Session Descriptions

Case Presentations


CP1
Raising the Bar in LE Tone Treatment
David Eckhous, CO


CP2
First Phase Prosthetic Rehabilitation — Thermoplastics
Al Pike, CP


CP3
Supramalleolar Orthotic Options for Low Unbar Spina Bifida
Vikki Stefans, MD, Patrick McNally, CPO


CP4
Orthotic Management of a Triplanar Knee Deformity in a Geriatric Patient
Robert S. Lin, CPO, FAAOP



Certificate Program Modules (U-L)


U-L 1
Upper-Limb Assessment Protocols (MODULE 1)
Randall D. Alley, CP
Discuss the unique set of protocols for the upperextremity amputee. Discuss evaluation and assessment methods. Address the psychological, physical and social issues.


U-L 2
Pediatric Upper-Limb Considerations (MODULE 2)
Terry Supan, CPO, FAAOP
Address the critical issue of treating the child with upper-limb loss as a child and not a small adult. Discuss the physical and social issues associated with the limb loss for both the child and parents. Consider the options available for fit, function and therapy.


U-L 4
Harnessing Principles and Methods (MODULE 4)
John W. Michael, CPO, FAAOP, FISPO
Address the multiple harnessing principles and methods currently in practice.


U-L 5
Microprocessors in Upper-Limb Prosthetics (MODULE 5)
Christopher Lake, CPO, FAAOP
Consider the evolution of myoelectrics and the theory of microprocessors.



Concurrent Symposia


S1
High Tech Orthotic Knees — Overview of New Advances in Orthotic Knee Joints: Panel Discussion
James Campbell, PhD, CO; Michael Leach, CPO; John Michael, CPO, FAAOP, FISPO; Gerald Stark, CP, FAAOP
After a low of several decades the orthotic profession has seen an influx of new knee joints. The function and design will be discussed.


S2
Evolution of Ischial/Ramus Containment Socket
Marlo Ortiz
Participate in a session focusing on a variation of ischial containment socket design which modifies the shape and trim line of the A/K socket to provide superior cosmesis, improves ROM, sitting comfort and gait in transfemoral amputees.



Free Papers


F1
Rigid Post Operative Halo/Arm Fixation for Pedicled Direct Vascular Cranial Graft
Nicole Parent, CO, OTR
Review a case presentation of an eighty-six year old man with squamous cell carcinoma and a subsequent flap attachment of volar aspect of forearm to frontal scalp directly over sagittal sinus.


F2
"Pin Heating Phenomena" with Use of Halo Fixation in the MRI
Jeff A. Nemeth, CPO, FAAOP
Discuss the observed and documented incidences of complication, componentry evaluation and outcomes and an introduction to current research directions specifically the development of a ceramic-tipped halo pin and glass fiber ring.


F3
Sterile Mid-Procedure Halo Application to Address Severe Cervical Flexion Deformity Secondary to Ankylosing Spondylitis
Nicole Parent, CO, OTR
Review a study of five patients with posterior C7-T1 osteotomy/fusion with mid-procedure halo application and postoperative orthotic management.


F4
Motion Analysis of Comparative AFO Designs: A Single Case Study
David J. Hoy, CPO, LPO
Review study results to determine whether a post CVA right side hemiplegic patient exhibited a more normalized gait pattern with a full-length thermoplastic AFO or supramalleolar type AFOs.


F5
Knee Disarticulation Design
Jason Khale, CPO
Learn how to cast, modify, fabricate and fit a patient to better accommodate the placement of knee center and increase the comfort.


F6
Tricks of the Trade
Jason Khale, CPO
Examine fabricating and fitting techniques of all levels of prosthetic design.


F7
Golf: The Perfect Prosthetic Rehabilitation Therapy
Robert Gailey, PhD, PT
Illustrates rehabilitation techniques designed to maximize prosthetic use, improve physical conditioning and get the amputee back on the golf course.


F8
Instantaneous Shape Capture for O&P
Raymond Francis, CP
Introduction of a new shape-capturing system which captures an accurate image of the limb so fast that amputees need only hold the limb in place for few seconds.


F9
Approaches to Post Graduate Education in Prosthetics and Orthotics
Christopher Hovorka, MS, CPO, LPO
Discuss the current system of prosthetics and orthotics education and its ability to address future O&P needs.


F10
The Carlyle Formula and Other Body Proportion Guidelines
Gerald Stark, CP, FAAOP
Review an effort to validate the Carlyle formula and other body proportion guidelines.


F11
Streamlining Patient Care Practices Through Electronic Data Transmission
Dulcey Lima, CO, OTR/L; Deanna Fish, MS, CPO
Determine the feasibility and efficiency of incorporating a hand-based computer system into daily practice procedures.


F12
Improvisation and Custom Fabrication — Creating Unique Solutions
Davin Heyd, CO; Deanna Fish, MS, CPO
Determine the potential benefits of working closely with a central fabrication facility.


F13
Stance Control KAFO: To Improve Functional Gait
Amy Gross McMillan, PhD, PT
Consider results of a study to determine whether individuals move more efficiently using the stance control orthosis (SCO) vs. locked KAFO.


F14
Historical Analysis of Amputee Sprinting Performance
Jay Martin, CP
Discuss and compare the T44 and T42 world record progressions to that of able-bodied athletes.


F15
A Unique Application of Ballistic Motion and Linear Transducer to Control a Humeral Level Hybrid Prosthesis
Troy Farnsworth, CP, FAAOP
Discuss hybrid prosthetic designs and their part in rehabilitation options for individuals with acquired or congenital limb absence. Examine one transhumeral level hybrid design.


F16
Advancement of Upper Extremity Prosthetic Interface and Frame Design
Randall D. Alley, CP
Review highlights of recent upper extremity prosthetic improvements and innovations that result in superior comfort, suspension, stability and range of motion.


F17
Clinical Experiences with Animated Prosthetics Controller and LIMB LINK
JW Limehouse, CP, FAAOP
Discuss the clinical experience of utilizing the Animated Prosthetics Controller for electronic fittings of many transradial, transhumeral and higher level amputees. Varied control strategies will also be discussed.


F18
Evaluation Studies of New Electric Terminal Devices
Harold H. Sears, PhD
Review results of field trials on two new electric terminal devices that have been developed for use by myoelectric arm wearers including a hand version and electric hook using the same twospeed drive mechanism.


F19
The Prosthetist–Therapist Handoff: Recovering the Fumble in Upper Extremity Prosthetics
Randall D. Alley, CP; Diane Atkins, OTR
Review an approach to enhancing prosthetic outcomes by detailing the process as well as the importance of resource partnering at the initial assessment, at prosthetic delivery and at the postdelivery assessment phase.


F20
Hybrid Approach to Bilateral UE Prosthetic Rehabilitation
Troy Farnsworth, CP, FAAOP
Develop a better understanding of prosthetic options available to the bilateral Upper-Limb patient, understand the advantages of combining body powered and electric powered systems and observe several case studies where hybrid prosthetic designs have produced higher levels of functional performance.


F21
Post-Operative Management of Obstetrical Brachial Plexus Injuries
Gary G. Bedard, CO, FAAOP
Review current and past post-operative orthotic management techniques for Obstetrical Brachial Plexus Injury.


F22
Solutions for the Brachial Plexus Patient
Gerald Stark, CP, FAAOP
Gain knowledge of treatment, previous designs and new fitting philosophies to answer the unique needs of the Brachial Plexus Patient.


F23
Testing and Initial Clinical Evaluations of Ranch-Jaeco Mobile Arm Supports
Pierre Leung
Discuss new mobile arm supports and their ability to provide ease of adjustment and maintenance, low profile and attractive cosmoses and ease of motion.


F24
Pediatric Halo Management in Children Under Three Years of Age
Nicole Parent, CO, OTR
Review five cases of halo placement in children three years and younger with successful outcomes.


F25
Functional Integration of Two-Stage AFOs to Enhance Activities of Daily Living
Dulcey Lima, CO, OTR/L; Deanna Fish, MS, CPO
Gain insight into determining when a combination orthotic system would be valuable and choose the correct combination system.


F26
Managing Scheuermann’s Kyphosis with Sternal Extension and Low Profile Posterior Pads
Thomas H. Colburn, CO, FAAOP
Learn about attempts to manage Scheuermann’s Kyphosis with a low profile TLSO while maintaining the maximum in orthosis correction as determined clinically and radiographically. Biomechanics of treatment, radiographic analysis both preorthosis and orthosis and follow-up of patients treated shall be reviewed.


F27
Easy Feed Hands — Evaluation and Evolution
Pierre Leung
Discuss the recent availability of the Easy-Feed hand for infants and toddlers.


F28
Surlyn Cranial Remolding Orthoses for Post-Operative Procedures
Deanna Fish, MS, CPO; Dulcey Lima, CO, OTR/L
Discuss how different surgical procedures are used to correct craniosynostosis and hydrocephalus, understand the indications and contraindications for various orthotic designs and understand the post-operative procedures for effective patient management.


F29
Computerized System for the Alignment of Different Kinds of Prosthetic Feet Using Roll-over Principles
Andrew H. Hansen, PhD
Review results of a study to utilize the ROSA System (Roll-over Shape Alignment System) to examine the roll-over shape alignment hypothesis, which is the idea that transtibial alignment is the process of matching the position and orientation of the prosthetic foot’s roll-over shape with the invariant geometry the biologic ankle-foot system takes during walking.


F 30
The Effect of a Taluxo Prosthetic Foot on Gait Parameters and Limb Loading of Ten Non- Vascular Amputees — Final Report
Terry Supan, CPO, FAAOP
Gain insight on a study done to characterize the gait parameters in non-vascular amputees wearing the Talux. The ability of the Talux to compensate for changes in heel height was also investigated.


F31
A Predictive, Dynamic Computational Model of Transfemoral Gait for Varying Knee Components
Colleen Higgs, BSME
Discuss the computation model of the dynamics of a transfemoral prosthetic limb as a design tool to predict kinetic and kinematic outcomes associated with different knee components.


F 32
4SN1
Bobby Leaber, CP
Explore the use of the 4SNI (Four Systems in One) multipurpose adapter and its ability to allow prosthetists to interchange socket systems without remaking the prosthetic socket.


F33
Arrowhead Ankle Adaptor
Jerome P. Voisin, CP
Discuss the options and usage possibilities available to users of the Arrowhead Ankle Adaptor.


F34
An Improved Socket System for Transfemoral Amputees
Raymond Francis, CP
Discuss liner changes designed to optimize transfemoral comfort and performance.


F35
Automated Fiber Placement for Prosthetic Sockets
Douglas A. Taylor, CP, FAAOP
Explore the direct fabrication of the fiber preform over the prosthetic mold by machines.


F36
Design Considerations in Carbon Giver Composite Structures for Clinical Performance in Lower-Limb Prostheses
Roland J. Christensen, PhD
Gain insight on the scientific principles underlying commonly prescribed lower-limb components to facilitate making clinical decisions based on objective data in addition to rehabilitation acumen.


F37
Material Properties of Prosthetic Socket Materials
Sam L. Phillips, CP
Review an analysis of the material properties of materials used in the fabrication of prosthetic sockets.


F38
Development and Initial Testing of a Low Cost Energy Return Keep for Below Knee Amputee in Post Conflict Regions
Tim Bryant, PhD; Robert Gabourie, CPO (C)
Review the biomechanical data available on a comparison of the Niagara Foot and the SACH foot.


F39
Design of Prosthetic Sockets in Support of Post-Conflict Relief Efforts
Mary Beshai
Consider research done on prosthetic systems for post-conflict regions offering significant challenges in production, distribution and fitting of a large number of transtibial prosthetic systems.



Instructional Course


IC1
Pain in the Person with an Amputation
Robert Meier, III, MD


IC2
Everything You Need to Know to be HIPAA Compliant by the April 14 Deadline
Sheila Press, JD
This guide to understanding the HIPAA maze focuses on the basics of the HIPAA privacy regulations and practical applications for their implementation in O&P facilities.


IC3
Maximizing Post Amputation Rehabilitation Through Advanced, Surgical, Therapeutic and Prosthetic Techniques
John Rheinstein, CP; David Lawrence, MSPT; John Bryant, CPO; Robert N. Brown, Sr., CPO, FAAOP
This comprehensive educational experience will show how advanced techniques in surgery (the Ertl procedure), rehabilitation and prosthetics can maximize the outcome for a majority of amputation patients. In addition a brief report on the initial findings of an ongoing study will be presented for the group along with a roundtable discussion of where we go from here to follow immediately after these specialized presentations.


IC4
Evaluation of Infants with Positional Plagiocephaly: Treatment Criteria, Measurements and Casting
Deanna Fish, CPO; Aaron Sorenson, CPO; Brian Giavedoni, CP; Laura Hylton-Plank, CO; Dulcey Lima, CO, OTR/L; Ammanath Peethambaran, MS, CO
Participate in an introduction to the treatment of infants with positional plagiocephaly. Treatment criteria will be reviewed in terms of identification of different head shape deformations and classification of the severity of the condition. Patient evaluation processes and procedures will be outlined to provide a basis of monitoring or treating the condition along with visual and manual examination techniques. Casting techniques and will be the focus of the course and group participation will be encouraged.



Practice Management Certificate Program


P1
Building the Best Budget
Rob Benedetti
Learn the best and most efficient ways to create and update your office budget.


P2
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.


P3
Ethics and Legal Issues
Ronald Scott, JP, PT, OCS
What are your ethical and legal responsibilities? Gain insight on how to protect you and your practice.


P4
Who’s Checking Your Books?
Rob Benedetti
Learn the ins and outs of finance and accounting. Make sure your company is financially sound.


P5
Policies and Procedures
Joyce Peronne
Do you have the necessary policies and procedures in place in your office? Find out here.



Professional Development


PD1
Facto Tum
Russell J. Hornfisher
Who is the person in our organization that works outside of the job description and gets everything done? This is your factotist. Every company needs more of these. Find out who they are and how to get them.


PD3
Ethnography
Russell J. Hornfisher
Body language says it all. How are your patients communicating to you and what is your body language saying to them? The reaction to products and services is displayed in body language. Learn to interpret it.


PD2
Practice Analysis: Employee Development and Assessment
Steven R. Whiteside, CO, FAAOP
Learn how to assess your employees to determine their strengths and weaknesses. Use these ideas to recruit and retain valuable employees.



Society Select Presentation


SS1
CAD/CAM in Spinal Orthotics
John-Paul Donovan, CPO
Discuss the use and advances of CAD/CAM in Spinal Orthotics.


SS2
Treating High Thoracic Scoliosis Curves
Thomas Gavin, CO; Thomas Colburn, CO, FAAOP; C. Ralph Hooper, CPO; Keith Smith, CO
A variety of methods will be presented for treating high thoracic scoliosis curves. Each approach will be explained biomechanically, cases employing these methods will be reviewed and there will be an open forum for the exchange of ideas on the topic. Attendees are encouraged to bring xrays for panel review and discussion.


SS3
Overview of Ischial Containment Socket Shapes and Fitting Problems
Gordon Bosker, CP, CPed, FAAOP; Mark Edwards, CP
This workshop will present participants with a comprehensive overview of ischial containment socket shapes and fitting problems. Topics will include evaluation methods, casting procedures, modifications, fitting and alignment of ischial containment socket designs. The conclusion will discuss the rationale for specific design shapes used to achieve successful fittings.


SS 4
Clinical Experiences with Use of Advanced Composites in Lower-Limb Orthotics
Miguel Mojica, CPO
Discuss the use of advanced composites in lower-limb orthotics.


SS5
New and Emerging Technologies and Techniques in Upper-Extremity Prosthetics
Randall D. Alley, CP; Michael Tompkins; Robert Radocy; Diane Atkins, OTR
In the last decade, the field of upper-extremity prosthetics has witnessed a surge of new techniques, technologies and clinical approaches that have had a tremendous impact on how clinical care for individuals with upper-limb loss or absence is administered. An overview of advancements in several areas including voluntary closing prehensor technology, electronic micro controller innovation, progressive interface design, and a creative approach to bridging the gap between the prosthetist and occupational therapist in the context of the rehabilitation strategy will be presented. A unique upper-limb bilateral conference held in Denver in 2002 that shed new insights into the care of individuals with high-level bilateral limb loss will be discussed.



Special Feature


SF1
Academy Consensus Conference Preliminary Report on the Orthotic Treatment of Idiopathic Scoliosis and Scheuermann’s Kyphosis
Donald E. Katz, CO, FAAOP
In February 2002 the Academy hosted it’s first, in what is anticipated to be a series of, clinical standards of practice consensus conferences (CSOP) on the orthotic treatment of idiopathic scoliosis and Scheuermann’s kyphosis. The purpose of a CSOP is to analyze topics which can be considered difficult to treat or controversial in nature,as well as those where sparse literature is available to guide patient care. The process utilized for the 2002 conference will be described, with a review of the key points of consensus that were realized as a result.


SF2
Wound Care and Diabetics
Nancy Elftman, CO; John H. Bowker, MD; Ammanath Peethambaran, MS, CO; Dennis J. Janisse, CPed

O&P in Wound Management
Discuss the involvement of the practitioner in wound management clinics and specific off loading techniques.
Nancy Elftman, CO

Diabetes Mellitus: Recent Scientific Advances
Participate in a comprehensive review of the impact of diabetes mellitus on the human race. Gain useful insight into this epidemic disease that affects so many patients. Discuss the results of clinical trials, the societal burden of diabetes and its complications and the current pattern of care.
John H. Bowker, MD

Effect of Rocker Soles on Plantar Pressures
Analyze how rocker soles redistribute plantar pressures and suprasegmental forces and affect the timing of these forces. Dennis J. Janisse, CPed


SF3
Overview of the Management of the Limb Deficient Child
Kenneth Guidera, MD
This course will highlight the essentials of diagnosis and management of upper and lower limb deficiencies in the growing child. This will be a multidiscipline presentation with a didactic format plus case presentations illustrating the presentation and treatment of these patients, including surgery, prosthetic prescription and rehab issues.


SF4
ACA: Forging Ahead: Where We Are and Where We Are Going
Al Pike, CP, Paddy Rosbach, RN


SF5
Joint Government Relations and Negotiated Rulemaking Briefing
Participate in an update and discussion of the major issues facing the O&P profession in Washington.



Symposia


S3
Business Management vs. Patient Management: If “Compromise is Lose-Lose,” How Do You Choose? Sharing Factors and Strategies
Dennis E. Clark, CPO


S4
Microprocessor Knee Symposium
Rod O’Connor, CPO; William Sampson, CP; Richard Fite, CP; Dana Craig; Jim Breakey, PhD, CP; Ed Ayyappa MS, CPO, FAAOP
Participate in this informative session and panel discussion covering clinical experience with the Intelligent Knee, the C-Leg, training needs and clinical efficiencies and the learning curve involved with the microprocessor C-Leg.



Thranhardt Lecture Series Finalists


TL1
Balancing Scoliosis with Pads Superior to Apex
Thomas H. Colburn, CO, FAAOP
Review cases of idiopathic scoliosis and various approaches to treatment as well as protocols for design.


TL2
Forearm Rotation Stiffness: Efficacy of Nonoperative Management with Static Progressive Splinting
Nicole Parent, CO, OTR
Gain insight on the efficacy of a type of static progressive stretching splint for the improvement of forearm stiffness related to soft tissue contracture.


TL3
The Functional Value of Prosthetic Foot/Ankle Systems to the Transtibial Amputee
Robert S. Gailey, PhD, PT
Review results of a study to determine the functional value of prosthetic foot/ankle assemblies and the justification for using energy storage and return (ESAR) prosthetic feet.


TL4
Biomechanical Analysis of the Efficacy of Cervical Orthoses in Flexion and Extension: A Comparison of Cervical Collars and Cervical Thoracic Orthoses
Patrick Flanagan, CO
Learn results of a study on the efficacy of current cervical collars and cervical thoracic orthoses in reducing cervical intervertebral and gross range of motion in flexion and extension.