ABILITY Prosthetics and Orthotics Working on Some Team Building

The entire staff of ABILITY Prosthetics and Orthotics and their families enjoyed a fun night together away from work in a great team building event at Wild Island Coconut Bowl.

We love our patients and enjoying team building exercises like this one helps our staff at ABILITY Prosthetics and Orthotics keep our tight knit group together to provide all of our patients the best care and communication possible.

Symmetry for Symmetry's Sake: A Beneficial Goal in Prosthetic Gait?

prosthetic-gait-ABILITY-Prosthetics-Orthotics

By Phil Stevens, MEd, CPO, FAAOP
Content provided by The O&P EDGE

Nearly 30 years ago, authors David Winter, PhD, PEng, and Susan Sienko, BSc, challenged some fundamental assumptions associated with prosthetic gait that continue to this day. "Throughout all the amputee-related literature," they assert, "continuous references are made to variables that establish gait asymmetry. Subsequently, attempts are being made, without scientific justification, to force the amputee to walk more symmetrically." They continue, "...be cautious about gait retraining protocols which are aimed at improved symmetry based on nothing more than an idea that it would automatically be an improvement." Summarizing their position, the authors conclude, "It is safe to say that any human system with major structural asymmetries in the neuromuscular skeletal system cannot be optimal when the gait is symmetrical. Rather, a new nonsymmetrical optimal is probably being sought by the amputee with the constraints of his residual system and the mechanics of his prosthesis."1

For the thoughtful clinician, the long-held assertion of symmetry for symmetry's sake is immediately replaced by questions of just how much and which types of symmetry might constitute this "new nonsymmetrical optimal." This article reviews recent contributions to the arguments against the standard of symmetry for symmetry's sake.

Article Presents Literature Review of Exoskeleton Use in Post-stroke Gait Rehabilitation

Content provided by The O&P EDGE

For patients who have had a stroke, powered robotic exoskeletons are a potential intervention for gait rehabilitation to enable repetitive walking practice, which maximizes neural recovery. As this is a relatively new technology for stroke, a pair of researchers from Canada conducted a scoping review to help guide current research and propose recommendations for advancing the research development. The aim of the review was to map the current literature surrounding the use of robotic exoskeletons for gait rehabilitation in adults post-stroke. The article was published online June 8, in the open-access Journal of NeuroEngineering and Rehabilitation.

Meeting the Prosthetic Needs of Patients With Greater Body Mass

scale-ability-prosthetics-orthotics-ABILITYBy Maria St. Louis-Sanchez
Content provided by The O&P EDGE

As O&P practitioners encounter more patients who are overweight, they need to be creative in finding solutions and may have to look beyond their preconceived notions about the patients' abilities. While treating patients who are larger can pose unique challenges, experts say it remains the practitioner's job to meet the challenges to help their patients become as mobile and active as possible.

"Sometimes people have certain stereotypes in their minds about these patients and may not provide them the treatment that they would to anyone else," says Michelle Hall, MS, CPO, FAAOP(D), prosthetist residency director, Gillette Lifetime Specialty Healthcare, St. Paul, Minnesota. "We can't lose sight of our jobs."

Scoliosis-Graphic-ABIITY-Prosthetics-Orthotics-ScoliosisUnderarm Bracing May Slow Scoliosis Progression in Adults

Content provided by The O&P EDGE

A study published online June 22 in the Archives of Physical Medicine and Rehabilitation found that a custom-molded underarm lumbar-sacral orthosis (LSO) could be effective in slowing the progression rate of scoliosis in adults. The retrospective cohort study followed outpatients in two tertiary care hospitals in France. Thirty-eight adults with nonoperated progressive idiopathic or degenerative scoliosis were treated with the LSOs, with a minimum follow-up time of ten years before bracing and five years after bracing. The LSO was prescribed to be worn for a minimum of six hours per day. Progression was defined as a variation in Cobb angle equal to or greater than 10 degrees between the first and the last radiograph before bracing.

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