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INNOVATION FOR INDEPENDENCE
ISSUE 99 OCTOBER/NOVEMBER 2014 £6.95
Prosthetic hand reaches global final of contest By Nicola Hyde A PROSTHETIC hand that could cost less that £600 developed by a Bristol company has made the global finals of a competition. The project – which uses rapid prototyping technology – has reached the global final of the Make it Wearable Competition, run by Intel. Joel Gibbard and Sammy Payne of Open Bionics, which is based in the incubator at the Bristol Robotics Laboratory (BRL), submitted a video explaining their idea for a robotic prosthetic hand that will cost less than £600 to make. The team has already won $50,000 dollars for making it to the final - and as one of only ten finalists will fly to America for mentoring and training to help them try to scoop the first prize of $500,000. Joel said: “This is a great opportunity for us to learn about product design and business from experts at the incubation programme at UC Berkeley in the US. Open Bionics is open-source, which means that all of the know-how needed to create a robotic prosthetic hand will eventually be posted on our website. The idea is that potentially anyone can improve and customise the
designs themselves, and then upload them for everyone to share.” Open Bionics’ prosthetic hand offers much of the functionality of a human hand. It uses electric motors instead of muscles and steel cables instead of tendons. 3D printed plastic parts work like bones and a rubber coating acts as the skin. All of these parts are controlled by electronics to give it a natural movement that can handle all sorts of different objects. Joel added: “We've made some great progress. We've got the circuit boards working and controlling the motors, all that needs to be done now is a few more tweaks on the hand design and for the code to be written. “I've enlisted the help of an embedded software developer that I work with at the BRL so we'll be working on this over the next few weeks. The aim is to send out our prototype hand before the end of the Make It Wearable competition and receive some useful feedback on its performance.” Joel is also currently working on a mini robot hcand designed to work on small humanoid robots using a new flexible material that is 3D printed in one piece and requires very little assembly.
Hundreds of competitors flocked to take part in the first ever Invictus Games. More than 65,000 watched 413 ‘wounded warriors’ – many of them were amputees – compete in nine adaptive sports. Launched by Prince Harry just six months ago,
the Invictus Games set out to use the power of sport to inspire recovery, support rehabilitation and generate a wider understanding and respect of all those who serve their country. The Prince is pictured above meeting some of the competitors.
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How Jon ran again to stand up, walk tall, run and keep his balance for the first time in seven years.
A CLINIC in Birmingham has helped a paralysed soldier run for the first time in seven years by creating him a custom bionic leg splint.
Help for Heroes will continue to analyse his progress in a bid to convince the Government to fund other Servicemen or women who may benefit from using the same advanced technology.
The private clinic in Minworth has helped former Lance Corporal Jon Le Galloudec to run again by using the new device from Ottobock. Jon, 33, was left paralysed from the waist down when a shot from an Iraqi sniper struck him in the spine seven years ago while on a tour of duty in Basra. The bullet ripped through his gut and kidney and following a six hour operation he was flown to Birmingham's Selly Oak Hospital for further treatment. He then spent months in rehabilitation and was told he would never walk again. However, after hard work in rehab he regained some movement in his legs before eventually learning to stand. Jon, a Help for Heroes ambassador, was fitted with conventional splints in 2010 but the devices did not fit him well and would cut and bruise his legs, meaning he spent a lot of time in his wheelchair. He was then funded by Help for Heroes to be the first to test out Momentum, which works by storing energy in the
carbon fibre frame. This energy is then returned as the user steps, acting like a spring to support the movement. Jon said: “I was told after my injury that I would never walk again; now with the support of Help for Heroes and these amazing orthotics I‘m able to do so much more which is an incredible feeling.” The soldier has two of the devices which are made from strong and lightweight carbon fibre material and slide into his shoes and round his legs below the knee. He is now able
Kevin Green, orthotist at Ottobock’s private clinic in Minworth said: “It’s incredible to see how far Jon has come on with our new orthotics. He is walking stronger, his pain has eased and the smile on his face is wonderful to see. These devices are custom made, they’re designed to fit him perfectly and provide him with the support he needs on a daily basis and we look forward to seeing him go from strength to strength.” Ottobock’s private clinic and service fabrication facility in Minworth near Birmingham opened its doors last year. The flagship private clinical facility in the Midlands provides services in prosthetics, orthotics and high definition silicone, including a full onsite fabrication department. The product, Momentum, is now available privately through the recently opened Minworth clinic to all suitable UK patients.
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Simon Dickinson
New role for Simon A NEW clinical director has been appointed at Talarmade. Simon Dickinson was clinical lead for orthotics at Nottingham University Hospitals NHS Trust for more than six years before joining the team. Talarmade managing director Ian Leddy said: “We have, for some considerable time, been progressing ‘quietly’ with a high number of projects spanning many disciplines and areas of product supply. “It is our intention to expand our operations to make a significant impact on existing and new markets with clinical programmes and new product streams which Simon is perfectly placed to help us achieve given his vast experience and knowledge.” Talarmade’s Business Development Team will also be strengthened by the addition of Emma Cook who will join Barry Emms, Michael Aherne and Steven Lardner (Silipos European Business Manager).
New-found freedom for Rio Woolf.
New independence for water boy Rio By Nicola Hyde
children should have.
A SIX-year-old boy is making a splash with his new water activity limb that lets him play in swimming pools and swim independently.
“He can now have the same fun as his friends and has the freedom to enjoy the water in a way he couldn’t before.
Rio Woolf was fitted with the water activity limb by Dorset Orthopaedic and it is fully submersible, waterproof leg. Rio was born without a shinbone, knee or ankle joint (a one-in-a-million condition called Tibial Aplasia), which necessitated his lower right leg being amputated through the knee when he was just 14 months old. Rio’s Mum Juliette said: “Rio’s water activity limb has given him the freedom and independence that he has always wanted and that all
“For years I have had to push Rio’s wheelchair right up to the poolside and then lift him down into the water or help him hop over from the locker room to the pool. It is amazing to me to be able to watch my son get out of the pool himself and walk towards me at the end of his swimming lesson.” Rio can already swim confidently at level three without a prosthesis as he regularly attends swimming lessons but he previously couldn’t jump in and climb out of the pool unaided.
Rio’s Prosthetist, Matthew Hughes, added a shell covering to the limb’s carbon fibre foot so that Rio can wear shoes with the prosthesis. Matthew said: “The most important aspect of Rio’s water activity limb is that it reduces restrictions and assists Rio to do what he likes to do. “Now he has the independence to get into a swimming pool himself and he no longer has to worry about his prosthesis getting wet. “Activity specific limbs are crucial in providing patients with the solutions and freedom to participate in as many different activities that they wish to do.”
Therapists vote for strike action A ROW over fair pay in the NHS has prompted occupational therapists to vote yes for strike action in a UNISON ballot. The British Association of Occupational Therapists reported that 68 per cent of those balloted agreed to take part in a strike, with 88 per cent saying they would take part in action ‘short of strike action’. The ballot is part of UNISON’s campaign for better pay following a drop in real-term salary levels of 8-12% since 2010 and no above4
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inflation pay rise since 2009. It is proposed that UNISON members will take strike action and action short of strike over autumn and winter 2014. This is likely to start with a short stoppage followed by a defined form of action short of strike such as insisting that members take their breaks. There are 10 unions balloting in the NHS over pay and UNISON will now be coordinating with them over the date and type of action will be taken.
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A TALL ship built for disabled people has returned to London after a two year journey around the world. The accessible ship called Lord Nelson was created by the Jubilee Sailing Trust (JST) for the epic Norton Rose Fulbright Sail the World Challenge. Lord Nelson set sail from Southampton in September 2012, where she sailed across the Atlantic Ocean carrying the Olympic Torch to Rio de Janeiro, Brazil. From here she has sailed to South Africa, avoided pirates as she crossed the Indian Ocean to Kochi, India, enjoyed a warm Australian welcome when she took part in the International Fleet Review in Sydney Harbour, and was the first mixed ability vessel to sail around the infamous Cape Horn in southern Chile, in February this year. The 55-metre tall ship is one of only two fully accessible tall ships in the world and is sailed by both disabled and able-bodied crew. Features such as braille signage, wheelchair lifts between decks and hearing loops, hand rails and a bowsprit wide enough to accommodate a wheelchair, mean a large variety of physical disabilities can be accommodated on board.
Growing company proud of its British heritage A COMPANY that is passionate about British manufacturing has grown to export to over 40 countries with a staff team of almost 200. Promedics was formed over 30 years ago and has become one of the leading UK manufacturers of orthopaedic products to the NHS. Managing director David Baxendale said: “We are extremely proud of our heritage and unwavering commitment to British manufacturing. “Thanks to the loyalty of our customers we have now grown to employing almost 200 people in the UK, with the vast majority of those being manufacturing jobs. Over 75 per cent of the products we sell are manufactured in our own UK production facility and we are very proud that we are the only British company who can claim anything like that figure. “Ten years ago many companies were abandoning British workers to outsource products from China; we took a decision to do the opposite and invest in our existing UK
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manufacturing capacity. That decision, with hindsight, was absolutely the right one.
Promedics also have a Bespoke / R&D department at their UK manufacturing facility.
“In today’s modern NHS, many hospitals carry much less stock, and rely on high levels of service. To do that with low quality imports, which can have a three-month lead time, is extremely difficult, but because Promedics manufacture most of our products, we can change our production easily to ensure we always have stock and meet our customers needs, on time, every time.”:
David said: “Working with our customers and understanding their needs is something Promedics have done for many years. That’s why we have people permanently dedicated to bespoke customized customer requests. High Service and quality British manufacturing will continue to be the foundation of Promedics in the future, just as it has been for over 30 years.”
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New insurance policy protects prosthetic limbs A COMPANY has launched a new specialist insurance policy that protects people’s prosthetic limbs and orthotic devices. Disability specialist Fish Insurance has launched the pioneering policy designed specifically to protect against accidental damage or loss. Offering annual premiums from £99, it covers as standard, devices valued up to £55,000, with bespoke protection available for those worth more. John Garrard, MD of Fish, said: “Many of those working in the assistive technologies field will be aware that whilst amputees will typically be fitted with NHS owned prosthetics, lots will also choose to go private, either for a more comfortable or effective device or a complementary limb designed to help them tackle specific activities. “Such specialist prosthetics can represent a significant investment, running into thousands or tens of thousands of pounds. It’s these that need protecting through effective insurance.” The policy offers worldwide cover and for prosthetics including new-for-old settlements for prosthetics less than two years old. Other benefits include £2m third party liability insurance hospital benefit, personal accident and assault cover.
Artificial ankles’ research takes turn in new direction ENGINEERS at Drexel University have turned research into artificial ankles in a new direction by studying the Talus bone. Sorin Siegler, PhD, a mechanical engineer at Drexel is hoping to realign thinking surrounding one of the busiest orthopedic intersections in the body. It all started about three years ago when Siegler was attempting to make a cast of the outside of the talus bone – the pivot bone of the three that make up the ankle. He said: “We did a number of CT scans of the ankle, slicing it in to small sections and then used a computer program to make a threedimensional model of the talus. “The project was to replicate the outer shape of the bone so that it could be used in ankle replacements.” Siegler found that the slices of the inner part of the ankle – the medial side – were larger in diameter than
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the slices on the outer – lateral – side. While the significance of the observation didn’t immediately strike him, when he looked at the 3-D models it became increasingly obvious that something was off. One thing that modern ankle research, including Siegler’s, has shown, is that the ankle axis is far from fixed. Siegler’s modeling has demonstrated that the coronal plane of the talar dome – the top of the ankle bone that connects with the leg – has a saddle-like indentation. This explains how the leg-to-ankle connection allows the foot to rotate on a flat plane, as well as pronating and supinating – that is, landing on the outside or inside part of the foot when walking. He said: “Artificial ankle replacement operations have been performed for less than a decade, there is still plenty of room for improving the technology and this
could be a big part of that improvement.” The next steps for this research could help people with degenerative ankle problems, like arthritis, take their next steps. Having a better understanding for the shape and movement of the bones in the ankle will allow for a more accurate fabrication of joint replacements and, as a result, a more natural walking motion for people who use them. Siegler’s team is in the process of making an ankle implant with surface geometry that follows his hypothesis. In the coming months they will put a 3D-printed replicate of a state-of-the-art prosthesis up against a Siegler-designed prototype in a series of biomechanical tests – that include implanting both prosthetics in a cadaver ankle to see which produces a more natural ankle movement.
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Edward’s one-of-a-kind prosthetic leg took three years to develop By Nicola Hyde A SOLDIER has been fitted with a one-of-a-kind prosthetic leg after working with his prosthetist for almost three years to develop it. Army combat engineer Edward Lychik lost most of his left leg and part of his right while he was on duty in 2011. His prosthetist Bob Kuenzi at the Center for the Intrepid in San Antoni, USA said on his first meeting with Edward he told him he wanted to run but Bob was concerned as hip disarticulation injuries like Lychik's, in which the pelvis is still in place but the leg is completely gone, can be difficult to deal with, managing to run a few steps but nothing like the grand scale that Edward had planned. For the first few months they developed a high-tech, microprocessor-controlled knee and microprocessor-controlled hip and a good walking foot. But about six months into the process of trying to come up with a
running prosthesis, Edward began having problems with his walking prosthesis. His body was changing because, unknown to Bob, he had been working out all of the muscles that he thought would be necessary for him to run successfully.
Special Forces. The race involves running through a field with live wires, plunging into freezing water, climbing a half-pipe slicked with mud and grease and scaling a 12foot wall.
“He was telling me more and more that he wanted to run,” Bob said. “Another thing he said was, 'We need to find some materials you can get wet and muddy, because I’m going to be doing that kind of thing.”
The first invention of the new prosthesis, like the walking leg, had a hip and knee joint. With the prosthesis in place, Kuenzi and White hooked Lychik up in a harness that runs along a track of about 40 feet, part of the training apparatus for people learning to use leg prostheses.
"Once we got that new socket fitted, the idea was to duplicate it and then start making a running prosthesis. It really came to a point in August 2012, that we got that socket working pretty well, and Ed was getting more and more intense about it. Finally it came out that he had a 'Tough Mudder' that he wanted to run that was in, like, the first weekend of October."
"He was able to do some running on that, but it was pretty obvious that that setup wasn't going to work because it was too unstable," Bob said. "First we took the knee out and just made it a straight leg, and then eventually took the hip joint out, too, and bolted the pylon to the socket. That really looked kind of like a pogo stick, and functioned like one, too.
Tough Mudder is a 10-mile militarygrade obstacle course based on a concept designed by the British
"He'd have to swing it out to the side to clear the ground. And all this time he's having to use his core
muscles, his abdomen and his upper body to stabilize his trunk and move it, do a pelvic tilt every step. "What really amazed me about his progress was that within a week of getting this leg, he ran a mile in, like, nine minutes. To me, that's unheard of. I asked him, and he said he'd been doing super sets he'd trained himself with powerlifting strategies with his good leg, his torso and his arms. There was nobody here who was pushing him. He totally did it on his own, and he was ready."
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A few weeks later, when they were on the third or fourth version of the prosthesis, Lychik ran the Tough Mudder in the Texas hill country outside Austin. He was on a team with the Wounded Warrior Project, several of whom were amputees, and they helped one another over the obstacles. Earlier this year, Edward, now medically retired from the Army, competed in the Boston Marathon, finishing the race in 4:44:25.
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Pictures: Bryce Vickmark
These days, Hugh Herr, an associate professor of media arts and sciences at MIT, gets about 100 emails daily from people across the world interested in his bionic limbs. Nicola Hyde reports.
Hugh’s bionic limbs creating a stir ... MESSAGES pour in from amputees seeking prostheses and from media outlets pursuing interviews. Then there are students looking to join Herr’s research group. An amputee himself, Herr has been designing (and wearing) bionic leg prostheses that mimic the functions and power of biological knees, ankles, and calves. He made headlines after providing one of his protheses to Adrianne Haslet-Davis, a professional dancer whose leg was partially amputated after the 2013 Boston Marathon bombings. She used it to rumba on stage. Most of these prostheses have reached the world through Herr’s startup, BiOM (originally called iWalk). Since 2010, the company has brought the world’s first bionic foot-and-calf system to more than 900 patients worldwide, including some 400 war veterans. Initially developed by Herr’s research group, BiOM’s prosthesis, dubbed the BiOM T2 System, simulates a biological ankle (and connected calf muscle), delivering a “natural ankle function” during strides. Using battery-powered “bionic
propulsion,” two microprocessors and six environmental sensors adjust ankle stiffness, power, position, and damping thousands of times per second, at two major positions: First, at heel strike, the system controls the ankle’s stiffness to absorb shock and thrust the tibia forward. Then, algorithms generate fluctuating power, depending on terrain, to propel a wearer up and forward. Hugh said: “Often, within minutes, a patient is walking around, even running around.” Hugh lost both legs after a 1982 climbing accident and began researching the deficiencies of conventional prostheses and mathematically modeling how the ankle joint operates while walking in the 1990s. Herr’s experience commercializing a computer-controlled knee joint — designed by his group for the Icelandic company Ossur — inspired him to launch iWalk in 2006. The knee, now used by thousands of patients worldwide, utilizes iron particles suspended in oil between steel plates and manipulated by an electromagnetic field to either stiffen or relax during a wearer’s gait.
“I’m always thinking about minimizing the time and investment to get from bench to bedside,” Herr says. At least among amputees, Herr says, BiOM could help by fitting elderly populations with leg prostheses equal in biomechanical agility and control to a young adult’s legs. By advancing prostheses, Herr says, the technology could also lead to innovation in a closely related field: humanoid robotics. “Imagine a future where we’ll have bionic feet, ankles, knees, and hips that are technologically optimal. One could just bolt these pieces together to produce a humanoid hardware platform,” Herr said. “As we march into this century, technology is going to get more intimate with our bodies. “The bionic design approach is grounded in biological science that seeks to fundamentally understand how our bodies and brains work, and translates that knowledge into technology that reflects those principles, leading to a world where technology, because it is so innately human, essentially vanishes.”
Company builds on success with new product ALLARD Support UK Ltd is a fully owned subsidiary of Camp Scandinavia AB, based in Helsingborg, Sweden. Camp Scandinavia is a long established manufacturer and supplier to the O&P industry, with a total of more than 50 years in the field. Allard Support UK supply the full range of truly innovative products, developed by our 10
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parent company, to the UK market and in doing so, provide people with disabilities the opportunity to function better and improve their quality of life. Products such as ToeOFF®, Ypsilon, BlueRocker, which are the gold standard in Carbon Fibre AFO technology. Building on the success of these products, we are now proud to offer ToeOFF 2.0 which incorporates a number of product
improvements that have been driven by clinical feedback and patient experiences. Allard Support UK shares the parent company's focus to be a “partner” for O&P, offering educational programs, training, and technical support for all our existing and new UK customers and to continually improve our product and service offerings. Contact: +353 429 328177
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Artificial bone maker expecting £1million turnover By Nicola Hyde
orthopaedic and dental surgery.
A COMPANY that makes artificial bone used by orthopaedic surgeons is expecting to see a £1million turnover after growth.
Last year Ceramisys moved to a purpose-built facility in Hillsborough, Sheffield, where it is carrying out new product research and looking to take on more staff.
Ceramisys manufactures ReproBone, which is used as a synthetic bone graft material in over 50 countries worldwide. The product, which comes in block, granular or paste form, is used instead of, or to supplement, a patient’s own bone in
Wayne said: “The main advantages of the ReproBone products are that patients don’t need to have a second operation site to collect bone to fill the defect, so it takes away the risk and trauma associated
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with that. From the surgeon’s point of view it is easy to use and available in unlimited quantities. “Being recognised by opinion leaders in the orthopaedic and dental fields is extremely important in order to compete with the big multinationals and increase our global market share.” Ceramisys was founded in 2001 by Wayne Austin, a former Sheffield University chemistry graduate. The
company’s first product gained its regulatory approval in 2003, with the full product range now approved for use in most countries. ReproBone is used to repair bone in surgical procedures, including nonhealing fractures, defects caused by removal bone tumours, revision hip replacements and deformities. The material helps regenerate the bone and within a few months it is broken down and replaced by new healthy bone.
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Suit changes Chloe’s life NEWS
A DEVON teenager says her life has been changed by a specialist suit developed by DM Orthotics. Chloe Sharland, 16, was diagnosed with Scoliosis at 11 and has been using the DMO Structural Scoliosis Suit for about three years. She said: “I have strength and energy and can get on with my life. Before, I couldn’t dress or lift things. Wearing the suit meant I could become more independent and I feel that I have more control over my condition. I can achieve what I want to now. My condition doesn’t dominate my life – it doesn’t define who I am.” Chloe’s parents found out about DM Orthotics through a friend who recommended the company to them. Chloe’s mum, Jo, added: “At the time there was very little information available about the condition. We saw a spinal surgeon and were told that there were no alternative treatments and that surgery would be the only option once Chloe got older. “We found out about DM Orthotics and got in contact. The
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Scoliosis Suit has had an amazing effect on Chloe’s life. It was amazing to see the pain leave her face when she was supported by the suit. She now leads a really active lifestyle.” The suits patented design works using strategically placed panelling which produce counterrotational and lateral forces, which re-align the body to a more symmetrical position, and improve biomechanical effectiveness. Managing Director of DM Orthotics, Martin Matthews said: “Chloe has Idiopathic Scoliosis and had a 50° curve which made her a fairly complicated case. We used a Scoliosis Suit which would prevent the progression of the curve in her spine and also reduced the rotation. The results have been fantastic.” Martin Matthews has co-written a research paper with compelling new evidence which indicate the positive outcomes of using the suits to treat scoliosis. Martin presented his findings at this years’ SOSORT Conference held in Wiesbaden, Germany earlier this year.
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Chloe on a zip wire and playing with her pet dog.
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How Glenn rose to the triathlon challenge AN AMPUTEE prepared for his triathlon debut by not just physically training – but making sure his prosthetic limbs fit the part too. Above-the-knee amputee Glenn Johnstone, 46, from Stanley, was already a keen cyclist but decided to expand into a triathlon. He said: “I have to admit that as an amputee, the thought of swimming, cycling and then running didn’t sound that enticing, but I’m always up for a challenge.”
He took part in the Dorney Lake Tri Festival in Buckinghamshire, but despite the fact that he had a custom-made cycling prothesis – he was worried about the running element of the challenge. He said: “For the run I was going to have to use my everyday walking leg, which simply isn’t designed or set up for jogging on. “My residual limb was really sore from the run. Well, it was more of a walk and skip really but I was elated
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by the reception I received as I crossed the finish line.” Glenn has been working with the Pace Rehabilitation in Cheadle, who linked him up with a charity called The ArcticONE Foundation, which fundraises to provide sports equipment to disabled people. ArcticONE founder Matt Kirby said: “We’re currently raising money to fund a running blade prosthesis for him from Pace, which should really help him out.”
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Industry partners team up to help children in Zanzibar By Nicola Hyde A PROSTHETIC and orthotic supplier has worked to raise thousands of pounds to help transform the lives of disabled children in Zanzibar. Liverpool-based Algeos has teamed up with industry partners to donate podiatry, prosthetic and orthotic products for children with club foot, in Zanzibar up to 50 babies per month are born with their feet turned inwards and upwards. A spokesman said: “Without treatment these children are only able to crawl for the rest of their lives. If babies are treated soon after birth, it is possible to
transform their lives with a low cost, high impact clinical intervention to re-align their feet with a method called the Ponseti technique. “The Ponseti Method uses a gentle, manual manipulation of the foot, followed by application of toe-togroin plaster casts.” After the initial meeting between Algeos and Infant Club Foot Appeal, it became clear that in order to set up a functional Orthotic and Prosthetic workshop, Algeos needed to help furnish the workshop and supply a huge amount of products ranging from
Society calls for equal access to occupational therapy services EQUAL access to occupational therapy services should be given across the board in the UK according to the society that represents OTs. The College of Occupational Therapists submitted a number of responses to the Commission on Residential Care which has published its final report following a year-long investigation. The Commission’s recommendations set out a new vision for the 21st century including a residential care ‘rebrand’ in a bid to shake off its negative image. Karin Tancock, Professional Advisor for Older People and Long-Term Conditions said: “This report comes at a time of major social care reform in England and it’s imperative we don’t leave housing with care behind. Housing with care deserves 14
our immediate attention and older and disabled people deserve to have the best possible care which meets their needs, and aspirations. “Occupational therapists’ are experts in helping people to be as independent as possible while living with a disability, dementia and other complex conditions; however their skills are widely under-utilised in housing with care settings. “We therefore strongly welcome the Commission’s call for equal access to occupational therapy and other health services, as someone living in their own home. “We look forward to working further with the Commission to shape government policy and apply occupational therapy skills and expertise to implement these recommendations.”
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footwear, right up to orthopaedic bracing. Algeos rallied round the UK Orthotic and Prosthetic industry and managed to source over thousands of pounds worth of equipment and quality products; all of which is required to develop the Orthotic and Prosthetic workshop in Zanzibar. The shipment of an entire workshop with modern equipment and materials left Liverpool in August – its final destination will be the Mnazi Mmoja Hospital Zanzibar. Algeos CEO Hugh Sheridan added: ‘‘We take great pride in our
corporate social responsibility duties; this ensures everyone feels better – it is not just about getting healthcare products to the ones who can afford it but to those who need it the most.’’ Various other companies signed up to help with the appeal including Ortho Europe (Bradford), Blatchfords (Sheffield), Ken Hall Footwear (Kettering), Alder Hey Children’s Hospital (Liverpool), Renace Orthotics (Sheffield), Royal Berkshire Hospital (Reading), Salts Techstep (Birmingham), King Mill Hospital (Sutton-InAshfield), and Langer Orthotics (Stone).
Festival showcases most advanced technologies A MED-TECH expo with a difference took place as part of a business festival that showcased the most advanced technologies when dealing with a simulated cycling injury. Leeds Metropolitan University hosted the event in its new state-of-the art clinical suite and took an ‘injured’ professional cyclist through vital checks in A&E, into the clinical skills suite for a complex intubation, surgery and subsequent physiotherapy and rehabilitation. Participants included RSL Steepe and Surgical Innovations.
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Supplier launching new range
Julie swaps volleyball for sprint ambition A TEENAGE athlete has switched sports and aims to become one of the fastest paralympic sprinters in the UK.
disorder had an operation to shorten her leg when she was five. Julie has been testing the Ottobock 3S80 knee system.
Julie Rogers, 15, from Bedford took part in the 2012 Paralympics as the youngest member on the Team GB Sitting Volleyball squad but has confirmed her switch to athletics.
She said: “When I first got the new leg I realised the difference almost immediately, and have kept training to try and get my time lower and lower ever since. I’m dedicated to getting to the 2016 Paralympic Games in Rio, and will work as hard as I can to get there.”
Julie was born with a congenital
CONSCIOUS of the difficulties experienced in obtaining comfortable, well-fitting socks following partial foot amputation, Reed Medical are pleased to launch the ‘Chopart’ socks, within our Classic and Half-Plushed range. The proven comfort of the Classic and Half Plushed socks, incorporating the benefits of elastic free construction with loop cuff and hand linked toes is now available in the Chopart range. Individual sizing reduces the potential hazard caused by excess material applying pressure on ‘at risk’ areas of the foot when wearing standard size socks. Supplied in a wide range of foot lengths 11cm to 21cm, and worn in conjunction with our standard sizes on the non-affected foot, the Chopart sock ensures a custom fit for the wearer. Available in Black, Navy and Beige in 2 pair packs (1 pair standard, 1 pair Chopart). For more information contact REED Medical Ltd, Shadsworth Business Park, Blackburn. BB1 2QQ. Tel 01254 503333 Fax 01254 503360. www. admin@reedmedical.co.uk
ASSISTIVE TECHNOLOGIES I OCTOBER/NOVEMBER 2014
NEWS
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PODIATRY & DIABETIC FOOTCARE
sponsors podiatry
New biomechanics suite aims to improve podiatry care A NEW biomechanics suite which is set to further improve podiatry care for patients has been opened at Kendray Hospital in Barnsley. The suite, run by South West Yorkshire Partnership NHS Foundation Trust, helps the podiatry team to diagnose and manage problems of the foot and lower limb. The Burston Suite means new machines have been installed to help create more bespoke insoles for patients – in many cases while they wait. The team is able to shape insoles and create plaster cast impressions of the feet meaning that the insoles are tailored to meet each patient’s individual need. The suite has several consulting rooms and a designated area for the team to undertake walking analysis which includes observation
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of the knees, hips and foot. The new assessment area means that patients are treated in a one-to-one private space, helping to maintain dignity and safety. Bob Senior, community services manager – therapy services said: “The opening of the new surroundings mean we are now able to offer an increase in capacity and patient turnaround, helping to reduce the time from referral to treatment. “In addition to it being in a more central location, the new facilities also enable the Trust to develop other services alongside therapy colleagues – helping to improve the patient experience even further.” The Trust’s podiatry team also provide health promotion and education to patients, health professionals and carers on a variety of foot health issues.
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sponsors podiatry
Programme to help understand diabetes A FREE e-learning programme has been developed to help podiatrists understand diabetes. Diabetes UK, in partnership with Bupa, has created Diabetes in Healthcare, after statistics revealed that there are over 6,000 leg, foot or toe amputations carried out every year on people with diabetes in England – but there is evidence that up to 80 per cent of diabetes-related amputations could be avoided. Simon O’Neill, Director of Health Intelligence and Professional Liaison at Diabetes UK, said: “Diabetes has an impact on so many aspects of a person’s care that it is essential that all healthcare professionals that touch the lives of people with diabetes understand the symptoms, treatment and complications
associated with the condition. “Failure to treat and care appropriately for patients with diabetes increases the risk of lifechanging complications associated with diabetes such as stroke, blindness, kidney failure and amputation.” Written by Diabetes UK’s team of clinicians and diabetes specialists, the course covers both Type 1 and Type 2 diabetes.
Diabetes UK as we recognise the challenge that diabetes presents across the health care community, from retinal screeners to care home assistants. “In addition, the number of people with diabetes continues to rise and having access to all the necessary information at the right time can be difficult.
It includes expert information on how the condition is diagnosed, treated and monitored, and symptoms to look out for in those who may have diabetes but are yet to be diagnosed.
“The training healthcare workers receive via ‘Diabetes in Healthcare’ can form part of their NHS KSF (knowledge and skills framework) or be a foundation for any healthcare professional who may want to go on to specialise in diabetes later in their career.”
Paula Franklin, UK Medical Director, Bupa, said: “We have developed this programme in partnership with
‘Diabetes in Healthcare’ can be accessed for free at www.diabetesinhealthcare.co.uk.
PODIATRY & DIABETIC FOOT CARE
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Simon O’Neill, Director of Health Intelligence and Professional Liaison at Diabetes UK
Podiatrists win a settlement in dispute over service review A GROUP of podiatrists from the Wirral have won a settlement in their dispute over a podiatry service review. Staff working for Wirral Community Health Services have been in dispute for nine months – with members of the Society of Podiatrists and Chiropodists taking strike action in June. It was prompted by the fact that eight Band 6 staff were due to be downbanded to Band 5, carrying out the same work and that the Band 6 job descriptions had been rewritten to include high risk work that had previously been carried out by Band 7’s. Arthur Richardson, employment relations officer, said: “Through months of negotiations, the strike and culminating in talks under the auspices of ACAS, our members have shown magnificent resolve, standing together with a determination not to allow £7,000 pay cuts happen to them and their colleagues.
“The final talks with an ACAS conciliator present resulted in deal that the union could recommend to the members and they have voted overwhelmingly to accept. “The deal means that there will be no downbanding of staff who do not wish to be so. “We also won an extensive and transparent rolling programme of funded training for those now expected to undertake high risk work with diabetic patients and the Trust will pay for DSB checks for those promoted back into Band 6 positions. “Through standing up for themselves, our members won back five wte Band 6 jobs from the original position proposed by the Trust and the outcome means that no member will be financially disadvantaged without their consent. In the current climate, this can only be characterised as a victory and the members on the Wirral have shown true inspiration and leadership to others facing similar threats to their service and livelihoods.” ASSISTIVE TECHNOLOGIES I OCTOBER/NOVEMBER 2014
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PRODUCT & INDUSTRY NEWS
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Campaign bid to reduce wait time A BRITISH start-up company has launched a crowd-funding campaign to develop 3-D printed orthotics for disabled children. Andiamo wants to raise £60,000 to use digital printing technology to reduce waiting time for paediatric orthotics from 13 weeks to 48 hours, it said on its website. If the funding bid is successful, the cash will be used to design prototypes and test its 3-D printed products in real patients. The company was founded by Naveed and Samiya Parvez after their son Diamo passed away on his ninth birthday because of complications from cerebral palsy. The crowd-funding appeal said: “Andiamo is building a service with children and families to reduce wait times from six months to just a few days for back braces, hand splints, and ankle foot orthoses. Using 3D scanning and printing we can not only make them quickly but also increase qua lity. “3D printing and scanning allows amazing and beautiful designs but these require further research to make them suitable for multiple conditions.” If the fund-raising is successful, the cash will cover the clinical and production costs of working with three families for one year, creating 18 working orthoses with them over that time.
Conference makes Bournemouth return THE College of Podiatry is delighted to be returning to Bournemouth for its Annual Conference and Exhibition and expects to welcome over 1,300 podiatrists through its doors. This year’s conference programme offers an unpresidented line up of renowned keynote speakers, specialist concurrent sessions and hands-on workshops designed to meet the training and learning needs of anyone and everyone working in podiatry. Highlights include Dr Phil Hammond, Comedian, GP and Private Eye’s medical correspondent, Dr Scott Wearing, Associate Professor from the University of Technology, Australia, Professor Keith Rome from AUT University in New Zealand, Dr David De Berker, Consultant Dermatologist,
Bristol Royal Infirmary, Professor Mark Nixon, Professor of Computer Vision, University of Southampton, Dr Tony Berendt, Deputy Medical Director, Oxford University Hospitals NHS Trust, Professor Chris Bunker, Consultant Dermatologist, University College London Hospitals NHS Foundation Trust. In addition, there will be many other leading experts delivering essential clinical skills, learning updates, new ideas and issues for discussion and debate covering all areas of podiatry that can be taken back into the workplace, and shared with colleagues and other podiatry professionals. As well as an excellent scientific and clinical programme, the conference will also offer delegates the opportunity to
New Ossur product designed to address the challenges OSSUR’s newest liner, The Iceross Seal-in X TF, has been designed specifically to address the challenges faced by a large number of people with transfemoral amputations. For many, various pressure points and residual limb shape causes problems when wearing a suction suspension liner. The Iceross Seal-In® X TF features the latest advances in Seal-in technology, with a separate and moveable seal to suit individual needs. The Seal-In X TF is thinner, tougher, and longer with a moveable Seal Ring. The
moveable Seal Ring allows the user to adjust the position of the seal away from sensitive areas, or to allow for volume fluctuations whilst maintaining the benefits of Seal-In suspension. The thinner distal end eases donning and compliance to residual limb shape whilst the longer length accommodates longer residual limbs. Ultimately, the cover is five times more durable than previous versions, ensuring the liner can withstand even the most demanding situations.
network, relax, socialise and have fun at evening social events including a Quiz Night and the ever popular Conference Dinner and Party which this year, will take on a James Bond, Casino Royale theme at Bournemouth Pavilion Ballroom. With the largest podiatry exhibition in Europe featuring over 80 exhibitors, the Annual Conference maintains its position as the must attend event in the podiatry calendar and continues to offer best means of obtaining valuable CPD credits, learning updates and excellent networking opportunities all in one place! If you’d like further details on the conference please check the website at www.scpconference.com
Mobility show ready to return A MOBILITY show which took a year out has announced its return next year. The Mobility Roadshow took time out in 2014 to evaluate the event – but after consultation with visitors and exhibitors charity Mobility Choice announced the show will return in June 2015 at Donington Park. A spokesman said: “The event will return to its core focus on accessible motoring, whether for drivers or passengers. “It will provide the all-important test drive facility on the circuit at Donington Park in adapted standard production cars and wheelchairaccessible models.”
CUSTOM CTLSO BEAGLE Orthopaedic houses a large spinal database of spinal models to suit a variety of patients. From this extensive library we can manufacture your CTLSO using measures provided from a simple measurement chart, we then adapt the relevant model to meet the specification. Each orthosis is fabricated to the patient’s unique model and your specifications, ensuring the optimum fit, support and comfort. A transfer pattern can be applied to brace (if required). CTLSO’s are available as; bi-valve design finished to completion (no intermediate fitting) with a variety of liners such as cool foam, north foam 33®, evazote® and lambs wool. The TLSO is then coupled with components from the innovative Aspen CTO to provide stability required for your patient in the upper thoracic and cervical region. This design offers a step-down 18
reduction for on-going rehabilitation therapy offering a highly effective motion restriction with a level of comfort that makes it well tolerated by patients. Available in paediatric and adult sizes, the CTLSO can be delivered in 3 days (or less for urgent/trauma cases). Please contact Customer Service for measurement chart 01254 268788.
ASSISTIVE TECHNOLOGIES I OCTOBER/NOVEMBER 2014
Unique range offering dynamic solution in a stock brace THE unique range of CDS (Controlled Dynamic Stretch) braces for extension and flexion contractures from Brace Orthopaedic offer a dynamic solution in a stock brace. The full range of paediatric elbow, knee and ankle braces for the
treatment of orthopaedic and neurological joint contractures are now available in blue, pink, green and orange. Bespoke options are also available. sales@braceorthopaedic.co.uk Tel: 0191 258 8944
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