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Home > Annual Meeting > Session Descriptions



Case Presentations


Presentation 1
Bilateral Transfemoral Prosthetic Users
Kevin Carroll, MS, CP, FAAOP
Review the fitting techniques of six highly successful bilateral transfemoral prosthetic users and how their successes can be achieved.


Presentation 2
Brittany’s First Four Years - A Case Study on Living with Cerebal Palsy
T erry J. Supan, CPO, FAAOP
Focus on a four and a half year old child with spastic diplegia secondary to cerebral palsy.


Presentation 3
To Be Announced
Details to come in the Preliminary Program Update.



Clinical Techniques


Casting a Transfemoral Amputee
Mark L. Edwards, CP
This two day, four hour, hands-on program is limited to 50 attendees to ensure each attendee receives the appropriate attention. The program will include an introduction and orientation to IC designs, patient evaluation, objective measurements, impression procedure, cast modifications, overview of transverse shape, alignment, fitting and problem solving, ending with group discussion.


Casting a Transfemoral Amputee
Mark L. Edwards, CP
This two day, four hour, hands-on program is limited to 50 attendees to ensure each attendee receives the appropriate attention. The program will include an introduction and orientation to IC designs, patient evaluation, objective measurements, impression procedure, cast modifications, overview of transverse shape, alignment, fitting and problem solving, ending with group discussion.


Gait and Physical Assessment
Robert S. Lin, CPO, FAAOP
Study patient/physical assessment skills including muscle testing, range of motion and observational gait analyses. Orthotists and a physical therapist will lead the two-part session including the discussion of four to five case studies.


Gait and Physical Assessment
Robert S. Lin, CPO, FAAOP
Study patient/physical assessment skills including muscle testing, range of motion and observational gait analyses. Orthotists and a physical therapist will lead the two-part session including the discussion of four to five case studies.



Free Papers


Paper 1
Developing Effective Orthotic Educational Materials for Patients and Your Community
Dulcey Lima, CO, OTR/L
Discuss the process of developing effective parent and community education materials.


Paper 2
Postgraduate Education by Open Learning
D. Simpson, MS
Review the current plans for the provision of postgraduate education utilizing modular courses in an open learning format allowing participants to study at their own pace.


Paper 3
Innovative Rehabilitation Village Puts Kids First
Tina L. Hittenberger, CO
Consider the Kids First Rehabilitation and Vocational Training Village in Quang Tri, Vietnam and its serving as an example of non-governmental agencies coming together to help local people emerge from adversity, drive away the legacy of war and encourage self-sufficiency.


Paper 4
Retrospective Analysis of Complication Rate Using Two Types of Adult Halo Skull Pins
Nicole M. Parent, CO, OTR, FAAOP
Discuss the results of a study comparing two types of skull pins as related to the incidence of pin loosening and pin infection.


Paper 5
Managing Neuromuscular Scoliosis with a Boston Scoliosis TLSO
Thomas H. Colburn, CO, FAAOP
Review the etiology and the pathomechanics of neuromuscular scoliosis, clinical evaluation, TLSO design criteria, and pad placement.


Paper 6
Modified Halo Superstructure Applied Preoperatively to 18 Month Old Conjoined Twins
Nicole M. Parent, CO, OTR, FAAOP
Consider the construction of a modified halo superstructure that included lateral side roll bars and was constructed from a 3D CT generated model of the twins’ bodies.


Paper 7
Re-lasting as an Alternative to Custom-Made Shoes
Dennis J. Janisse, CPed
Contemplate how re-lasting results in a shoe that can accommodate severe deformities, which might otherwise require a custom-made shoe and offers faster delivery time, better compliance and significantly less cost.


Paper 8
Skin Temperatures within Transtibial Amputee Sockets
Glenn K. Klute, PhD
Discuss the results of a study of skin temperatures within transtibial amputee sockets focusing on the fact that skin temperatures were higher near large muscle masses and at proximal locations.


Paper 9
A Logical Approach to Fitting Extremely Short Transfemoral Amputees
Kevin Carroll, MS, CP, FAAOP
View a logical approach to fitting extremely short transfemoral amputees with direct suction.


Paper 10
Amputations with Other Trauma
Sandy Fletchall, OTR, CHT, MPA
Consider the rehabilitation challenges individuals with multiple traumas such as burns or crush injuries with amputations present.


Paper 11
Update on Training Amputee Athletes and Enhancing Performance
Robert S. Gailey, PhD, PT
Be introduced to several innovative training techniques and specific exercises designed to maximize the use of the prosthesis and improve overall performance while protecting the athlete from injury.


Paper 12
Prosthetic Management for Knee Disarticulation
Gerald E. Stark, CP, FAAOP
Derive a basic overall understanding of the knee disarticulation fitting while developing referential recommendation criteria.


Paper 13
Maximizing the Functional Outcomes of the Lower Limb Amputee with Evidence Based Assessment and Rehabilitation
Robert S. Gailey, PhD, PT
View a systematic method that illustrates how the Amputee Mobility Predictor (AMP) can identify specific impairments that contribute to functional limitations and disability.


Paper 14
Prosthetic Socket Production Using 3D Printing
W.D. Spence, MS
Discuss the results of an investigation into the use of a cheaper, low-end Rapid Prototyping technology, known as 3D Printing for the manufacture of prosthetic sockets.


Paper 15
Long-Term Monitoring of Activity in the Below Knee Amputee
M.H. Granat, PhD
Evaluate the significance of the activPAL professional in the monitoring of daily activity in the below knee amputee population.


Paper 16
Biomechanical Outcomes of New Techniques and Technology in Transfemoral Prosthetics: A Case Study Approach
Christopher Hovorka, MS, CPO, LPO
Review the results of a single subject case study that was undertaken to assess the socket design of the Marlo Anatomical Socket (MAS) versus “standardized” ischial containment, hydraulic knee (Mauch SNS) versus microprocessor knee (Otto Bock C-Leg); and a dynamic elastic response foot (Otto Bock Luxon Max).


Paper 17
Cognitive Tasks Reduce Walking Speed in Transfemoral Amputees
Ava Segal
Discuss the methods and results of a study measuring the cognitive interference during walking in transfemoral amputees


Paper 18
Mobility and Comfort for Unilateral Transtibial Amputees Using a Shock-Absorbing Pylon
Jocelyn S. Berge, MSE
Review study results meant to determine if unilateral transtibial amputees were more mobile, could more easily perform everyday activities, and experienced less pain and fatigue while wearing a shock-absorbing pylon compared to a rigid pylon.


Paper 19
New Guidelines for the Diagnosis and Treatment of Deformational Plagiocephaly
Jennifer C. Cherney, MS
Be introduced to a new set of guidelines and decision tree for the diagnosis and treatment of deformational plagiocephaly.


Paper 20
Infant Car Seats, Carriers, Bouncy Seats and Swings: Their Role in Deformational Plagiocephaly
Jennifer C. Cherney, MS
Investigate the relationship between these devices and deformational plagiocephaly.


Paper 21
Managing Abnormal Tone of the Upper Extremity in Children Through Dynamic Bracing
Audrey Yasukawa, MOT, OTR/L
Examine the child with central nervous system dysfunction with whom dynamic orthotic bracing is most effective, identify common upper extremity problems associated with spasticity and joint contracture and review criteria to evaluate candidates for a casting and orthotic program.


Paper 22
Potential Conflicts of Mobility Aids with Compensatory Reactions During Postural Control
Hamid Bateni, PhD, CPO
Review results of a study investigating the specific effects of holding a mobility aid on the ability to perform adequate compensatory reactions to unexpected postural perturbation.


Paper 23
Learning to Use an Upper-Extremity Prosthesis Through Application of Motor Learning Principles
Douglas L. Weeks, PhD
Discuss two studies that applied motor learning principles of bilateral transfer and contextual interference to promote functional use of an upper-extremity prosthesis.


Paper 24
Training Individuals to Use Upper-Limb Prostheses in Personal Working Space
P. Byrden, PhD
Review the effects of training on the use of a simulated prosthetic device.


Paper 25
Grip Force Control with Voluntary Opening and Closing Upper Limb Prostheses
Steve Wallace, PhD
Examine how effectively persons using an upper extremity prosthetic simulator could produce specific grip force levels over 15 trials with and without vision.


Paper 26
A Combination VO/VC Terminal Device with Variable Mechanical Advantage
Bradley D. Veatch, PE, MS
Assess a new terminal device that has been developed offering users a choice between voluntary opening (VO) and voluntary closing (VC) operation along with variable mechanical advantage (VMA) and passive holding assist in a single unit.


Paper 27
Early Upper-Limb Prosthesis Fitting – Results of a Survey
Julie Shaperman, MSPH, OTR
Examine the results of a survey of child amputee clinics in North America that explored age and developmental factors in fitting the first prosthesis and the subsequent arm with an active operating system.


Paper 28
Shoulder Disarticulation Fitting Following Nerve Muscle Graft
Robert D. Lipschutz, CP
Review the design of a three-site myoelectrically controlled prosthesis intended to provide, for the first time, the feeling of true “natural physiological control” of a myoelectric prosthesis for an individual with an amputation above the transradial level.


Paper 29
Transhumeral Impression Techniques
Gerald E. Stark, Jr., CP, FAAOP
Examine present impression techniques with respect to use in body powered and external control systems. Advantages and disadvantages will be illustrated in application of various designs.


Paper 30
Clinical Application of the “Next Generation – Sensor Hand System”
Troy A. Farnsworth, CP, FAAOP
Consider the clinical experience of recent beta field trials for the new Sensor Hand System as well as its new features and adjustments. Review the clinical application of the “Auto-Grasp Feature”.


Paper 31
A New Electric System with Simultaneous Elbow & Hand Control
Harold H. Sears, PhD
Discuss clinical experience with both simultaneous control, the new variety of control inputs, indications of the most appropriate candidates for these features, and the training required to make use of them. Technical considerations for the development of the new system will be discussed and the implications for a practitioner fitting a new candidate.


Paper 32
The Transradial Anatomically Contoured Interface: Design Principles and Methodology
John M. Miguelez, CP, FAAOP
Review the Transradial Anatomically Contoured (TRAC) interface and how it incorporates design elements from both the Muenster and Northwestern interfaces with more aggressive contouring of the anatomy to maximize load tolerant areas of the residual limb as demonstrated by the radiological analysis.



Instructional Courses


Instructional Course 1
Current Trends in Pediatric Orthotics
Kenneth Guidera, MD; Dulcey Lima, CO, OTR/L
Discuss current accepted and newer orthotic modalities in children including both upper and lower extremity prescriptions. The use of motion analysis will be incorporated as well. Case presentations and audience participation will round out the program.


Instructional Course 2
Scoliosis Radiographic Evaluation: Focusing on Centralizing Alignment
Keith M. Smith, CO, LO; Thomas H. Colburn, CO, FAAOP; Thomas M. Gavin, CO; Jose Miguel Gomez, MD; C. Ralph Hooper, Jr., CPO
Radiographic evaluation of scoliosis shall be reviewed in depth with a focus on centralizing alignment beginning with initial evaluation, to blueprinting of orthotic forces, to “in orthosis” evaluation. Classification systems of scoliosis shall be reviewed with emphasis on the Lenke classification.


Instructional Course 3
Prosthetic Management of the Amputee Athlete
Robert S. Gailey, PhD, PT; D. Kurt Collier, CP; Rick Stapleton, CP
Learn different approaches to managing amputee athletes involved in competitive and recreational sports. A multidisciplinary perspective will be provided by prosthetists and a physical therapist. Athletes’ perspectives and experiences will also be shared. The evolution and development of modern components, socket designs, materials, and techniques that have helped improve performance and in some cases may reduce injuries for amputee athletes will be reviewed.


Instructional Course 4
Orthotic Technology Forum
David G. Kline, MD
Managing Peripheral Neuropathies in the lower extremity peripheral nerve injuries to the lower limb present a perplexing problem to the orthotist. An isolated nerve injury will often times affect a specific muscle group in the lower limb. Not having complete paralysis in the limb requires an orthosis that will not block function. The orthosis must selectively add stability or assistance in the gait segment that is affected by the neuromuscular deficit.

Review the various etiologies that lead to peripheral neuropathies, the surgical intervention, prognosis and case studies that illustrate the use of enhanced gait orthoses with David G. Kline, MD, a Boyd Professor and Chairman of Neurosurgery at the Louisiana State University School of Medicine in New Orleans.


Instructional Course 5
Prosthetic Technology Forum
Dale Berry, CPO, FAAOP
Review the latest innovations and applications in prosthetic technology.


Instructional Course 6
Report on the Post-Operative Management of the Lower Extremity Amputee Consensus Conference
Doug Smith, MD; Gary M. Berke, MS, CP, FAAOP
In March of 2003, prosthetists, orthopaedic surgeons, physiatrists, physical therapists, and peer counselors convened a Clinical Standards of Practice Consensus Conference (CSOP). Seventeen professionals gathered to objectively evaluate the current literature and standards of care in the post-operative period following major lower limb amputation. This report reveals the discussions and recommendations for future study and care.



Practice Management Certificate Program


Program 1
Coding Beyond the Numbers – Ethics in cODING
Steven S. Levin, CO
An introduction to the concept of “ethics” and how it relates to the topic of coding. Where do you fall on the “Ethics-O-Meter”?


Program 2
Accounts Receivable Management
Joyce J. Perrone
Get tips on how to keep the cash flow moving to maintain a profitable business.


Program 3
Marketing Your Practice
Russell J. Hornfisher
Competition is tough. Gain insight on how to make your practice stand above the rest.


Program 4
Employee Management
Russell J. Hornfisher
Employee loyalty and length of service are key to the success of any company. Learn more about keeping your employees happy in the workplace.



Professional Development


Paperless Office Management


Fantasy, Fact & Finances: Planning Your Retirement


Who Moved My Jambalaya?


Overhead Projectors and Golden Retrievers



Symposia


Symposium 1
Practitioner/Patient Interaction: How to Avoid and Resolve Conflicts
Alice Kahle, PhD; Stephanie L. Minvielle, LCSW
When patients test our patience, maintaining positive relationships can be difficult. Some patients in particular seem to frustrate our best effort at getting along. This symposium will focus on some of the interpersonal challenges practitioners face. Practical strategies for preventing conflicts, and resolving them effectively when they occur, will be presented.


Symposium 2
Orthotic Management of the CVA/Stroke Patient
M.E. Condie, Moderator and Chair, University of Strathclyde, Glasgow, Scotland; David J. Hoy, CPO; Deanna J. Fish, CPO; Nicole Parent, CO, OTR, FAAOP
Stroke is an important disease and a leading cause of severe, long-term disability; it is a common problem that disrupts the lives of approximately 600,000 people in the U.S. each year. Focusing on the contemporary orthotic management of stoke patients, the presenters will provide the audience with an understanding of the disease and recovery process and how orthotic management can be utilized to optimize patient function.


Symposium 3
Dual Issues: Amputee Obesity and the Current Popularity of Lightweight Prostheses
Bill Contayannis
Discuss the growing problem of obese patients and the structural loads they apply to custom prostheses and orthoses. Review the primary factors that lead to structural failure of custom O&P devices and present practical suggestions on how to minimize these risks practical suggestions on how to minimize these risks analyzing orthoses and prostheses that have failed in clinical use. The presentation will be conducted via real-time video-conferencing from Australia and will include a live interactive question and answer session between the audience in New Orleans and the mechanical engineer in Melbourne.


Symposium 4
The Transdisciplinary Team: Its Evolution and Future
David G. Mueller, PT, CPO, FAAOP
Discuss the individual roles of the team members, including physicians, therapists, nurse case managers, phyicians assistants, and practitioners in the team process and their visions on how we can further improve team dynamics to produce better patient outcomes. Clinical approaches and philosophies will be discussed. Audience interaction is strongly encouraged.


Symposium 5
State of the Science: The Importance of Outcomes Measurement, Consensus Conferences and the Creation of a Scientific Base
Jeffrey A. Nemeth, CPO, FAAOP; Christopher Lake, CPO, FAAOP; Christopher Morris, MS; Kenton Kaufman, PhD, PT
Discuss the future of research in orthotics and prosthetics as well as evidence-based outcomes in the areas of upper-extremity prosthetics and microprocessor-controlled prosthetic knees. This symposium will also present a model by which practitioners can see the value and importance of outcome measurements on their individual practices, markets and the profession as a whole.


Symposium 6
Meeting Orthotic & Prosthetic Needs in Developing Countries
Melvin L. Stills, CO; Donald R. Cummings, CP
Learn of the significant need for ongoing prosthetic/orthotic services in developing countries where most who need services are the rural or urban poor who cannot afford them. Speakers with extensive international experience will emphasize the humanitarian need but also focus on how getting involved can be relevant to your day-to-day practice.



Thranhardt Lecture Series Finalists


Lecture 1
Medial Ramus Containment Socket Design for Transfemoral Prosthesis
Marlo Ortiz
Participate in a session focusing on a variation of ischial containment socket design which modifies the shape and trim line of the AK socket to provide superior cosmesis, improves ROM, sitting comfort and gait in transfemoral amputees.


Lecture 2
The Efficacy of Cervical Thoracic Orthoses in the Control of Cervical Spine
Jeffrey A. Nemeth, CPO, FAAOP
Be the first to hear the results of this unique study using fluoroscopy and roentegram plain films of cadavers to measure how much motion occurs from supine to upright and what characteristics of the orthosis contribute to the occurrence of motion.


Lecture 3
Virtual Reality, Phantom Limb Pain & Prosthetic Embodiment: The Development of Phenomenologically Authentic Virtual Reality Technology for Treatment of Phantom Limb Pain and Adaptation to a Prosthetic Limb
Malcolm MacLachlan
Review the first application of the “mirror reflection” technique to people with amputations. Discuss the use of this technique in the treatment of phantom limb pain and facilitating adaptation to prosthesis.


Lecture 4
Coronal Plane Trunk Shifts and Decompensational Perspectives in a New Design of an Asymmetrical TLSO Module
Keith M. Smith, CO, LO
Address the importance of paying particular attention to the overall spine balance, specifically the coronal plane, in the treatment of adolescent idiopathic scoliosis.









The 2004 Exhibit Hall Map and Preliminary Program require the free Adobe Acrobat Reader to view.


 

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