops: Tier 1  (Workshop 7)
Advanced Foot and MPK Technology
Sponsored by: Endolite
Learn how microprocessor-controlled knee and foot technology becomes beneficial to amputees as we introduce our latest advancements in MPKs and feet. Explore the clinical advantages of biomimetic ankle technology for K2-level users. Participants will also discuss how the biomimetic combination of fluid damping and springs was conceived to mimic nature.
  W8 Technical Workshops: Tier 1  (Workshop 8)
Hosmer Raize and Motion Control Ankle: Total Dynamic Ankle Solutions
Sponsored by: Hosmer-Dorrance Corporation, Motion Control, Fillauer Companies, Inc.
This workshop will explore the overall biomechanic effects of dynamic motion of the ankle rather than standard fixed ankle-foot designs. Historic ankle innovations will be traced to the emergence of the Motion Control hydraulic ankle and the all-new Hosmer Raize microprocessor hydraulic ankle. Various control configurations will be discussed with related indications and contraindications. Attendees will have the opportunity to wear the designs and experience the relationship between articulated ankles and stability and ease of use. The latest innovations in hydraulic concepts, sensor technology, mechatronic control, and optimization will be explored. Attendees will adjust and interact with each design.
Speakers: Jack Richmond, CFo; Jeremy Farley, CPO/L
  W9 Technical Workshops: Tier 1  (Workshop 9)
Bonding Techniques, Material Identification, and Footwear Modification Bonding
Sponsored by: Frankford Leather Company, Inc.
Learn bonding techniques using modern adhesives from an experienced practitioner and an adhesive chemist. You will learn how to identify different classes of materials and how to bond those materials. Presenters will demonstrate bonding of external shoe modification.
  W10 Technical Workshops: Tier 1  (Workshop 10)
Paperless and Mobile Solutions for O&P
Sponsored by: Futura International
This workshop, presented by Futura International, will provide your practice with the knowledge and capability to create a paperless and mobile environment. Futura has implemented various technologies that will help your business achieve these industry goals. By attending this workshop, you will learn how to use and implement:
  • Image and note drop.
  • Electronic signature capture.
  • Paperless, compliant documentation and justifications.
  • Integration of mobile devices, including Android, iPhone, and iPad.
  • Hosted solution features and benefits.
A complete overview of the Futura Practice Management Program covering beneficial features, tips, and tricks that allow your business to run more effectively will also be provided in this workshop.
  W11 Technical Workshops: Tier 1  (Workshop 11)
A Smart Step in the Right Direction for the Diabetic Foot
Sponsored by: Orthofeet, Inc.
This presentation will explore the pedorthic management modalities to treat and care for the diabetic foot. Tools and modalities will include inserts and orthoses, shoe modifications, and, of course, the all-important shoe. The newest innovations, styles, and concepts will be reviewed and discussed with the opportunity for hands-on experience.
Speaker: Dennis Janisse, CPed
This workshop is approved for credit for both CPed and CFTs credentialed individuals
  W12 Technical Workshops: Tier 1  (Workshop 12)
Bionic Technology by Össur: A Closer Look at POWER KNEE™ and its Positive Impact on User Rehabilitation
Sponsored by: Össur Americas, Inc.
Understand how the POWER KNEE™ uses its unique powered knee motion to aid with normalization of gait for a wide array of amputees. Discover the positive effect of POWER KNEE™ on endurance, pain, and function for those with both high and low functional levels. Learn how POWER KNEE™ is expediting rehabilitation for new amputees. Participants will discuss appropriate clinical prescriptions for POWER KNEE™ along with best fitting and training practices. User demonstrations will be included.
Speaker: Kurt Gruben, CPO, Senior Clinical Specialist, Össur Americas
  W13 Technical Workshops: Tier 1  (Workshop 13)
Orthotronic Mobility System from Ottobock: C-Brace®
Sponsored by: Ottobock
Get the first look at the newest advancement in quadriceps weakness/paralysis management. The Orthotronic Mobility System’s unique configuration of microprocessor, hydraulics, and sensors for the first time allows the orthotist to control all eight phases of gait. The ability to program the system for individual patients’ presentation is unprecedented, and the onboard gait monitoring allows the system to adapt to the patients’ gait in real time. Patient selection, product overview, programming, casting, and gait training will be demonstrated.
Speaker: Curt Kowalczyk, CO
  W14 Technical Workshops: Tier 1  (Workshop 14)
Unique Materials, Newly-Developed, and Innovative Products for O&P
Sponsored by: ST&G USA Corporation
Preview the MAGLOCK transfemoral magnetic suspension prototype. Presenters will demonstrate dynamic casting techniques using unique materials. Check out the costeffective NEW EZ STEP FOOT; ADAPT LOCK; newly-designed components that provide offset and rotation; DOFF n DONNER; and new products to be launched in the next year.
  W15 Technical Workshops: Tier 1  (Workshop 15)
SteeperUSA—bebionic3 and revolve, the Latest in Upper Limb Powered Prosthetic Systems
Sponsored by: SteeperUSA
SteeperUSA presents a complete solution for below-elbow compliant hand prosthetics, featuring bebionic3, the most advanced compliant hand available, revolve, SteeperUSA’s new electric wrist rotator, new electrodes, and state-of-the-art cosmetic solutions.
  W16 Technical Workshops: Tier 1  (Workshop 16)
Orthotic Management for Pediatric and Adult Patients Utilizing Ultraflex Therapeutic and Adjustable Dynamic Response™ (ADR™) Bracing Technologies
Sponsored by: Ultraflex Systems, Inc.
The therapeutic orthotic management portion covers clinical assessment of the pediatric and adult neuromuscular patient with spasticity and the use of R1 and R2 to determine orthotic design that maintains and improves muscle length. The ADR™ portion covers assessment of pediatric pathological gait and the influence on knee and shank kinetics and kinematics with UltraSafeGait™ ADR™ knee and ankle technology. The adult portion focuses on gait rehabilitation and improving gait kinetics and kinematics with the use of UltraSafeStep™ ADR™ knee and ankle technology.
  W17 Technical Workshops: Tier 1  (Workshop 17)
Canfit: Transforming O&P Practices using CAD/CAM Solutions
Sponsored by: Vorum Research Corporation
Vorum, creator of Canfit CAD/CAM solutions for O&P, believes that making the choice to automate your business can help you continue to provide the best possible patient care and clinical outcomes. Participants will see how CAD/CAM technology helps users develop more streamlined and efficient processes that benefit the business and patient.
  W18 Technical Workshops: Tier 1  (Workshop 18)
Touch Bionics’ Upper Limb Prosthetic Solutions
Sponsored by: Touch Bionics
Attendees will learn about the operation of the i-limb ultra and biosim software, conduction of patient evaluations, functional testing for control sites, fitting concerns, use and care, therapy training protocol, and reimbursement issues. Information about i-limb digits and livingskin passive functional prostheses will also be provided.
1:00 PM - 5:00 PM W19 Technical Workshops: Tier 2  (Workshop 19)
The Proof is in the Results
Sponsored by: Allard USA
Gain confidence that you’re selecting the appropriate level of orthotic intervention for your footdrop patients! Learn the difference between “isolated” and “apropulsive” footdrop and satisfy both referral source and payer by demonstrating objective technical outcomes following interventions or modifications with a state-of-the-art electronic method of gathering temporal-spacial and kinematic data.
  W20 Technical Workshops: Tier 2  (Workshop 20)
Evidence-Based Options and Clinical Approaches for Lower and Upper Limb Orthoses
Sponsored by: Anatomical Concepts, Inc.
Affordable lower and upper limb innovations that provide multi-functionality but are simple and effective are crucial in today’s healthcare market. Early intervention and use of adaptable lower limb systems with multipurpose capabilities enable clinicians to achieve superior outcomes. This presentation will review current literature and evidence-based practice to support clinical applications of design innovations along with associated natural history and pathophysiology. Etiologies of stroke (CVA), TBI, MS, CP, osteoarthritis, and bowing deformities (Blount’s) will be highlighted. Consideration of new, unique lower limb prefabricated and custom innovations in comparison with current pre-made and custom design alternatives, trends, coding, and associated functional outcomes will be an integral part of the workshop.
  W21 Technical Workshops: Tier 2  (Workshop 21)
The Next Generation of the Stride Stance Control Family
Sponsored by: Becker Orthopedic
The Becker Stride Stance Control family has been recently updated to include two new members: the Stride4 and PreStride4. See these and other enhancements that have been developed to offer the practitioner component alternatives 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.
Speaker: Gary Bedard, CO, FAAOP
  W22 Technical Workshops: Tier 2  (Workshop 22)
Advanced Orthotic Design from OTS-Fillauer
Sponsored by: Fillauer Companies, Inc.
This comprehensive course will explore the clinical needs and constraints of orthotic knee mechanisms. A variety of OTS products will be presented, including unique variations and fabrication equipment designed for special clinical needs. The SPL will be presented as well as a number of enhancements created by Fillauer for initial assessment, extension assist, and optimized fitting. The presenters will also introduce other orthotic innovations from Fillauer, including the OAK brace and novel thermomoldable carbon bars. The workshop will include demonstrations and interaction with each component.
Speakers: John Schulte, CPO, FAAOP
  W23 Technical Workshops: Tier 2  (Workshop 23)
Advances in Elbow, Terminal Device, and Wrists for the Upper Limb
Sponsored by: Motion Control & Fillauer Companies, Inc.
Upper limb topics include:
  • Hands-on instruction on the U3+ Arm, including computer software and Bluetooth connection. New products will also be introduced, including:
    • The MC Wrist Rotator, with twice the speed and torque of earlier rotators.
    • The Triad Preamp—convenient mounting without extra cables and interference rejection.
    • Li-Ion battery packs for the Utah Arm—reducing battery weight by 40 percent.
    • Heavy-duty TD motor option for the MC ProHand and ProETD, allowing 25 percent greater speed and long life.
Lower limb topic:
  • Motion Foot—quick review of Motion Control’s first LE product.

(see Fillauer Foot Workshop 8 for more).
Speakers: Harold Sears, PhD; Jeremy Farley, CPO/L
  W24 Technical Workshops: Tier 2  (Workshop 24)
An Interactive Approach to Lower-Limb Prosthetic Education
Sponsored by: Freedom Innovations
The Freedom Institute of Technology, the educational entity of Freedom Innovations, will present an interactive educational workshop. Receive a brief overview of current composite technology including the Renegade A-T and gain insight into the Plié 2.0 MPC Knee. Learn the fundamentals of sound documentation to ensure your billing process is effective and you have litigation protection. Participate in interactive clinical case studies of real amputees and identify why your Freedom Innovations product selection is appropriate. Finally, experience the ease of programming the Plié MPC Knee and gain a deeper understanding of its function.
Speaker: Kurt Collier, CP
  W25 Technical Workshops: Tier 2  (Workshop 25)
Gomez Orthotic Spine System
Sponsored by: Friddle’s Orthopedic Appliances, Inc.
This course will provide the practicing orthotist with an in-depth overview of the “Gomez Orthotic Spine System” approach to the comprehensive management of spinal pathologies that include idiopathic scoliosis, neuromuscular disorders, and degenerative spine disorders. Understanding proper spine alignment and balance will be emphasized, along with the importance of conducting a detailed clinical evaluation and 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, and Rachel Friddle- Johnson, CPO, director of fabrication and product development at Friddle’s Orthopedic Appliances, Inc.
  W26 Technical Workshops: Tier 2  (Workshop 26)
OPIE Software: Complete Practice Management
Sponsored by: OPIE Software
OPIE Software is the culmination of years of development and testing leading to seamless connections of admin, practitioners, technicians, billing, and collections by using integrated workflow processes to create complete electronic medical records. With enhanced modules that manage billing and collections, purchasing and inventory, and an enriched mobile app, OPIE gathers data from all aspects of an O&P practice and analyzes it through its comprehensive reports. The technology partnership with Quality Outcomes is the latest step by OPIE to help more than 360 O&P companies using OPIE.
  W27 Technical Workshops: Tier 2  (Workshop 27)
Brave New World—Intelligent Prosthesis and Orthosis that Interact and Communicate with Practitioners, Prescribers, Patients, and Payers
Sponsored by: Orthocare Innovations
Orthocare Innovations recognizes that the O&P industry is at the cusp of the golden age of technological advancement in the development of life-altering components. As a leader in intelligent product innovation, we are introducing a family of microprocessor-controlled products with the capacity to sense and adapt to changes in terrain and patient activities through a unique, objective outcomes-oriented data ecosystem. This not only enhances patient comfort, stability, and control but also provides evidence-based support for the selection and reimbursement of the most appropriate components by prescribers, practitioners, and payers. During this workshop we will demonstrate how our latest microprocessor-controlled products operate and communicate through the Galileo ecosystem.
  W28 Technical Workshops: Tier 2  (Workshop 28)
Innovative Treatment Options for the Osteoarthritic Knee
Sponsored by: Össur Americas, Inc.
Össur Academy presents “Innovative Treatment Options for the Osteoarthritic Knee,” which will cover the clinicallyproven Unloader One® knee brace—now with SmartDosing™ powered by Boa® Technology. This workshop will offer both practitioner and patient a better understanding of available treatment options through enhanced outcomes.
  W29 Technical Workshops: Tier 2  (Workshop 29)
Comprehensive Solutions for Transfemoral Patients
Sponsored by: Ottobock
This workshop will provide comprehensive solutions for a wide variety of transfemoral patients—not just a focus on one component, but a thoughtful evaluation and system selection for a range of different patients. This workshop looks at a holistic approach to ensuring the best possible outcomes for today’s transfemoral amputees.
Speakers: Byron Backus, CP; Erica Swanson, CP, MOT
  W30 Technical Workshops: Tier 2  (Workshop 30)
Lower Limb Bracing Solutions
Sponsored by: Townsend Design
This interactive and comprehensive course will allow practitioners the opportunity to blend formal presentations with hands-on demonstrations. Attendees will be exposed to products, bracing components, and technologies that enhance fit, function, and outcomes for various clinical conditions. Market conditions, virtual tours, and product demonstrations highlight the course content.
  W31 Technical Workshops: Tier 2  (Workshop 31)
A New Generation: Fitting and Operating the New LimbLogic System
Sponsored by: WillowWood™
We’ll introduce new features of WillowWood’s LimbLogic Vacuum System, which builds upon field-proven technology to make the system more vigorous and easier to use. You’ll see how the new accessories provide helpful feedback for use in fitting and troubleshooting, and you’ll learn new socket design techniques that can decrease fabrication time while increasing longevity of the system.
Speaker: Jeffrey A. Denune, CP/LP
  W32 Technical Workshops: Tier 2  (Workshop 32)
“Let’s Get it On” with a Vacuum Donning System
Sponsored by: LADON Systems
Prosthetists will learn the “who, what, when, where, and why” of the vacuum donning components manufactured by LADON Systems. The development of these vacuum donning systems allows many more amputees to don transfemoral suction suspension prostheses, including those patients with too much physical involvement to stand and manipulate their hands for other donning methods. In this workshop, practitioners will gain first-hand experience with all three vacuum donning systems and patients will demonstrate them. The guidelines for use and maintenance of these systems will be presented.
Speaker: Harry Layton, CPO, LPO
  W33 Technical Workshops: Tier 2  (Workshop 33)
Immediate, Cost-Effective Care of the Compromised Spine with the VertAlign® Rigid Plastic, Molded, Gender-Specific, Custom-Fitted TLSO and LSO
Sponsored by: The Bremer Group
Recent studies show that neurologically intact patients treated for spine fractures with “strings and straps/T-Bar”-type TLSOs have the same outcomes as those treated with no brace at all. Another 15- to 20-year study found that similar patients treated only with a rigid body jacket or cast-type TLSO had superior long-term outcomes, less pain, and better function compared to those treated surgically. Consequently, TLSO design and material does matter. In the world of “accountable care,” spine surgeons and hospitals are more interested than ever in using the proper stabilizing TLSO for these patients.
Learn how to properly stabilize 95 percent of your patients after spine surgery or trauma in less than 45 minutes in your office, the hospital, ER, or physician’s office, with no lab time and no initial cost for the VertAlign® Spinal Support System consignment inventory.
Speaker: Ross L. Bremer CPO, LPO
  W34 Technical Workshops: Teir 2  (Workshop 34)
SmartPuck Internal Modular Microprocessor Socket System with Integrated Vacuum
Sponsored by: 5280 Prosthetics, LLC
Come learn about the new frontier in socket technology. The SmartPuck is the world’s first modular socket computer with integrated electric vacuum. Users can control the system with a smart device as well as access data for level justification, alignment, activity monitoring, and many other features. The SmartPuck and Airpuck systems give prosthetists a new alternative to traditional vacuum socket fabrication. Internal socket vacuum systems are superior in leak prevention, maintaining vacuum, noise reduction, and are easy to fabricate.
  W35 Technical Workshops: Tier 2  (Workshop 35)
Amazing Results Using Heat Moldable Carbon for O&P Applications
Sponsored by: Comfort Products, Inc.
6 Practical, cost-effective fabrication materials are imperative for the practitioner facing reimbursement challenges. This workshop will engage you regarding fabrication techniques and demonstrate procedures that will save you time and money and provide the best solutions for your facility and patients.
This workshop is approved for credit for both CPed and CFTs credentialed individuals
  W36 Technical Workshops: Tier 2  (Workshop 36)
Clinical Management and Orthotic Application Influencing Gait Biomechanics in Patients with Neurological Conditions
Sponsored by: Trulife
Curacao 8
This introductory course will provide orthotists with an overview of lower limb biomechanics, treatment options, and successful orthotic intervention for the neurological patient. The course will use didactic and collaborative teaching methods, formal presentations, and collaborative group work with video case histories.
5:30 PM - 6:45 PM   Opening Session & Academy Award Presentations
Time Program Code Thursday, February 21
7:00 AM - 8:00 AM SP1 Society Presentations: Spinal Orthotics Society  (SP1)
Spinal Trauma— Establishing and Maintaining High Quality Spinal Trauma Orthotic Service
Tom Colburn, CO, CPed, FAAOP
This session will explore pathologies, pathomechanics, and orthotic stabilization techniques. The establishment and maintenance of a quality, cost-effective spinal orthotic program for a trauma hospital will be outlined in detail. Outcomes measurements, including prompt treatment, pain control, and length of stay will be discussed.
7:00 AM - 8:00 AM SE1 Special Event
Medicare Updates
Jurisdiction A–Elizabeth Daniels; Jurisdiction B—Stacie McMichel; Jurisdiction C–Zita Upchurch; Jurisdiction D–Jody Whitten; National Supplier Clearinghouse –; Erika Williams
Representatives from the four DME MACs and the National Supplier Clearinghouse will provide a one-hour “Medicare Updates” presentation. During this session, attendees will hear about updates specific to each contractor, learn about new resources available, and hear updates to the Medicare program.
8:00 AM - 10:00 AM TL1 Thranhardt Lecture
Normative PEQ-MS and ABC Scores among Persons with Lower Limb Loss
Brian Hafner, PhD
Prosthetists are increasingly encouraged to measure and document outcomes such as mobility and balance in routine practice. The Prosthesis Evaluation Questionnaire (PEQ) and Activitiesspecific Balance Confidence Scale (ABC) are self-report measures available for measuring such outcomes. However, normative data for these measures is not available. These instruments were administered to 942 persons with lower limb loss in a national crosssectional study. ABC and PEQ-MS scores significantly differed among those with different levels (e.g., transfemoral and transtibial) and etiologies (e.g., trauma and dysvascular causes) of amputation.
  TL2 Thranhardt Lecture
Dual Task Gait Analysis in Prosthesis Users
Charla Howard
The use of Dual Task Analysis for evaluating prosthesis users’ gait could provide a tool for predicting fall risk and determining proper alignment.
  TL3 Thranhardt Lecture
Transtibial Amputee Fluid Volume Changes during Different Activities
Joan Sanders, PhD
The purpose of this research was to compare limb fluid volume changes during sitting, standing, and walking in a group of participants with transtibial amputation to see how much each activity contributed to the total fluid volume change.
  TL4 Thranhardt Lecture
Effects of Materials, Designs, and Heat Treatment on SAFO Mechanical Properties: A Preliminary Report
Fan Gao, PhD; Gary Bedard, CO, FAAOP
In this pilot study, the effects of three materials, three designs, and one heat treatment protocol on the mechanical properties of SAFO were investigated. The outcomes of this study may be useful for practitioners to improve the criteria for both design and prescription.
10:05 AM - 11:35 AM OS1 Organized Session
Selecting the Most Appropriate Microprocessor- Controlled Foot
Kevin Symms, BSc (Hons), CO, BOCPO; Hugh Herr, PhD; Brian Kaluf, BSE, CP; Jason Wilken, PhD; John Rheinstein, CP, FAAOP
Clinical experts will discuss how and why microprocessor feet improve function and comfort for your patients. This course will help you develop your own clinical pathway for microprocessor foot selection based on your patients’ capabilities, needs, and available options.
  OS2 Organized Session
Treatment Options for the Neuromuscular Spine
Mark Holowka, CPO; Nicholas Fletcher, MD
This discussion will incorporate evaluation techniques, present surgical options and techniques, and discuss orthotic treatment for a patient with a neuromuscular pathology and resulting spine deformity. Recent advances in both operative and non-operative techniques have enlarged the orthopedic toolbox for spine deformities. Selecting the best treatment modality for the right patient is critical to a successful patient outcome. Orthopedic and orthotic designs, case studies, and outcomes will be presented.
10:05 AM - 11:35 AM F1 Free Papers: Upper Limb Prosthetics  (F1)
Comparison of the Functionality of Voluntary Opening and Voluntary Closing Terminal Devices Using the SHAP Test
Jon Sensinger, PhD
This study reports on the design and fabrication of a novel terminal device that can easily switch between voluntaryopening and voluntary-closing modes. The device uses a simple linkage and is accordingly light-weight and robust.
  F2 Free Papers: Upper Limb Prosthetics  (F2)
Conservation of Energy during the Grip Cycle in Voluntary Opening and Voluntary Closing Systems
Randy Alley, CP
One of the recognized limitations of cable-driven systems is their reliance on gross body motion and harnessing for operation, resulting in increased discomfort, the potential for the onset of nerve entrapment syndrome, and increased energy expenditure when compared to technologies such as myoelectric control. A new enhancement to cable-driven technology is designed to address these challenges by allowing the user to effectively lock the terminal device in an infinite number of positions.
  F3 Free Papers: Upper Limb Prosthetics  (F3)
Development of a Light- Weight, Low-Cost, Myoelectric Prosthesis
Jon Sensinger, PhD
This study reports the design of a lightweight, myoelectric prosthesis targeted for 25th percentile females in order to ensure a light-weight design. The arm uses novel motors and transmissions in order to achieve its light, rugged design.
  F4 Free Papers: Upper Limb Prosthetics  (F4)
Grasping Fragile Objects Using a Myoelectric Hand Having Compliant Tactile Sensors with Contact Detection
Jeremy Fishel, PhD
This study explores the use of compliant tactile sensors to improve grasp of fragile and deformable objects while alleviating cognitive burden on the user.
  F5 Free Papers: Upper Limb Prosthetics  (F5)
Pattern Recognition Control Outperforms Conventional Control in Upper Limb Patients with Targeted Muscle Reinnervation
Levi Hargrove, PhD
Researchers quantitatively demonstrate that pattern recognition control provides superior functional performance compared to conventional amplitude control for targeted muscle reinnervation patients. These novel results strengthen the resolve to provide pattern recognition systems for clinical fittings of suitable amputee patients.
  F6 Free Papers: Upper Limb Prosthetics  (F6)
Development of a Predictive Simulation Tool to Assist in Prosthetic Prescription
Derek Lura
Researchers propose a system that uses a robotic human body model and a database of prosthetic devices to iteratively compare prosthetic performance. With this tool, clinicians will be able to input anthropometric and movement capabilities, patient data, select components, and predict how the patient would be able to move with the component. The goal of this tool is to improve the prescription process by better informing patients and clinicians of the capabilities of a variety of commercially-available devices.
10:05 AM - 11:35 AM PD1 Professional Development
What’s in Your Wallet? Staying Profitable in the World of O&P
Rob Benedetti
Explore the concept of patient versus profit, learn the top five pitfalls of running a business, create an entrepreneurial niche, gain market share, and control costs.
12:00 PM - 12:30 PM   Product Display
Advanced Prosthetic Foot Design by eMotis & Motion Control
Sponsored by: The Fillauer Companies, Inc.
12:30 PM - 1:00 PM   Product Display
Miami J Advanced
Sponsored by: Össur Americas, Inc.
1:00 PM - 1:30 PM   Product Display
OMEGA® 2013: Experience CAD Designed for You!
Sponsored by: WillowWood™
1:45 PM - 3:15 PM OS3 Organized Session
Understanding and Managing Patients with Obesity
Andres Acosta, MD, PhD; Michelle Cardel, PhD; Kurt Collier, CP; John Rheinstein, CP, FAAOP
As more of our patients present with obesity, it is important to understand this condition, its treatment, and how to provide effective care. This course will provide foundational information about obesity, nutrition, materials, components, and clinical techniques. The presenters’ goal is to help improve outcomes for this challenging patient population.
  OS4 Organized Session
Roadblocks to Utilization of High Technology Orthoses for Quadriceps Weakness
Curt Kowalczyk, CO; Deanna Fish, MS, CPO, FAAOP; James Campbell, PhD, CO, FAAOP; Gerald Stark, MSEM, CPO/L, FAAOP; Kimberly Hanson, Director of; Reimbursement—North America,; Ottobock
High technology KAFOs (SCOs and Orthotronic Mobility Systems [OMS]) have been available for over a decade but are underused clinically. Currently only eight percent of KAFO fittings are SCOs or OMSs. This can stem from improper patient identification, evaluation, technology selection, clinician and referral source education, clinical outcome expectations, payer education, and reimbursement concerns. While technology has advanced significantly and is used by prosthetists even in the face of the same roadblocks, orthotists have been slow to embrace these technologies. This session will peel back the lid to look at the issues that are stalling the acceptance of these technologies.
1:45 PM - 3:15 PM F7 Free Papers: Upper Limb Prosthetics  (F7)
Patient Care Pathway: Measuring Outcomes with Upper Limb Prostheses
Lynsay Whelan, OTR/L
The Patient Care Pathway is an online tool for gathering outcomes data for individuals with upper limb loss or deficiency fit with multi-articulating externally-powered prostheses. The preliminary data reported is the start of an effort to collect significant data in support of advances in upper limb technology.
  F8 Free Papers: Upper Limb Prosthetics  (F8)
A Functional Baseline Index Standard for Electric Multi- Articulating Hands and Digits
Diane Atkins, OTR, FISPO
Evidence-based functional outcome assessments must be used to evaluate and understand advances in electric multi-articulating hand technology. A functional baseline index standard (FBIS) defined by four validated and standardized hand dexterity tests has been developed to begin to adequately measure the outcomes of two upper limb amputee populations: the user of prosthetic electric multi-articulating digits and the individual with a toe or hand transplant.
  F9 Free Papers: Upper Limb Prosthetics  (F9)
Use of the FPST to Individualize Partial-Hand Prosthetic Care
Sharon Flinn, PhD, OTR/L, CHT
Epidemiological data suggests that 90 percent of the approximately 20,000 new cases of upper limb loss or deficiency each year are at the wrist or more distal. A recent survey of OIF/OEF veterans found that partial-hand limb loss had greater impact on quality of life than transhumeral limb loss. Identifying which tasks are the most difficult and most important to individuals with partial-hand loss or deficiency is vital to improving the quality of life for these individuals.
  F10 Free Papers: Upper Limb Prosthetics  (F10)
The Effectiveness of Mirror Therapy in Treating Phantom Limb Pain in Amputees
Kathryn Antle-Johnson, MS, CP
The primary objective of this study was to determine the effectiveness of mirror therapy (MT) in decreasing phantom limb pain (PLP) in upper- and lowerlimb amputees, hypothesizing that MT will be equally as effective as drug therapy (DT) for reducing PLP.
  F11 Free Papers: Upper Limb Prosthetics  (F11)
Treatment of Phantom Limb Pain: Incorporating Intuitive Use of Imagery into the Graded Motor Imagery Program
Kerstin Baun, MPH, OTR/L
Phantom limb pain (PLP), a common and often disabling consequence of amputation, may be ameliorated through graded motor imagery. Pain relief may be expedited for those patients who naturally engage in this process. Two case studies are presented—both patients intuitively performed motor imagery exercises that resulted in immediate progression to mirror therapy to further reduce PLP.
  F12 Free Papers: Upper Limb Prosthetics  (F12)
Upper Limb Prosthetic Treatment Challenges Involving Individuals with Transhumeral Amputations Secondary to Burn Injuries: Two Case Studies
Ryan Spill, CP
Transhumeral amputations caused by burn injuries often present with several fitting challenges. Skin integrity following burn injuries requires prosthetic interfaces that offer protective and healing properties and reduce shear forces. The addition of electrodes to the gel interface offers increased challenges with myoelectric control. Two case studies will be presented illustrating examples of these considerations.
1:45 PM - 3:15 PM PD2 Professional Development
Mediating Interpersonal Disputes in Clinical and Academic Settings
Ron Scott, PT, EdD, JD, MSBA
This 90-minute interactive seminar introduces dispute mediation as an alternative to litigation for patientprovider, provider-provider, provideremployer, and provider-academic institution disputes. The instructor is an attorney-mediator and physical therapist. The seminar includes relevant case examples and concludes with discussion on how to qualify as a paid mediator in your city or state. The session will end with questions and answers.
3:20 PM - 3:50 PM   Product Display
A Leap Forward in Lower Limb Prosthetics—Catapult and the Powered Knee/Ankle System
Sponsored by: Freedom Innovations
3:50 PM - 4:20 PM   Product Display
Axon-Bus Upper Limb Prosthetic System featuring the Michelangelo Hand and ErgoArm®
Sponsored by: Ottobock
4:30 PM - 6:30 PM OS5 Organized Session
Current State of Externally Powered Lower Limb Prostheses: Evidence and Emerging Technologies
Eric Weber, CPO, LPO; Phil Stevens, MEd, CPO, FAAOP; M. Jason Highsmith, DPT, CP, FAAOP; Alena Grabowski, PhD; Brian Frasure, CP, iWalk/BiOM System; Kurt Gruben, CPO, Össur/Power Knee
There are several identified mechanisms of propulsion in normal human locomotion. Analyze the potential benefits that could be derived from the application of external power to lower limb prostheses. Current microprocessor prosthetic technologies have enabled participation in and completion of activities previously deemed difficult or impossible. Discuss powered prostheses, what is presently known about them, their functional claims, and their reported outcomes and performance. Review studies that will potentially guide future assistive device designs so that innovative biomechatronic technologies may not only allow people with disabilities to achieve normative levels of locomotion, but could potentially enable augmented performance, allowing people to surpass biological legged function.
4:30 PM - 6:30 PM F13 Free Papers: Lower Limb Orthotics  (F13)
Using the AFO-FC as Therapeutic Treatment for Patients Diagnosed with EQD
Curt Bertram, CO, FAAOP
For years, pediatric patients diagnosed with cerebral palsy have been managed with standards of practice and beliefs that are now challenged by new paradigms and research. There has been much ado about the research of Elaine Owen, MSc, SRP, MCSP, and Beverly Cusick, PT, MS, COF, and the results of use of the AFO-FC (footwear combination). The AFO-FC can be a powerful and therapeutic tool in treating EQD. Through proper tuning, the AFO-FC can manipulate the GRF vector and lead to better outcomes.
  F14 Free Papers: Lower Limb Orthotics  (F14)
Creative Solutions— Comparison of 3-D Gait and Balance Effects from an Adjustable Dynamic Response versus Fixed Ankle- Foot Orthosis in a Child with Hemiplegic Cerebral Palsy: How Did it Do and Can We Do Better?
Mark DeHarde
An ADR AFO was compared during gait and balance tasks to a locked AFO condition on a single 12-year-old boy with right spastic hemiplegia and equinus gait. Gait speed, symmetry, in-phase EMG muscle activation, hip and knee extension from mid- though terminal-stance, and stability were all improved with the ADR AFO over locked AFO conditions. More research is needed to compare adjustable dynamic versus locked AFOs, but results are encouraging.
  F15 Free Papers: Lower Limb Orthotics  (F15)
Plantarflexion Resistance of Selected Ankle-Foot Orthoses: A Pilot Study of Commonly Prescribed Prefabricated and Custom Molded Alternatives
Joseph Whiteside, CO, LO
Plantarflexion resistance test results for 18 AFO variations of custom orthoses, prefabricated orthoses, and recumbent devices will be discussed. AFOs will be identified and categorized as plantarflexion stop (PFS), plantarflexion resist (PFR), and non-ambulatory (NA) based on the pounds of resistance each AFO produces.
  F16 Free Papers: Lower Limb Orthotics  (F16)
Alternative Trial AFO Systems for Initial Onset Management of the Rehabilitating Patient
Joseph Whiteside, CO, LO
Use of three alternative articulating AFOs as an early, immediate fit alternative for the rehabilitating patient will be discussed. Two case studies will highlight each design’s benefits and the patient and therapist perspectives during the rehabilitation process.
  F17 Free Papers: Lower Limb Orthotics  (F17)
Wounded Warriors and Stance Control Orthoses Application in Two Cases from Afghanistan
Gary Bedard, CO, FAAOP
Service personnel who are wounded in active theaters of military operation present unique cases for the application of stance control orthoses. The patients typically have lower incidence of comorbidities than the civilian population, and are generally younger and have a higher level of physical fitness, making them ideal candidates for the application of this orthotic technology.
  F18 Free Papers: Lower Limb Orthotics  (F18)
Contralateral Limb Reduction Using Orthotronic Mobility System during Ramp and Stair Descent
Curt Kowalczyk, CO
Compared to conventional stance control orthoses (SCO) technology, Orthotronic Mobility Systems (OMS) offer the reduction of load of the contralateral limb during ADLs such as stair and ramp descent. In this study, the C-Brace is compared to hip activated SCOs. This is a six subject study.
4:30 PM - 6:30 PM   Poster Presentation
Perceptions of Prosthetics and Orthotics Research within the Prosthetics and Orthotics Community
Stefania Fatone, PhD, BPO (Hons)
    Poster Presentation
Role of Socket Design, Flexibility, and Suspension in Transfemoral Sockets during Walking
Stefania Fatone, PhD, BPO (Hons)
    Poster Presentation
The Effect of the C-Leg on Sensory Dependency during Posturography
M. Jason Highsmith, DPT, CP, FAAOP
    Poster Presentation
Bibliometric Analysis of Articles Published in JPO from 2009 to 2011
Rebecca Miro, MBA, CRA
    Poster Presentation
Voluntary-Opening/Voluntary- Closing Body-Powered Terminal Device Provides Cosmesis and Function
Jon Sensinger, PhD
    Poster Presentation
Considerations when Using Force Sensitive Resistors to Measure Socket Interface Pressure
Joan Sanders, PhD
    Poster Presentation
Using Computed Tomography Data to Quantify Amputee Socket Fit
George Papaioannou, PhD
    Poster Presentation
Interdependent Medical Specialists and Optimal Upper Limb Traumatic Amputation Prosthetic Outcomes
Tiffany Ryan, MOT, OTR/L
    Poster Presentation
A Push-Up Device for Transhumeral Amputees
Matthew Wernke
    Poster Presentation
Evaluation of Pressure Relief Ankle-Foot Orthosis in Individuals with Hemiparesis Using Three- Dimensional Gait Analysis
Joseph Whiteside, CO
    Poster Presentation
Correlations between Anthropometrics and Joint Moments in Sitting and Standing of Transfemoral Amputees
Derek Lura
    Poster Presentation
A Novel Socket Design with Volume Adaptation Properties
George Papaioannou, PhD
    Poster Presentation
Expandable Inner Sockets for Symes Amputation
Eddy Fuentes, CPO
    Poster Presentation
The Electric Terminal Device (ETD): Ten-Year Review
Harold Sears, PhD
    Poster Presentation
Can the Michelangelo Hand Improve Acceptance Rates for Upper Limb Prostheses?
Dan Conyers, CPO, FAAOP
    Poster Presentation
Effects of a WalkAide Home Assessment Program on Walking Ability and Quality of Life in People with Multiple Sclerosis: A Preliminary Report
Helen Rogers, PT, PhD
    Poster Presentation
Using Orthotics to Advance Motor Skills in a Child with Noonan’s Syndrome: A Case Report
Jennifer Parent-Nichols, MSPT, DPT; Deborah Nervik, DHS, DPT, PCS
    Poster Presentation
Quantitative Diagnostic Tool for Determining Physiological Best Fit of Prosthetic Liners
Aaron Fitzsimmons, OTR, CP
    Poster Presentation
The Value of Treating Sagittal Plane on 3-D Spine Deformity
Jose Miguel Gomez, MD, LO
    Poster Presentation
Distal Pressure Difference Between Airtight and Non- Airtight Locking Sockets
Travis Dean
    Poster Presentation
Practical Management of Cuboid Syndrome
Shana Garland
    Poster Presentation
Comparison of an Advanced Ground Reaction Design Ankle Foot Orthosis and a Traditional Articulated Ankle Foot Orthosis on Gait, Balance, and Muscle Activation in Individuals with Hemiparesis
Jill Seale, PT, PhD, NCS
    Poster Presentation
Carter Cuff
Andrew Cuff
    Poster Presentation
Monitoring Metabolic Energy Expenditure via the Prostheses of Lower Extremity Amputees
Eileen Krepkovich
    Poster Presentation
Lifecasting in O&P
Melissa Burner, Brian Emling, Samer Moussa, Kevin Vines
    Poster Presentation
Walk a Mile in a Transtibial Amputee’s Shoes
Melody Van Sledright
    Poster Presentation
Custom Hinged Crank Arm
Ian McIntire
    Poster Presentation
Follow-up Study on the Use of Charcot Resistant Orthotic Walkers
Bill Carlton
4:30 PM - 5:45 PM PD3 Professional Development
Management in a Changing Workforce
Joyce Perrone
As the demographics of your workforce change, managers must adapt to develop strong relationships. This session will feature discussion with questions and answers on management challenges.
Time Program Code Friday, February 22
8:15 AM - 9:45 AM OS6 Organized Session
Improving Outcomes for Patients with Orthotic Lower Limb Trauma
Ryan Blanck, CPO; Jason Wilken, MPT, PhD; Johnny Owens, MSPT, LTC; Joseph Hsu, MD
Individuals with severe lower limb trauma as the result of combat injuries commonly undergo multiple surgical procedures and extensive rehabilitation. Individuals who require limb reconstructive procedures have traditionally demonstrated a persistent decrease in physical function. Recent advances in orthotic technologies and intensive rehabilitation, however, have increased the level of mobility and resulting function patients can expect to achieve. Researchers will provide an overview of recent advances in orthotic technologies, associated scientific evidence, and experience gained in the rehabilitation and assessment of patients using these novel devices. Presenters will also discuss the basic mechanics behind the function of the devices, identify techniques for maximizing mobility and physical function, and look ahead to upcoming developments. Discussions will focus on recent developments in orthotic technologies and ramifications for the treating clinician who may encounter patients using these devices.
  OS7 Organized Session
Amputee Pain
Jack Tsao, MD; Heikki Uustal, MD; Aaron Jacobsen, CO
Pain is a part of life for many amputees before and after their amputation. This session explores the pain that the amputee and clinician encounter throughout treatment. We will discuss different types of pain treatments available as well as look at pain management from the prosthetist’s point of view.
8:15 AM - 9:45 AM F19 Free Papers: Lower Limb Prosthetics  (F19)
Does a Prosthetic Leg Provide a Paralympic Athlete with an Advantage in the Individual Pursuit?
Lee Childers, MSPO, PhD
This project explores whether a prosthetic limb user has a competitive advantage against someone with intact limbs in Paralympic and Olympic cycling events. The controversy over Oscar Pistorius’ alleged advantage was resolved by investigation specific to his event and prosthesis. This research investigates whether Paralympians are at an advantage in other sporting events.
  F20 Free Papers: Lower Limb Prosthetics  (F20)
Do Prosthetic Running Feet Give Transtibial Amputee Runners an Unfair Advantage Compared to Non-Amputee Runners?
Larry Mengelkoch, PhD, PT
Controversy has erupted over claims that running-specific energy storing and return (ESAR) blade prosthetic feet provide amputee runners an unfair biomechanical and energy expenditure advantage. The purpose of this study was to compare energy costs of walking and running for TTA runners using traditional and ESAR prosthetic feet to matched non-amputee runners in order to clarify performance benefits of ESAR prosthetic feet.
  F21 Free Papers: Lower Limb Prosthetics  (F21)
Prosthesis Alignment and Uneven Terrain
Mark Geil, PhD
Prosthetic components, even if they are perfectly suited for an individual with limb loss, cannot function optimally if misaligned. It is possible that the gait of individuals with misaligned prostheses might appear suitable on even terrain but unsatisfactory when they are challenged by uneven terrain. This case series tested the hypothesis that transverse plane alignment changes would produce changes in kinematic and kinetic parameters of gait on uneven terrain but that such gait changes would not be evident on even terrain.
  F22 Free Papers: Lower Limb Prosthetics  (F22)
Tibiofibular Bone Bridging (Ertl Procedure) Kinematics Assessment Using Dynamic Stereo Radiography
George Papaioannou, PhD
This study aims to assess from the biomechanics perspective the effects of bone bridging procedures and the kinematic behavior of the socket-residual limb interface using biplane dynamic radiography (DRSA) instrumentation.
  F23 Free Papers: Lower Limb Prosthetics  (F23)
Orthonormality as a Tool for the Improved Interpretation of iPecs™ Kinetics Measurements
George Papaioannou, PhD
This study underlines a technical bottleneck in the interpretation of information collected by the iPecsTM device based on extensive application of this tool in various study designs. A method to improve upon accuracy and deliver appropriate device calibration is presented.
8:15 AM - 9:45 AM PD4 Professional Development
Roadmap to Success—Is Your Company Headed in the Right Direction?
Rob Benedetti
Establish “guard rails” for your company in the form of internal, personnel, and organizational controls, discuss company culture, learn about succession planning, effectively manage Generation X and Generation Y employees, and hear healthcare law and federal tax updates for 2013.
8:15 AM - 9:45 AM   Technician Program
Thermoforming and Plastic
Gary Bedard, CO, FAAOP
8:15 AM - 8:30 AM   Pedorthic Program
Introduction, Welcome, and Practical Pedorthics
Seamus Kennedy, CPed, BEng (Mech)
8:30 AM - 10:00 AM   Pedorthic Program
Foot Exam Assessment Tools and Techniques
Rick Sevier, BS, CPed, BOCO
9:45 AM - 10:15 AM   Technician Program
Carbon Infused Polypropelene: Introduction of a Thermoplastic PrePreg Compatible with Vacuum Forming
Gary Bedard, CO, FAAOP
9:50 AM - 11:20 AM OS8 Organized Session
Learn Reported Outcomes for Your Adult and Pediatric Patients
Jim Wynne, CPO, FAAOP; Stefania Fatone, PhD, BPO (Hons); Curt Bertram, CO, FAAOP; Brian Kaluf, BSE, CP
This interactive session will begin with an overview of patient-reported outcome measures by answering the following questions:
  • Does our intervention really matter?
  • What are the patient’s and family’s perspectives on the interventions?
Presenters will discuss the importance of the Health Related Quality of Life Measures (HRQUOL) tool. Session attendees will discuss the International Classification of Functioning, Disability and Health (ICF), examples of HRQUOL measures and challenges, as well as the Pediatric Outcomes Data Collection Instrument (PODCI) and Pediatric Quality of Life Inventory (PEDSQL) instruments. Session participants will be divided into groups to discuss how to access information on outcomes measurement, how to access and effectively use PubMed Central, how to set up a patient survey online or in-clinic, and how to use the Orthotic and Prosthetic Users Survey (OPUS), PEDSQL, and PODCI. Presented in cooperation with the Academy’s Outcomes Research Committee.
  OS9 Organized Session
OPERF Showcase
The Orthotic and Prosthetic Education and Research Foundation (OPERF) Showcase highlights research conducted with support from OPERF. Investigators, students, and residents will give an overview of their OPERF-sponsored research. The featured presenters are listed here.
Moderator: Brian Hafner, PhD
Small Grant Award Recipient
Minimizing Bracing in the Treatment of Idiopathic Toe Walking
Mark Geil, PhD
Kinsey Herrin, MSPO, CO

Resident Travel Award Recipients
Effect of Compliance Counseling on Brace Success in Patients with Adolescent Idiopathic Scoliosis: A Preliminary Report
Abbey Meyer, CO, LO
Treatment Options and Outcomes for Lower Extremity Bone Tumors
Megan Zachar, MSPO, CO
9:50 AM - 11:20 AM F24 Free Papers: Lower Limb Prosthetics  (F24)
Describing the Gait Cycle of Bilateral Transfemoral Amputees—A Preliminary Analysis
Michael Carroll, CO
The purpose of this study was to describe the gait cycle of community ambulators with bilateral transfemoral amputations (BTFA).
  F25 Free Papers: Lower Limb Prosthetics  (F25)
Can Unilateral Transfemoral Amputees Adopt a Symmetric Gait Pattern?
Seok Hun Kim, PT, PhD
The literature has not established a gait training method for people with lower limb amputation. In this case report, researchers present a novel gait training program using a split-belt treadmill to improve gait symmetry in people with unilateral transfemoral amputation.
  F26 Free Papers: Lower Limb Prosthetics  (F26)
Functional Significance of a Biomimetic Hydraulic Ankle/ Foot System
Edwin K. Iversen, ME
This paper presents gait lab data and a user survey from individuals with lower limb amputations who use a biomimetic hydraulic ankle/foot system. This data and the user survey show improved symmetry of gait, reduced proximal joint loadings, improved comfort, and perceived stability over previously used systems.
  F27 Free Papers: Lower Limb Prosthetics  (F27)
Movement Optimization for Transfemoral Amputees Using an Integrated Microprocessor- Controlled Limb
Nadine Stech, Dipl.-Ing.
An integrated microprocessor-controlled limb consisting of a microprocessorcontrolled hybrid knee joint and a self-aligning microprocessor-controlled ankle-foot joint provides new control possibilities. Results of the biomechanical analysis of a gait study show the importance of controlled interaction between knee and foot joint as parameters such as surface, speed, and internal resistance values influence the biomechanical dynamics of transfemoral gait.
  F28 Free Papers: Lower Limb Prosthetics  (F28)
Does the C-Leg Improve Ramp Descent Quality and Can the HAI Reliably Measure the Change?
Jason Kahle, CPO, FAAOP
This study evaluated performance differences between the C-Leg and conventional knees while walking down ramps as well as the inter-rater reliability of the Hill Assessment Index.
  F29 Free Papers: Lower Limb Prosthetics  (F29)
Quantifying Variations in Prosthetic Sock Thickness over Time
Krittika D'Silva
This study investigated how prosthetic socks change in thickness over time with regular use. A total of 37 used socks from 20 subjects were tested over a nine-month period. Results showed that multi-fiber socks (socks that had a soft synthetic component, e.g., Lycra Spandex) tended to decrease in thickness more quickly than single fiber socks (socks of one material without a soft synthetic component). Stress-strain response between new and used socks was consistent for both single- and multi-fiber socks.
10:00 AM - 11:30 AM   Pedorthic Program
Manufacturing Techniques for Foot Orthotics and Casting Professional Athletes
Bill Meanwell, CPed
10:00 AM - 11:00 AM SE2 Special Event
Future Political Climate for Healthcare
Bruce “Mac” McClellan, CPO, LPO,; FISPO, FAAOP, Academy President; Peter Rosenstein, Academy Executive; Director
Discuss with the Academy’s president and executive director the current political climate as it relates to healthcare and the potential impact on the O&P profession.
10:15 AM - 11:30 AM   Technician Program
Fabrication of an Expandable Liner Socket for the Symes Amputation
Eddy Leopoldo Fuentes, CPO
11:30 AM - 1:30 PM   Technician Program
Lunch in Exhibit Hall
11:45 AM - 12:15 PM   Product Display
Inception Liners—Providing Enhanced Gel Durability and Silicone Performance
Sponsored by: Freedom Innovations
12:15 PM - 12:45 PM   Product Display
The New SiOCX® Socket System and Prepreg Applications from Ottobock
Sponsored by: Ottobock
12:45 PM - 1:15 PM   Product Display
Braided Technology
Sponsored by: Friddle’s Orthopedic Appliances, Inc.
1:30 PM - 2:30 PM   Technician Program
Single-Stage Lamination Techniques Utilizing Structural Adhesives
Scott Wimberley, CPA, CTPO
1:35 PM - 3:05 PM OS10 Organized Session
A Road Map to the Effective Management of Spinal Cord Injuries
Steven Kirshblum, MD; Candy Tefertiller, DPT, ATP, NCS; Darrell Musick, PT; Hans Schaepper, CPO
This session offers a practical review of the state of the profession. The program concentrates on the considerations for the long-term management of spinal cord injuries in the context and use of different rehabilitation tools with a focus on powered exoskeletons, including a live demonstration. Also featured is an open forum and discussion on the role of the orthotist and prosthetist in this process.
  OS11 Organized Session
Lower Limb Sports Prostheses
Lee Childers, MSPO, PhD; Peter Harsch, CP; Randall Whiteside, CP
This session will focus on the design, alignment, and training of running and cycling prostheses. A presentation on the specifics of funding by third-party payers or nonprofit foundations for these devices will be included. A panel of experts will be available for a discussion following each presentation.
1:35 PM - 3:05 PM F30 Free Papers: Lower Limb Prosthetics  (F30)
Prosthetic Liner Prescription Assistant
John Cagle
Researchers developed a set of tests to characterize liner materials and to deliver results in a clinically helpful interface. Materials were characterized for their compressive resistance, shear resistance, stretch resistance, adherence, volume accommodation, and durability. Results showed that gel liners deformed by “flowing” when stressed, maintaining a nearly constant volume in extension, compression, and shear. Some materials were up to three times stiffer when compressed at walking rates compared to standing. Results are online in the Prosthetic Liner Prescription Assistant (PLPA).
  F31 Free Papers: Lower Limb Prosthetics  (F31)
Silver-Based Antibacterial in Silicone Liner Material
Chuck Polta
This presentation investigates whether a silver-based antibacterial additive formulated into silicone liners protects them from bacterial contamination and resultant odors while maintaining standard liner function.
  F32 Free Papers: Lower Limb Prosthetics  (F32)
Core Temperature in Relation to Skin Temperature in a Unilateral Transtibial Amputee
Jeremy Farley, CPO/L
This case study investigates the relationship between skin temperature and core temperature in a unilateral transtibial amputee during a walk/run/ walk cycle. Implications for management of exercise-induced heat exhaustion in individuals with amputations will be discussed.
  F33 Free Papers: Lower Limb Prosthetics  (F33)
An Analytic Approach to Assessing Transfemoral Socket Flexibility
Oluseeni Komolafe, PhD
Despite continued development of flexible socket systems, there remains a need for formalization of the criteria defining socket flexibility. The goal of this work is to adopt clinical input in the form of defining functional regions to an analytic process that seeks to provide guidelines for characterizing transfemoral socket flexibility.
  F34 Free Papers: Lower Limb Prosthetics  (F34)
Effect of Socket Characteristics on Coronal Plane Stability during Gait in Persons with Unilateral Transfemoral Amputation
Stefania Fatone, PhD, BPO (Hons)
The purpose of this study was to use the Marlo Anatomical Socket to systematically evaluate the contribution of ischial ramal containment and medial soft tissue compression to coronal plane stability during gait in persons with unilateral transfemoral amputation. Researchers recorded socket comfort score, walking speed, stride width, coronal plane pelvic range of motion, maximum lateral trunk lean in prosthetic stance, and transverse plane prosthetic limb rotation during swing for each socket condition.
  F35 Free Papers: Lower Limb Prosthetics  (F35)
Patient Reported Outcome Measurement Information System Profiles of Persons with Lower Limb Loss
Brian Hafner, PhD
The National Institutes of Health (NIH) supported the development of the Patient Reported Outcome Measurement Information System (PROMIS), a suite of reliable, precise, and clinically meaningful self-report instruments that measure varying aspects of physical, mental, and social health. The PROMIS-29 brief profile was administered to 942 persons with lower limb loss in a national cross-sectional study. Results show that persons with limb loss significantly differ from U.S. general population norms in several important health domains, including physical function, pain interference, fatigue, and social role satisfaction.
1:35 PM - 2:35 PM UL1 Certificate Programming: Contemporary Management of the Upper Limb Prosthetic Patient  (UL1)
Management of the Pediatric Upper Limb Prosthetic Patient
Robert Lipschutz, CP
The presenter will provide an overview of the special considerations for the pediatric upper limb patient, including upper-limb congenital deficiencies, traumatic and disease-related amputation, and what to consider as the patient ages.
1:35 PM - 2:10 PM   Pedorthic Program
Successfully Dispensing Foot Orthotics
Seamus Kennedy, CPed, BEng (Mech)
1:35 PM - 3:05 PM   ABC Facility Accreditation
Be Prepared for Your Accreditation Survey
2:10 PM - 3:10 PM   Pedorthic Program
Presentation of Ongoing Research at GA Tech
Geza Kogler, PhD, CO
2:30 PM - 3:10 PM   Technician Program
Fabrication of a Dynamic Elevated Prosthetic Socket
Glenn Hutnick, CPO, CTP, FAAOP
3:10 PM - 4:10 PM   Technician Program
Break in Exhibit Hall
3:10 PM - 3:40 PM   Product Display
The Hosmer Raize Microprocessor Ankle
Sponsored by: The Fillauer Companies, Inc.
3:40 PM - 4:10 PM   Product Display
Introduction to Advanced Technologies by Össur
Sponsored by: Össur Americas, Inc.
4:10 PM - 5:10 PM   Technician Program
Lean Manufacturing in O&P
Scott Wimberley, CPA, CTPO
4:20 PM - 6:30 PM SP2 Society Presentations: Gait Society  (SP2)
Novel Technology to Measure Prosthetic Users’ Gait In and Out of the Clinic
Michael Orendurff, PhD; Toshiki Kobayashi, PhD; Peter Adamczyk, PhD
This seminar discusses three new technologies of growing importance to real-world applications: (1) momentand force-logging lower-limb prosthetic components; (2) time-synchronized step counters with advanced activity discrimination algorithms; and (3) foot-mounted inertial measurement units with advanced processing for gait variability measurement.
4:20 PM - 5:50 PM OS12 Organized Session
Robotics, Exoskeletals, and Orthotronic Mobility Systems for Lower Limb Dysfunction
Homayoon Kazerooni, PhD; Ann M. Spungen, EdD; Chris Toelle, LO, CO; Deanna Fish, MS, CPO, FAAOP
This symposium will discuss current and state-of-the-art technologies to treat patients with significant lower limb dysfunctions. Exoskeletal and Orthotronic Mobility Systems use microprocessors, hydraulics, advanced robotics, and mechatronic applications to provide both passive and powered devices for rehabilitation and home use. Each speaker will present on his or her experience with a different system. Case presentations, clinical data, and clinical applications will also be discussed.
4:20 PM - 5:50 PM PD5 Professional Development
Seven Billion People on Earth, What Makes You Different?
Russ Hornfisher
Every organization invests time and money to pursue new customers. In today’s challenging economic environment, sales departments are expected to do more with smaller budgets. Participants will learn simple, easy, low-cost techniques to grow sales and improve customer satisfaction.
4:20 PM - 5:05 PM DW1 Certificate Programming: Dermatology and Wound Care for Prosthetists and Orthotists  (DW1)
Dermatologic Problems in the Orthotic and Prosthetic Client—Diagnosis and Medical Management: A Dermatologist’s Perspective
James Highsmith, MD, PA
Hear the perspective of a practicing dermatologist on the diagnosis and management of O&P dermatologic skin issues.
4:20 PM - 5:05 PM   Pedorthic Program
Pedorthic Modalities for the Diabetic and Compromised Foot
Ken Noll, CO
4:20 PM - 5:00 PM UL2 Certificate Programming: Contemporary Management of the Upper Limb Prosthetic Patient  (UL2)
Upper Limb Prosthetics— The Current State of Practice
Chris Lake, CPO/L, FAAOP
This session will provide an overview of contemporary prosthetic management and will include discussion on current and future technology.
5:00 PM - 6:30 PM OS13 Organized Session
Upper Limb Reconstruction—A Surgeon’s Perspective
Brian T. Carlsen, MD
This session will highlight the surgeon’s role at each stage of treatment, with case examples and discussion of future technologies that hold promise for improving life for those with upper limb loss. Presented in cooperation with the Academy Upper Limb Prosthetics Society.
5:05 PM - 5:50 PM DW2 Certificate Programming: Dermatology and Wound Care for Prosthetists and Orthotists  (DW2)
Contemporary Principles of Wound Care in the Orthotic and Prosthetic Client: A Prosthetist’s Perspective
Aaron Fitzsimmons, CP, OT, FAAOP
Consider a practicing prosthetist’s views on the treatment of O&P skin care issues.
5:05 PM - 5:50 PM   Pedorthic Program
Shoe Modifications, How and Why They Should be a Part of Your Patient Care
Dennis Janisse, CPed
5:10 PM - 5:50 PM   Technician Program
Fabrication and Design of the RevoFit Socket System
Joseph Mahon, CP
6:30 PM - 7:30 PM   Society Forums
The Craniofacial Society
Moderator: Blake Norquist, CO, Craniofacial Society vice-chair.
Round table discussions covering Skin Issues with CRO Usage, How to Control Rotating CROs and Marketing Ideas. Beer and Wings will be provided. This is a great opportunity to meet,eat, relax and chat with practitioners around the country specializing in craniofacial issues.
    Society Forums
The Gait Society
Speaker: Cara Negri, CP
Discussion of a Software Program for Video-Based Gait Analysis
This program will illustrate the use of software that allows practitioners to analyze gait by uploading videos for side-by-side pre- and post-intervention comparisons, as well as how it can be implemented to inform treatment decisions and demonstrate outcomes. The software will be accessible through a web interface hosted by the Gait Society and enables remote clinical collaboration. One MCE credit.
    Society Forums
The Spinal Orthotics Society
Speakers:
Tom Colburn, CO, CPed, FAAOP, Spinal Orthotics Society founding member
Grant Wood, CO, Spinal Orthotics Society chair
Sun Hae Jang, CO, Spinal Orthotics Society vice-chair
Kara Davis, CPO, LO, Spinal Orthotics Society treasurer
Panel Discussion on X-Ray Analysis
This session offers an excellent opportunity for participants to hear perspectives from scoliosis professionals on using X-ray analysis to identify the best ways to prevent the progression of idiopathic scoliosis. Participants will engage in open discussions with the panelists about their interpretations, including where and how much force should be applied according to their analysis. One MCE credit.
    Society Forums
Upper Limb Prosthetics Society
Speaker: James Vandersea, CPO
Upper Limb Amputee Care in Today’s Military
The presenter, clinical manager of the Advanced Arm Dynamics team at Walter Reed National Military Medical Center in Washington, DC, provides upper limb prosthetic services and rehabilitation to American soldiers injured in Iraq and Afghanistan. Discussion will include unique cases that demonstrate the need for upper limb prosthetic specialization. One MCE credit.
6:30 PM - 8:00 PM SE3 Special Event
Medicare Documentation Compliance
Denise Winsock—NHIC, Jurisdiction A; DME MAC; Stacie McMichel–National Government; Services, Jurisdiction B DME MAC; Zita Upchurch–CGS Administrators,; Jurisdiction C DME MAC; Jody Whitten–Noridian, Jurisdiction D; DME MAC
The DME CERT Taskforce is comprised of representatives from each of the DME MAC Medicare contractors. The goal of this taskforce is to assist suppliers with documentation requirements as they relate to Medicare policies and guidelines and reduce the overall Comprehensive Error Rate Testing (CERT) error rate for improper payments. During this session, the taskforce members will discuss the most common documentation errors found by the CERT program and will provide tips on how to avoid and correct those errors.
Time Program Code Saturday, February 23
7:00 AM - 8:30 AM CT1 Clinical Techniques
Bioenergetic, Exertion, and Cardiovascular Outcomes for Prosthetic Patients
M. Jason Highsmith, DPT, CP, FAAOP; Jason Kahle, CPO, FAAOP; Larry Mengelkoch, PT, PhD
This course will familiarize the prosthetic practitioner with clinically meaningful outcome measures from a range of technical complexities that are capable of measuring exertion or energy demands during typical walking in clinical practice.
7:00 AM - 7:45 AM UL3 Certificate Programming: Contemporary Management of the Upper Limb Prosthetic Patient  (UL3)
Transhumeral Fitting Principles
Gerald Stark, MSEM, CPO/L, FAAOP
Review interface, suspension, control mechanisms, and case studies for the transhumeral patient.
7:00 AM - 8:30 AM PD6 Professional Development
Unlocking the Secrets in Your Accounts Receivable
Joyce Perrone
Also known as “Tales from a Consultant’s Notebook.” Find out how to explore the inner depths of what your accounts receivable can tell you.
7:30 AM - 8:30 AM F36 Free Papers: Lower Limb Prosthetics-Vacuum Socket Suspension  (F36)
Elevated Vacuum: Residual Limb Skin’s Exposure to Air Pressure
Maria Gerschutz, PhD
Researchers investigated the air pressure conditions experienced by residual limb skin under elevated vacuum. The effects of different vacuum pressure levels, different locations on the residual limb, and socket fit conditions are explored.
  F37 Free Papers: Lower Limb Prosthetics-Vacuum Socket Suspension  (F37)
Acute Blood Flow Response Associated with Elevated Vacuum
Maria Gerschutz, PhD
Acute blood flow in response to elevated vacuum is measured using laser Doppler flow meter in this preliminary research study. The study investigates two different vacuum pressure levels compared to a baseline.
  F38 Free Papers: Lower Limb Prosthetics-Vacuum Socket Suspension  (F38)
Utilizing Elevated Vacuum Socket Technology to Manage Residual Limb Wounds in Persons with Transtibial Amputation: A Case Series
Robert Hoskins, BS, BME
Elevated vacuum (EV)-assisted suspension appears to produce conditions that are theoretically less disruptive to wound healing inside a prosthetic socket. Each subject in this study had a wound present on his or her residual limb and was fitted with an EV socket at the start of intervention. The purpose of this case series was to measure changes in residual limb wound size over time in persons with transtibial amputation using prostheses with EV.
  F39 Free Papers: Lower Limb Prosthetics-Vacuum Socket Suspension  (F39)
How Low Can We Go? The Effect of Brim Height with Elevated Vacuum Suspension in Transfemoral Amputees
Eric Lamberg, PhD
Individuals with transfemoral amputation may benefit from vacuum-assisted suspension (VAS). This report presents preliminary results regarding the role of brim height on balance and gait. Participants were tested using their existing prosthesis and then a VAS socket with a brim at three heights. Results suggest that reducing brim height to 25 percent sub-ischial may improve balance and gait when compared to control.
7:45 AM - 8:30 AM UL4 Certificate Programming: Contemporary Management of the Upper Limb Prosthetic Patient  (UL4)
Shoulder Disarticulation Fitting Principles
Pat Prigge, CP
Review interface, suspension, control mechanisms, and case studies for the shoulder-level patient.
9:00 AM - 9:30 AM   Product Display
Advances in Pediatric Orthotic Intervention
Sponsored by: Allard USA
9:30 AM - 10:00 AM   Product Display
Advanced Orthotic Design from OTS-Fillauer
Sponsored by: Fillauer Companies, Inc.
10:00 AM - 10:30 AM   Product Display
OPIE Software
Sponsored by: oandp.com
10:45 AM - 12:15 PM OS14 Organized Session
Discussion of Sub-Atmospheric Vacuum- Assisted Suspension
Jason Kahle, CPO, FAAOP; James Highsmith, MD, PA; Glenn Klute, PhD; Michael Orendurff, PhD
This session will compare the effects of transfemoral interfaces with vacuumassisted suspension on skeletal kinematics, pressure, and preference, as well as ischial containment versus brimless. The presenters will also address sub-atmospheric wound healing and dermatological issues of the amputee. Socket and suspension effects on tissue O2 will also be discussed. In-socket moisture management using negative gauge pressure will be considered.
  OS15 Organized Session
SSC11: Microprocessor- Controlled Prosthetic Knees
Gary Berke, MS, CP, FAAOP; Mark Geil, PhD; Brian Hafner, PhD; M. Jason Highsmith, DPT, CP, FAAOP
Join us as we detail the findings of the Academy’s latest State of the Science Conference. Presenters will discuss the systematic literature review, knee classifications, and provide clinical, manufacturing, engineering, and research perspectives on the use of microprocessor knees.
10:45 AM - 12:15 PM F40 Free Papers: Orthotics  (F40)
Investigation of the Providence TLSO for Treatment of Scoliosis
Hannah Godlewski
This study examined 80 patients, all treated by the same organization with Providence nocturnal orthoses, who had varying degrees of scoliosis, including high- and low-magnitude curves. Success of bracing treatment was determined by curve magnitude at conclusion of treatment compared to initial curve magnitude and natural history data.
  F41 Free Papers: Orthotics  (F41)
Survey of Orthotic Prescription Trends for Lumbar Degenerative Disc Disease
Sandra Schechner, CP
The purpose of this study is to determine via questionnaire the extent to which orthotic management of LDDD correlates with the severity of the condition, and if the orthotic management is based on evidence or tradition, e.g., clinician preference, training, and regional trends.
  F42 Free Papers: Orthotics  (F42)
An Apparatus to Evaluate the Effectiveness of Cervical Orthoses in Restricting Neck Motion
Fan Gao, PhD
Cervical orthoses (COs) and cervical thoracic orthoses (CTOs) are commonly prescribed to restrict neck motion posttrauma or post-surgery and a better understanding of their effectiveness in neck motion restriction is essential. The objective of this study is to develop an apparatus which is capable of delivering a controlled movement to the head and neck system in the three anatomical planes and quantifying the relative head/ neck motion with respect to the trunk.
  F43 Free Papers: Orthotics  (F43)
Use of a Myoelectric Arm Orthoses to Improve Therapeutic and Functional Value for Patients with Severe Arm Dysfunction
Jonathan Naft, CPO
This presentation will discuss the results from 20 patients who currently wear a myoelectric orthoses that uses EMG/myoelectric control for an otherwise impaired upper limb.
10:45 AM - 12:15 PM PD7 Professional Development
2013 Liability Risk Management Issues Update
Ron Scott, PT, EdD, JD, MSBA
This interactive session examines current healthcare malpractice issues and preventive liability risk management strategies and tactics through real and hypothetical case presentations.
12:15 PM - 1:30 PM PD8 Professional Development
Overhead Projectors and Golden Retrievers
Russ Hornfisher
What is marketing? You may be surprised at all of the activities involved in marketing. This program provides an overview of many options businesses have at their disposal to expand sales.
12:15 PM - 1:00 PM DW3 Certificate Programming: Dermatology and Wound Care for Prosthetists and Orthotists  (DW3)
Skin Tissue Mechanics
M. Jason Highsmith, DPT, CP, FAAOP
Discuss tissue mechanics and their influence on how skin issues are treated in O&P.
1:00 PM - 1:45 PM DW4 Certificate Programming: Dermatology and Wound Care for Prosthetists and Orthotists  (DW4)
Contemporary Principles of Dermatology in the Orthotic and Prosthetic Client: A Practitioner’s Perspective
Charles Kuffel, CPO, FAAOP; M. Jason Highsmith, DPT, CP, FAAOP
Review theories and techniques used by practitioners in the management and treatment of patient skin issues.