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INNOVATION FOR INDEPENDENCE
ISSUE 72 April/May 10 £6.95
New headset developed by researchers By Dominic Musgrave A NEW headset developed by American researchers could allow people with disabilities to operate a motorised wheelchair or prosthetic device. The team at the University of Maryland, led by associate professor Jose Contreras-Vidal, successfully reconstructed 3-D hand motions from brain signals recorded in a non-invasive way An array of 34 sensors were placed on the scalps of five participants to record their brains’ electrical activity, using a process called electroencephalography. Volunteers were asked to reach from a centre button and touch eight other buttons in random order 10 times, while the authors recorded their brain signals and hand motions. Jose told Assistive Technologies that the researchers then attempted to decode the signals and reconstruct the 3-D hand movements. He added: “Our results showed that electrical brain activity acquired from the scalp surface carries enough information to reconstruct continuous, unconstrained hand movements. Our ground-breaking research opens the possibility for the development of assistive devices for the
neurologically-impaired or disabled. “We are currently working with robotic arms and wearable upper limb exoskeletons but there are a number of steps before this technology can be applied clinically.” Pior to the study, researchers have used non-portable and invasive methods that place sensors inside the brain when reconstructing hand motions. The researchers found that one sensor in particular provided the most accurate information. It was located over a part of the brain called the primary sensorimotor cortex, a region associated with voluntary movement. Useful signals were also recorded from another region called the inferior parietal lobule, which is known to help guide limb movement. The authors used these findings to confirm the validity of their methods. Jose added: “We hope it may eventually be possible for people with severe neuromuscular disorders, such as amyotrophic lateral sclerosis (ALS), stroke, or spinal cord injury, to regain control of complex tasks without needing to have electrodes implanted in their brains.” The research was supported by the Parisbased La Fondation Motrice.
Television presenter Caroline Flack and her partner James O’Shea were the winners of the BBC Three show Dancing on Wheels. The winning couple go on to represent the UK at the Wheelchair Dance Sport European Championships in Israel this autumn. Picture: BBC
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Prize for Bronte
The Sony PlayStation 3 that has been modified by researchers at Rutgers University. Picture: Rutgers University
Video game adapted in cerebral palsy trial By Dominic Musgrave ENGINEERS at an American university have modified a popular home video game system to help teenagers with cerebral palsy improve hand functions. In a pilot trial conducted by Rutgers University staff with three participants, the system improved the teens’ abilities to perform a range of daily personal and household activities. The system combines a Sony PlayStation 3 console and a commercial gaming glove with custom-developed software and games to provide exercise routines aimed at improving hand speed and range of finger motion. The engineers worked with clinicians at the Indiana University School of Medicine to deploy systems in participants’ homes for up to 10 months. Grigore Burdea, professor of electrical and computer engineering and director of the Rutgers Tele-Rehabilitation
Institute, said: “Based on early experience, the system engages the interest of teens with cerebral palsy and makes it convenient for them to perform the exercises they need to achieve results. “All three teens were more than a decade out from their perinatal strokes, yet we showed that improvement was still possible. The virtual reality telerehabiltiaiton system kept them exercising by rewarding whatever movements they could make, and all three showed significant progress in hand function.” Each system communicated via the internet to allow the researchers to oversee participants’ exercise routines and evaluate the effectiveness of the systems. After three months of therapy, two participants progressed from being unable to lift large, heavy objects to being able to do so. Participants showed varying improvement in such activities as brushing teeth, shampooing, dressing, and using a spoon. At 10 months, one
A SUSSEX student has scooped a national prize for her project on the biomechanics of falls. Bronte Paice from Beacon Community College in Crowborough won the best female category in the Google Trailblazer Technology Prize in the National Science and Engineering competition at the Big Bang in Manchester. She chose to focus her research on investigating a device to alert the emergency services when an elderly person has suffered a fall during the night, and her aim for the future is to incorporate an ‘accelerometer’ into an everyday, handy device. With the device Bronte is aiming to develop, if the wearer falls the live recordings will detect the accelerations experienced during the different stages of a fall. When a fall is detected an alarm can be subsequently triggered.
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participant was able to open a heavy door. Grigore added: “Systems like this have the potential for widespread deployment in outpatient clinics or the homes of people needing rehabilitation services for any number of illnesses or injuries. “Well-designed custom games are likely to hold patients’ attention and motivate them to complete their exercises, versus conventional therapy regimens, which patients may find boring or tedious.” The modified PlayStation 3 is the second system based on commercial video gaming technology that Burdea and his institute have developed to investigate economical and engaging rehabilitation therapy tools. Earlier work involved modifying an older model Microsoft Xbox to help stroke victims recover hand functions. The study was funded in part by the National Institutes of Health and the Clarian Foundation.
Contacts Editorial Andrew Harrod Group Editor editorial@assistivetechnologies.co.uk Dominic Musgrave Healthcare Editor Email: dm@whpl.net Tel: 01226 734407 Sales Ellen Sharp Email: es@whpl.net Tel: 01226 734412
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Suspended therapist ‘acted in bullying manner’ AN occupational therapist has been suspended for a year for acting in a bullying and threatening manner towards colleagues and failing to keep accurate patient records. A panel of the HPC conduct and competence committee heard how on several occasions during a six month period Michael J Sunderland acted in a rude, aggressive and abusive manner towards other staff and patients while working at the University Hospitals of Morecambe Bay NHS Trust. They also heard that he consistently shouted and swore at junior colleagues, and failed to file 416 occupational referrals/ progress notes relating to patients. Sunderland denied any bullying of junior staff, but did admit that completion of paperwork was not the strongest aspect of his practice. Chair Gordon Sutehall said: “The panel has found that at the time of his employment the registrant, despite being a professional leader in his trust, behaved in a poor manner towards junior colleagues and, also over a prolonged period of time, despite knowing his weakness, performed inadequately. “There is no evidence that the registrant has sought to remedy his professional failings since leaving the trust. Further, given his poor behaviour towards junior colleagues, the panel find that public confidence in the occupational therapy profession would be undermined by such conduct.” Sunderland was neither present nor represented at the hearing.
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The pioneering operation
Forearm first for man who lost both hands in farming accident By Dominic Musgrave A MAN who lost both hands in a farming accident has become the second person in the US to receive a bilateral hand transplant and the first to have his entire forearm replaced. Chris Pollock also became the third patient treated at the University of Pittsburgh Medical Center with the ‘Pittsburgh Protocol’, an immune modulation therapy that aims to reduce the risk associated with toxic anti-rejection drugs. Andrew Lee, chief of the division of plastic and reconstructive surgery and leader of the hand transplant surgical team, added: “Chris is the third patient to receive a hand transplant since March 2009. The goal of our programme has always been to make hand transplants safer as a viable alternative to prosthetics.
With each successful surgery, we are closer to that goal. “Both of our previous hand transplant recipients have been maintained on a low-dose of a single anti-rejection drug and have regained significant function and sensation in their transplanted hands. Thus far, Chris is recovering well from surgery.” Chris received a total forearm transplant, including the elbow joint, on his right side and was transplanted slightly above the wrist on his left. He will soon begin daily occupational therapy at the Center’s Institute for Rehabilitation and Research as his physicians monitor him closely for signs of rejection. Although other surgeons from around the world have performed hand transplants successfully, they
have used a conventional protocol of multiple immunosuppressive medications to prevent rejection of the grafts, increasing the risk of diabetes, infections, hypertension and other disorders. In contrast, surgeons at the Center have implemented a two-phase protocol that involves initial antibody treatment followed by donor bone marrow cell therapy. The goal is not to suppress the immune system, but to change the way it functions. Under the protocol, Chris, who lost his hands two years ago, received antibodies to help overcome the initial overwhelming immune response. That was followed by a bone marrow infusion from the hand donor within 15 days of the surgery.
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The affordable prosthetic hand designed by Jonathan Naber
Affordable limbs win top prize for Jonathan By Dominic Musgrave AN AMERICAN student has scooped a top prize for his design of affordable prosthetic limbs. Jonathan Naber, a student in the Department of Materials Science and Engineering at the University of Illinois, was one of four winners of the annual LemelsonMIT Illinois student prize. He won $30,000 for his development of an affordable prosthetic arm to serve populations in underdeveloped countries, using low-cost materials to create an arm that is functional, durable and easily manufactured. Jonathan told Assistive Technologies that the design of the prosthetic arms supplied to these countries has not changed for many years. He added: ‘After getting over the disbelief, I was completely ecstatic. When I realised that I had won, I knew that my vision was indeed going to happen and that there were people who believed in the cause I am working toward. “This was the breakthrough I needed and I got it. I'm going to take full advantage of it. The motivation for the product from
the beginning has been to provide the amputees of this world with inexpensive, functional arms and new hope for the future.” He started out designing a prosthetic arm that was realistic, and had great potential to function with an electronic control system. But Jonathan then decided to refocus his efforts on using bare essential materials to create an arm that any person could assemble. He added: “My dream is that one day every person around the world will have two functional arms, and I truly believe that my low-cost prosthetic arm is going to play a major role in that change.” For the next development stage he plans to travel to Guatemala to field-test the prototype at a prosthetics clinic. Jonathan also hopes to patent his idea and finalise a business plan to start a production facility in a developing east African nation. The facility will supply prosthetic arms to amputee populations of Sierra Leone and Liberia. His goal in doing this is to put people to work in developing countries and help their economies while providing arms for amputees.
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Showcase centre to offer better occupational health By Christina Eccles
Jon Hyam
Jon’s award-winning work AN occupational therapist based at Evesham Community Hospital has received an award for his groundbreaking work with stroke patients and their families. Jon Hyam was presented with the Innovation Award at Worcestershire Primary Care Trust’s Long Service and Staff Achievement awards ceremony. Jon, who joined the specialist stroke unit six years ago, was nominated by his colleagues for creating a self-
management programme for relatives and carers of stroke sufferers enabling them to understand what a stroke is, the principles of rehabilitation, and practical strategies to deal with stress. He has also developed a personalised patient information book for every stroke in-patient, as well as implementing new procedures across the team which have allowed them to be more productive.
YORKSHIRE businesses are being offered better access to occupational health with the launch of a new £1.6m NHS showcase centre in Bradford. The Workplace Health and Wellbeing Centre at Bradford Royal Infirmary’s Field House was officially opened by the Government’s director for health and work, professor dame Carol Black. It is one of 11 new innovation sites around England to deliver improvements to NHS occupational health services and improve access to local businesses. The centre will provide healthcare services to more than 10,000 employees both in the NHS and across a range of West Yorkshire industries, including more than 40 smaller companies. A new mobile clinic – complete with hearing booth – will also provide services direct to the workplace. Bradford Teaching Hospitals NHS Foundation Trust chairman David Richardson said the benefits of promoting good health at work and maintaining staff well-being were well recognised. He added: “We’re absolutely delighted that Bradford was chosen
to be one of just 11 sites across the country who will deliver these important services to both employees and employers. “By offering a one-stop shop support to smaller businesses and companies, we can ensure that local industry delivers an occupational health service to their staff which is second to none. “We’re also honoured that the new centre has been opened by Dame Carol, who is one of the country's most senior doctors and one of the most distinguished women in medicine today.” New facilities at the centre include a state of the art rehabilitation gym where staff and clients can be treated for musculoskeletal problems and access early interventions for these kinds of problems. Around 172 million working days are lost each year because of employee absences which cost employers at least £13billion each year. The two main causes of sickness absence in the UK are musculo-skeletal conditions and mental health conditions. Funded by investment worth £1.6m from the Department of Health and NHS Plus, the new centre is being aimed particularly at small businesses.
Official recognition for foot scanner project A CLINICAL project using the FotoScan 3D foot scanner has been officially recognised by the NHS as a leading innovation in the provision of custom orthopaedic footwear. The 3D Footwear Imaging study, led by St Helen’s Hospital in Liverpool, has been running for more than a year. During that time it has
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revolutionised the supply of custom orthopaedic shoes, both in terms of speed and quality. Instead of taking manual measures or plaster casts, patients in Liverpool have had their feet scanned with the FotoScan 3D scanner – a process which takes only a few seconds. The 3D digital casts are then emailed to a range of footwear
manufacturers, all of which use CAD/CAM as part of their shoe last modeling process. Precision 3D Limited’s Steve Robinson said: “The 3D foot scans have allowed the footwear manufacturers to make high quality shoes with an absolute certainty of fit. “Delivery times have been cut from eight weeks to 10 days and,
because the shoes fit first time, clinical visits have been reduced to a minimum. “The result has been significant cost savings to the clinic and a huge improvement in clinical outcomes and patient satisfaction.” The 3D Footwear Imaging project also recently took third place in the prestigious TrusTECH NHS Innovations awards.
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An artificial foot that recycles energy otherwise wasted in between steps could make it easier for amputees to walk, its developers claim. Dominic Musgrave reports.
New device cuts energy per step NEWS
By Dominic Musgrave
foot to return the energy to the system at precisely the right time.
RESEARCHERS at the University of Michigan say that compared with conventional prosthetic feet, the new prototype device significantly cuts the energy spent per step.
Art said the study showed that the test subjects spent 14 per cent more energy walking in an energy-recycling artificial foot than they did walking naturally.
It was created by professor Art Kuo and Steve Collins, a former student who is now an associate research fellow at Delft University of Technology in the Netherlands. Art told Assistive Technologies that the human walking gait naturally wastes energy as each foot collides with the ground in between steps. He added: “We know there's an energy penalty in using an artificial foot. We’re almost cutting that penalty in half. “All prosthetic feet store and return energy, but they don't give you a choice about when and how. They just return it whenever they want. A student has been carving turns on the piste just eight months after having his left leg amputated below the knee following a motorcycle accident. Slovakian Jozef Metelka, a professional tennis coach and student at Brookes University in Oxford hit the slopes after having a special prosthesis from PACE Rehabilitation in Chesham fitted. And after some adjustments by prosthetist Jamie Gillespie, Jozef was ready to try out his sophisticated prosthesis for the first time. Jamie added: “We have provided Jozef with a prosthetic foot that clips straight into a ski binding. “Jozef’s aim is to get into the Slovakian Paralympic ski team so it is vital we provide him with the necessary equipment to give him the best chance to achieve that.”
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He added: "Individuals with lower limb amputations, such as veterans of the conflicts in Iraq and Afghanistan or patients suffering from diabetes, often find walking a difficult task. “This is the first device to release the energy in the right way to supplement push-off, and to do so without an external power source.” Because a typical prosthesis does not reproduce the force a living ankle exerts to push off of the ground, test subjects spent 23 percent more energy walking with a conventional prosthetic foot, compared with walking naturally.
To test how stepping with their device compared with normal walking, the engineers conducted their experiments with nonamputees wearing a rigid boot and prosthetic simulator. In their energy-recycling foot, the engineers put the wasted walking energy to work enhancing the power of ankle push-off. The foot naturally captures the energy, while a micro-controller tells the
“Our new design may restore function and reduce effort for these users. With further progress, robotic limbs may yet beat their biological forerunners.” They are now testing the foot on amputees at the Seattle Veterans Affairs Medical Center. The research was funded by the National Institutes of Health and the Department of Veterans Affairs.
Challenges and solutions for blast wound injuries PETER D. Harsch delivered the Ossur lecture at the annual BAPO conference at this year’s 16th annual BAPO exhibition. Peter, who works as the director of prosthetics at the Comprehensive and Complex Combat Care Centre in San Diego, spoke about the challenges and solutions for blast wound injuries. He has also been the team prosthetist for the USA Paralympic track and field team, and has recently been appointed national team director for the USAT ParaTriathlon team. Dr Rob Forsyth, senior lecturer in child neurology at Newcastle Upon Tyne, also delivered the OETT lecture which looked at paediatric traumatic brain injury. Also speaking at the event, which took place at Bolton’s Reebok Stadium for the final time, were double amputee Darren Swift, who lost both his legs when he was involved in a terrorist attack in Northern Ireland while working as a specialist tracker dog handler. Since leaving the army he has worked as a film and television extra, and his latest project is to develop a bindings system to enable people with lower limbs to snowboard. Prosthetist and clinical specialist Alan Tanner and prosthetic limb technician Rod Heather also held a workshop answering questions about conventional limbs. BAPO moves to the Harrogate International Centre in 2011.
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False limbs expert formally struck off
Disabled models used by high street retailer DEBENHAMS has become the first high street retailer to break the taboo of using disabled models in campaign photography.
disability campaigners Nikki Fox and Natasha Wood, who also present TV show ‘How to Look Good Naked, with a Difference’.
Shannon Murray, who has used a wheelchair since breaking her neck in her teens, will appear in photography to promote the Principles by Ben de Lisi range in the store’s windows and online.
Debenhams’ deputy chief executive Michael Sharp said: “We cater for women of all shapes and sizes, young and old, non-disabled and disabled so we wanted our windows to reflect this choice.
The move follows an approach by
“When Nikki and Natasha
approached us with the idea, we didn’t have to think twice. We are proud to be the first high street retailer to deliver this. We only wished we had done it sooner.” The images will initially be used in Debenhams’ Glasgow, Guildford, Oxford Street and Nottingham branches, with the intention of rolling out across all stores.
A FALSE limbs expert who fitted an artificial left foot to an amputee's right leg has been formally struck off the register after he admitted a string of allegations. Prosthetist Malcolm Griffiths failed to spot the blunder during two further check-ups with patient Patrick Morrison, 76, from West Lothian. A disciplinary hearing of the Health Professions Council was told Malcolm was prepared to admit all 16 charges against him, including the allegations surrounding Patrick’s care. The charges related to the treatment of 11 patients over a three-year period during Malcolm’s time at Edinburgh’s Astley Ainslie Hospital. The regulatory body’s conduct and competence committee, sitting in Edinburgh, agreed to his own request to have his name removed from the professional register. Issuing the decision, committee chairman Colin Allies said: “The panel is satisfied that it is appropriate and proportionate to make the consent order as requested.” Malcolm, who was not present at the hearing, was sacked by NHS Lothian in 2008.
Project aims to help injured servicemen designed to measure the loads that the patient is putting into the operation of the wheelchair and monitor the progress that is made over a rehabilitation period.
give the patients a better understanding of their own improvement, which can provide great motivational benefits.
It is anticipated that the information generated by the wheel will inform new training regimes and techniques to minimise secondary injuries from wheelchair use.
“We are delighted to be able to apply our engineering skills and experience to support the great work that is undertaken by staff at Headley Court.”
Engineering consultant Alex Knight said the project was a “very significant one” for the company to be working on.
Last year Frazer-Nash developed the Powerwheel, an instrumented wheel to help elite wheelchair athletes improve their performance.
The findings will then be used to develop an innovative wheelchair technology to aid the rehabilitation process.
He added: “The new wheelchair system will help physiotherapists and clinicians gain a greater understanding of patient progress.
The new wheelchair wheel will be
“Crucially, the data also serves to
The instrument measures the driving force put into the push rim of the user, and the company will be adapting the Powerwheel principles and applying them to the wheelchair
By Dominic Musgrave FRAZER-NASH has been awarded a contract to develop an instrumented wheelchair wheel that will support the rehabilitation of injured service personnel at the Headley Court Defence Medical Rehabilitation Centre. The project will see the systems and engineering technology company working closely with Headley Court staff to determine the requirements of injured service personnel undergoing rehabilitation.
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design for injured servicemen. Alex added: “The wheelchair works by measuring data using a load sensing element, which is transmitted wirelessly to a minicomputer. “The data is interpreted, displayed and stored on the computer, enabling the information to be analysed during the effort and postevent. The users will gain immediate feedback on the effort they are putting in. “The physiotherapists and clinicians will be able to use the more detailed information to build their knowledge base, which will help to inform on best practice for the users’ training regime.”
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Smart coating helps ward off infection AMERICAN researchers have developed a smart coating that helps surgical implants bond more closely with bone and ward off infection. The new development created at North Carolina State University mitigates that risk by fostering bone growth into the implant. The coating creates a crystalline layer next to the implant, and a mostly amorphous outer layer that touches the surrounding bone. This dissolves over time, releasing calcium and phosphate, which encourages bone growth. Dr Afsaneh Rabiei, co-author of a paper describing the research, said: “The bone grows into the coating as the amorphous layer dissolves, resulting in improved bonding, or osseointegration. “This bonding also makes the implant more functional, because the bonding helps ensure that the bone and the implant do a better job of sharing the load. “We call it a smart coating because we can tailor the rate at which the amorphous layer dissolves to match the bone growth rate of each patient. This is important because
people have very different rates of bone growth.” The researchers have also incorporated silver nanoparticles throughout the coating to ward off infections. Implant patients are currently subjected to an intense regimen of antibiotics to prevent infection immediately following surgery. However, the site of the implant will always remain vulnerable to infection. But the silver particles will act as antimicrobial agents as the amorphous layer dissolves, Afsaneh added: “This will not only limit the amount of antibiotics patients will need following surgery, but will provide protection from infection at the implant site for the life of the implant. “Moreover, the silver is released more quickly right after surgery, when there is more risk of infection, due to the faster dissolution of the amorphous layer of the coating. Silver release will slow down while the patient is healing, which is another reason why we call it smart coating.” The research was funded by the National Science Foundation.
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Team takes on Kilimanjaro A DETERMINED team of health professionals and amputees are in training for a charity challenge that will see them hike to the summit of Kilimanjaro, pictured above. Medical professionals from Queen Mary’s Hospital in Roehampton will be joined by friends and family to raise money for the Limbless Association (LA), whose head office is based within the building. Tom Wickerson, clinical lead prosthetist, told Assistive Technologies: “Because the LA have been based here so long, they have built up a relationship with the prosthetists, amputee physios
and occupational therapists so we are all getting together to do the challenge, along with amputees connected to the charity.” Ray Edwards is the current CEO of the LA and it was his idea to set up the challenge. He will be joining the 24strong team on the trek – set to take place in September – despite having lost both arms and both legs. Kilimanjaro is located in Tanzania and is the tallest free-standing mountain in the world. To find out more about the challenge or sponsor the team, contact Tom.Wickerson@wpct.nhs.uk
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New bionic hand designed to strike a perfect balance
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US clincial trial patient Greg Reynolds tests the Bebionic for size
A BIONIC hand which boasts the world’s first commercially available powered wrist combining 135 degrees rotation and 35 degrees of both flexion/extension is to be launched. The new Bebionic product range from RSLSteeper includes an adult-sized hand that is fully articulating and features four-grip patterns. The thumb has two manually adjusted positions, the first to accommodate pinch grip and power grip. When the thumb is positioned laterally, an in-built sensor changes mode to key grip and finger point options. On board microprocessors constantly monitor the position of the fingers to ensure that grip sequences are accurate every time. Product sales director Paul Steeper told Assistive Technologies that in-house designed software will allow the hand to be customised to each individual user via a wireless platform. He added: “We are really excited about the range and feel it has the potential to revolutionise the upper limb prosthetics market. “Bebionic has been designed to strike the perfect balance between advanced
technology and aesthetics. “Products will be priced to make them available to as many potential users as possible worldwide.” The hand is controlled in a similar way to other myo-electric hands currently available: A user operates their prosthesis using controlled muscle contraction. Electronics then measure electrical changes on the skin covering the control muscles and command individual actuators in the hand to provide the desired movements. Integrated electronics monitor movement of the mechanical elements, ensuring that their motion is smooth and co-ordinated. Operation becomes instinctive once the user has been properly trained to optimise performance. An advanced silicone skin will also be available in 19 colours, which features ‘true finish’ micro pigmentation for additional depth and realism. The skin features a full length and seamless integral strengthening matrix to maximise tear and puncture resistance, in addition to minimising friction between the hand and skin to optimise hand performance. Custom silicone nails are fitted to the skin in either male or female design.
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New research could prompt major advances NEW research into how the brain controls the movements of limbs could prompt major advances in the development of prosthetic limbs, it has been claimed. Leicester University researchers Dr Tom Matheson and Professor Rodrigo Quian Quiroga have recently awarded more than £800,000 by the Biotechnology and Biological Sciences Research Council to carry out the analysis of the sensorymotor control of limb movements. The study will involve recording, analysing and manipulating the activity of individual nerve cells in locusts while they make aimed limb movements, and it is hoped it will help to uncover the general principles of organisation that underpin all limb movements. Through the study, Tom and Rodrigo aim to better understand how the brain controls limb movements so that it is possible to better understand what goes wrong in disease processes, and to develop better medical interventions such as prosthetic limbs that are controlled by
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the activity of the patient’s brain. Rodrigo said: “This grant gives us the unique opportunity to study the activity of large population of neurons in a system that has been very well studied by my colleague, Dr Tom Matheson. “On the one hand, it will give us the chance to further develop methodologies to study large neural populations, and on the other, our research will likely contribute to our knowledge of aimed movements in a system that is relatively simple compared to other animals and humans. “This knowledge may contribute to the development of neural prostheses to be used by paralysed patients, which is clearly an area of major significance.” They also hope the research will help to uncover the general principles of organisation that underpin all limb movements, while at the same time developing new methods that can be applied to the analysis of human brain signals.
A Cambridge-based physiotherapist spent three weeks in Haiti helping rehabilitate the thousands of people with disabilities. David Young flew out to assist charity CBM's work in Port-au-Prince in the wake of the powerful earthquake that devastated the area in January. He worked as part of the emergency team providing essential rehabilitation to those who received crush and limb injuries or amputations as a result of the quake, or who were already disabled and are in need of support. David is pictured with professor Allen Foster
Recognition for community team THE community rehabilitation team at Calderdale and Huddersfield NHS Foundation Trust has become the first therapy-only unit in the country to gain a prestigious recognition from the University of Leeds. The team, which includes a podiatrist, rehabilitation assistant, physiotherapist and occupational therapist, achieved second stage practice development unit accreditation. The unit had to fulfil 15 criteria to achieve the accreditation and had to look at areas including self development, creativity and innovation, the main aim was to focus more on patients. Clinical lead physiotherapist Sam Pearson said: “This is a huge achievement for the team and reflects 12 months of hard work by everyone concerned.”
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Hospitals introduce fitness tasters CHINESE-style fitness and health taster sessions have been introduced at several hospitals in the North West. The occupational health department at Lancashire Teaching Hospitals NHS Foundation Trust, which runs Chorley and South Ribble Hospital and Royal Preston Hospital, has begun holding different exercise classes including belly dancing, tai chi, pilates and yoga. The aim is to introduce staff to new activities in an effort to encourage them to pursue a healthier lifestyle and also help with a number of back and general fitness conditions. Steve Shore, the Trust’s specialist physiotherapist in occupational health, said: “The response from staff has been very encouraging and we will be putting on more classes across both hospital sites in the coming months.” The sessions are funded by those attending each class.
Dr David Silver treats a patient using the radial shockwave machine
More success in tendon disorder treatments MORE patients with complex, painful tendon disorders are receiving successful treatment at the Royal Devon and Exeter NHS Foundation Trust. The Trust is the only NHS hospital in the South West to own a radial shockwave machine to help treat persistent conditions such as tennis elbow, and has been able to significantly increase the number of patients treated. Shockwave therapy has been in use for more than 20 years treating
kidney stones, but has only recently proved beneficial for persistent orthopaedic problems. Dr David Silver, consultant musculoskeletal radiologist at the hospital, said It is a modern, noninvasive treatment where high energy sound waves are created and focused on the injury using a special machine. He added: “Most patients who suffer with something like tennis elbow will visit their GP for initial treatment, where you try rest and physiotherapy to help alleviate the painful symptoms. However some patients find their disorder is particularly persistent and difficult to treat with usual methods. “Thanks to this new technology appropriate patients can receive
shockwave therapy. It is quick, simple and requires no preparation allowing for the patient to continue with their normal day after each session. “It allows more choice for patients over their treatment and GPs, orthopaedic and physiotherapy staff see it as a beneficial and useful treatment option for conditions which are often persistent and difficult to treat by other means.” “With the new machine shock waves are repeatedly applied to the injured area; breaking down scar tissue, helping to stimulate tissue healing where, in severe cases, the body has been unable to repair itself. Almost 1,500 patients have been treated using this system since the Trust invested in the technology two years ago.
Physio’s workshops scoop national award A SOUTHAMPTON physiotherapist has scooped a national award for developing innovative staff workshops to act on patient feedback. Dr Lisa Roberts, a senior lecturer at the city’s university and superintendent physiotherapist at the general hospital, has been awarded the Arthritis Research Campaign’s Silver Medal for her ‘Improving patient experience in a musculoskeletal physiotherapy service’ project. The medical research charity’s prestigious annual award is presented to a physiotherapist who has submitted a piece of work that enhances patient care or contributes to the knowledge of rheumatology professionals. Lisa ran a service evaluation in the musculoskeletal physiotherapy outpatient department, which involved designing and evaluating an information leaflet for new patients, recording their experiences and 14
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making changes to how the service is delivered. She said: “Putting patients first is our top priority and listening to their views has been invaluable in shaping our service. “This is a very prestigious award and reflects the strong team bond we have in the department and the passion to deliver the best service we can.” The feedback received by physiotherapists from rheumatology, orthopaedic, pain clinic and occupational health patients forms the basis of an annual workshop for the team to review practice and identify where they can further improve. Each physiotherapist receives a report of their own patients’ views as well as the overall department results. Lisa will collect her award, plus a £1,000 cash prize at the British Society for Rheumatology conference in Birmingham.
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Research that could improve rehabilitation after stroke, speed up recovery from joint replacements and prevent falls in older people has been launched in Scotland. Dominic Musgrave found out more.
Research aims to improve mobility THE £1.5m project will see engineers, scientists, designers and healthcare professionals join forces with members of the public to convert biomechanical data into computergenerated animations to help patients visualise how their bodies move. The technology will enable healthcare professionals to communicate movement information that was previously only available in graph or table form, helping patients to improve their own mobility and prevent injury. The system will also improve feedback of results and ultimately, help diagnose patients’ physical problems in complex conditions. The four-year project, led by the University of Strathclyde, is being developed in partnership with The Glasgow School of Art, Glasgow Caledonian University, Glasgow University, Newcastle University, the University of Southampton, and the NHS in the West of Scotland. Lead researcher, professor Phil Rowe of the University of Strathclyde’s department of bioengineering, said: “A cornerstone of many physical rehabilitation techniques is a biomechanical understanding of the problem and its solution. But the use
A student tests the new software
of the data has been limited in clinical practice because it is difficult to communicate. “By using animation, we can ‘unlock’ biomechanics by enabling patients to visualise a movement, and how it affects their body. Our goal is to improve the effectiveness of rehabilitation by involving patients as fully as possible in their own care and empowering them to manage their own condition. We hope also to help prevent injury and illness in our growing numbers of older people by using animation to improve understanding, motivation and adherence to exercise plans.” The team will use the new
technology in a wide range of clinical areas including exercise plans for healthy older people, falls prevention, rehabilitation of total knee replacement patients, early mobilisation of acute stroke patients and enhanced ankle-foot orthoses in late stage stroke patients. To make the animations, the researchers first capture movement data in the university’s gait laboratory. They use advanced, infrared cameras to record movement, while measuring each movement’s impact on the body with highly sensitive force-plate sensors built into the floor and equipment. A full biomechanical analysis of the
subject in motion is then possible, including timings and symmetry of foot falls, joint angular displacements and estimates of muscle and ligament forces. This data can then be converted into an animated figure and relevant biomechanical data overlaid for example, green and red markers demonstrating acceptable and unacceptable levels of stress on the body. The team also intend to develop portable systems of motion capture and visualisation for use in health centres, the community and the patients’ own homes. The system will be trialled with the NHS in the West of Scotland. The team believes the dynamic visualisation of movement data has the potential to make a change in the clinical usefulness of biomechanics, equivalent to that produced by other medical visualisation techniques such as xrays, CT and MRI. The Lifelong Health and Wellbeing initiative, which is funding the project, is a collaboration between the UK’s research councils and health departments. It funds multidisciplinary research to find out more about what influences health and ageing throughout life.
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Remploy rewarded with accreditation HEALTHCARE solutions provider Remploy Healthcare has been rewarded for its approach to quality management at its factories by receiving internationally recognised accreditation. ISO 9001:2008 is the recognised Quality Management Standard for organisations across the world that identifies companies that successfully manage their processes and continually improves the way they conducts themselves. The standard assesses quality assurance throughout the entire process, from receiving of customer order to receipt of the finished product by the customer, inclusive of all of the support functions such as customer service and logistics. Technical and quality assurance engineer Niall Armstrong said
gaining the accreditation demonstrates that Remploy is a well managed and progressive company that knows where it is going, and has the strategy in place to achieve its goals. He added: “The accreditation doesn’t require you to change any of your operating procedures nor do anything out of the ordinary; the perception that quality costs is totally false. “It simply asks you to ‘say what you do; and do what you say’ within a framework based on best practice. “To achieve accreditation we required commitment from the top of the organisation to the bottom this ensures that quality has become an integral factor in the overall management of our business, but also the everyday working culture of the organisation as a whole.” ASSISTIVE TECHNOLOGIES I APRIL/MAY 2010
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INDUSTRY NEWS
Why David decided to cross the line ...
Hydro Physio were winners of the innovation award at the Midlands Excellence ceremony. The under water treadmill company beat off stiff competition to win the prize, which recognised incremental and emergent, or radical and revolutionary changes in thinking, products, processes, or organisations.
Salfordinsole becomes favourite in Ireland THE Salfordinsole chairside orthotic system continues to develop, largely in line with feedback from practioners who have taken on the device over the last few months. The system now comprises two versions of the device, Firm and Flex as well as a range of postings. PPL Biomechanics, the distributor in Ireland, has reported strong interest, certainly equal to that within the UK where the Salfordinsole team continue to market the device themselves. Paul Lawless, managing director, says: “We have been told by so many professionals that this is the sort of system they have been waiting for and that they are excited by where the project is going and the amount of influence they have over it. 'We are talking to distributors around the world, but will continue to work directly with practitioners here in the UK as their feedback is invaluable. “There are new products in the pipeline, with at least one significant product launch now imminent, which we plan to feature in Assistive Technologies.”
FLEXYFOOT, the new concept in walking aids that provides more grip, comfort and life, was invented by David Goodwin – an international designer who has been devising award-winning products for major brands such as Franke and Parker Pen for over 25 years. He said: “I thought it was about
time I crossed the line and practice what I preach and have found the development of Flexyfoot fantastically exciting. I have developed several assistive products for clients such as Clos-O-Mat and the Government – a solution to help the visually impaired to vote and that has been used at every single election since 2000. And this
Five minutes with Andy Dewsbury, director of custom fabrication, Beagle Orthopaedic When did you become interested in the industry and why?
I came into the industry by mistake, due to the recession of 1978 closing the company I was about to start with as an apprentice draughtsman. A friend of mine was working in the industry and his company was looking for staff. How did your career in the industry begin?
I took the job of a trainee orthotic technician at R. Taylor and Sons Ltd, Walsall. How have you ended up where you are today?
I made the most of an opportunity given to me by Michael Taylor, MD of R. Taylor and Son, to work in their satellite workshop at the worldrenowned Robert Jones and Agnes Hunt Orthopaedic Hospital in Shropshire. I ran the workshop until the contract changed to Remploy Medical Products division in 1985. In 1992 I was employed directly by the NHS to run the orthotic manufacturing service until August 2009 when I was offered the
opportunity to set up a custom fabrication division for Beagle Orthopaedic. What's the biggest change you've seen in the industry?
Reduction in companies providing orthotic clinical and technical services to the NHS. If you could make one recommendation to take the industry forward what would it be?
To assist the NHS to focus more on the patients orthotic requirements rather than the price of a product. How do you see the next 12 months panning out for your company, and what is your goal? Our main goals are to offer a service that will be second to none, and offering a standard service of a fiveday turnaround we believe this will give us a unique factor within the market place. Using innovative equipment and technologies, and providing a direct link to our fabrication team, we believe this will be the key to getting a quality UK manufactured product to the end user.
experience of working with users, physiotherapists and other professionals has been put to good use. It’s so rewarding when you receive unsolicited calls and emails from people who say that Flexyfoot has helped change their life; they are more mobile, more secure, fell safer and have significantly reduced pain.”
Catalogue launched CHRIS Hanley and Partners have introduced their new Paediatric Catalogue, featuring a collection of new styles to complement the existing range of Chaneco orthopaedic footwear. The catalogue offers more choice, with a larger range of sizes (from three (19) to five (38), more fitting options and a greater variety of colours. Designed to be as visually appealing as they are comfortable and supportive, all of the shoes and boots are available with a choice of fastening and can be produced to a trial fit stage. Following the successful introduction of the new Rocky stability boot in 2009, all the styles in the Chaneco paediatric footwear range can now be manufactured with stability stiffeners and padding on request. Certain styles and colours are available from stock within 48 hours, while footwear requiring adaption will be despatched within 10 working days.
Medical group launches ‘off the shelf’ option PEACOCKS Medical Group have launched an ‘off the shelf’ contracture correction option, giving advantages to appropriate patients of next day delivery and cost savings. Working closely with German manufacturer Albrecht, Clive Mitchell from the company has brought a comprehensive new range of products to the market. He said: “We are delighted to make this new clinical option available, as it reinforces our mission to bring
products to the market that offer both the clinician and patient the benefits of innovation and new technology.” Controlled Dynamic Stretch (CDS) orthoses offer a simple, easy to fit range which accommodates the majority of the adult population from a stock range. This is complemented by a rapid production, efficiently delivered bespoke service at reasonable cost and supported by clinical advice on request.
DM Orthotics Ltd move to ensure the future CONTINUAL research and development into Dynamic Movement Orthoses (DMO), a bespoke dynamic elastomeric fabric orthoses (DEFO) has driven the ongoing expansion of the company and its product range. This growth meant that it quickly grew out of the old factory site it had occupied for the last five years. Larger premises were urgently required to continue the planned expansion. DM. Orthotics moved to larger 16
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premises from 4500sq. ft to 11000sq.ft over the Christmas break, still within Redruth. This ensured that the highly skilled workforce built up over the years could continue to work in the new purpose built facility with minimal disruption to our customers. The new factory incorporates state of the art CADCAM design and lean manufacturing capabilities, to ensure the rapid lead time of the orthopaedic soft goods, DMO and corrective burns range.
Research and development in collaboration with universities and research expertise around the world guarantees continual development of new products and corresponding provision of scientific papers to ensure that clinicians can be ensured of up to date evidence based practice. The latest evidence will be presented at the ISPO conference in Leipzig this May where there will be the first ever symposium on dynamic elastomeric fabric orthoses.
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Show introduces Keynote speech for Dame Tanni new ‘village’ NAIDEX 2010 – the UK’s longest established disability, homecare and rehabilitation show returns to Birmingham NEC on April 20-22, with added new and improved features including the new Communication Village. To bring some glamour to the event Shannon Murray – one of the UK’s most recognisable disabled models will be officially opening the show at 10am on April 20. Following the appointment of Jean Gross as England’s first communication champion, Naidex has launched a Communication Village which will be showcasing the latest developments in assistive technology for speech and language therapists, SEN teachers, parents and users of communication aids and assistive technologies. Event director Liz Virgo said: “The Communication Village is something Naidex has worked hard at introducing as we believe everyone deserves to get the most out of the interactive communication solutions available. The purpose of the Village is to raise awareness and provide guidance to visitors who suffer from, or deal with speech, language or communication difficulties and help promote services which will benefit them in their daily activities.”
DAME Tanni Grey Thompson is the keynote speaker at the annual National Association Equipment Providers conference.
Britain's most successful Paralympian, with 11 Olympic golds for wheelchair racing, as well as seven golds in World Championships, has been lined up for the event in Blackpool, which this year is entitled ‘Personalisation – A Reality Cheque’. Other speakers lined up for the conference, which is due to take place at the Norbreck Castle Hotel between June 22 and 24, include 4 Health Ltd managing director Wendy Garcarz and Nick Andrews, planning officer for older people at Swansea Social Services.
Dame Tanni Grey Thompson
Over 90 exhibitors at Kidz South KIDZ South is taking place on June 24 at Rivermead Leisure Complex in Reading. The show is one of the largest, free UK exhibitions totally dedicated to disabled children, their families and carers, and the health care professionals who work with them. Now in its fourth year, this exhibition promises to be a hive of activity with over 90 exhibitors attending. Many of the companies that exhibit at the
'Kidz' events come back year on year, as they have chosen our exhibitions to launch new equipment and products. The company representatives are often experts in their field and usually have solutions to what may seem like unmanageable problems. The show will also include free seminar sessions where speakers will be providing information on best practice, new research and good practical advice.
Diary dates April 20-22 – Naidex (Birmingham NEC) April 28 – Ossur Academy Orthopaedic conference (Loughborough) May 7 – Knee Ligament Injury conference (London) May 12-14 – Malvern Diabetic Foot conference (Worcester) May 12-15 – Orthopaedie and RehaTechnik (Leipzig, Germany) May 21-23 – Association of Orthopaedic Practitioners conference (Crown Plaza Hotel, Glasgow) June 7-9 – PMG Group conference (Glasgow) June 11-12 – NAEP conference (Blackpool) June 18 – Kidz South (Reading)
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Practical approach BRITPODS is a conference designed to offer the delegate a hands-on practical approach to podiatric biomechanics. The innovative programme provides two-hour workshops where the emphasis is on the practical application of biomechanical principles. All the lecturers hold an MSc in Podiatric Biomechanics and are drawn from education, NHS and private practice. Britpods is an informal and friendly conference but because of the practical nature of the workshops, delegate places are limited.
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MOBILITY
Sir Stirling to open mobility roadshow ON Thursday July 1, British motor racing legend Sir Stirling Moss will open the Mobility Roadshow at the East of England Showground, Peterborough.
Craig Lundberg and the new device
The show includes a strong line-up of motor manufacturers with adapted vehicles to test drive, including Hyundai and Vauxhall. As well as vehicle test drives, visitors can explore conversions and adaptations and try out hundreds of mobility cycles, trikes, wheelchairs and scooters, exercise equipment, products for use at home, specialist holiday, leisure and lifestyle options. There are also free seminars and a range of fitness, dance and interactive sports to try. With entertainment for all the family it is a great day out for all. Sir Stirling said: “Investment in mobility innovation and design is vital to enable disabled and older people to maintain an independent lifestyle, and by so doing is crucial to the general wellbeing of this nation. “I am looking forward to meeting roadshow visitors and seeing the latest products.”
Picture: Harland Quarrington, Crown Copyright/ MOD 2010
Blinded soldier learning to ‘see’ with his tongue By Dominic Musgrave A SOLDIER who lost his sight in Iraq is being taught to 'see' with his tongue using a new system. The new BrainPort vision device was developed by the Centre for Vision Restoration for the US Armed Forces
Institute of Regenerative Medicine (AFIRM), and is being trialled in the UK by retired Lance Corporal Craig Lundberg, who served with 2nd Battalion The Duke of Lancaster's Regiment. He was hit by a rocket-propelled grenade in March 2007 while on duty in Basra and, as a result of the explosion his left eye had to be removed and his right eye was severely damaged. To use the system the patient wears a pair of glasses which carry a video camera. Images are fed into a lollypop-like device that is held in the mouth and transforms the pictures into electrical impulses that are felt on the tongue. Craig said: “I could feel with my tongue that the first letter was an 'A', and then I moved onto the next one. It was amazing. Then I walked down a corridor and I could make out the doorways, the walls and people coming towards me.
“It was the first time since Iraq that I had been able to do that. The equipment needs a lot of work, but it has got huge potential. “I am a realist. I know this isn't going to give me my sight back, but it could be the next best thing.” Craig and Wing Commander Rob Scott, his military eye doctor, spent two weeks at the University of Pittsburgh Medical Centre last year learning how to use and train on the device. The pair will continue the trial at the Birmingham Midland Eye Centre and the Royal Centre for Defence Medicine, where Craig will undergo further training, and he will be using the device at home to increase his mobility and confidence in finding his way in unfamiliar environments. It is hoped that eventually he will be able to train others with similar impairments in the use of the device. The new system has been funded by the Ministry of Defence.
Company launches its own product lifestyle television INVACARE has launched its own product lifestyle television directly accessible from its website. The idea was formed after the company realised it could offer a more interactive experience for its retailers and customers. The aim is to provide more information to help people make the right product choices, to give more detail on product use and application, and to help with training and improve the level of information provided by Invacare. 18
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Marketing services manager Mary Maher said: “We are very excited by this new facility. The TV adds a new dimension to our website, and we hope all of our customers will find it enjoyable and useful. “It’s also an extremely versatile medium to use allowing us to provide the very latest product information and updates very quickly.” There is a wide range of videos to watch, from the latest Storm4 powerchair to lifting and positioning a patient in a sling.
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Roberta Nole, inventor of the RX24 QuadraStep System, recently spoke on a novel foot classification method at the 2010 BAPO annual conference in Bolton, U.K.
Foot development ‘genetically controlled’ THIS method provides an algorithmic process of identifying 24 naturally occurring foot types present within the human population. According to Gregg Quinn FCPodS, research shows that development of the human foot can be traced back to our ancestral origins and further, that the development of an individual’s foot is genetically controlled. Typically, foot assessment requires manual measurements, and/or sophisticated scanning or pressure mapping technology. Nole’s research is based on her experiences as a physiotherapist and instructor on foot biomechanics, and owner of a custom foot laboratory. Her goal was to simplify the examination process to make it more reliable and user friendly for the clinician, without the need of expensive technology. The culmination of Nole’s research has generated a matrix of 24 specific foot types and explains that a resultant foot type is actually a sum of its parts. What this means is that the morphology of a particular foot type is created by a unique combination of its rearfoot and forefoot components. This foot typing system subclassifies rearfoot types into four categories, and forefoot types into six categories; producing the matrix of 24 foot types. Generally, these 24 foot types can be subcategorised into six subgroups of four, which Nole refers to as a “Quad”. Each Quad
type is a uniquely functioning foot that is easy to detect by simple visual observation of that foot in standing and walking. Identification of a Quad type is relatively easy to perform through visual assessment of one or more foot characteristics, utilizing a simple four step process. The first step towards identifying a quad type is to determine whether the rearfoot is “compensated” or “uncompensated”. A compensated rearfoot is one that has the ability to pronate at the subtalar joint; while, an uncompensated rearfoot cannot. A compensated rearfoot that can pronate (Quad types B, D and F) will demonstrate significant drop in vertical arch height, and increased internal tibiofibular rotation. Conversely, an uncompensated rearfoot cannot pronate (Quad types A, C & E) and therefore allows minimal to no drop in vertical arch height, and tibiofibular external rotatation. Thus, in step one of this four step process, the clinician simply observes arch height and tibialfemoral rotation to deduce the rearfoot type. The second step in the process is to identify forefoot type: neutral, varus (inverted forefoot), or valgus (everted forefoot) by assessing “toe-sign”. A neutral toe-sign indicates a neutral forefoot, and is present when some toes are visible both medial and laterally when viewed
posteriorly. Conversely, an excessively abducted forefoot indicates a forefoot varus; while an adducted forefoot reveals a forefoot valgus.
foot is inspected for calluses that correspond to the functional loading portions of that foot during gait, offering further confirmation of foot type.
The six quad matrix thus is the resultant combination of coupling a compensated or uncompensated rearfoot; with a neutral, varus or valgus forefoot. In step three of the assessment process the examiner observes gait.
Nole rationalizes that the key to successful orthotic intervention necessitates understanding the underlying foot type, and that each orthosis must be constructed uniquely to that foot’s functional demands.
Each coupled quad type demonstrates its own specific sequence of compensatory weightbearing mechanisms during gait, and thereby reveals itself to the examiner via its uniquely characteristic gait pattern. In the fourth and final step, the plantar
Podiatry reward scheme launched ALGEOS is proud to announce the launch of a brand new Podiatry reward scheme for private podiatrist customers. The company has developed this new to the UK in-house loyalty scheme – Arthurs Club – as a way to reward customer loyalty. As a thank you for choosing Algeos as your Podiatry supplier – customers will be rewarded each time they spend over £100 exclusive of VAT. Simply accrue Arthurs Club points and then redeem them for recognised high street and online vouchers. If you are not already an existing Algeos customer, simply start
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placing orders and add value to your purchases. The scheme coincides with the launch of the brand new complete and comprehensive Algeos Podiatry Catalogue. The new easy-to-use Podiatry catalogue details our extended podiatry range featuring essential new additions such as premium consumables, diagnostic devices and clinic equipment. The catalogue documents a commitment in seeking innovation and sourcing new products to offer more of a complete collection of high quality podiatry products for our customers.
Implementing a pragmatic method of foot assessment can offer many additional advantages such as insight to surgical and rehabilitative outcomes, the design of shoe soles, and the prediction and prevention of injury.
Appointment at Salford PROFESSOR Richard Baker has been appointed the new professor of gait analysis at Salford University. He has been recruited from the Murdoch Children's Research Institute and the Hugh Williamson Gait Analysis Laboratory in Melbourne, Australia. Richard will join the university's school of health, sport and rehabilitation sciences, which hosts one of the best facilities for gait analysis in the country, and uses them to treat patients from regional NHS Trusts.
It also undertakes work for professional sports teams such as the Salford City Reds rugby league team and Lancashire County Cricket Club to hone their fitness and performance. Richard said: “Salford has had a rapidly growing reputation in gait analysis over recent years and I'm really excited about joining the team.” A Cambridge graduate holding bio-engineering masters and doctoral qualifications from the university of Dundee, he is returning to the UK from Australia after eight years.
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SPORTS REHABILITATION
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An innovative Welsh company is using the latest technology to ensure the country’s elite athletes due to compete in the forthcoming Commonwealth Games are kept on their toes.
Firm helps athletes keep on their toes CARDIFF-based Ace Feet in Motion provides podiatric biomechanical sports injury services to a host of top sportsmen and women in the UK through the use of computerised pressure plate scanning and CAD CAM equipment. Sporting stars like Andrew Flintoff, Peter Crouch, Ryan Jones and Michael Carrick already use their services, and the company is also the official podiatrist for a range of sporting organisations including the WRU, Disability Sports Wales, the English Cricket Board, numerous rugby clubs and Cardiff and Swansea City football clubs. It is currently working with the Welsh Commonwealth Games Team due to compete in Delhi this October. Managing director Bob Cooper told Assistive Technologies that the company was one of the first to invest in equipment to analyse the biomechanics of the foot in motion and identify any irregularities in function. He added: “We are the only company in the UK collaborating with Puma to offer this service and plan to expand this next month so the service will be available to anyone. “It’s great news to be selected to work with Puma and reflects our expertise in this area as well as the importance of keeping one step ahead of the competition through investing in innovative products and services.” These are corrected using tailor made insoles manufactured on site using the latest CAD CAM equipment. Where necessary, orthotic intervention can be built into handmade customised boots that are also made in their facility.
Wales rugby captain Ryan Jones with his new boots
On a visit to the company Lesley Griffiths, deputy minister for science, innovation and skills, said the success of Ace Feet in Motion illustrated the importance of innovation. She added: “Innovation drives growth and fosters success giving companies a competitive edge and can also differentiate one business from another. It’s good to see an indigenous Welsh company with a staff skilled in a wide range of areas making a name for itself nationally – while also providing a first class service to our top athletes.” Ace Feet in Motion also use the latest computer technology coupled
to traditional craftsmen skills to design and make handmade football boots for top players to ensure they fit like a glove. Having scanned the feet on the computerised pressure plate, any biomechanical irregularity is detected and the scans are fed into the CAD CAM equipment where they are digitised and the corrective insole designed. This data is then fed into the computerised milling machine that cuts out the insole which is then hand finished and incorporated into the boots. The service was previously only available to the top professional players.
SEM clinicians to gather for conference in London THE Second Congress of European College of Sport and Exercise Physicians and 12th Scientific Conference in Sport and Exercise Medicine is an opportunity for all clinicians involved in SEM to participate in what is going to be the largest gathering of like-minded people in sport and exercise medicine. It is an international, interdisciplinary event which is held every year and 20
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As the UK has defined the standards of the SEM professional, the second ECOSEP congress will be held in London on September 9-11 2010 at the Centre for Sports and Exercise Medicine, Queen Mary, University of London.
form part of the organising committee and we welcome contributions from sports medicine physicians, physicians, orthopaedic surgeons, podiatrists, podiatric surgeons, academics, researchers, physiotherapists, sports therapist and other healthcare professionals with interest in SEM.
Dr Nat Padhiar PhD, Mr John King FRCS, Prof Nicola Maffulli FRCS, and Dr Nikos Malliaropoulos MD, will
For further information contact 0114 225 9057 or visit our website www.ecosep.eu
attracts over 400 participants from all over Europe.
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New look TO commemorate 30 years as one of the leaders in the seating and mobility market, Specialised Orthotic Services (S.O.S.) are refreshing our look with a new logo and brand identity. This new look reflects many years of expertise and the continuing commitment to bring new designs to market. SOS are dedicated to improving the wellbeing and lives of their clients, no matter how complex their needs or disability. Support and innovation is now our company motto and this reflects our commitment to supporting all our customers and clients and to continue our philosophy of bringing innovation to the market. This is an exciting year for S.O.S, with the launch of a dedicated Specialised Community Equipment Service with its own sales and marketing department. S.O.S will be exhibiting new products at Naidex aimed at both the Adult and Paediatric markets and look forward to welcoming carers, therapists and fellow professionals to stand, E162.
University of Ulster picks up prestigious accolade for excellence By Dominic Musgrave THE University of Ulster has picked up a prestigious accolade for excellence at the Knowledge Transfer Partnership (KTP) awards ceremony in London. At the gala ceremony, Ulster’s partnership between the School of Health Sciences and healthcare firm James Leckey Design won the top prize of the Best KTP in the UK. The Best KTP in the UK success at the awards followed triumph at the regional competition where Ulster’s graduate associate Clare Wright and James Leckey Design won the best KTP in Northern Ireland award, which qualified them for the UK finals. Each winning regional partnership was invited to London to make an oral presentation of their achievements to a distinguished judging panel. Dr Alison Porter-Armstrong, senior
“This work benefits not just the University and the partner company but can find solutions to real problems as is indicative of this case, providing seating and postural support solutions for children with disability and their carers” lecturer in rehabilitation sciences and academic lead on the project, said: “The accolade reflects the University vision of being known for excellence, innovation and regional engagement. “This award encompasses all three elements. “We are particularly delighted by the fact that we have led the way for other occupational therapists in the
UK to successfully engage in this programme and recognise the important work that KTPs can accomplish.
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“This work benefits not just the University and the partner company but can find solutions to real problems as is indicative of this case, providing seating and postural support solutions for children with disability and their carers.” The partnership, which had already made history by being the first ever partnership award to be made to an occupational therapist in the UK, blended Ulster’s skills with the firm’s expertise in designing mobility aids for children with disabilities. Commenting after the award was made, the judges said that the University of Ulster partnership was "the most rounded partnership that clearly demonstrated an effective relationship between the company and the University. It embodies everything that the KTP stands for".
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NEW FROM TALARMADE IS THE AXIS CTO BRACE
DENOVO HEALTHCARE RELEASE THE NEW SINGLE SIDED DYNAMIC WALK
This highly effective brace provides immobilisation of the cervical and upper thoracic spine. The posterior occipital section is adjustable for length and angulation. The anterior mandibular cup can be adjusted for height and fore/aft position to ensure optimal fit and control. Unlimited adjustability allows it to be a convenient one size fits all. The Talarmade Axis CTO brace provides category leading stabilisation and control of flexion/extension, lateral flexion and rotation.
The Dynamic Walk Single Sided is the newest addition to the Dynamic Walk range. This variant is designed to give the customer even more choice when treating foot drop. This Single Sided AFO provides the same dorsiflexion assist as the double sided version but with the added advantage of easier donning and less space required in the shoe. If your patient pronates or supinates enough to cause pressure issues the Dynamic Walk Single Sided is the ideal choice. The absence of the peek rod on the chosen side removes any chance of discomfort from AFO contact with the ankle. The Dynamic Walk Single Sided utilises the same thermoformable carbon composite material as the regular version to allow alteration to the perfect fit for your patient. The Dynamic Walk Single Sided comes in small, medium and large sizes for each foot and is available with medial or lateral peek rods.
To order or for more information call 01246 268456 or visit www.talarmade.com
Enquiries: Denovo Healthcare Ltd Telephone 01934 808416 or email sales@denovohealthcare.com
INVACARE WINS PRESTIGIOUS MEDILINK NATIONAL AWARD
NEW KNEE RANGE FROM OTTO BOCK
WORLD leading home healthcare manufacturer Invacare, has scooped its second award for its innovative product – Homefill. This national award recognises the Bridgend based company for its valuable partnership work with the NHS. The product is a portable oxygen filling system that allows the patient to fill oxygen cylinders and be supplied with oxygen via the concentrator at the same time. Traditionally patients have had to rely on deliveries of oxygen cylinders or liquid oxygen to their homes to meet their respiratory needs. However with this new system, patients can now have an unlimited supply of oxygen, without the fuss and hassle of handling liquid oxygen cylinders. A significant benefit of using the Invacare Homefill system also means a reduction in the production and transportation costs compared to the traditional method.
OTTO Bock offers a wide range of products for conservative, post traumatic and post operative treatments of the knee.
For more information on Invacare’s product range please visit www.invacare.co.uk.
THE NEW CARBOFLEX SPINAL BRACE FROM TALARMADE LTD THE new Carboflex spinal brace from Talarmade is available as a TSLO or LSO with lightweight, carbon effect neutral skeletal spinal shell. It includes an anterior flexible abdominal pad with double sided Velcro adjustment. For comfort and convenience it also includes a removable, washable Coolmax liner. The TLSO version has thoracic extension with comfortable padded Velcro straps. To order call : 01246 268456 or online at www.talarmade.com
Genu Direxa Range (post traumatic) • Innovative anti-slip material for secure wearing comfort without migration • Quick, tool free adjustment of extension and flexion control (Click 2 go system) • Two versions: Pull On or Wraparound Genu Arexa (functional) • Quick, tool free adjustment of extension and flexion control (Click 2 go system) • Auto-adaptive plastic wings provide an outstanding adaptation to the shape of the leg • Height adjustable, anatomical tibia strap pad for optimal fitting after surgery Genu Immobil VarioT (post operative) • One size fits all • Individually adjustable length via telescopic joints • ROM joint for flexion and extension control in 10° increments
CREATE A CUSTOM KAFO IN LESS THAN ONE HOUR G&M has introduced the COMBO, a low profile, lightweight functional orthotic solution for the management of genu-recurvatum combined with footdrop. The COMBO is fitted individually for each patient with components that can be combined to accommodate your patient’s size and length. Designed to be fitted in clinic, with your patient present, in under one hour, optimising your time, reducing the total treatment time yet providing a high quality, high performance product. Enquiries: Telephone 0121 475 1101 or email marketing@gilbert-mellish.co.uk
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