Documente Academic
Documente Profesional
Documente Cultură
com/edge
TELEREHABILITATION
P 24
BUILDING RELATIONSHIPS P 32
PROVIDING EVIDENCE-BASED CARE IN
LOW-, MIDDLE-INCOME COUNTRIES P 38
CANADIAN PIONEERS IN PROSTHETIC
OUTCOME MEASURES P 46
Cutting-edge information for the prosthetics, orthotics, pedorthics, and allied healthcare professions.
ALPS ENCP
SKIN RELIEVER
Features ALPS EasyGel
Replaces socks
High elasticity
Reduces shearing and abrasions
Softens and soothes skin
Contents
38
46
54
Viewpoint ........................................................................................ 4
Calendar ........................................................................................... 6
32
24
By Miki Fairley
32
Building Relationships
38
On Topic ........................................................................................ 62
46
Classifieds ..................................................................................... 70
Perspective ................................................................................... 80
54
MAY 2016
www.oandp.com/edge
integrated microprocessor
controlled lower limb
system.
endolite.com
US Patents #7985265- 6719807- 8574312- 9740991- 5893891- 6517585- 6719806 - 13/777,327 - 8641780 - Patents Pending
Viewpoint
Contact us
Phone: 303.255.0843
Fax: 303.255.0844
Publisher
Tonja Randolph
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Kim Espinosa
Editor in Chief
Andrea Spridgen
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Kit Frank
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E-mail: info@opedge.com
Website: www.oandp.com/edge
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MAY 2016
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Introducing...
ToeOFF 2.0
Addition
Birch
Black
Calendar
Calendar ads are published in print once a month and within 24 hours of order confirmation on
www.oandp.com/calendar. For more information or to place an ad, please contact Alyssa Lechuga
at 303.255.0843 or alyssa@opedge.com.
No additional charge for Internet placement during the months your ad runs in print!
L
O
U
I
S
I
A
N
A
LAOP 2016
June 2 4
ANNUA
L
18TH
May
PrimeFare
REGIONAL SCIENTIFIC
PrimeFare East 2016 Offers
SYMPOSIUM
a Scientific Symposium with
Hands-On Exposure for
Maximum Learning Experiences
May
Fillauer
Cailor Fleming
Comfort Products
Bulldog Tools
WillowWood
Janisse Orthotic Effects
1-888-388-5243 www.primecareop.com
May 9-14
ABC: Written and Written Simulation Certification Exams.
ABC certification exams will be administered for orthotists,
prosthetists, pedorthists, orthotic fitters, mastectomy fitters,
therapeutic shoe fitters, and orthotic and prosthetic assistants and
technicians in 250 locations nationwide. Contact 703.836.7114;
certification@abcop.org; www.abcop.org/certification
May 17-20
May 11-13
New York State Chapter of AAOP: Annual Meeting, Albany
Marriott. Contact www.nysaaop.org
May 18-19
May 16-17
May 19-20
MAY 2016
EAST
www.oandp.com/edge
Calendar
Expand Your Skills with a Leader in O&P Education!
Allard USA:
July 11-16
ABC: Written and Written Simulation Certification Exams. ABC
certification exams will be administered for orthotists, prosthetists,
pedorthists, orthotic fitters, mastectomy fitters, therapeutic shoe
fitters, and orthotic and prosthetic assistants and technicians in
250 locations nationwide. Contact 703.836.7114; certification@
abcop.org; www.abcop.org/certification
June
July 29-30
ABC: Orthotic Clinical Patient Management (CPM) Exam,
Caruth Health Education Center, St. Petersburg College, Pinellas
Park, FL. Contact 703.836.7114; certification@abcop.org;
www.abcop.org/certification
August
June 9-10
MOPA: Michigan Continuing Education Meeting, DoubleTree by Hilton
Hotel Bay City-Riverfront. Now offering pedorthic continuing education
credits. Contact 517.784.1142; www.mopa.info
June 23-24
August 1
June 24-25
August 11-12
August 12-13
Texas Chapter of the American Academy of Orthotists and
Prosthetists: Annual Meeting, Grand Hyatt San Antonio on the
Riverwalk. Contact Leslie Gray, secretary-treasurer@txaaop.org;
214.648.1006; www.txaaop.org
August 16-18
September
BOC: Examinations. BOC offers year-round testing for all
exams and no application deadlines. Apply and test when ready
and receive instant results for multiple-choice and clinical-simulation exams.
Apply now at http://my.bocusa.org
July 6-8
www.oandp.com/edge
Calendar
September 12-13
NORA: Introduction to Materials and Footwear
Modification, Salem, NH. 4 CEUs for day 1 (p.m.); 8 CEUs
for day 2 (all day). Contact www.nora-shoe.com/Nora_USA_Events_News.
Nora#ABC
November 3-5
Midwest Chapter of the American Academy: Annual Meeting
& Scientific Sessions, Hyatt Rosemont, 6350 North River Road,
Rosemont, IL (near OHare Airport). Contact mwcaaop@gmail.
com; www.mwcaaop.org
September 14-15
NORA: Introduction to Materials and Making Orthotics,
Salem, NH. 4 CEUs for day 1 (p.m.); 8 CEUs for day 2 (all
day). Contact www.nora-shoe.com/Nora_USA_Events_News.Nora#ABC
November 4-6
Pedorthic Footcare Association: 57th Annual Symposium
and Exhibition, Renaissance Atlanta Waverly Hotel,
GA. Contact Jeremy Long, 229.389.3440; j.long@pedorthics.org;
www.pedorthics.org
October
November 9-11
The New Jersey Chapter of AAOP: 22nd Annual Continuing
Education Seminar, Harrahs Resort Atlantic City. Contact Lisa
Lindenberg, 973.609.2263; director@njaaop.org; www.njaaop.com
October 6-8
December
November
BOC: Examinations. BOC offers year-round testing for all
exams and no application deadlines. Apply and test when ready
and receive instant results for multiple-choice and clinical-simulation exams.
Apply now at http://my.bocusa.org
2017
MASTER OF SCIENCE
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Applications are due on July 1 for the fall semester
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MAY 2016
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TOPP Workshops
May 21
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Industry Review
Bionic Fingertip Provides Tactile Sensations
Dennis Aabo Srensen was able to feel
smoothness and roughness in real time
with a prosthetic fingertip that was
surgically connected to the nerves in
MAY 2016
14
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MAY 2016
15
www.oandp.com/edge
Industry Review
// Research
All participants
ran slower on curves
compared with straight
running, but with different kinematics. The
able-bodied cohort
ran 1.9 percent slower
clockwise compared
with counterclockwise,
and reduced stride
length and frequency in
both curve directions
compared with straight
running. Sprinters with
an amputation ran 3.9
percent slower with
their affected leg on the
inside of the curve compared with the outside of the curve,
and also reduced stride length in both
curve-running directions, but reduced
their stride frequency only on curves
with the affected leg on the inside.
The research indicates the performance of Paralympic sprinters was
developing world. His team is using the PCAST system, which uses a
portable unit to create a customized socket without the need for specialist
technicians. The patients residual limb is first wrapped with plaster and
placed inside the PCAST unit. The unit then uses water pressure to create
a custom socket shape that will allow the prosthesis to bear the patients
weight comfortably.
The initial motivation for the project was the high number of amputees
in Cambodia and Vietnam, which are affected by landmines, said Lee,
who is working on the PCAST project trial with the Vietnamese Training
Centre for Orthopaedic Technologists, Hanoi. In these situations, groups
such as the International Committee of the Red Cross have to solve the
problem using appropriate technology that is also low in cost.
Lee said the PCAST technology is not aimed at replacing prosthetists.
This is about solving some of the problems that are unique in developing countries where there are too many amputees and not enough
professionals working in the field. Our philosophy is that if you use the
PCAST to treat the majority of patients, this leaves the prosthetist more
time to focus on those complex cases that require more specialized
expertise.
Lee fits a patient. Photograph courtesy of the Melbourne School of Engineering, the University
Editors note: This story was adapted from materials provided by the University of
Melbourne, Australia.
of Melbourne.
MAY 2016
16
www.oandp.com/edge
2016
Spring
Collection
The same industry-leading construction,
finest materials and exceptional comfort
TM
Industry Review
ABC Seeking Board
Nominations
The American Board for Certification in
Orthotics, Prosthetics and Pedorthics
(ABC) is seeking nominees for its board
of directors. The
open positions are
for director and
public member
director. Each
position entails
a four-year commitment beginning
December 1. The
deadline for submitting nominations
is June 1.
The selected directors will be voting
members of the board and will
participate in overseeing general
management of the organizations
affairs, including policy development,
governance, and budgetary matters.
Nominees for the director position
must be ABC-certified professionals
and must have a record of volunteer
involvement with ABC. Nominees
for the public member director
position must represent the interests
of consumers, O&P patients, and other
public groups. Ideal candidates will
have some experience related to the
O&P profession.
For more information or to submit a nomination,
contact Steve Fletcher, CPO/L, at sfletcher@abcop.org
or 703.836.7114, x216.
18
www.oandp.com/edge
Independent Features
Provide
Alignment adjustment for:
Toe Clearance
Shank Inclination
Heel Height
Contracture Management
Controlled mobilization of
the ankle and stabilization
of the knee through the
three rockers of gait.
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f 800-923-2537 | 248-588-2960
BeckerOrthopedic.com
Patent Pending
Industry Review
BUSINESS BRIEFS
COAPT LICENSES PURDUES
IMPLANTABLE TECHNOLOGY
Coapt, Chicago, has licensed implantable
technology from Purdue Universitys
technology transfer program, Purdue
Research Foundation, West Lafayette,
Indiana. The implantable electrodes,
developed by Purdue University
researchers, read electrical signals from
underneath the skin. With the license
to this technology, Coapt will work to
advance prosthetic limb control for
individuals with upper-limb amputations.
CPO ACQUIRES INDIANA PRACTICE
CPO Services, dba Comprehensive
Prosthetics & Orthotics (CPO),
headquartered in Peoria, Illinois, has
acquired the Center for Orthotics and
Prosthetics Excellence (COPE), located
at 759 45th Street, Suite 102, Munster,
Indiana, and 9615 Keilman Street, Suite
200, St. John, Indiana. The acquisition was
effective March 3.
OPIE SIGNS OTTOBOCK AS INTEGRATED
SUPPLIER
OPIE Software, Gainesville, Florida,
announced that the North American
region of Ottobock, Austin, Texas, has
become an integrated supplier.
REX BIONICS SIGNS AGREEMENT WITH
U.S. ARMY
Rex Bionics, London, England, and
Auckland, New Zealand, has agreed to the
terms of a Material Transfer Agreement
with the U.S. Army Medical Research
and Materiel Command, which is the
prologue of a design modification
program to the REX robotic mobility aid
that will allow its use for early ambulation
of patients with lower-limb loss. Through
the proposed modification of the harness
system within the REX device, service
members with limb loss could benefit
from being upright while awaiting
prosthetic fitting.
available worldwide
QUIET AIR
ADHESIVE
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SUCTION PIN
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Industry Review
// Conference
MAY 2016
22
www.oandp.com/edge
dvances in telecommunication
technologies such
as videoconferencing, smartphones, tablets, Wi-Fi, and
broadband, along with
e-mail and POTS (plain
old telephone service),
are propelling the use of
telemedicine in the United
States and internationally.
Many experts regard telemedicine, or telehealth
these terms are often used
interchangeably, with
telerehabilitation being a
MAY 2016
24
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Telemedicines
Advantages and
Barriers
ld
Aro
or
h
e
t
W
d
n
Telerehabilitation
Technologies
Cover the Distance
travel difficult
Less time off work for
patients and caregivers
l Ready access to specialty
care and multidisciplinary team care in
remote areas
l Access for clinicians
to specialists through
professional-to-professional consultations
l Remote monitoring of
vital signs
l Fast transmission of
images and diagnostic
test results
l More convenient access
l
to continuing education
for health professionals
According to an article
in the International
Journal of Environmental
Research and Public
Health, December 2013
(Crossing the Telemedicine Chasm: Have the U.S.
Barriers to Widespread
Adoption of Telemedicine Been Significantly
Reduced? by Cynthia
LeRouge and Monica J.
Garfield), there are also
barriers to adoption,
MAY 2016
By Miki Fairley
25
www.oandp.com/edge
Telerehabilitation in O&P
VA Telerehabilitation Care
Forges Ahead
The U.S. Department of Veterans
Affairs (VA) operates one of the largest
and most comprehensive healthcare
systems in the world. Among its facilities are 150 large medical centers and
about 800 community-based outpatient
clinics (CBOCs) nationwide where
veterans can receive primary care closer
to home.
VA Telehealth Services Acting
Deputy Chief Consultant John Peters
notes that more than 677,000 veterans
accessed VA care through telehealth in
fiscal year 2015. Of these, 282,000 used
videoconferencing for live interaction
with their VA healthcare specialists.
About 98 percent of these videoconferences were between a veteran at a
CBOC and a specialist at the medical
center; about 6,300 videoconferences
were from the veterans own home to
the medical center. For video telehealth, the VA is just now dipping its
toe in the water in going beyond brickand-mortar VA facilities to veterans at
home, Peters says.
Tele-amputation Care
Covers the Bases
MAY 2016
26
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Exos
Free Motion
Ankle
International Manufacturers:
Using Telerehab for Better
Outcomes
ssur
ssur utilizes several telecommunication technologies, such as FaceTime,
Skype, and other Internet features,
for a variety of needs involving its
more complex products, generally the
RHEO KNEE and POWER KNEE,
according to Justin Pratt, CP, director
of ssur Academy, prosthetics. ssur
Americas is based in Foothill Ranch,
California; the parent company is headquartered in Reykjavik, Iceland.
Situations vary from patient-specific
challenges, gait anomalies, provider
experience with the device technology,
etc., Pratt notes. We have used a variety of methods in an effort to see and
understand the situation so we can recommend the appropriate adjustments
and provide education and support.
MAY 2016
28
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Winner
for Thoracolumbar Care
Immediate
Pain Relief
for
Adult Scoliosis
Learn more at OTWorld
Visit us at Hall 5
Booth A/20
May 3-6, 2016
Leipzig, Germany
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800-295-2776
aspenmp.com
30
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b y
c o l l e g e
p a r k
INTELLIWEAVE
COMPOSITE
INTEGRATED
SPRING
TECHNOLOGY
Independent springs
allow for a 3-staged,
progressive response.
CUSTOM
HOUSINGS
facebook.com/CollegeParkInd
youtube.com/CollegeParkInd
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@CollegeParkInd
college-park.com/soleus
32
RELATIONSHIPS
By Laura Fonda Hochnadel
help from around the world often arrives in droves. Such was the case with the catastrophic earthquake
that struck Haiti in January 2010. While O&P nongovernmental organizations (NGOs) had already been
working in-country, efforts were amplified. The need for O&P care at such times is urgent. But, the need
for O&P care in less-resourced countries is always prevalent, if not urgent. Fortunately, multiple O&P
NGOsroom doesnt permit us to mention them allhave found niches in which to operate
and provide continuity of care. Their work underscores the importance of
building relationships with in-country healthcare providers
and governments.
Network,
Network, Network
33
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From a Closet
to a Clinic
34
www.oandp.com/edge
BUILDING RELATIONSHIPS
Partnerships like this are a small but
important step in creating that kind of
value for our patients, Mathay says.
ROMP has also formed relationships
with masters-level O&P programs at
Northwestern University ProstheticsOrthotics Center and Baylor College
of Medicine. The students travel to
Guatemala to gain experience working
in a developing country, and the Guatemalan staff can get access to some of
the latest techniques or latest schools
of thought in O&P, Mathay says.
Sustainability
English: self-sustaining
Spanish: autosostenible
Ukrainian: samoobespechyvatsya
No matter how you say it, it means
the same thing: the ability to maintain
oneself or itself by independent effort.
Each of these NGOs stress sustainabilityensuring that the clinics carry
on year-round with local staff and,
for the most part, that devices can be
fabricated or repaired in-country with
locally available materials.
We work with a local practitioner
at the hospital, Julio Duarte, who has
been with us since day one, Scanio
says.
MAY 2016
36
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Why Do It?
DASHBOARDS
Running weekly and
quarterly reports
$1,280 savings yearly
(64 hours a year & $20/hr)
Estimated annual
savings - $10,382
OPIE
FUTURA
TRAINING
PAYER
SERVICES
GPO
Providing
evidence-based care
MAY 2016
38
www.oandp.com/edge
P&O Services in
Low-, Middle-income
Countries (LMICs)
efforts is limited.
Harkins et al. summarize their
2013 review of P&O services in
LICs by saying that the lack of and
quality of available research made
efficacy of methods used to provide
services in low-income countries
difficult to determine.1 They also
report that a substantial body of
research is needed to prove the
efficacy of the methods of service
provision; maximise the effective
methods; and to develop evidencebased, sustainable services.
[M]ore specific data are necessary
to create effective prosthetic and
orthotic services.1 Ikeda et al.s two
scoping reviews on the provision of
P&O services in resource-limited
environments (RLEs) published
in 2014 provide thorough descriptions of considerations for success
and research and outcomes.2,3
While these articles provide a
helpful evidence base of available
literature and outcomes reported
by P&O service providers working in RLEs, they conclude that
their research highlights the need
for standard, valid, and reliable
methods of data collection and
reporting.2,3
Lessons From
Surgical Literature
MAY 2016
39
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Seven Sins of
Humanitarian
Medicine
1 LEAVING A MESS BEHIND
2 FAILING TO MATCH
TECHNOLOGY TO LOCAL
NEEDS AND ABILITIES
3 FAILING TO COOPERATE
WITH AND HELP OTHER
NONGOVERNMENTAL
ORGANIZATIONS (NGOS),
AND ACCEPT HELP FROM
MILITARY ORGANIZATIONS
4 FAILING TO HAVE A
FOLLOW-UP PLAN
of implementing evidence-based
practice is not unique to P&O.
5 ALLOWING POLITICS,
A Systematic Review of
Empirical Evidence
TRAINING, OR OTHER
DISTRACTING GOALS TO
TRUMP SERVICE, WHILE
REPRESENTING THE MISSION
AS SERVICE
40
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Heel Spur
cushion
support
pain-relief
mediusa.com
PROVIDING CARE
surgical procedure or other aspects
of the mission, and not on long-term
effects of the treatment. Sykes reports
that most of the publications lack
significant data collection and information about changes in quality of life
resulting from medical interventions.7
Which Outcomes?
Better
NEW! Mountain Master
Mountain Bike TD
PERFORMANCE
QUALITY RELIABILITY
TOLL FREE: 800.279.1865 www.trsprosthetics.com
MAY 2016
42
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Get up to 12 CEUs!
With our technical trainings in Salem, NH
May 16-17:
Day 1 (PM): Introduction to Materials, 4 hours/CEU
Day 2 (All day): Making an Insole, 8 hours/CEU
May 18-19:
Day 1 (PM): Introduction to Materials, 4 hours/CEU
Day 2 (All day): The Interim Shoe, 8 hours/CEU
September 12-13:
Day 1 (PM): Introduction to Materials, 4 hours/CEU
Day 2 (All day): Footwear Modification, 8 hours/CEU
September 14-15:
Day 1 (PM): Introduction to Materials, 4 hours/CEU
Day 2 (All day): Making Orthotics, 8 hours/CEU
PROVIDING CARE
Modern
Myoelectric
Control
Buzzworthy praise
from the people that
matter the most
Pattern recognition
technology has meant
a revolution in our upper
extremity patients level
of prosthetic control.
GREG, PROSTHETIST
Pattern recognition is
the technology that will
render one- or two-site
conventional myoelectric
control to be obsolete.
DEBRA, OCCUPATIONAL THERAPIST
COMPLETE CONTROL
www.coaptengineering.com
MAY 2016
44
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Conclusion
New!
shark-o
Charcot Orthosis
Custom to Cast or Scan from all industry standard file formats. Features: Liner made from " aliplast foam. Outer shell constructed
of polypropylene for maximum control of the foot and ankle complex. Molded copolymer anterior internal shell to limit shear forces
and lock the leg in securely. Tri-laminated foot bed consisting of two densities EVA and one layer of P-Cell to help protect the foot
during treatment.
INDICATIONS
Used for the prevention and management of pressure
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Decreased sensation and/or paralysis
Foot fractures
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877-737-8444 | www.orthomerica.com
CANADIAN PIONEERS
IN PROSTHETIC
OUTCOME MEASURES
By Phil Stevens, MEd, CPO, FAAOP
MAY 2016
46
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y,
t
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un ob
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lim f q
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c
l
rn m o sing
e
od anis rea
m
c
h
n
i
e
c
h
e
s
t
i
m
In
a
L Test: Initial Development
MAY 2016
47
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MAY 2016
48
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WillowWood
Custom Solutions
Your Partner for Customized Prosthetics
Most competitive pricing & no hidden fees
See your total cost at a glance
Streamlined ordering
AK & BK now use the same part numbers
Top-quality fabrication for a more comfortable fit
Our skilled team works with casts as well as
OMEGA and AOP files
Short turn-around times
On-time delivery assurance means
unmet lead times will ship for free
WillowWoods Custom Solutions team is an extension of your
facility. Our team readily accepts casts and CAD/CAM files to
facilitate any clinicians preferred workflow. Its that easy.
FACTORS
Age
Balance Confidence
MAY 2016
50
23-55 years
75
56-70 years
64
71 years
53
Gender
Male
68
Female
54
Education
<grade 12
57
grade 12
73
Income
$0-$19,999
57
$20,000-$39,999
63
$40,000
74
56
4-13
61
14
74
Amputation cause
Vascular
54
Nonvascular
75
78
Yes
45
65
Yes
63
Fall injury
No
65
Yes
58
Fear of falling
No
77
Yes
49
Perceived health
Excellent
86
Very good
73
Good
63
Fair
52
Poor
43
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SSUR CUSTOM
SOLUTIONS
Your way or the highway
From check and definitive sockets to custom liners,
the ssur Custom Solutions team will quickly fulfill
your order the way you want it, each and every time.
SSUR, 03.2016
Wearing time
Conclusion
<84 hours/week
46
84-104.9 hours/week
64
78
References
105 hours/wee
Stair climbing
Unable
32
With help
56
Independent
82
42
1 block
62
Unlimited
83
Table 3. ABC scores were able to discriminate with regard to average prosthetic wearing times, stair climbing ability,
and reported walking distances. Extracted from Miller et al.4
Combination
MAY 2016
52
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EMBRACE
INNOVATION
-1877Thomas Edison
Invents the phonograph
ORTHOTIC SUPPORTS
Apex dynaFLANGE .
The patented rearfoot flange flexes at three points during heel
TM
SOCIETY SPOTLIGHT
Introduction
MAY 2016
54
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SOCIETY SPOTLIGHT
SOCIETY SPOTLIGHT
Purpose
Methods
Condition
(Lumbar lordosis
built into LSO)
Actual Lordosis
Kyphosis
No orthosis
44 4.6
28 3.1
30 degrees
34.7 4.1
22.2 4.2
15 degrees
29.7 2.3
14.7 3.3
5 degrees
24 1.8
15.2 2.7
Table 1. Actual measured lumbar lordosis without an orthosis and in each orthosis.
MAY 2016
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SOCIETY SPOTLIGHT
SOCIETY SPOTLIGHT
Results
Figure 1.
The
relationship
between
actual
measured
lumbar
lordosis
and thoracic
kyphosis in
each orthosis
and without
an orthosis.
20
15
10
5
0
0
10
20
30
40
50
Lordosis
Condition
C7 Distance to LOG
(cm)
S1 Distance to LOG
(cm)
No orthosis
5.7
30 degrees
8.7
15 degrees
5.4
8.6
5 degrees
2.5
9.2
Table 2. Distance (cm) from spinal markers to C7 plumb line measured on photographs.
Rating
Trial 1
Trial 2
Trial 3
Trial 4
Trial 5
Trial 6
No orthosis
30 degrees
15 degrees
5 degrees
Table 3. Level of pain reported during each trial using the numeric pain rating scale.
MAY 2016
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Table 1. Actual measured lumbar lordosis in each orthosis and without an orthosis.
SOCIETY SPOTLIGHT
SOCIETY SPOTLIGHT
Now Available
Jon Peurach, BSc, recently graduated from the Master of Science in Orthotics
and Prosthetics (ORPR) program at Eastern Michigan University (EMU) and
completed this study as his capstone project. He also attended Grand Valley
State University to obtain a BSc in movement science. Peurach is a member of
the Student Resident Committee of the American Academy of Orthotists and
Prosthetists.
Sun Hae Jang, MSc, CO, FAAOP, is an assistant professor in EMUs ORPR program,
a research scientist at Gillette Childrens Specialty Healthcare, and a doctoral
candidate in biomedical engineering at the University of Strathclyde, Glasgow,
Scotland. Jang has also been serving as chair of the Spinal Orthotics Society of
the American Academy of Orthotists and Prosthetists, and working as an orthotist
for more than 15 years.
MAY 2016
60
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1991
2016
On Topic
Pitfalls of Waiving Patient Balances
By Erin Cammarata
$62.50/
package
One pair of shoes plus
three pairs of moldable insoles
PDAC approved
A5500 & A5512
MAY 2016
62
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On Topic
Instituting these additional tips can
create clear direction for your administrative staff when they are talking to
patients about their financial responsibilities:
1. Verify and reverify patients
insurance. This may seem
obvious but I cant tell you
how many times we see that
this simple step does not
get completed. The patients
insurance and the procedure
codes must be verified to correctly
inform the patient of his or her
financial responsibility.
2. Have a written patient
collections policy. Once the
insurance is verified and you
know the patients financial
responsibility, exercise your
patient collections process.
Y Create a payment plan policy.
Have a form that outlines three
Interchange or Disconnect
The Ferrier Coupler provides you with options never before possible:
Enables a complete disconnect immediately below the socket in seconds without the removal of
garments. Can be used where only the upper (above the Coupler) or lower (below the Coupler)
portion of limb needs to be changed. Also allows for temporary limb replacement. All aluminum
couplers are hard coated for enhanced durability. All models are interchangeable.
Model A5
Model F5
Model P5
Model FA5
Model FF5
Model FP5
MAY 2016
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Model T5
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Advertisers Index
For information, please circle the red reply number on the enclosed Free Product Information Card.
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www.freedom-innovations.com // info@freedom-innovations.com
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www.hersco.com // fastorthotics@hersco.com
www.easyliner.com // info@easyliner.com
www.jmsplastics.com // sales@jmsplastics.com
www.amfit.com // info@amfit.com
www.laop.org // debneybrown@iopla.com
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SPC- St. Petersburg College ............... pg 8..............................200
727.341.4151
www.spcollege.edu/op
Spinal Technology ............................... pg 61 .............................28
800.253.7868
www.spinaltech.com // info@spinaltech.com
405.850.2069
www.techmed3d.com // info@techmed3d.com
The University of Hartford
860.768.4599
www.bignwideshoes.com // apisfootwear@earthlink.net
888.886.2420
www.medexinternational.com // info@medexinternational.com
www.hartford.edu/tmspo // mspo@hartford.edu
www.aspenmp.com // custserv@aspenmp.com
888.937.2747
800.633.6334
954.346.5402
www.mediusa.com // info@mediusa.com
www.tidwellsorthotics.com // chris.tidwell@tidwellsorthotics.com
800.295.2776
855. MY iLimb
www.beckerorthopedic.com // mail@beckerorthopedic.net
800.633.6334
www.mediusa.com // info@mediusa.com
www.touchbionics.com // info@touchbionics.com
866.374.4050
800.279.1865
www.coaptengineering.com // info@coaptengineering.com
www.m-brace.com // sales@m-brace.com
www.trsprosthetics.com // jennifer-trs@att.net
www.college-park.com // info@college-park.com
www.nabtesco-proteor-usa.com // info@nabtescoproteor-usa.com
www.willowwoodco.com // customerservice@owwco.com
www.coyotedesign.com // info@coyotedesign.com
www.nora-shoe.com // jonathan.fogg@nora.com
opesales@curbellplastics.com // opecontact@curbellplastics.com
www.oandp.com/opie // info@oandp.com
www.djoglobal.com/exosfreemotion // customercare@djoglobal.com
www.optecusa.com // sales@optecusa.com
Endolite................................................. pg 3, 66 .........................58
www.endolite.com // info@endolite.com
www.orthomerica.com // custserv@orthomerica.com
www.ferrier.coupler.com // sales@coupler.com
www.ossur.com // ossurusa@ossur.com
800.521.2192
773.540.8433
800.728.7950
800.819.5980
888.858.0911
800.793.6065
800.548.3534
800.437.8597
855.517.4414
800.848.4930
770.880.9786
800.876.7740
888.982.8181
800.446.6770
800.233.6263
Think
BIG
Please note: These listings are provided as a service to our readers and advertisers. We attempt to verify all information; however, we cannot be held responsible for inaccuracies.
MAY 2016
65
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SHOWCASE
TechMed 3D 855.832.4633
www.techmed3d.com
Formulated with the ALPS GripGel, the new SFB seamless suspension
sleeve provides superior comfort with a single-piece construction.
The SFB sleeve features a new, black knitted fabric that allows the
user excellent freedom of knee flexion. This new sleeve seals with
the skin without restricting circulation, while the GripGel sticks
to the patients skin without
causing shear forces. With a
thinner profile of 2mm, the
SFB is an ideal choice for those
concerned about bulk.
The #46 knee brace brings your comfort to a new level with its
elegant and light design. This brace alleviates knee pain by reducing
the weight on the medial or lateral compartment by using the threepoint pressure system. It is composed of
two aluminum-reinforced semirigid straps
that surround the distal region (above the
knee) and the proximal region (below the
knee). These straps are to be custom molded
to allow for optimal torsion support. Learn
more and check out our other products and
product lines on our website.
ALPS 800.574.5426
www.easyliner.com
Endolite 800.548.3534
www.endolite.com
MAY 2016
66
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SHOWCASE
Symphony Knee
WillowWoods Alpha
SmartTemp Liner brings
temperature control to
prosthetic liners with Outlast,
the original heat-management
technology developed for
NASA. The liner absorbs heat
generated by the users residual
limb (as illustrated) and reduces sweating and the amount of moisture
within a liner. When skin temperature drops, stored heat is recycled
back to the limb to prevent chilling. Comfort is achieved when the
skin and the liner temperatures are balanced.
Alpha SmartTemp Liners are available for transtibial and
transfemoral use and retrofit with Alpha Hybrid and Silicone Liners.
WillowWood 800.848.4930
www.willowwoodco.com
MAY 2016
67
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SHOWCASE
DJO 760.727.1280
www.djoglobal.com
ssur 800.233.6263
www.ossur.com
MAY 2016
68
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Benefits include:
Y Proprietary, heat-adjustable plastic makes
patient management much easier (versus
traditional orthoses)
Y New treatment options for patients
historically not candidates for orthotic
intervention and management
Y Fuzions compression design holds the patient in a secure,
comfortable position while assisting with spasticity management.
Y Accommodates volume changes
Orthomerica 877.737.8444
www.orthomerica.com
MAY 2016
69
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SHOWCASE
CLASSIFIEDS
Classified ads are published in print once a month, and receive premium
placement online at www.oandp.com/classifieds during the month(s) the
ad runs in print. Immediate online placement is available for an additional
fee. Rates are calculated per word and must be pre-paid by credit card.
Free four-color logo!
For more information or to place an ad, please contact
Alyssa Lechuga at 303.255.0843 or alyssa@opedge.com.
Add-Ons:
Blind ad fee: +$30
US PACIFIC
CPO
Tri-Cities, Washington
Ce tified
st etist O t
tist
Contact:
Fax: 209.834.0690
E-mail: careers@pacmedical.com
C O CO
Contact:
Scan the
QR Code
to see
more job
openings
This ad was 100 percent funded by a grant awarded by the U.S. Department
of Labors Employment and Training Administration.
MAY 2016
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US PACIFIC
Contact:
Marsha Foy
E-mail: mfoy@northo.com
CERTIFIED ORTHOTIST
CERTIFIED ORTHOTIST/ PROSTHETIST
/ PROSTHETIST
A unique opportunity to be a part of a rapidly
A unique opportunity to be a part
expanding, multi-center department.
of a rapidly expanding,
multi-center department.
Department of Orthopaedic Surgery
Functional
Title:
Orthotist-Prosthetist
Department
of Orthopaedic
Surgery
Functional Title:
Orthotist-Prosthetist
Required qualifications:
or community
service has prepared them to contribute
- Specialists appointed at the junior rankresearch,
must possess
a baccalaureate
to our commitment to diversity and excellence. The University
Required qualifications:
degree (or equivalent degree)
of California is an Equal Opportunity/Affirmative Action
- Specialists appointed at the junior rank must possess a
- Specialists appointed at the Assistant or Associate rank must
Employer. All qualified applicants will receive consideration for
baccalaureate degree (or equivalent degree)
possess a masters degree (or equivalent degree)
employment without regard to race, color, religion, sex, sexual
- Specialists appointed at the Assistant or Associate rank must
- Specialists
appointed at the full rank
must possess
terminalnational origin, disability, age or
orientation,
genderaidentity,
possess a masters degree (or equivalent
degree)
degree
(or
equivalent
degree)
protected veteran status.
- Specialists appointed at the full rank must possess a terminal
degree (or equivalent degree) - ABC Certified Orthotist/Prosthetist
Please
applycare
online
CV at: http://apptrkr.com/781063
- ABC Certified Orthotist/Prosthetist
- Some prior experience providing direct
patient
in anwith
orthotic
and prosthetic facility
- Demonstrated skills, knowledge and abilities essential to successful
performance of duties
71 www.oandp.com/edge
MAY 2016
in a patient care setting
CLASSIFIEDS
CLASSIFIEDS
US PACIFIC
US CENTRAL
CO C O
a d- li i le
a titi ne
Ce tified e
Contact:
US MOUNTAIN
C l
ni ian
Contact:
ad C
an
Theresa Quinn
American Central Fabrication
Fax: 318.636.3746
E-mail: americancenfab@aol.com
ee in CO C O
C O C
Want to build a rewarding career while doing what you do best? A
reputable company in Texas is seeking dependable CPOs or CPs.
There are multiple office locations and an immediate opening for a
Spanish speaker in Laredo.
Quality patient care and employee satisfaction are always our
top priorities. Major incentives include a very competitive salary;
continuing education; relocation assistance; and medical, dental, and
vision insurance. The company is open to additional incentive requests
for the right candidate. All applicants will be kept in strict confidence.
Contact:
Phone: 210.949.0011
Fax: 210.949.0050
E-mail: assi.sara@txprostheticcenter.com
www.txprostheticcenter.com
Fax: 406.585.1438
E-mail: peggy@tsopmt.com
Ce tified
st etist O t
CPOs
Openings and excellent opportunities are available for independent,
motivated, ABC-certified practitioners at a well-established, multiplelocation O&P practice in Illinois. The ideal candidate will be certified
by ABC and must be eligible for Illinois licensure. Our fast-paced,
energetic atmosphere is a rewarding place to establish a great career.
We offer a very competitive salary and benefits commensurate
with experience. If you have what it takes to be part of a successful
and well-organized team, then we would love to speak with you.
Management experience is a plus.
tist
Contact:
Recruitment Manager
CPO Services Inc.
741 West Main Street
Peoria, IL 61606
Fax: 888.663.6322
E-mail: hr@cpousa.com
Contact:
Reference Ad # 0200
Fax: 303.255.0844
E-mail: classifieds@opedge.com
MAY 2016
72
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US CENTRAL
CLASSIFIEDS
A CC
C O
Orthotist
Raleigh Orthopaedic Clinic is seeking a board-certified orthotist
who will be responsible for measurement, fabrication, delivery, and
maintenance of orthoses that are prescribed by a physician. We
are committed to being the orthopaedic provider of choice for our
community by delivering high-quality, personalized care to our
patients through our experience and dedication.
Qualified candidates must be able to establish and maintain
effective working relationships with coworkers, physicians, and
patients; communicate effectively orally and in writing; and work with
minimal instruction or supervision. Prosthetics certification is highly
desirable. Interested candidates can apply directly at the Careers link
on our website.
Contact:
Theresa
Fax: 318.636.3746
E-mail: certlimbandbrace@aol.com
Visit:
www.raleighortho.com
Prosthetic Technician
Cent al
assa
setts a ilit
ee s CO C O
We are seeking an enthusiastic practitioner who can work independently. Pediatric experience is preferred. Full benefits package offered, including 100 percent employer-paid family health insurance.
A competitive salary is dependent on experience and training, with a
profit-sharing option.
Contact:
Contact:
Lauren Vaughn
Restorative Health Services
E-mail: lvaughn@rhs-tn.com
US EASTERN
A C-Ce tified C Os
C O CO
Southwest Virginia
A well-established, multi-office, ABC-certified O&P company
is looking for a certified practitioner with excellent orthotic and
prosthetic skills to provide comprehensive treatment for patients.
Excel offers a competitive salary, bonus opportunity, and full benefits
package. Salary to be determined by experience.
Contact:
Contact:
E-mail: sethwalters@excel-prosthetics.com
MAY 2016
COs
73
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CLASSIFIEDS
US EASTERN
C O
Our growing company is seeking a Florida-licensed (or licensureeligible) orthotic fitter or a certified pedorthist. We are seeking a
motivated individual with strong clinical skills to help continue our
growth by providing assistance at our patient-centered care facility.
Primary duties include providing comprehensive orthotic care while
working with other members of the clinical team. We are seeking
a compassionate individual who possesses the following skills:
analytical, clinical, problem-solving, interpersonal communication,
and detail orientated. The candidate must be a team player and
support the companys vision, mission, and values. We offer
competitive wages based on experience.
OC O
Louisville, Kentucky
At Center for Orthotic & Prosthetic Care (COPC) our staff
of orthotic and prosthetic professionals is committed to our
mission of providing the highest level of patient care possible.
COPC is a private partnership that enjoys the privilege and
challenge of serving in leading and renowned medical centers in
Kentucky, Indiana, North Carolina, New York, and Pennsylvania.
Due to an opening at one of our patient care facilities in
Louisville, Kentucky, we are seeking a CPO or Kentuckylicensed BOCPO who has a minimum of five years of clinical
experience. Candidates must possess excellent communication,
organizational, and interpersonal skills, and the demonstrated
ability to provide the highest quality patient care. This position
offers a competitive salary, relocation assistance, and excellent
benefits that include medical, dental and disability insurance; a
401k; certification and licensure fee; and continuing education
expenses. If you meet the requirements and have an interest,
please submit your resum.
Contact:
Fax: 863.937.9199
E-mail: sandy@integritypando.com
www.integritypando.com
Contact, in confidence:
Fax: 502.451.5354
E-mail: dkoch@centeropcare.com
CPO or CO
Amy Braunschweiger
E-mail: amy@infinitetech.org
A C-Ce tified
Melisa Chang
Dynamic Orthopedics Inc.
6555 Nova Drive, Suite 306
Davie, FL 33317
Phone: 954.303.6999
Fax: 954.424.1884
E-mail: melisa@dynamicorthopedics.com
www.dynamicorthopedics.com
MAY 2016
a titi ne
Contact:
E-mail: alb@clinicalpando.com
74
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US EASTERN
C O
OC O
Contact:
Fax: 757.892.5303
E-mail: steve@coastalpando.com
Contact:
Orthotic Assistant
A well-established, privately owned, multi-office practice in middle
Georgia is looking for an ABC- or BOC-certified orthotic assistant.
We are looking for a hardworking, self-motivated individual with
strong clinical skills to help continue our growth. We offer a great
compensation and benefits package.
Contact:
E-mail: amandamccorkle@orthoproservices.net
Advanced Prosthetics has CPO, CP, CO, assistant, and orthotic fitter
positions available immediately. We are also seeking a Georgialicensed practitioner. If you are compassionate and patient care is
top priority, we are looking for you. Consider joining our team as
we thrive on making a difference. A competitive salary and benefits
package are offered.
Contact:
Human Resources
E-mail: carol@advancedpro.biz
E-mail: overcome@opcenters.com
www.opcenters.com
Ce tified and
and O t ti
i ensed ed t ist
st eti e ni ian
Pittsburgh, Pennsylvania
Contact:
Contact:
MAY 2016
75
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CLASSIFIEDS
CPO or CO
US EASTERN
CLASSIFIEDS
LA TORRE
ORTHOPEDIC LABORATORY
PROSTHETICS ORTHOTICS
SINCE 1920
A C-Ce tified CO C O
Central Pennsylvania
(Williamsport, Shamokin Dam, and Wilkes-Barre)
Are you a motivated self-starter who wants to put patients first and
be part of a growing team? Our expanding company is looking for
a CPO, CO, or board-eligible orthotist. We are also looking for an
orthotic fitter. Hardworking, self-motivated candidates should possess
strong clinical skills, a strong work ethic, and a true team approach
to providing the highest standards of care for our patients. The
fitter will work closely with our practitioners to meet patient needs;
however, the individual must also be able to work independently.
Strong candidates will be ABC certified. Only those with the ability
to manage varying as well as scheduled tasks should apply. Salary and
compensation package includes health benefits, a matching 401k, and
performance bonuses.
Contact:
Timothy P. Lacy, CP
La Torre Orthopedic Laboratory
Latham, NY
Phone: 518.786.8655
E-mail: latorre.orthopedic.laboratory@gmail.com
Contact:
Ce tified
tist
Westcoast Brace & Limb cares for patients throughout the beautiful
Tampa Bay region where, for more than 40 years, we have set new
standards of orthotic and prosthetic care by focusing on the needs of
the whole patient, as well as on the device we are providing.
We are seeking an experienced, self-motivated, licensable CPO
with five years of experience in both prosthetics and orthotics to
contribute to a progressive, fast-paced, multifacility, career-oriented
team. Applicants should be well-rounded and proficient in traditional
prosthetic and orthotic systems as well as with advanced technology
and complex treatment plans.
We offer a competitive salary and benefits package, including
health insurance, a 401k, and disability benefits. We also believe
strongly in the importance of investing in continued professional
development and education.
Contact:
Contact:
E-mail: overcome@opcenters.com
www.opcenters.com
MAY 2016
st etist O t
76
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US EASTERN
Contact:
E-mail: careers@neops.com
Contact:
E-mail: ltioandphr@yahoo.com
Ae
O&P Technician
Chattanooga, Tennessee
a CO
in t e C a l tte A ea
Contact:
E-mail: mforte@opcenters.com
www.opcenters.com
CPO
Pedorthist
Contact:
E-mail: jason@victoryop.com
MAY 2016
77
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CLASSIFIEDS
CPO
US EASTERN
CLASSIFIEDS
Our multifacility practice based in Long Island and New York, New
York, is in need of several experienced practitioners. Each practitioner
must have a minimum of three years of clinical experience. Our
practice offers competitive salaries based on experience; medical,
dental, and life insurance; and company-paid 401k and continuing
education credits.
tist
Contact confidentially,
with resum and salary requirements:
Fax: 631.253.0989
R C
OR
Barry Smith
Phone (office): 323.722.4880
Phone (cell): 213.379.2397
E-mail: loyds@ix.netcom.com
Visit:
www.synergyortho.com
US MULTIPLE LOCATIONS
Miami, FL
W. Houston, TX
San Diego, CA
Orlando, FL
Annandale, VA
Boca Raton, FL
Hackensack, NJ
Milwaukee, WI
BEFORE
To learn more
Visit cranitaltech.com/careers or
contact Nathan Lawson at 480.403.6338
or nlawson@cranialtech.com.
AFTER
MAY 2016
78
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Its almost
here
Dynamic Vacuum
System
Bridging the gap between
valve and Harmony systems
Dynamic - Pump
activates with each step
www.ottobockus.com
www.ottobock.ca
Perspective
Empowering Local Providers to Provide Prosthetics
in Less-resourced Countries
80
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Why I
Choose
Pli 3...
LOW
MODERATE
HIGH
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Connect with us
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Hall 5 Stand E61
A prosthesis I can
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