Empower Magazine Issue 1 by publishing_magazines_ltd

EmPower

Itâ&#x20AC;&#x2122;s about ability not disabilities

www.empowermagazine.org.uk

Issue 1

Inside CARE: Rhetoric versus Reality in UK Social Care DWP: Minister for disabled people SPORT: Sport England

Magazine

©JP Events Photography

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EMPOWER: CONTENTS

Features:

12. CARE:

- Rhetoric versus Reality in UK Social Care

22. LEGAL:

- Paul Judkins from Judkins Solicitors

30. MOBILITY / MOTABILITY:

- Disability Living Allowance Revamped

38. DWP:

- Minister for Disabled People, Esther McVey

42. SPORT ENGLAND: - Sport for disabled people

44. SPORT:

- Hayley Ginn from ‘Carbon Motion’

48. INDEPENDENT LIVING:

- Able Community Care

56. TRAVEL:

- Planning your holiday

Plus: 07. FORWARD:

Published & Designed by © Publishing Magazines Ltd www.publishingmagazinesltd.co.uk Images Supplied by – Front Cover supplied by Draft Wheelchairs. Also images from London Prosthetics, RSL Steeper, Bedflex & Shutterstock

With thanks to – Limbless Association, Sport England, Able UK, Judkins Solicitors, Insurance Choice, North Sea Plastics, Chartwell Insurance, Specialist Vehicle Rental, RSL Steeper, Hayley Ginn ‘Carbon Motion’, BAE Systems & all advertisers.

Contact Us – sales@publishingmagazinesltd.com studio@publishingmagazinesltd.com Twitter - @EmPower_Mag Website - www.empowermagazine.org.uk © Publishing Magazines Ltd 2013. All rights reserved. No part of this publication may be reproduced or used in any way without written permission from the publisher. The views expressed in this magazine are not necessarily those of the publisher and although every effort has been made to ensure that the information is accurate, the publishers take no responsibility for errors and omissions. No responsibility can be accepted by the publisher for any claims made by the advertisers in this publication.

- Limbless Association

08. NEWS:

- Heather Mills - Bedflex - Roger Fullbrook

www.empowermagazine.org.uk - Page 5

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EMPOWER: FORWARD

The Limbless Association

he Limbless Association is a national charity that provides information and support to the limb-loss community. We aim to support people of all ages and backgrounds through a variety of existing services. We offer support to individuals of any age, whether they are about to have an amputation or are already living with congenital or acquired limb-loss and we offer assistance and information to carers, family members and friends if they require it. We do not receive any Government, lottery or NHS funding and survives solely on the income provided by members, friends, private supporters and corporate sponsors. Despite this, we continue to offer all of our services for free, ensuring that no one is ever without the information and support they need, regardless of their ability to pay. However, if you are in a position to make a contribution it will of course be gratefully received. Our office is based in Chelmsford Essex and is run by 5 members of staff Dave White (CEO), Richard Morrison (deputy CEO), Carly Duffet (Fundraiser), Martin Nsiah (accountant) and Dean Heffer (Sports Officer). Some of the services that we offer are:

Enquiries/information Helpdesk

Our dedicated help/enquires desk 0800 644 0185 or enquiries@ limbless-association.org is there to provide free and impartial information on any issues relating

to limb-loss. We receive a large number of calls and emails each month on a range of subjects from being told that you or a family member/friend are to have an amputation to information on where to get a lightweight wheelchair. No matter what you are calling about, we are here to help and if we canâ&#x20AC;&#x2122;t answer your question we will get the answer for you. You will never be ignored or without the help you require.

Website

Our easy to navigate website www.limbless-association.org features a range of up to date news items, a wide range of amputee related information ranging from a directory of helpful contact numbers to items being donated to the amputee community. Our aim for the website is for you to be able to look through the various pages and get the information that you are after. We will always try to add to the site any relevant information that will affect you the amputee.

Volunteer Visitor Network

Our Volunteer Visitor (VV) Network offers a free service to the amputee community. Our VVs are all Limbless Association members who are willing to share their experience of limb-loss and knowledge and understanding with anyone who has had, or is about to have an amputation. By offering their acquired empathy an understanding, based on their own personal experiences and knowledge, VVs have insightful practical information and suggestions on the everyday issues you may be facing.

We can find a volunteer to visit you at home, or in hospital, for a faceto-face meeting or for a telephone conversation. If after reading this you need or know of anyone that this would benefit please contact Richard direct on 01245 216 671 or email him on richard@limblessassociation.org

Limb Loss Legal Panel

The Limbless Association established the Limb Loss Legal Panel, a consortium of leading law firms in the UK specialising in personal injury, clinical negligence and legal cases where catastrophic injury and amputation occur. Its aim was to provide Limbless Association everyone with the highest quality legal advice, on a free initialconsultation basis.

Step Forward magazine

The magazine is issued to all our members and, in addition, is circulated to all the DSCs and User Groups across the country along with hospitals, social services departments and other public institutions to promote the charity and raise public awareness. The magazine contains a range of articles ranging from general interest, changes to benefits, interviews with professionals in the industry, personal accounts from other amputees and items on legal matters from members of the Limb loss Legal Panel.

Sports+

The Limbless Association provides fitness training and amputee football via a qualified sports coach who is also an amputee. We also maintain a national directory of sporting associations and clubs

geared towards sports for amputees and the disabled. Dean he is on hand to help advise you on your sports and fitness needs. He can be contacted on dean@limblessassociation.org or you can leave your number with the office and he will get back to you.

Newsletters

The Limbless Association issues regular newsletters in order to maintain contact with our membership, our volunteer visitors, the professionals at the DSCs and the User and Support Groups across the country.

Outreach

There are approximately 50 User Groups in England, Wales and Northern Ireland and a further 15 or so in Scotland. There are also a number of Support Groups across the country. The Limbless Association is currently seeking to re-establish contact with these groups, and in doing so, to explore the potential of working together to help the amputee community in what every way we can. If you or anyone that you know needs any help or if you want more information about joining the Limbless Association then please email us on enquiries@limblessassociation.org or call us on 0800 644 0185 and one of our helpful members of staff will be there to help. The office is open Monday to Friday between 09.00 and 17.00 and if you call or email outside to these hours, then please leave a message and we will always reply as soon as the office re-opens.

www.empowermagazine.org.uk - Page 7

EMPOWER: NEWS

Heather Mills praises Prosthetists’ role in Paralympic dream

eather Mills has paid tribute to her team of prosthetists in helping her move ever closer to reaching the 2014 Winter Paralympic Games in Russia ‘against the odds’.

more remarkable when one considers that she only took up ski race training a few years’ ago after being spotted on the slopes and encouraged to try out for competitive skiing.

At 45 and a relative novice on the slopes, this has been something of an uphill struggle. As a leg amputee Ms Mills would be eligible to compete on a mono-ski, however due to the metal plates which were inserted into her pelvis after her original accident in 1993, medical experts advised against this.

“I was on holiday in Austria, it was really early in the morning and they’d opened the lifts for the racers and one slope was empty so I just kept going straight down,” said the charity campaigner. “I hadn’t skied properly for 10 years, but the head of the Slovenian Masters said, ‘You know you’re doing 100kph (62mph) on slalom skis and that’s very dangerous?’ That led to a trial with the British disability skiing team in December 2010 and she officially joined the 19-strong development squad last year.

Typically, this has not significantly hampered her prospects on the slopes as she claimed the Super-G Austria Cup title in the speed race last year, followed by four golds at the US Adaptive Alpine Skiing National Championships in Aspen, Colorado. Speaking of the level of sacrifice that is required, Heather praised the efforts of The London Prosthetic Centre who worked closely with her to develop a specialised prosthetic skiing leg that can withstand the harsh racing conditions. She said: “A prosthesis is not just about helping people regain mobility in their lives; it’s about enabling them to achieve their goals. If I’m going to do this, I’m going to do it properly. That means spending half of every month training in the Alps, and sixhour round trips on the train to the Milton Keynes indoor snow zone when I’m home. “Abdo Haidar, the Consultant Prosthetist, and the team at The London Prosthetic Centre fully understood this from day one, and devoted the care, attention, ability and creativity that enabled me to push on with complete confidence.” Heather’s achievements are even

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But despite her impressive speed, Mills’s progress was hampered by difficulties with her ordinary prosthetic leg, which frequently “ejected” her from her skis. That’s when she visited Consultant Prosthetist, Abdo Haidar, at The London Prosthetic Centre in Kingston upon Thames, to have a new specialised skiing prosthetic leg fitted that would be ideally suited to the task. One of the difficulties was finding a design that would enable Heather to ski freely. Mr Haidar even visited the Hemel Hempstead ski slopes to watch Heather in action, and help her with any problems. It was a painstaking process that involved over a year of fine tuning and over 15 appointments. Mr Haidar explains: “We spent so much time to find the ideal solution, working all the while with Heather and her coach. The key was to provide maximum control and manoeuvrability, so

that Heather could take corners close to the ground and really attack them with complete confidence. To achieve this we designed and fitted the socket in a way that considerably reduces movement and thereby enhances control and focus.” Heather has been selected for the team and Mr Haidar believes she could do very well at the 2014 Winter Paralympics in Russia. “Of course, the key factor is the incredible drive and courage that Heather possesses. We come across a lot of talented people and I genuinely believe that she can achieve success at the games. We are thrilled to have the opportunity to help her in such astonishing achievements.” The London Prosthetic Centre is the only facility in London to provide cutting-edge prosthetic care within a private facility equipped with a modern workshop and silicone facilities. It is a division of RSL Steeper, which was founded in 1921, and is one of the largest suppliers of prosthetic, orthotic and assistive care in the world.

Understanding you individually Our clinicians are specialists in prosthetics, orthotics and rehabilitation services. As experts in our field with a commitment to the finest clinical care, we are now running private clinics from multiple locations in the UK, Ireland and India. • Consultation, assessment, prescription and fitting of all prosthetic limbs • Life-like, high definition cosmetic silicone for all types of amputation • Advanced function products such as Genium and C-Leg knees • Lightweight, comfortable limbs using the latest components and materials • Rehabilitation for amputees from physiotherapy to advice and support You can refer yourself directly to us for treatment by contacting us to arrange an initial consultation. Your requirements will be carefully discussed and the solution provided could truly change your future.

For more information or to book your free consultation, contact us today on 0800 072 3122 or info@abilitymatters.co.uk

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EMPOWER: NEWS

Bedflex A

team of some of Britain’s up-and-coming engineers are putting their heads together with medical experts to roll out a new product which can help injured servicemen. BAE Systems and the Queen Elizabeth Hospital Birmingham (QEHB) are working to develop Bedflex, which is used to help recovering amputees and critical care patients take part in bed-based exercise to aid rehabilitation. It is currently being used by the hospital, which is the primary receiving unit for all British military personnel, to help its patients with recovery. The Bedflex idea was the result of the annual Innovation Challenge set to its apprentices by BAE Systems in 2011. The teams were tasked by the hospital’s official charity (QEHB Charity) with creating devices to benefit wounded personnel being cared for at the hospital. Bedflex adapts elasticated tubing used by physiotherapists to enable patients to carry out exercises on their own.

Sean Gallagher, who led the apprentice team and is now a member of BAE Systems’ quality team, said they are talking with experts at QEHB and university professors about developing the product. He said: “The challenge we were set was to come up with something which was cheap to produce, easy to clean and robust enough to survive on a busy hospital ward. “To see Bedflex being used to support injured servicemen with their rehabilitation is a fantastic achievement for everyone involved, especially as supporting our Armed Forces is what BAE Systems is all about. “Now we are looking at how we can get this out to support as many people as we can and the support and expertise of QEHB will be crucial to doing this.” Mike Hammond, chief executive of QEHB Charity, added: “We are very impressed with the high standard of Bedflex. This device shows real potential.”

“We are very impressed with the high standard of Bedflex. This device shows real potential.”

Dorset amputee completes challenge of a lifetime

67-year-old Dorset amputee, who served for 25 years in the Royal Navy as a survival instructor, has completed his most challenging trip yet.

those who’ve looked after me. When I first injured my foot, I was outside a hospital within twenty minutes of take-off in the air ambulance but I’m fully aware that it costs £5,000 a day to operate such a valuable service.

Roger Fullbrook lost the front part of his left foot in a shooting accident which ultimately resulted in a full below the knee amputation.

“If, as well as raising some money for these two important charities, people in a similar situation get something positive out of my experience, I’ll be very happy.”

Yet, after working closely with prosthetics specialists RSLSteeper via the NHS at the Dorset Prosthetic Centre, Royal Bournemouth Hospital, he set his sights on a quite incredible journey. This entailed building his own canoe in just four days before paddling 7 hours a day for 30 days from Kendal to Godalming - a distance of some 350 miles. Roger decided to tackle the epic mission to raise much-needed funds for two charities that are close to his heart: BLESMA, the British Limbless Ex-Servicemen’s Association, and the Dorset and Somerset Air Ambulance. He hopes the challenge will provide inspiration to others who have been through a similar life-changing experience. He says: “I’ve always wanted to do something to pay back

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Caroline Clark, Prosthetic Clinical Services Manager for RSLSteeper at the Dorset Prosthetic Centre said: “We supply lower limb prostheses for all kinds of activities including swimming, running and skiing but what Roger is doing is a unique personal challenge. “We are so proud that we have been able to play a small part in this extraordinary story. He is a real inspiration to both amputees and non-amputees alike and it is a pleasure to help him to achieve his goals.” Already making strong inroads, Roger hopes to ultimately raise £30,000 to split between his two chosen charities. For more information visit:

theportlandpaddler.org.uk

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CONVERTING PATIENTS INTO PEOPLE

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EMPOWER: CARE

Rhetoric versus Reality in UK Social Care

‘‘

Many years of hard work and “good practice” are being wasted for perceived short term advantage

ocial care costs money and councils have been steadily increasing the care dependency eligibility as they strive to save and reduce their financial expenditure. One way to save money has been to increase eligibility levels for care, but this has not been sufficient and an additional method being used by some councils to reduce spending is to purchase the care from domiciliary care organisations offering the lowest hourly rates. To provide safe, responsible, good quality care does not just happen in isolation but is a result of good practices throughout an organisation. Good practices in recruitment, employment, management, administration, understanding the needs of individuals who are dependent on you are just some of the factors that have high costs associated with them and whilst it may be possible to minimize some costs to a degree there is a level after which service provision will suffer. A high percentage of care providers are reliant on council contracts rather than on private

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fee payers and therefore the success or failure of their business is dependent on this local customer. Many councils are ‘approving’ dozens of care organisations (one authority has in excess of 100 approved providers) when quite clearly there is not enough work to go round and care workers will switch companies to follow the work if they are able to do so. This has a destabilizing effect to all concerned in the provision of care packages. It seems perverse that, at the very time that the Minister of State is introducing a requirement that independent sector providers demonstrate their financial viability, local authorities are effectively guaranteeing that significant numbers of providers will fail. The failures are likely to be those organisations that provide quality services which cannot be delivered at the lowest ‘tender price’. Some commissioning authorities do not seem to recognise that every successful independent sector provider needs to operate at or above the

level of “critical mass” in order to survive. This is obvious when the same commissioning authorities do not pay their invoices on time which seriously affects the cash flow of the care providers. Many years of hard work and “good practice” are being wasted for perceived short term advantage. Ask yourself, “What is the incentive for a good quality provider to pay to train their workers to the best possible level, only to lose those same workers to their cheaper competitors – because that is where the local authority has placed the contracts?” Surely this is “short termism” of the worst kind. The simple fact is that there is not enough funding in the state care system to deliver the services that other departments of the state system repeatedly tell us they are going to achieve.

Angela Gifford, MD. Able Community Care Ltd. www.uk-care.com

REHAB Prosthetics R

Socket comfort: EHAB Prosthetics is a We place this at the very top of our priority list Prosthetic and Orthotic and work very closely with the wearer to achieve Centre situated in the centre of the optimal fit and alignment to obtain the most the United Kingdom. With a fully comfortable socket possible. equipped clinic, state of the art Expert physiotherapy: workshops and large gymnasium, We offer prosthetic rehabilitation with a full we provide comprehensive size gymnasium; specific exercise programmes, synchronized with prosthetic fitting, ensures the rehabilitation for people best results in the best possible time. following amputation. For full independence following limb amputation, a complete prosthetic rehabilitation programme is needed, specifically tailored to meet each individualsâ&#x20AC;&#x2122; goals. To achieve this, the REHAB Prosthetics team works together with its clients to offer:

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Advanced gait training:

To achieve maximum independence and mobility, including support to enable a return to employment, leisure and sporting activities wherever possible REHAB Prosthetics runs fitness classes specifically for prosthetic users, with exercises adapted to suit their particular needs. A number of Paralympic athletes have used the extensive gymnasium facilities to practice with their specialised sports prostheses. REHAB Prosthetics has also sponsored a number of elite and potential Paralympic athletes, including cyclists, sailors, rowers, track- and fieldathletes.

,, For full independence following limb amputation, a complete prosthetic rehabilitation programme is needed, specifically tailored to meet each individualsâ&#x20AC;&#x2122; goals. For more information Contact Us:

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www.empowermagazine.org.uk - Page 13

Bringing Dreams To Life

he London Prosthetic Centre (LPC) was established five years ago in Kingstonupon-Thames by Clinical Director and Consultant Prosthetist, Abdo S. Haidar, to provide cutting-edge prosthetic care and silicone facilities. In that time it has transformed the lives of a diverse range of patients from all over the world. A recent example is Matthew Short who is set to reach new heights on the ski slopes thanks to a specially developed prosthetic skiing leg. The turning point came when he met Heather Mills, who has won the Super-G Austria Cup title last year and four gold medals at the US Adaptive Alpine Skiing National Championships - using a unique skiing prosthesis created by the LPC. Matt quickly arranged a consultation with Abdo and hasn’t looked back. The design of his new leg is well underway and his new target is the 2018 Paralympics.

“

Abdo said: ‘The key benefit for Matt is that his new leg is specifically designed for skiing and his exact requirements. This gives him the control and manoeuvrability to tackle the slopes with skill, response and feedback.’

‘The key benefit for Matt is that his new leg is specifically designed for skiing and his exact requirements. This gives him the control and manoeuvrability to tackle the slopes with skill, response and feedback.’

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Such technology has also come to the aid of eight year-old Cieran Kelso whose legs were amputated after contracting meningitis when he was just one. He loved swimming and desperately wanted to propel himself through the water as easily as everyone else. LPC designed and created a pair of prosthetic swimming legs with flipper attached to the ends. Now he has even taken to the pool with dolphins!

Cieran’s stepmother, Gemma, said: As soon as Cieran first wore the flippers it was incredible, his instructor even had to swim to keep up. We want Cieran to see that even though his legs were taken away he can still follow his dreams and be like his friends, just sometimes we have to make slight adaptations to aid him along the way.’ The same goes for Georgy Evans whose new prostheses gave her the confidence to embark on a series of new challenges, including diving, horse riding, mountain climbing, kayaking and even trekking through the jungles of Africa. She said: “There has been a major revolution in prosthetics over the past twenty years, and the new developments available are truly transforming the lives of amputees. The beauty of these advancements is that prostheses can now be endlessly adapted. The reason I do so much now is down to people like Abdo who are so patient and creative.” The London Prosthetic Centre is the only private centre in London to provide cutting-edge prosthetic care and silicone solutions, equipped with a modern workshop and silicone facilities.

For further information visit: www.thelondonprosthetics.com Address: Unit 20, Kingsmill Business Park, Chapel Mill Road, Kingston-upon-Thames, Surrey KT1 3GZ

020 8789 6565

Tel: Email: enquiries@thelondonprosthetics.com

Improving Peopleâ&#x20AC;&#x2122;s Lives The London Prosthetic Centre understand that every patient is different. Our specialised private service ensures that your clinical care package is created to complement your lifestyle and to help you enjoy life.

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Bionic hand is life-changer for Hull amputee

n 16 June 1992, when he was just 13, Mike Swainger was struck by a train when playing with friends on some waste ground. Lying fully conscious by the trackside for 45 minutes, he was fully aware that the arm and leg that rested on the ballast a few feet away, were his own. Now, he is the UK’s first man to receive the remarkable bebionic3 through the NHS, following a search that has lasted almost 20 years. “I remember waking up in intensive care and realising that my life had changed for good. I was in quite a dark place for some time and really struggled with the various options that were around.

“I tried a number of different arms over a 19-year period and all were quite frustrating. The grip was generally weak and they never felt like a part of me. The only option was to relearn all the everyday tasks with my left hand. “I hoped the technology would come and became increasingly aware of the bebionic hand. It was a long shot but I contacted the manufacturers, RSLSteeper, and effectively offered to be a UK test case. I knew what an incredible impact this would have and was desperate for a break.”

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That break came last year, when Mike was selected as the first person in the UK to receive RSLSteeper’s bebionic3 hand through the NHS. Now, using the most advanced bebionic3 with its ‘‘Terminatorstyle” appearance, he can complete all sorts of tasks: “Having a bebionic hand is a complete life-changer. I can do all the things I could do with a real hand from sports to everyday tasks like tying shoe laces, opening a pack of crisps, or shaking hands. “The best thing was when my youngest child, Jodie, held the bionic hand in the street without batting an eyelid. I am extremely grateful to the NHS and RSLSteeper.” Now living with his wife, Claire, and three children, Billy (17), Ellie (15), and Jodie (6), Mike wants to play his part in helping those going through similar circumstances. Working with Hull FC to establish a wheelchair rugby league team, and promoting paralympic sport in schools, he hopes that his experience will be an inspiration to others: “Being an amputee can be so daunting and accepting the disability is often the toughest thing. I’ve experienced many highs and lows and want to make that experience available to as many people as possible.”

www.bebionic.com www.rslsteeper.com

Plié® 2.0

Introducing Plié® 2.0 The World’s Most Responsive MPC Knee. The new Plié 2.0 features an advanced hydraulic system with cutting edge microprocessor control of both swing and stance that reacts to ambulatory stimuli in 10 milliseconds. As the most responsive MPC knee, the Plié 2.0 provides amputees with a more natural experience of mobility. Plus, an array of innovative features deliver increased reliability and durability over a broad spectrum of activities. • • • • •

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As Tim recalls, “Being a self-employed window cleaner, a keen runner and regular gym user, losing my arm completely turned my world upside-down!”

‘Wooden’ Arm Rejuvenates Amputee’s Outlook

n February 2012, whilst travelling as a car passenger on his way home to Eastbourne, Tim Madison was involved in a road traffic accident that resulted in the amputation of his left arm. Despite experiencing some early setbacks in his rehabilitation, Tim now proudly shows off his new alternative ‘wooden look’ prosthetic arm. Tim recounted his journey, “Initially I attended my local Rehabilitation Centre, but my experiences there weren’t very positive and I became quite disillusioned”. Adding, “I was starting to see little point in having a prosthetic arm.” However, before completely dismissing any future prosthetic use, Tim’s solicitor, Michael Blandy, suggested that he attend a clinical assessment by an independent provider. As Michael explained, “Tim’s negative experiences were impacting his recovery potential. A fresh approach would perhaps provide him with some alternative solutions and alleviate some of his frustrations. I was also keen that Tim could regain his ability to undertake normal daily life, such as going to the gym and start planning his future in the jobs market.” With excellent cooperation from the insurers involved in the litigation claim, Michael referred Tim to the multi-disciplinary team at

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Pace Rehabilitation for an Initial Assessment. As Pace Prosthetist/Orthotist Paul Richardson recalls, “It was important to listen to what Tim wanted”. He continued, “Restoring his body image and providing some function were important to Tim, but he was not interested in a life-like prosthesis. Instead, he wanted something aesthetic that looked good on its own terms, which we were happy to oblige with.” Knowing that he had a free hand with the design, Tim engaged with his provision, “In terms of the appearance, Paul said I could basically have whatever I wanted, which was brilliant.” So, whilst Paul and Occupational Therapist Anne Marie van Es worked with Tim on his prosthetic provision and function, utilising the Becker Lockgrip hand from America, he began to come up with design ideas. Tim said, “Living close to Hastings, I fancied having the Bayeux tapestry on the arm, but decided that the design is a bit long, so wouldn’t really work!” He continued, “I told Paul that I fancied something ‘old school’ and our discussions lead to wooden looking arm, which sounded brilliant!” With a design brief, Pace’s technician Bryan Bradbury worked with designers at Funki Fabrics to produce a wood effect Lycra material, as he explains, “Its always exciting to produce a prosthesis that’s a little bit different.” He continued, “After a couple of attempts, we came

up with a design that everyone was happy with.” The unique prosthesis was then meticulously finished by Bryan, encompassing the bespoke material. Upon collection of the finished device, Tim was delighted, saying “Not only is it comfortable and functional, but it looks absolutely superb.” Adding, “The team at Pace really ‘got me’ and understood exactly what I wanted. I’m over the moon with it and can’t wait to show it off!” Following his positive experience, Tim intends to become an active limb user. “We’re working on a device now that I can use in the gym, which I’m really excited about.” Adding, “Maybe I should get a bionic man finish on that one!” He joked.

936302 Iss4 0913 Blatchford

What is the myofascia?

very cell in our bodies is connected by a continuous web of connective tissue called the myofascia. This 3D network gives us strength, flexibility and stability meaning that no part of the body exists in isolation. The myofascia solidifies and shortens in response to any kind of trauma, repetition of movement or ongoing poor posture. It will slowly tighten, spreading tension throughout the whole body. Anything that happens to our bodies from the time we are born is recorded in the myofascial network. As we are so good at compensating, most people don’t notice their bodies gradually getting tighter. We accept that aches and pains develop and don’t seek treatment for them. A lot of the time we carry on tying ourselves in knots without any major problems. But after a significant change such as amputation, our bodies aren’t able to carry on adapting to change as effectively. Suddenly, not only do you have to cope with the new trauma, but old symptoms also seem to recur. This may manifest itself in different ways, depending on your history and how your body has dealt with things. This effect is very common and makes sense

when you think about it from a myofascial point of view. The loss of any part of our body results in a big shift in the myofascia. This is necessary to allow the rest of the body to continue functioning, but it does put it under a lot of strain. The pain felt after the wound has healed may be due to phantom pains, but it may be your myofascia tightening. As you learn new ways of moving and start to get more mobile again, pain and stiffness build up. Scar tissue can cause problems in the immediate area of the operation, but its effects become much more wide spread if it stays very tight. As scars have little elasticity, they restrict the myofascia surrounding them and affect the rest of the network. The myofascia can be treated gently and effectively by Myofascial Release, which is a hands-on technique that enables the tightness and scar tissue to loosen. It is safe post-operatively and even makes a difference many years later. If you would like to find a therapist who is qualified in Myofascial Release, please visit www. myofascialrelease.co.uk, where you can search in your area.

Nikki Robinson MCSP

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Welcome to the dark side CarbonFX® is a revolutionary range of decorative finishes designed to enhance the look of your laminated prosthetic socket. Based on carbon fibre and glass fibre materials, the final product looks eye-catching and dynamic. Currently available in six colours/designs, North Sea Plastics CarbonFX® raises the bar for prosthetic socket design.

SilverShield® antimicrobial thermoplastic - proven to prevent bacterial growth. Available on a range of North Sea Plastics products, SilverShield® contains an antimicrobial additive using Silver ion technology which inhibits bacterial growth on the surface of the material. As a result SilverShield® helps to eliminate unpleasant stale odours. Independent laboratory tests show a >99.99% reduction in the bacteria count after a 24 hour period. For more information - www.northseaplastics.com

EMPOWER: LEGAL

Being forewarned is forearmed

‘‘

Nowadays lower limb amputees can utter a sigh of relief with carbon fibre components, computer technology for the knee mechanism and hydraulic components

t is too early to evaluate how the recent reforms to personal injury claims will affect claimants who have suffered severe injury(s). Undoubtedly the antics of claim management companies, credit hire, car repair businesses and some solicitors has had a massive effect on pushing insurance premiums sky high. I was recently informed of a minor injury claim where the claimant ( whose general damages was no more than £2000) had been driving an expensive car and had put in car hire charges at £80,000 on a like for like basis whilst his car was being repaired. Although this was reduced on an appeal, it still amounted to a bill in excess of £50,000. One of the first questions you have to consider if you have suffered a personal injury which is not your fault, is to how to fund your claim. You may have legal costs insurance cover in an existing insurance policy e.g. house insurance, motor insurance. If you suffered a severe injury such as amputation, you will want to know that your legal team has the specialist knowledge required to deal with your case. If legal costs insurance is offered, it should be possible to instruct a firm of your choice. In the 1960’s we were able to put a man on the moon, but the artificial legs that were being offered to an amputee had not changed much since the First World War! For example, if you were an above knee amputee, the knee mechanism consisted of a strong elasticated strap which mimicked the knee action by pulling the leg through. Once it had reached full extension, it was stopped by a leather back strap. The artificial limb itself was made of aluminium appearing first as a shiny silver coloured metal

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which was hammered into shape. The fitting rooms looked more like people preparing for a medieval jousting tournament! Nowadays lower limb amputees can utter a sigh of relief with carbon fibre components, computer technology for the knee mechanism and hydraulic components. A state of the art prosthesis will give comfort, stability and a walking refinement that will make it difficult for the outside world to appreciate the true extent of the injuries suffered. However, these limbs are expensive and can cost in excess of £40,000 exclusive of fitting. If you are a successful claimant, your solicitor should be aware of the prosthesis which are on offer and that will best suit your needs and factor this in the special damages claim. It is therefore important that your legal team have a basic knowledge of the latest developments and how they may be used for the amputee’s benefit. For example in Sweden there have been some new techniques advanced called Osseo integration. This essentially secures the prosthesis to the amputee without the need for a traditional socket or glove. The costs of this are considerable and the process still relatively new and certainly not suited to everyone. It may for example be especially used for in a high level amputee (thigh) who might otherwise have problems keeping his prosthesis secure to his body. This does however illustrate the difficulties posed for a solicitor when assessing the special damages side of the claim which should also take into account a separate prosthesis for swimming, sailing, cycling, running so that the claimant can participate again in all the hobbies they did pre-accident.

Another problem that is emerging is that the top of the range prosthesis and components are often not available on the NHS. If a defendant has admitted liability, then a solicitor can (with the proper prosthetic advice) make an application at an early stage for an interim payment to get their client the most modern and best prosthesis. This may include an intensive “fitting” process when the leg is made and fitted, so that amputee is out walking again within a week. On the NHS this may take some months as an initial appointment is made to take a cast, the amputee then comes back four weeks later for a first fitting, a further four/six weeks a second fitting and a further four/six weeks for a delivery when the leg is then finished off. It could be between three to six months before they are walking again. This means that if liability is not admitted, the amputee really has no choice but to avail of the NHS services. This is not a criticism of the NHS services and limb fitting centres who do a tremendous job. It is however a criticism of the government because funding is not being made available. The amputee claimant may have to wait two or three years before his claim gets to trial and/or a settlement is reached. During this period he will be reliant on the NHS and not getting necessarily the most up to date prosthesis. This is especially so for above knee amputation. There is therefore an increasing role for the appointed solicitor to take this up if required with the NHS disability service on behalf of his client at an early stage. Being forewarned is forearmed. With the right support from family, advice from legal team and guidance from charities such as the Limbless Association there is no reason why the amputee claimant cannot (albeit after a little while) get back to a high quality of life.

Have You Been Affected by Poor Hospital Care? Whether you’ve suffered from: • • • • • •

Surgical Errors Misdiagnosis Hospital Acquired Infections Delay in Cancer Diagnosis Negligent care General injury

Asons Solicitors can help. We can advise you on what steps to take to pursue a medical negligence case; where the resulting compensation could help you to achieve a better quality of life.

Call us today: 01204 521 133 Or visit us: www.asons.co.uk

Asons, not your traditional law firm. 120 Bark Street, Bolton, BL1 2AX | www.asons.co.uk | 01204 521 133

Specialist Amputation Solicitors At Clarke Willmott we pride ourselves on the professional support we provide to serious injured individuals and their family members.

Personal injury and clinical negligence claims – How can we help? • • • • • • •

Call our experts now:

Early rehabilitation – to ensure your family’s life is not placed on hold while you wait for compensation Early interim payments – to minimise financial pressure State of the art prosthetics – prosthetic provision is improving. Different prostheses are required for different activities Amputation Training Days – we hold annual training events. Watch videos of our last two events on YouTube “Understanding Amputation” and “Amputation Training Day 2013” Maximise damages – to ensure that all present and future needs are catered for such as housing, care and medical requirements. Client care – you need to be confident that your solicitor is aware of the difficulties that you and your family face. After care – providing expert advice in relation to wills, tax planning, asset management and trusts.

Stephen Trump, Partner Martin Pettingell, Partner Lee Hart, Partner

0800 316 8892 claimssolicitoruk.co.uk

Clarke Willmott LLP is a limited liability partnership registered in England and Wales with registration number OC344818. Authorised and regulated by the Solicitors Regulation Authority (SRA number: 510689), whose rules can be found at www.sra.org.uk/handbook. Its registered office and principal place of business is 138 Edmund Street, Birmingham, West Midlands, B3 2ES. Any reference to a ‘partner’ is to a member of Clarke Willmott LLP or an employee who is a lawyer with equivalent standing and qualifications and is not a reference to a partner in a partnership.

Great service... Great people... www.empowermagazine.org.uk - Page 23

Thompsons Solicitors has an unparalleled history representing only injured people, never the insurers We have over 90 years’ experience working with trade unions and individuals to secure justice for workers who have been seriously injured in accidents. Today, we use that wealth of legal knowledge and specialist experience to represent some of the hundreds of people who suffer limb loss each year as a result of accidents, not only at work but from clinical treatment, as a result of military service or on the road.

Specialist lawyers who see more than a patient in front of them Our Serious Injuries and Clinical Negligence teams are made up of specialist lawyers and client support co-ordinators who, together with organisations such as the Limbless Association, provide a comprehensive package of expert legal, rehabilitative, medical, practical and emotional support to clients and their families. Our expert serious injury lawyers deal with a spectrum of complex amputation cases including those involving children, multiple victims or Imogen Wetton, military personnel. Our serious dedicatedinjury clinical negligence specialists have a wide range of specialist at Thompsons: expertise in dealing with serious complications from medical treatment including amputations. We have a network of 28 offices across the UK, allowing us to provide compassionate, personal, and expert legal advice that reflects the needs of our individual clients and their unique situations – wherever they live.

Strength in depth and a network of experts The clients we represent benefit from access to an established network of occupational therapists, physiotherapists, prosthetic and orthotic specialists who offer guidance and rehabilitation support in addition to accurate immediate needs assessments that benefit the legal case. This allows Thompsons to support our clients’ recovery from day one while securing the right level of damages on their behalf, in the shortest possible time. We work in close partnership with the Limbless Association who have joined with us at events and conferences including the British Association of Occupational Therapists Annual Conference (BAOT), the International Society of Prosthetists and Orthotists Conference (ISPO), and the British Association of Chartered Physiotherapists in Amputee Rehabilitation Conference (BACPAR). We have close working links with Headley Court and other leaders in the field of amputee rehabilitation and orthotics which mean we remain at the forefront of the field.

Our commitment is to our clients Unlike other firms who may act on both sides of the fence, we are totally committed to upholding the rights of injured and mistreated people. We have never - and will never - act for the individuals or organisations (or their insurers) who cause injuries.

Imogen Wetton, serious injury specialist at Thompsons:

“What sets Thompsons apart from other firms is our long history of specialist serious injury work. Our background with the trade unions mean we have been dealing with life changing injuries for decades and can bring that expertise to the table with every case – however complex. “Our experience means we are able to bring together a team of specialists to support our clients throughout their journey to recovery – be that immediately after the accident or injury took place or further into the rehabilitation process – and secure the best possible outcomes on their behalf. “We have all seen the developments in rehabilitation, care and prosthetics and the incredible effect they have on our clients’ lives. We’re proud to help people to access the right support and proper funding to be able to regain their independence after amputation.”

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Thompsons are experts in cases relating to all major causes of limb loss or amputation including:

.. . . .

Military accidents Workplace or industrial accidents Road traffic accidents including motorcyclists and pedestrians Clinical negligence including compartment syndrome and claudication Injured children and young people

Michal’s story: Michal was working on a printing machine when an accident at work resulted in terrible injuries and the loss of three fingers. The machine Michal was working on had defective guarding and his hand was pulled between two rollers. The compensation has helped Michal move on with his life enabling him to obtain two revolutionary prosthetic fingers made by Touch Bionics. His third finger has been replaced by his toe.

“Thompsons Solicitors were superb, offering support and guidance and ultimately securing me a financial settlement that meant I could explore top-end technology.” “My advice to anyone who finds themselves faced with the same situation that I have experienced is to never give up. I have learnt that there are so many people and organisations out there to support you, that you will be able to find a solution.”

A personal service tailored to your needs... J

udkins specialise in severe injury claims resulting in upper or lower limb amputation. Mr Judkins the personal injury litigation partner has personal experience of this form of trauma having suffered a lower limb amputation following a road traffic accident over 30 years ago. The firm is therefore familiar with and sensitive to the needs and concerns of a client who has suffered such a catastrophic event.

This can be initiated by the family of the injured person while they are recovering. It may be possible to issue a letter of claim to the other party whilst the client is still in hospital. The Protocol(s) provide for a period of three months for the defendant driver and/or four months for the negligent hospital to respond with a letter of response which reply must set out whether they admit liability or not, and if not, why not.

The good news is that there have been huge advances in technology in recent years which means any person suffering the loss of a limb can expect to get back a very good quality of life. How soon this can be achieved depends considerably on whether the individual is successful in their claim.

If liability is admitted it should be possible to enter into negotiations with the defendant insurer for an interim payment and this money can be used to instruct a prosthetic company to assess what type of prosthesis is best suited to the individual and then start work on making one, once the physical injuries have healed. The cost of a state of the art artificial leg could be ÂŁ40,000.00 or more exclusive of fitting costs. However, this could have considerable financial savings in the long term as, for example, the individual may be able to get back to work much sooner. This may appeal to the defendant insurance company as it would mean that the special damages award for future loss of earnings might be less. It would also encourage them to make an offer of a reasonable interim payment.

It is now well recognised that the psychological injury suffered by an amputee is often as severe as the physical injury itself; the latter being the more obvious always receives urgent attention with the former at times being overlooked or even neglected. Once on the road to recovery, an amputee will be introduced into the world of â&#x20AC;&#x153;prostheticsâ&#x20AC;? which is the skilled job of making artificial limbs. Up until 1990s this discipline had not changed much since the First World War but in the last decade or so its transition has been phenomenal. Whereas in times gone by a lower limb amputee could expect to wait 12 months to get an artificial leg (which looked and worked like a suit of armour) nowadays specialist prosthetic companies can fit an artificial leg within a week of referral so that the amputee has the chance to return to their normal routine. The speed that the above can be achieved is dependant largely on whether liability has been admitted by the negligent driver and/ or hospital and/or employer. Getting advice on your potential claim from a specialist lawyer at the first opportunity is important.

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If liability is not admitted the solicitor must then consider issuing a claim. At Judkins we would expect to have formed a view on the strengths and weaknesses of the claim at an early stage. In medical negligence claims it is generally necessary to obtain a report from a medical consultant who will review the medical notes and treatment given to assess whether it fell short of the required standards. This consultant will have an overriding duty to the Court when producing their report. The opinion given by this expert is crucial when making a decision about whether to issue a claim or not. If a claim is defended the legal process and

the time it takes to get the case to trial can be enormously frustrating and stressful for the client. Whilst inevitably there will be legitimate defences to a claim, often it is a tactic of defendant insurers and their appointed solicitors to do everything they can to delay things. This may include seeking extensions to protocol timetables and court directions which in the interest of justice the Courts (particularly in medical negligence cases) frequently grant. Similarly, a defendant will often file a defence even if they intend to settle as a pre-negotiating tactic. Judkins will help you through this difficult time and wherever possible minimise the time delays to ensure your claim is finalised to your satisfaction at the very earliest opportunity.

It is now well recognised that the psychological injury suffered by an amputee is often as severe as the physical injury itself If you have suffered a severe injury then contact Judkins now for a without obligation discussion. We will be happy to travel to meet with you if this assists. Please call - 01992 500456 or email -

paul.judkins@judkins-solicitors.co.uk Or visit our website at -

www.judkins-solicitors.co.uk

EMPOWER: MOBILITY / MOTABILITY

Disability Living Allowance Revamped

‘‘ new The

system will be fairer, easier to understand and easier to administer

hile there is a wide range of disability related financial support available, ranging from benefits in relation to vehicles and transport to exemptions from VAT and other discounts, it’s the changes to Disability Living Allowance that will have a major impact for people currently on The Motability Scheme. From 10th June 2013, Disability Living Allowance (DLA) has changed. It is being replaced by a Personal Independence Payment (PIP), although the changes will be rolled out over a period. PIP is gradually replacing DLA for people of working age; that is from 16 to 64. From 10th June 2013, new claims for DLA will only be allowed if you are claiming for a child under 16. The Department for Work & Pensions have said that the new system will be fairer, easier to understand and easier to administer. During the consultation, most respondents expressed the opinion that any awards made should be for

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longer periods and that the assessment process should be easier to navigate for those with many different needs, or a condition that will not get better or change. Both DLA and PIP have two components. For DLA, these are a Care Component and a Mobility Component and under PIP they are called Daily Living Component and Mobility Component. It’s the Mobility Component that we’re discussing here. The Mobility Component for both DLA and PIP is made up of two levels of benefit, Lower and Higher (DLA) and Standard and Enhanced (PIP), but the amount of benefit in each category remains the same. If you are aged 16 to 64, you may get the Mobility Component of PIP to help with going out and about. Only claimants who receive the Enhanced level of PIP will qualify for the Motability scheme.

If your DLA award is at the higher level and you are assessed for the Enhanced level of PIP, your Motability vehicle lease just carries on. Some estimates though, suggest that up to 20% of those on the Motability scheme may no longer qualify. In those circumstances, if you have a vehicle through Motability, your lease will end and the vehicle will have to be returned. There is an appeals process should you not agree with your assessment for PIP, but the DWP will not continue to pay DLA while your appeal is considered and Motability will not be able to leave the vehicle with you. Should you find yourself without a Motability vehicle, even on a temporary basis, there are companies such as Mobility Vehicle Hire Ltd who might be able to help. They can be contacted via their website; www.mobilityvehiclehire.net where they have a dedicated team available to help.

Helping Amputees Get Active And Into Sport

xercise and an active lifestyle can be vital for both physical and mental well being. Living life to the maximum doesn’t have to stop following an amputation. For over 15 years Draft have been helping people with disabilities perform at the highest levels or simply just get out and about.

Choosing activities after amputation

Aggressive and Violent

Wheelchair basketball is a well known amputee activity that provides a great opportunity for some rough and tumble! Even rougher is full contact wheelchair rugby. Alternatively, how about sledge hockey where you can have sticks, picks and pucks flying around at 90kph included in the mix.

From racing to rugby, hockey to handcycling Draft manufacture and supply the widest range of equipment to help you get started in an activity. Often our clients are unsure of what sport or activities they really want to get involved in now that their circumstances have changed. The team at Draft are ideally placed to discuss your requirements and help make equipment recommendations, without wrapping you in cotton wool.

Fast and Wet

Team or individual activities

We welcome the opportunity of discussing sports and active lifestyles with clients, identifying the equipment that will be most suitable, without treating you as a medical or charity case. As everybody is physically very different (even before an amputation) making sure that the chair, sled or handcycle is designed and fitted around you is critical to getting the maximum enjoyment and performance from your equipment.

For many the personal challenge of beating their previous time, getting out whatever the weather or just being totally independent and in control of their own development makes individual activities such as cycling, handcycling, racing, rowing, blokarting, or water skiing most attractive. Alternatively, many find that a team activity such as rugby, basketball or ice hockey or tennis provides not only the physical benefits but also offer a wide range of social benefits and interaction. Most sports are multi-disability, with a wide range of participants, able bodied and disabled. Being part of a team is ultimately a great motivation to encourage ongoing participation and build new relationships / friends.

Developments in the equipment and technology now make rowing, kite surfing, wake boarding, water and snow skiing accessible along with all the thrills and spills of the sport.

Choosing the right equipment

Selection of the right equipment that suits your amputation is of paramount importance.

Why not call into our extensive showroom and factory and talk to the Team? They can offer you tea and biscuits, along with a personal perspective onto what got them into their chairs and chosen sports. In addition, with our specialised workshop facilities, design experience and access to many suppliers, we love to adapt, make replacement parts and ‘race tune’ your existing equipment.

"...and my life's been downhill ever since."

Help available to get you active

We have a wide range of both new and used equipment. If possible we can provide some equipment that enables you to try a sport before having to commit to purchasing equipment. You may think that rugby is for you when in fact downhill mountain racing has got your name written on it.

The Specialists in

Active User and Sports Equipment http://www.draftwheelchairs.com/extreme

,, “After sustaining life changing injuries in Afghanistan, the team at Draft supported me with their knowledge and expertise to supply custom sports chairs to enable me to race and compete for my country.” Joe Townsend GB Paratriathlete

To find out more about the range of extreme sports and activities for amputees please call Draft on 01480 451247 or visit www.draftwheelchairs.com/extreme www.empowermagazine.org.uk - Page 31

Electric Mobility Limited was founded over 29 years ago by Michael Flowers, and today it still remains a family run business with the Headquarters and Distribution Warehouse based in Ilminster, Somerset.

ascal Rehabâ&#x20AC;&#x2122; was formed as a Specialist Division within Electric Mobility to provide people who require the support of mobility and healthcare products, with a comprehensive range of manual wheelchairs, powerchairs and other specialist products, which have all been designed to make life easier and improve the quality of mobility for people that face challenges during daily life. The company employs five Area Managers who have over 65 years of experience between them in the Healthcare industry to work alongside the highly trained Mobility & Rehab Retailers across the country. The dedicated support team is led by the Product Manager, Sean Taylor, who specialises in Seating, Powered & Manual Wheelchairs. Sean has over 22 years of experience in the Healthcare Industry, researching and developing product solutions for the customer /end user, therapists and retailers in various roles and by running seating clinics with professionalâ&#x20AC;&#x2122;s and customer focus groups across the UK to identify the most important

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features and benefits the customer needs from the product . Sean is always happy to offer advice, information and any additional technical specifications required to help customers make the most appropriate choices in relation to their individual circumstances and to find a product suitable to meet their needs. Amongst the Rehab accessory range, the Decon Wheels are perfect for existing or new selfpropelling manual wheelchairs. The E-Move powered add-on gives extra power to maintain cardiovascular activity on hill climbing or bike rides with the family or friends. Alternatively by adding the E-Drive power drive system to the wheelchair, it turns into a lightweight powerchair controlled with a joystick which is ideal for day to day family life or taking a holiday. The Decon Wheels provide the ideal solution when circumstances change and some mobility is still needed but without the lifestyle compromise or change of vehicle, they are a great solution. Details can be found in the advert opposite the contents page.

The South West’s Beauty Spots Now Open to All

he Countryside Mobility scheme, run by Devon charity Living Options Devon, is ensuring that the South West is a truly ‘accessible’ environment for everyone by improving access to the countryside for people with limited mobility. Based on the principle of urban Shopmobility schemes, Tramper all-terrain mobility scooters and wheelchair accessible Wheelyboats are now available at more than 30 countryside locations across Cornwall, Devon, Dorset, Gloucestershire and Somerset with more to follow. Many of us enjoy exploring the South West’s beautiful countryside, country parks, coast paths and grounds of country houses. We are blessed with many places to visit and walk, where we can experience the changes in seasons, colours and sounds of nature and the peace and quiet that this can bring. Often these walks lead to a café, with views that can continue to be enjoyed over refreshments. Yet for many people, this is where their countryside ‘experience’ often begins and ends due to being unable to walk even a small distance. The scheme is proving popular with people of all ages who want to get out and enjoy

the countryside, but previously were unable. For Rebecca the scheme has been lifechanging. “At the age of 35 I did not expect to suddenly find myself needing a wheelchair and my life became extremely restricted. On holiday in Devon my husband and I came across the Tramper scheme purely by chance. It’s impossible describing the feeling of suddenly having the ability and freedom to go into the countryside again. Both Tramper trips were without doubt one of the best days of my life… to suddenly have independence again to explore and enjoy the countryside was truly amazing” The Trampers can go up and down slopes, over bumps and tree roots, through shallow puddles, mud and soft ground and are for use by anyone aged 14 or over who has a permanent or temporary condition that affects their ability to walk. With a top speed of four miles an hour they can keep pace with the briskest walking companion. Wheelyboats can take up to 5 wheelchair passengers and are popular with anglers and groups wishing to get closer to nature out on the water.

,, The scheme is proving popular with people of all ages who want to get out and enjoy the countryside, but previously were unable

Full details about Countryside Mobility and a list of where Trampers are available can be found on the website www.countrysidemobility.org or by calling 01392 459222. You can also find out more by following them on Twitter @CMSouthWest or Facebook CountrysideMobility.

www.empowermagazine.org.uk - Page 33

Mountain Trike – the active chair for active people

he Mountain Trike is an all-terrain self-propelled wheelchair which has been designed using a masterful blend of unique innovation and drive system with high specification mountain bike technology. It provides wheelchair users with far greater freedom and independence than ever before to travel off the beaten track - whether that’s a trip to the local park, tackling curbs or an adventure to woodland trails. No other manual wheelchair on the market provides comparable high level of manoeuvrability and uneven surface performance, practicality and comfort. Despite deep mud and wet ground the unique drive and steering system means your hands stay clean and dry.

All Trikes are custom built and come with a 3 year warranty, choice of frame colour, adjustable frame, footrest and seat.

The Mountain Trike is purposely designed to meet the needs of paraplegics and amputees who are otherwise fit and healthy and who are currently severely limited as to where they can go with current manual wheelchairs. Other manual wheelchairs have limited off-road capabilities and are ill suited to rough terrain and many urban situations.

Jo from Chichester, who after being involved in a RTA crush was left with severe nerve damage and immobility, couldn’t be without her Mountain Trike. Previously she led a very active life with her family and the Mountain Trike allows her to go places she otherwise wouldn’t. Jo, surfers from nerve pain and the exceptional suspension softens the impact of any terrain.

Weighing just 20kg, the Mountain Trike is really light, but is robust enough to tackle dense woodland and mountain bike tracks. Much of this is down to the three independent shock absorbers, one for each of the drive wheels and one on the small wheel at the back, these keep the Mountain Trike firmly rooted. The back wheel is where the steering takes place, which provides excellent control at high and low speeds. The revolutionary lever drive system provides the mechanical advantage to ride up steep hills and maximise the rider’s strength whilst the whole time keeping their hands nice and clean! All weather mountain bike disc brakes provide excellent stopping power and control and can be mounted on either the left or right depending on the rider’s preference. It can easily be folded to assist loading into family hatchbacks and estate cars. The Mountain Trike Company currently distributes and sells direct to customers from their UK business.

Customers range from MS sufferers to triple amputees, the Trike is used by both male and females, and due to the arm length required to reach the drive levers the company recommends riders are over the age of 12 years old. Inventor and Managing Director, Tim Morgan offers a very personal service the quality of his product and customer care is at the forefront of the business. Selling direct to customers ensures that each Mountain Trike is right for the individual needs of the customer.

The British Army Rehab Centre in Headley Court has a fleet of Trikes which are used by the injured soldiers to assist and help them with their rehabilitation and fitness. It is simple to learn to ride a Trike; however, the company does advice of a learning curve and it can take some practise to perfect. Once a rider masters the manoeuvrability of the Trike, a whole new world of outdoor activities is waiting to be explored that conventional wheelchairs just can’t offer. The Mountain Trike purchase price is £3995 (approximately $6200, plus any additional charges for customs and import duties and shipping fees, confirmation given at time of purchase). An accessory range has also been developed and can be purchased at an additional cost. There is also an option for short-term hire schemes for UK customers – please see: www.mountaintrike.com for details.

To see a video demonstration of Mountain Trike please visit: http://bit.ly/W9qKKN Web: www.mountaintrike.com Email: info@mountaintrike.co.uk T: +44 (0)1270 842616 Twitter: @mountaintrike Facebook: facebook/mountaintrike

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C l a r i ty. Con fi den c e. In st a nt ly

CLEAR BUGS & FROZEN WINDSCREENS FROM THE COMFORT

S ee: Bel i ev e

OF YOUR SEAT

HEATED WINDSCREEN WASH SYSTEM

Sales 0800 879 9129

TO GET YOU ON THE ROAD WITH DIGNITY - WITH MOBILITY

www.heatshot.com

Heated Fluid

Clears Frozen Nozzles

Cleans Windscreens

Constant Fluid Availability

Works in all Weather Conditions

Clears Bugs & Debris

PC was established in 1989 by Paralympic Gold medallist wheelchair tennis player, Peter Norfolk OBE. Peter and wife Linda, an ex- Physio, headed up by an experienced, enthusiastic and knowledgeable team. We pride ourselves on sourcing good quality products at reasonable prices, and aim to supply our customers with friendly, expert advice and excellent service. We are independent dealers and so can offer a wide range of products from a variety of manufacturers. We will give you impartial advice and can often tell you how it has been to use products, as several of our team are wheelchair users, or related to someone who is.

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Heats Quickly & Efficiently

Mobility

Our range goes from basic wheelchairs to high performance custom made products, power chairs, sports chairs, hand bikes (recreational to racing), a huge range of accessories and parts, and products for easier living in the home. Our in house technical team is able to carry our servicing and repairs, and also advises and sources for parts.

Phone us for an appointment or look at our website for our wide range of products. www.epc-wheelchairs.co.uk You can also sign up to our mailing list for news and info on special offers.

New Improved DA Vinci Trail Rider:

a Vinci Mobility a leading manufacturing company in the Mobility Products Industry are best known for their innovation. Specialising in custom built wheelchairs, handcycles and car conversions for people with disabilities. Now in their 11th year as a company, Vincent Ross their Managing Director and designer strive to keep them at the forefront of technology. He has recently reviewed the Power Trike one of his earlier inventions and redesigned the product taking advantage of new parts and the latest battery technology. The new Trail Rider is a powered front wheel attachment that once fitted to your manual wheelchair turns it into an off road vehicle which is basically an electric powered trike. The docking clamp system for attaching and removing the Trail Rider once fitted allow you to turns your manual wheelchair in to a Powerful off road trike in less than a minute. We do three versions a basic version costing £1995 has a 250w motor and is suitable for people up to 11 stone who want to mainly use it in flat areas. This has a 36v lithium-ion battery. The 350w is a high power high torque version suitable for user with a weight of 11 stone upwards who want to climb hills as well as getting out and about. The all sing dancing version is the P5 Trail Rider which has a high powered high torque

motor, disc brake, reverse, cruise control , new improved battery carrier. The Trail Rider as well as being a practical mode of transport for getting you from A to B also allows you to get out and about in the country side and get involved in family activities such a cycling day trips. It is also great fun. TheTrail Rider is easily stowed in the boot of most vehicles’. There is a version to suit your ability and every day needs. The highest powered Lipo4 battery can give you up to 40 miles round trip on one charge. There are a number of accessories such as Travel Bags, extended axles for wheelchairs, spare batteries and a full maintenance a service support We can offer to upgrade your existing Power Trikes, using the existing frame by replacing motor controller and all the electrics and brakes. Prices for upgrading existing Power Trikes start from £1295.00, new lithium-ion battery and chargers start from £450.00 WE are currently testing a new Trail Rider with twin rear drive motors and hope to launch a production version early in the yew Year.

Da Vinci offer free home demonstration of the new Trail rider call now on 0151 548 1999 or visit our factory.

www.davincimobility.co.uk

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EMPOWER: DWP

Minister for Disabled People, Esther McVey

‘‘

Last year the Access to Work programme helped more than 31,000 disabled people get or keep work

have met many disabled individuals and organisations since taking up post in September last year, and I have seen and heard excellent examples of employers who already recognise the considerable talents disabled people have to offer in the work place, and who do what they can to make their businesses inclusive places to work. This can be seen in the employment rates for disabled people, which have increased gradually over the years. However I know from speaking with many disabled people and employers that there is still more that can be done. For example, we know from recent research that more disabled jobseekers cite employers’ attitudes as a bigger barrier to finding work than transport difficulties. To tackle this, we recently launched a two-year campaign to support businesses to become more confident about hiring disabled people. A more inclusive business isn’t just about doing the ‘right thing’ – it makes good business sense, with the purchasing power of disabled people worth around £80bn a year. Inclusive employers tap into this potential.

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When we hosted the Government’s first Disability Employment Conference over the summer, we brought together more than 300 employers, including 35 FSTE100 employers as well as disability organisations. We heard about how Barclays and Sainsbury’s are making their workplaces – and their policies – accessible, and how organisations such as Leonard Cheshire and the Business Disability Forum are supporting disabled people and businesses to fulfil their potential. I also heard about how valuable our flagship disability employment support programme – Access to Work – is to those it supports to get and stay in work. This scheme provides financial help towards the extra costs faced by disabled people in finding jobs by paying for additional travel costs, specially adapted equipment or support workers. The type of support available that those with limb loss may find helpful include adaptations to vehicles, premises and equipment and travel to work. Disabled jobseekers who want to set up their own business through the New Enterprise Allowance

can also apply for Access to Work funding. The New Enterprise Allowance provides financial support for the early months of self-employment and access to a start-up loan to help people get over the hurdles of starting a business, along with a network of quality mentors who can help new businesses grow. Last year the Access to Work programme helped more than 31,000 disabled people get or keep work – including Craig Sparrow who found himself unemployed for the first time in his life after he lost his left leg in a road traffic accident. After his accident, Craig was offered the job as the world-wide head of sustainability at a multi-national construction company in London, yet he couldn’t get too or from the new job despite being fitted for a new prosthetic leg. Access to Work now funds his travel costs via taxi to get to work until he regains his independence, and can drive himself or use public transport again. I would encourage anyone with limb loss, like Craig, who is interested in Access to Work to find out more at: www.gov.uk/accessto-work/.

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EMPOWER: SPORT ENGLAND

Sport for Disabled People Who we are: Sport England is committed to helping people and communities across the country create a sporting habit for life. We are working to increase the number of people who play sport regularly and we aim to make lives better through sport. This means investing in organisations and projects that will get more people playing sport and creating opportunities for people to excel at their chosen sport. Currently 15.3 million people play sport once a week, every week. Thatâ&#x20AC;&#x2122;s 1.4 million more than when London won the bid to host the 2012 Games - but we want this number to increase. We are particularly focused on getting more 14-25-year-olds and disabled people playing sport once a week. Since London won the right to host the Games in 2005, the numbers of disabled people who are active once a week in sport has increased by over 350,000. However, we know that disabled people are less likely to take part in

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sport, with only one in six playing sport regularly compared to one in three non-disabled people. Our work will seek to change this and help disabled people to view taking part in sport as a practical lifestyle choice.

Who we work with: Sport England recently announced a ÂŁ2million investment into the English Federation of Disability Sport (EFDS) to help accelerate their strategy to increase sports participation over the next two years until 2015. EFDS is the national body for disabled people in sport and physical activity throughout England. The charity aims to increase opportunities to play sport at all levels. They work with those in relevant sectors, such as sport governing bodies and disability charities, to provide inclusive opportunities as well as to encourage more disabled people to take part. Where there are gaps in provision, EFDS help by delivering programmes to meet the needs of disabled people.

Sport England has also been working closely with the governing bodies of 46 sports to offer support and advice around how to include disabled people and a large proportion of our £493m investment in the governing bodies over the next four years will include provision for disabled people Sport England has also directly given a share of £1.3 million of National Lottery funding to seven national disability sports organisations for the first time to advise, support and guide sports governing bodies as they create opportunities for disabled people to play sport.

So you want to take part in sport? Through our work with the British Paralympic Association (BPA) we are pleased to be able to support Parasport. Parasport has been designed to inspire, educate, inform and signpost disabled people, and those interested in disability sport, to high quality opportunities. Parasport aims to make it easier for members of the public to take up disability sport by providing information about local sporting opportunities. Parasport is for everyone, regardless of whether you want to take up a sport to get active or you have ambitions to represent Great Britain...Whatever your aim? Parasport can help you find a local club so that you can get involved. www.parasport.org.uk EFDS also run the Inclusive Fitness Initiative (IFI). This has been established for over 10 years and now boasts national coverage with 400 IFI Mark accredited gym facilities. If you are a disabled person wanting to visit an inclusive gym near you then visit http:// www.efds.co.uk/inclusive_fitness/ ifi_gyms

So you’re a club in need of funding? In 2012, we announced £10.2m funding into 44 different disability sport projects, all over England and across all impairment groups. The Inclusive Sport programme is designed to increase the number of disabled young people (aged 14+) and adults regularly playing sport as part of Sport England’s wider commitment to increasing disability participation. On 7 September 2013, a year on since the London 2012 Paralympic Games, we were delighted to announce a further £8 million of National Lottery funding aimed at giving disabled people across the country more opportunities to get into sport. This includes investment of £7 million through a second round of the Inclusive Sport fund and £1 million in Get Equipped, a new disability equipment fund. Equipment is vital to anyone who wants to play sport. The Get Equipped fund will invest £1 million of National Lottery funding to help address the need for specialist equipment to deliver disability sport. Not-for-profit organisations can apply for between £300 and £10,000 of Lottery funding to purchase sports equipment that will help increase the number of disabled young people (aged 14+) and adults regularly playing sport as part of Sport England’s wider commitment to increasing disability participation. Building on the success of the London 2012 Paralympic Games, this funding will help make sport a practical choice for many more disabled people inspired by the Games.

Inclusive Sport and Get Equipped will both open for applications on 7 October. For more information visit the Sport England Inclusive Sport website. www.sportengland.org/ inclusivesport

A personal story: With 44 projects sharing in £10.2 million of Inclusive Sport funding in round one, Inclusive Sport funding is already making a difference in the lives of disabled people including 30-year-old Julie, who has cerebral palsy. She discovered rowing thanks to Oundle Town Rowing Club’s outreach programme that introduces the sport to disabled people across Northamptonshire using rowing machines and on the water training. With little movement in her arms and legs prior to starting, the indoor rowing sessions have helped Julie increase her mobility and, after nine sessions, she is rowing on the machines without support and has progressed to taking part in water sessions. Steve Rustage, Oundle Town Rowing Club Development Officer, said: “Over the past few years we have been limited to working with just a few disabled young people. With the funding we received from Sport England, we’ve been able to go out into day centres, colleges and schools to help disabled people like Julie get involved in sport. By the end of the year we hope to have introduced over 800 disabled people from across Northamptonshire to rowing, both indoor and outdoor.”

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EMPOWER: SPORT

Hayley Ginn talks ‘Carbon Motion’

RUNNING IS MORE THAN POSSIBLE!

‘‘

“I think the legacy left behind following the Paralympic Games in London has already inspired so many to believe and we need to harness that”

nspired by her journey, coach Hayley Ginn has established Carbon Motion with a view of inspiring more amputees into running again and even running for the first time. Hayley’s journey began with a passion for running from an early age. Having studied Physical Education at school and A Level, she studied Sports Science, graduating in 2006 with a First Class Honours Degree. Following University, she worked her way through numerous UK Athletics coaching qualifications, working voluntarily for local clubs and individuals including Cambridge University Athletic Club. As well as this, she worked full-time as a Strength & Conditioning Coach continually developing her awareness of human movement patterns, postural awareness and injury prevention. After successfully coaching Jonnie Peacock and Laura Sugar to sprint success at world level, Hayley has put her energy and skills into providing specialist running coaching to lower limb amputees and those with lower limb impairments following rehabilitation. In order to achieve this, Hayley works closely with Limb Centres across the UK working with their Physiotherapists and Prosthetists to provide a bespoke service for their patients. This is typically done one-to-one, but with a flexible approach, she is always happy to work with groups. As well as working alongside Limb Centres, Hayley has also teamed up with various charities including LimbPower and PORT-ER to provide one-off ‘Learn to Run’ clinics. Those that are already able to run can also benefit from Hayley’s services via Patient and Coach Mentoring. Visits to

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Running Clubs, Gyms, Leisure Centres and even client’s homes or local parks can be arranged. This enables her to support patients direct and or to act as a mentor to a current coach or personal trainer who may not have worked with an amputee before.

“The first step is believing you can do it!” “Running is certainly more than possible” Below are a series of case studies that demonstrate examples of Hayley’s work with clients already carried out across the UK:

CASE STUDY 1

In example 1, a young above knee amputee is being supported via direct coaching and mentoring in her school PE Lessons to enhance her running technique. Hayley works closely with the PE Teachers to provide specific technical support and to oversee a strength & conditioning program to enhance, not only the clients posture, but their strength and control which in turn is helping with every day activities as well as developing her towards world class competition…a future Paralympian?

CASE STUDY 2

Losing their leg below the knee in a paragliding accident, client 2 was passionate to return to paragliding. In order to do this, he knew he had to be able to jog in order to take off and land safely. Via contacts at Loughborough, he was put in contact with Hayley and began formal training sessions. Not being the ‘sporty’ kind, he wondered how well he would progress and whether he would ever fulfill his dream

of returning to Paragliding. After just 4 sessions, he was able to take his first flight and has subsequently completed a paragliding holiday abroad.

CASE STUDY 3

In 2006, following a motorcycle accident client 3 was forced to have one leg amputated through the knee. Despite getting involved in sport early on following rehabilitation he had not jogged, let alone run, since before the accident. In 2012 he had some ad hoc sessions with Hayley and in 2013 began formal training sessions twice a week. Within 4-6 weeks he was able to run comfortably enough to go for the recreational runs he had always dreamed of. Evident from the case studies detailed in this article, Hayley is able to cater for varying levels of ability whether it’s directly following rehabilitation through to aspiring athletes. More crucially, she is able to provide a well-needed service for those ‘lost’ in between. By bringing her unique coaching style to the forefront, she hopes to inspire more amputees to engage in running for the first time, to rekindle a love for running they may have had before amputation or even become the next generation of Paralympians. If you are a reading this article and wish to find out further information for you, your clinic or someone you know please do not hesitate to get in contact with Hayley via email at Hayley@carbonmotion.co.uk or via telephone on +44 7877 732759.

“You don’t need a running prosthetic or ‘blade’ to start running”

BiOM From iWalk

Get the best out of living …

Amputee says, “It’s like having my leg back!” Following the successful first ever fitting of the revolutionary BiOM ankle system in Europe last year, Pace Rehabilitation has continued to provide seven of its leg amputee patients with clinical trials of the sophisticated electronic device. Initial patient feedback has been very positive, including one below the knee amputee who commented, “It’s like having my leg back!” The BiOM offers unique function, by providing the user with a powered assistance as they walk and when negotiating stairs. Claims from the American manufacturer (iWalk) that the device normalises gait characteristics and reduces metabolic energy requirements were underpinned by other Pace patient comments, included, “I’m walking faster and further with less effort” and “The world feels flat with this foot!” However, as Prosthetist/ Orthotist Toby Carlsson points out, “Whilst our patient feedback has been very positive, it is subjective.” He continues, “The function that the BiOM is claimed to restore comes at a significant financial cost. We are obtaining some objective data on how it performs, before we

and Prosthetist, D irector Ian Jones brings 18 years

experience to Limb Solutions including six years spent “ Since losing my legs as clinical“ lead in complex Since losing my legs in Afghanistan in 2007, traumain prosthetics servicein 2007, Afghanistan Ian Jones has been for the UK military. Extensive Ian Jones has been my prosthetist ever knowledge of the challenges my prosthetist ever since, he fitted my facing ex-service personnel, Ian he fitted my C-Legs and my Genium worked with since, Derek Derenalagi to enable him to be the C-Legs and myfirst Genium knees to wear at the servicemanknees to be fitted withat the to wear Paralymics. To be honest Geniums and helped him to a Paralymics. To be honest the sockets and knees well-earned place within the the sockets and knees were fantastic because 2012 Paralympian team.

commit to prescribing and recommending it.” So, in addition to recognised patient questionnaires and walk tests, this week Pace arranged for its latest four BiOM trial users to participate in independent gait laboratory trials, at the University of Salford which specialises in measuring human movement. Later this month, the quartet will return to the Salford laboratory wearing their ‘everyday’ prosthesis, to provide the comparative data for analysis. The clinicians and patients await the outcomes with interest.

were fantastic because I had no problems. I I had no problems. I can recommend that Focusing on a comfortable can recommend that Ian Jones is one of the socket at the outset we will Ian Jones is one of the best prosthetists in the work with you to explore and best consider the prosthetists correct optionsin to the country” provide the right productcountry” for Derek Derenalagi you. Delivering a personal and quality service we are a small family business where our aim is to keep costs down. As an independent provider we have no restrictions when sourcing the most clinically appropriate components worldwide.

For more information get in touch

01420 563247

enquiries@limbsolutions.co.uk

In the meantime, Prosthetist/ Orthotist Jamie Gillespie summarised, “Its fair to say that in its current guise, the BiOM is quite bulky, noisy and battery life necessitates changing it during the day. However, it will only improve”. Jamie added, “Having tried the device briefly myself, the improved function it provides is significant compared to anything I’ve tried before and has the potential to hugely benefit some lower limb amputees”. Pace will analyse the gait lab reports and continue to work with the American team. Further trials are planned later this year.

www.empowermagazine.org.uk - Page 45

e are here to promote and develop wheelchair dancing as a sport and leisure activity across the country as well as making dancing, fun and exciting for all so that people who do wheelchair dance and dance sport are proud to say “I can do that!”

The Wheelchair Dance Sport Association (WDSA) is the national charity and governing body for wheelchair dance sport and recreational wheelchair dancing within the UK

For example our trainers had attended a physiotherapy department as an alternative form of Physio for the regular people that attended. One of the participants was called Sam who was 24 and was covered in tattoos and body piercings, and who had been brought along by the physiotherapist who told him that he had to come along.

Sam decided to stand and although he was not steady on his feet and he was not sure that he could dance with his prosthetic leg let alone with a wheelchair user, but once we had taken around the room a couple of times with different dances and some music that he could relate to, he carried on and danced for the rest of the day. He even took off his leg when he was tired and danced using a wheelchair, so he could still take part.

Sam sat on the side of the gymnasium and grudgingly agreed to take part in the workshop, but was having difficulty moving the wheelchair due to the prosthetic leg he was wearing, so the trainer suggested he either tried it standing up or took the leg off.

When the physiotherapist returned her jaw nearly dropped to the floor at seeing Sam dancing. She came over to the trainers once the workshop had finished telling us that she had not expected him to stay for longer than 10

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minutes as Sam said that “dancing is a girl’s thing and not that hard work”. Sam had stayed for 4 hours, and decided that he liked the sport and agreed it was not a thing for just girls, and that he was more active now doing wheelchair dance than he was before. If you want to be as active as Sam contact the WDSA (UK) Tel: 0300 111 30 45 Email: info@wdsauk.co.uk Visit our website: www.wdsauk.co.uk See us on Facebook www.facebook.com/wdsauk or Twitter: @wdsauk

Y W L E RE NO L A B R G AI O AV ACK BL

Simon Baker (UK) says:

‘‘I

flexyfoo t Putting the spring back in your step!

for amputees – with or without • Great prosthetic limbs – to improve everyday mobility, for fitness training or sports grip than a standard ferrule to reduce • More slips and falls and instil confidence comfort as shock absorbency lessens hand, • Improves elbow and shoulder pain

• Easy to fit to either sticks or crutches Walk with less pain and effort Visit www.flexyfoot.com or call us on 0800 0285888

am a below knee amputee and in 2008 I completed the Dublin marathon on crutches and on one leg, at the time earning myself a place in the Guinness book of records. The biggest problem I found was with my ferrules even tho at the time I thought I had purchased good quality ones. I found they wore out quick and uneven, my wrists became sore due to the pounding every time the crutches hit the ground sending vibrations up my arms. I am about to embark on a new challenge in august 2011 and that is to walk on the crutches on one leg from Dublin to Limerick, Ireland in 6 days, this is a journey of some 257 kilometers. So in my search of ferrules I came across Flexyfoot and contacted them to say I would really put this product to the test and they sent me some samples. I started

to train for my event covering 20 miles in one session some days. I could not believe how good this product was… I am 14 stone and I travel at speed with big swinging motions as I move on the crutches. First thing I felt was safe knowing the ferrules were flat on the ground with good contact and grip as I swung my body forward, I also noticed my arms and wrists were not sore as the shock system in the ferrules had reduced the vibrations coming up threw the crutches, this also helped reduce the blisters to my palms, they also seem to last the distance too, all I can say is I feel Flexyfoot ferrule will play a big part in me completing my challenge ahead… I am very impressed and will give a full up date when i have it completed.

Congrats on a great product.”

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EMPOWER: INDEPENDENT LIVING

Independent Living, What does it mean?

‘‘

Our care system may not be perfect, changes need to be made and ongoing, but it is a system that we should all appreciate and value

ndependent living’ are words which are constantly heard but what do they actually mean for a person with a disability? Each reader of this article will have their own definition but, as a person who has been involved with the provision of home care services for over thirty years, my own definition would be that independent living is about self determination and the freedom to choose one’s own lifestyle within personal parameters of daily life that every person is subject to. Here in the UK, despite what almost every newspaper and news bulletin would have us believe, for a person with a disability to achieve personal goals of independence is a much easier task than in many areas of the world. As a provider of home care for people with high levels of dependency, I know we have a care system that we should be proud of. To access aspects of our care system may seem difficult and it may seem that the time periods to achieve results are too long. However, here in the UK it is possible to access appropriate housing and to have your home adapted for you to live in as independently as possible.

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It is also possible, should you choose, to look into and seek a care home that is appropriate for your needs and one that you are happy to live in. It is possible to get a wheelchair in a reasonable time frame, to have a choice of Motability vehicles, to get help with employment issues or to encourage self employment, to apply and receive appropriate aids and equipment, to have easy access to independent advocacy and to access respite care. The national disability financial benefits system is relatively simple when compared to other countries and can be accessed and forwarded to payments in a short time. The NHS provides services that are national, professional and available to all. During the last four years, I have visited Australia in connection with the provision of care services visiting many care providers and speaking at care conferences. ‘Independent living UK style’ to the hundreds of Australian care professionals and volunteers I have come into contact with, is a source of disbelief and envy. Although the care system for disabled people in Australia is now

being addressed under a National Disability Insurance Scheme, the reality is that in 2013 it takes months to obtain aids and equipment, appropriate housing is scarce, being allocated a home care service can mean lengthy waiting times, Motability vehicles are not available and advocacy services are in their infancy. Across Australia there is, for example, a disparity in the artificial limb scheme funding system. Currently there are ten different funding models to support amputees and leads to treatment differentials and no consistency in supply of essential limb components. Figures given by the Australian government advise that approximately 7,500 younger disabled people live in aged care homes because of the lack of appropriate housing and many families have no choice but to provide both home and care for disabled family members. Our care system may not be perfect, changes need to be made and ongoing, but it is a system that we should all appreciate and value. Angela Gifford MD. Able Community Care Ltd. www.uk-care.com

Real people, real stories: The lives changed by new upper limb technologies n recent years, the advances

made in upper limb prostheses have transformed an area of the prosthetics industry that had remained undeveloped for years. While developments in electronic leg, knee and ankle technologies forged ahead, the design of electrically powered prosthetic hands remained rigid, three-fingered, claw-like devices. In 2007, everything changed. The world saw the first prosthetic hand to offer five individually powered fingers that curled around objects in a similar way to the human hand. The hand, known as the i-limb™ was developed by Scottish company, Touch Bionics. Since then, the company has released improved versions of its full hand prosthesis and expanding their offering to prosthetic options for people with missing fingers with its i-limb™ digits product line.

Patrick Kane and his i-limb™ ultra-revolution

But what difference have these technologies made to the lives of the people who use them? Today we hear from two people who wear bionic hand and finger prosthetics and how their lives have been changed by them.

atrick didn’t have an easy start in life – aged just nine months he contracted meningococcal septicaemia. This horrific illness resulted in a three month spell in intensive care and, while doctors were ultimately successful in saving Patrick’s life, they were unable to do so without tragic consequences: the amputation of his right leg below the knee, most of his left hand, and part of each finger on his right hand. In 2010, and aged just 13, Patrick became the youngest person in the world to be fitted with an i-limb™ hand prosthesis from Touch Bionics. A few weeks after being fitted with the i-limb, Patrick said, “... everything is different. It’s the little things that are important, like being able to hold a glass while you pour into it, or being able to cut up the food on my plate, rather than having someone else do it for me.” In April 2013, Patrick was fitted with the i-limb™ ultra revolution, a new and improved hand that features a powered rotating thumb and a mobile control app to allow selection of a wider range of hand movements and gestures. “The great thing about the i-limb™ ultra revolution is that it really allows me to do things much faster and more naturally,” says Patrick. “I no longer have to use my other hand to adjust the thumb for different grip positions and the app means that I can access so many different options at any time because it’s all on my phone.”

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Garry McKeown and his i-limb™ digits

fter an accident at work in 2009, Gary spent two years undergoing multiple surgeries, trying to get function back his left hand. Despite these attempts Gary experienced no significant improvement and ultimately decided to amputate the remaining fingers of his hand. As he was not a candidate for a full-hand prosthesis, Gary searched for partial hand prosthetic options and discovered i-limb™ digits from Touch Bionics. In 2012, Gary was fitted with his prosthesis which fits snugly around his hand and allows him to make a wide range of movements which help him to create the appropriate grips he needs in his daily life. His i-limb™ digits prosthesis allows him to pick up and grasp objects securely and helps to reduce reliance on his right hand. “Using i-limb™ digits has helped me gain my independence back,” says Gary. “I can now cut up my own food instead of asking friends or family.

I love the robotic look of my prosthesis and it is a brilliant tool helping with things you take for granted such as fastening my own shoe laces, using cutlery or carrying cases.” Previously he would hide his hand from view but now he is proud to show off his prosthesis and show to others what he uses it for. “I consider my prosthesis as part of my body now,” adds Gary. “I will never get my hand back but my prosthesis is a better replacement than I ever thought was possible and has had such a positive impact on my life.” These stories help to shed some light into the lives of real people whose lives have been transformed through the innovation and expertise of companies like Touch Bionics. They show us that, far from being something from the future, bionic prosthetics are making a difference for thousands of people today.

A passive functional prosthesis that typically offers some basic function and closely resembles the natural body part it is replacing.

A partial hand myoelectric (bionic) prosthesis which combines with the residual hand enabling the user to grasp and maneuver objects. These prostheses are designed to help increase function and independence

The i-limb ultra revolution prosthetic hand is designed for those who want the most advanced and versatile prosthesis available and is designed to help increase function and independence

A fuller life is within your grasp. As a leading manufacturer of upper limb prosthetic solutions, Touch Bionics understands the needs of patients with upper limb loss or deficiency. We have one goal in mind-to partner with your Clinician to provide you with a solution that will help increase your function and independence in your daily life

Touch Bionics, Unit 3, Ashwood Court, Oakbank Park Way Livingston EH53 0TH, Scotland, Tel: +44 1506 438 556 Email: info@touchbionics.com

www.touchbionics.com

technology that touches lives

What is Gripability e3? Gripability e3 is an innovation in the field of gripping aids for people with limited hand function. It is a automatic Handlingsystem for people with gripping and holding disabilities. How does Gripability e3 operate?

To use Gripability e3 an automatically powered gripper is adapted to the hand or any other part of the body so that in consideration of his abilities its user gains the greatest possible control in reaching and handling items. The opening and closing of the gripper is controlled by a switch chosen and adjusted to the individual needs of the challenged person using it. Multiple solutions like conventional hand switches, oral control panels or voice operated switches are practicable. The system is powered by a mobile energy supply. With the pneumatic solution the air reservoirs are filled by using a compressor. Gripability e3 enables its user to independently handle utensils like drinking vessels, cutlery, brushes and toothbrushes, pens and pencils and a lot more in the daily routine. This sophisticated grasping aid allows handicapped people to grab things, use them in a stable hold, and then put them down again. Handling items and dealing with various kinds of objects in everyday life becomes a pleasure. Gripability e3 opens up new dimensions of independence.

Who uses Gripability e3?

Any person, for whatever reason, unable to handle utensils firmly and securely. This can be e.g. paralyzed people (quadriplegics tetraplegics),amputees or muscle sick people. Just all those whose grasping and holding abilities do not guarantee sufficient stabillity in daily handling routine.

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What is the Gripability Xhand? The principle of Gripability Xhand The Gripability Automatic grippers are attached to a variable Xhand system friction arm to hold working materials, was developed as daily utensils and much more. The system is designed to enable its user to open and close a working aid for the grippers without occupying its free hand. people with only Changing the position of the friction arm can also be done with only one hand. one hand. Using In a working process for example envelopes the Gripability that need to be packed can be first jammed, Xhand a great then filled, taken out again and be placed back on the table. An independent and variety of things continuous workflow can be achieved. The can be fixed and concept of the Gripability Xhand aims to use the full potential of mobility and coordination held stable in and thereby encourage and train these such a way that abilities. handling them is People with hemiplegia, paralysis of one easy or becomes vertical half of the body, can control the movement of the grippers with their possible at all. foot while the hand is busy jamming, manipulating and changing different work materials and daily utensils. The high modularity as well as the great adaptability of the system make individual configurations for different requirements possible.

Dorset Orthopaedic helping people to live “Life without limits”

Hannah’s Life Without Limits

s a world-leading provider of prosthetic products, Dorset Orthopaedic is passionate about helping its clients rediscover their personal freedom. Able to meet the needs of ever more complex cases, its highly skilled clinical teams create bespoke, custom designed prosthetics designed for all-day wear at maximum comfort. Solutions range from high activity prostheses, including running blades and golf “hands” to incredibly life-like silicone skin covers. Research papers show that many amputees suffer significant pain with their artificial limbs so it’s no wonder that comfort is always at the top of any amputee’s list of priorities when testing a new prosthesis. No matter how sophisticated the componentry may be, the prosthesis will never be entirely satisfactory without a comfortable fitting socket. At Dorset Orthopaedic patient comfort is paramount and every care is taken in both the design and fitting to ensure this. Carrying the Queen’s Award for innovation Dorset Orthopaedic is constantly working on new methods that will make sockets as comfortable as possible. Such pioneering products include their innovative liner systems (LOK-IN® silicone liner) and Comfort Fit Sockets®. The most recent advancement comes from their new in-house carbon technology laboratory, making them the first company in the UK to produce both prosthetic and orthotic products using this revolutionary technology. By substituting carbon in their product design, they have addressed the need to significantly reduce weight and bulk in products by up to 50%.

Colin (Forest) Edwards There’s no stopping the inspirational Colin Edwards, fondly nicknamed ‘Forest’ by his peers. Equipped with his new Comfort Fit Socket™ he has just completed ‘The Grizzly’, a gruelling 20mile off-road run for the sixth time this year, as well as a 30-mile coastal marathon! After completing The Grizzly, which involved landing at speed in gravel (shown here) Colin commented: “After such an extreme run I was expecting some sores on my stump, but I didn’t suffer from any sores or abrasions from my socket from Dorset Orthopaedic. I was so impressed!” Clinic Manager, Matthew Hughes, explains: “You can have the best prostheses in the world, but if the socket is not comfortable, nothing is going to be right in everyday activity, let alone competing in intensive sports that clients, like Colin, wholeheartedly enjoy.”

Ten years ago Hannah was diagnosed with Osteosarcoma (a rare form of bone cancer) that resulted in the amputation of her right leg below the knee. At the time, she never thought she would be able to live a normal, active life again. If only she knew how wrong she was! “I have two, high definition silicone legs from Dorset: one for day-to-day use and one for water sports. My sports leg has been through skydiving, wakeboarding, rowing, sailing, rugby, golf and so the list goes on! I’m also an avid polo player and when I bash up and down the polo pitch, I can honestly say my leg does not affect my ability in the slightest, although it would of course be nice to blame it on a day when I don’t play so well! Dorset Orthopaedics’ ability to provide limbs that not only look real, right down to the definition in your toe nails, but to also provide limbs that enable people to be as active (or as inactive) as they like really makes their slogan of ‘life without limits’ a reality.” Dorset Orthopaedic client Hannah: Below knee amputee

David Hills, Dorset Orthopaedic Managing Director explains: “This new facility will be a huge benefit to clients who have found their prosthetics or orthotics heavy or lacking in flexibility. Our new carbon technology products are ultra-lightweight and incredibly strong. Here are 2 examples of how our clients are using this new technology:”

Contact Dorset Orthopaedic’s clinics throughout the UK offer a full prosthetic service.

enquiry@dorset-ortho.com +44 (0)1425 481 794

About Dorset Orthopaedic As one of the UK’s leading providers of prosthetic, orthotic, silicone and rehabilitation services, Dorset Orthopaedic has the size, strength and skills to help clients live life without limits. With experience meeting the needs of complex cases and recognition as a world leader in silicone skin solutions, Dorset Orthopaedic is passionate about delivering exceptional products and support.

For more information about Dorset Orthopaedic and for updates about patients and clinicians visit www.dorset-ortho.com and www.facebook.com/ DorsetOrthopaedic

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Care In Your Own Home The Benefits

ble Community Care provides a nationwide 24 hour Live-In Carer Service specifically tailored to each service users needs and wishes. Able’s services are provided to adults of all ages who require short term or indeed ongoing long term support in order to be able to live comfortably and safely in their own homes and community.

• Respite care for family carers who need a

Live-in Carers can be of great benefit in gently helping a person recover their social life. For example, by accompanying a person who likes to go shopping, attend local events, to visit a local restaurant/café, resume attendance at a local group or church, etc.

• A “Home From Hospital” care package offering

Able’s Carers can also assist with personal care tasks or just be another person in the home who is there to call on if help is needed. e.g. when bathing/showering.

“

Returning home following an amputation can be a difficult experience often requiring a good deal of aftercare in order to adapt to independent day to day living again.

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Normally Carers are placed with service users on a fortnightly, rotational basis with the aim of establishing a small pool of typically 2 or 3 regular, preferred Carers in order to provide a continuous service with as little disruption as possible. In addition to providing professionally managed live-in care at home on a long term basis, Able Community Care can also provide the following care packages:

well-earned break.

• A Carer to accompany a person who wants to go on holiday or to visit relatives.

• Long term care to a person who wishes to

share the care. For example, Able can provide one or two weeks of care, then the family the next period etc. on a flexible, rotational basis. convalescent live-in care at home.

Since 1980 Able Community Care has provided over 52 million hours of care in people’s homes from the North of Scotland down to The Channel Islands. Able Community Care’s website www.uk-care. com provides comprehensive information and there is an option to sign up for their free, weekly Able Newsflash. Approximately 1,000 people have already signed up to receive this each week to keep up to date with care information that may affect themselves or their families. A free brochure can be requested via Able Community Care’s website www.uk-care.com or by telephoning Able on 01603 764567.

Angela Gifford, MD. Able Community Care Ltd.

Pimp My Chair Personalise it, Get Noticed, Make a Statement!

“

Now you too, can Pimp my Chair!

itting in the audience at a fashion show to raise money for a charity The Jennifer Trust back in late 2010, I was struck by both the fashion and the colourful staging of the whole event. The show was called Disabled & Sexy and all the models were disabled, raising money for the charity and highlighting the fact that being disabled doesn’t have to stop you feeling good about yourself. However what stood out more was the lack of colour of the wheelchairs being used by the models. The dominant feature of the chairs was the wheels and I starting thinking about how they could be used as a feature rather than just a function. What if there was a product that could be customised to reflect the personality of the wheelchair user, as did the clothes the models were wearing. And so I started to think about the idea for Personalised SpokeGuards and how this could be achieved.

After discussions with a number of wheelchair users, it was apparent that most people were interested in personalising their chairs to make them more attractive, more of a statement about themselves. My initial interest was to produce SpokeGuards in the colours of Premiership Football Clubs for their disabled supporters. However it soon became apparent that there was a far wider interested market, from children’s cartoon characters to charities’ to company logos. SpokeGuards started trading in April 2012 from the Remploy factory in Haringey, North London and the first personalised pair of SpokeGuards, a photograph of an Eddie Stobart truck taken by the customer. When the factory closed in September 2012, I bought the SpokeGuards business from Remploy and started to run it as a family business. The web site, www.spokeguards.co.uk went live in early 2013 and since then we haven’t looked back. We have licence agreements with a number of Premiership and Football League Clubs and can supply official merchandising for Sonic the Hedgehog and, most recently, 1 Direction. The photograph here shows Milli, our first 1 Direction customer.

For more information Contact Frank Rodgers

07 584 207 019 enquiries@spokeguards.co.uk

www.spokeguards.co.uk

EMPOWER: TRAVEL

The importance of planning your holiday!

‘‘ THE ASK

QUESTION, you know exactly what you need, so ask the tour operator to find out..

lanning your holiday is both exciting and stressful, we understand first-hand the frustrations this can bring and here is our guide on how to navigate the mine field of finding suitable holidays, insurance, and getting the extra support from your holiday providers. There are many holiday providers out there who specialise in catering for the amputee’s needs we would recommend taking a look at www. disabledholidaydirectory.co.uk, who give you a full list of suitable holidays from camping in the UK, to cruises who have special provision to meet your needs. However what happens if you want to go away with family or friends in the mainstream holiday market what is the best way to get the support you need. Firstly ASK THE QUESTION, you know exactly what you need, so ask the tour operator to find out.. Alternatively email the hotel direct before booking and find out exactly what they have available. Finding a great hotel is only half the battle so we would recommend that you also ask about restaurants, pubs and Clubs along with activities around the

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area, which are suitable for your specific needs and which to avoid. Traveling to and from your destination can be the biggest challenge, and we would again recommend speaking to your Airline direct, explain your situation, and ask what provision there is at the airport both the UK and the country you are visiting, for example you may have all the facilities you ever need in the UK, but get to the country of choice and find something as simple as the café before the flight is up a flight of stairs with no disabled access. Once you are happy with the information from your hotel, airport, and airline your next minefield is insurance! Happily there are a number of company’s who provide specialised insurance policies who will be happy to help you. If you take a look at the following pages for some of our recommended providers, and shop around see what is the best deal for your specific needs, however do not compromise on cover just for cost, it is always worth paying that little bit extra to get the cover you need.

When traveling in the UK if you are using our railway’s , again prior planning is a must, unfortunately not every train station offers disabled access, therefore we recommend spending time researching the stations you will embark and alight, this will help make your journey as stress free as possible. When using the London Underground you may need to check the tube station that is nearest to where you want to visit has disabled access, in many cases you may need to get off a long way from your final destination and will require a bus or taxi service to get you where you are going, with so many taxi’s with easy access, and a fantastic bus service running through London this is easy enough however you will need to calculate the extra you will require for taxi’s on your budget. We will cover other aspects of holidays in Empower each issue, and if you have any specific issues you would like information on please get in touch with the editorial team we are always open to new ideas.

We take the hassle, you take the holiday

There’s an easier way to start your holiday...

Meet and Greet parking Tried, tested and recommended. Our customers agree, here’s what they say: Dr Roberts I find the convenience of booking and the service perfect for my needs. The collection and drop-off service is excellent for us, and it only takes a few minutes to organise.

Mr Bovenizer Couldn’t have been easier. Took the stress out of both our departure and arrival. We have already told others about your service.

Start and end your holiday easily with Meet and Greet parking. Book online at

HolidayExtras.co.uk or call free on 0800 1313 777

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Holidays with a Difference …

If you’re looking for a holiday or respite break with a difference this year, why not consider Cuisle Holiday Centre. Based in beautiful grounds of Donamon Castle in Co. Roscommon, this specialist holiday centre offers a unique combination of facilities including;

Accessible Fishing Cuisle has 31 wheelchair accessible bays and is a popular spot for anglers or anyone looking to take up a new hobby! They even have an in-house fishing instructor. Onsite Restaurant Enjoy mouth watering food at Cuisle’s onsite restaurant. Cuisle is the only respite centre in Ireland that has a restaurant and an award winning chef. Nightly Entertainment Cuisle has a fully licenced bar with nightly entertainment throughout the season. Always good when on your holidays! Shopping Trips Roscommon town, with its lovely independent boutiques, is less than a 10 minute drive from Cuisle. If it’s more high street that you’re after, the Athlone Town Shopping Centre is a 40 minute drive. Day Trips Ideally located in the midlands, Cuisle is within a short drive of Galway, Knock, Castlebar, Athlone and many other interesting locations. So whether its arts, heritage or history you’re interested in – it’s all on your doorstep at Cuisle. Onsite Gym & Jacuzzi Stay fit while on your holidays at Cuisle’s wheelchair accessible gym. Or unwind in their Jacuzzi after a relaxing massage. Facilities & Staff Cuisle has an excellent reputation for respite breaks. A combination of specialist equipment, highly qualified staff and the highest standards in customer service mean that guests often don’t want to leave! Wheelchair Transportation Nationwide pick up and airport transfers can be provided by their fully wheelchair accessible buses. Buses can also be used on day trips. 34 Bedrooms Cuisle is the largest respite holiday centre in Ireland with 34 en-suite bedrooms offering B&B, half and full board options. It’s a great place to take a large group or to meet smaller groups. Contact Ailish or Kate on 090 6662277 or see their website for more information: www.cuisle.ie.

58. www.empowermagazine.org.uk

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Legal Advice from Irwin Mitchell Compensation is only part of the story as limbloss and amputations have a dramatic and life-changing impact not only for the person injured but also for those who are close to them. We passionately believe that our clients and their families deserve the best possible medical care, rehabilitation and specialised support after a serious injury. www.irwinmitchell.com/personalinjury Freephone: 08000 23 22 33 Follow us on twitter @IMAputeeInjury

Personal Injury

Irwin Mitchell LLP is authorised and regulated by the Solicitors Regulation Authority.