Assistive Technologies by Script Media

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INNOVATION FOR INDEPENDENCE

ISSUE 68 August/September 2009 £6.95

Computer cursor trials at US hospital By Dominic Musgrave HUMAN trials of a system which would allow paralysed patients to control a computer cursor with their minds have begun at an American hospital. John Donoghue and Leigh Hochberg from Brown University are leading the research into the BrainGate2 at the Massachusetts General Hospital, which will evaluate how people with a variety of conditions, including spinal cord injury or limb loss, may be able to use brain signals to control assistive devices. Leigh said the purpose of the new trial is to hone the hardware and software that decode the brain signals that are causing the cursor to move on a screen. He added: “We are working to develop and test technologies that we hope will help patients with devastating illnesses that limit their ability to move or to speak. The goal of our research is to harness the brain signals that ordinarily accompany movement and to translate those signals into actions on a computer, like moving a cursor on the screen, or the movement of a robotic or prosthetic limb.” A previous clinical trial run by Cyberkinetics, together with researchers

at the hospital and Brown, demonstrated that the neural signals associated with the intent to move a limb can be “decoded” by a computer in real-time and used to operate external devices. The device, called the BrainGate Neural Interface System, involved a sensor placed on the part of the brain called the motor cortex. During research sessions, a computer was connected to the sensor through a port on the participant’s head, which allowed them to control a computer cursor by simply thinking about the movement of their own paralysed hand. Leigh added: “We learned an incredible amount with the assistance of the first participants in the BrainGate trial, not only about how the motor cortex continues to work after paralysing illness or injury, but also about how to harness these powerful intracortical signals for controlling computers and other assistive devices. “Through ongoing development and testing, it is hoped that these technologies will eventually help to improve the communication, mobility and independence of people with severe paralysis.”

Adventurer Marc Woods is working with UK specialists to help make his prosthetic leg suitable for climbing Mount Everest. Marc wants to climb Everest in 2012 and has been working with Dorset Orthopaedic on adapting his prosthesis to ensure it is up to the demandings of the climb. Full story: Page 13

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Achilles tendon study call By Dominic Musgrave PEOPLE who rupture their Achilles tendon are being given the chance to take part in a new University of Warwick study aimed at improving recovery and rehabilitation. Thirty patients being treated at the University Hospitals Coventry and Warwickshire NHS Trust will test the effectiveness of different types of orthotics (walking boots) containing heel wedges to see which work best. Research physiotherapist at the University of Warwick Medical School, Rebecca Kearney, has been awarded more than £124,000 by medical research

charity the Arthritis Research Campaign. The four-year project will investigate ways of improving treatment of this common condition that affects over 110,000 people every year in the UK. Traditionally people with a ruptured Achilles were treated in a plaster cast from knee to foot and were unable to bear weight on the cast for up to three months. Rebecca said: “This allowed the tendon to heal but resulted in wasting of the muscles in the lower leg. “Nowadays special boots called orthoses are more often used, as

research has shown that it is safe to put the full weight on the healing tendon without damage – and with reduced muscle wastage.” She will now investigate which is the best and most effective type of orthotic boot; a plastic rigid boot with wedges in the heels worn for up to eight weeks, or a more flexible and less cumbersome version. Ultrasound and gait analysis techniques will be used to measure the results. Her work will lead to a clinical trial comparing various types of orthotics boots. Rebecca added: “Hopefully this research will allow patients to return to their normal work and

leisure activities as quickly as possible, with the least chance of further injury to the tendon. “Accelerated rehabilitation techniques are increasingly being used for sportsmen and women, but there is no reason why these same techniques can’t be applied to members of the general public who sustain similar injuries.”

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Rupture of the Achilles tendon usually occurs in men aged between 30 and 40 years who play sport intermittently, but it can affect men and women of any age, during normal activities such as walking down the stairs.

Old houses new in Huddersfield ONE of a Yorkshire town’s oldest buildings has been transformed and is now home to some of the most modern podiatry equipment.

Contacts Editorial Andrew Harrod Group Editor editorial@assistivetechnologies.co.uk

Over the past year, about £1.5m has been spent on a scheme to upgrade many of the facilities, including teaching rooms, in the Ramsden Building, which was first opened in 1883 as Huddersfield Technical School and Mechanics' Institute.

Dominic Musgrave Healthcare Editor Email: dm@whpl.net Tel: 01226 734407 Sales Ellen Sharpe Email: es@whpl.net Tel: 01226 734412

As it is a listed building, contractors and conservationists held talks to ensure important external details were preserved. Still to be completed is a final phase – costing about £180,000 – which will include upgrading of the podiatry clinic, the physiotherapy area and more of the teaching rooms. This will be finished by the end of the year. Some of the most hi-tech equipment is housed in the sports lab where athletes and sports people can be fitness tested. Clients include Huddersfield Town

Sales representative Fax: 01226 734478

Circulation circulation@wharncliffepublishing.co.uk 24 hour hotline: 01226 734695 Design/Production Judith Halkerston Group Deputy Editor Email: jhalkerston@whpl.net Stewart Holt Studio Manager Email: sth@whpl.net

Chairman of the Clothworkers’ Foundation Grants Committee John Stoddart-Scott, mayor of Kirklees, Cllr Julie Stewart-Turner, the Duke of Somerset, Sir John Ramsden and Huddersfield University’s vice-chancellor, professor Bob Cryan at the opening.

and Huddersfield Giants players. Around 3,000 patients are treated in the 30-unit podiatry suite and there is a small operating theatre used mainly for the removal of toenails.

Runners and ballet dancers are among those who can benefit from the gait analysis equipment and the follow-up on-site creation of devices to go in footwear to improve gait.

Sales and Marketing Director Tony Barry Email: tb@whpl.net Whilst every effort is made to ensure the accuracy of all contents, the publishers do not accept liability for any error, printed or otherwise, that may occur.

www.assistivetechnologies.co.uk

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Students land prestigious roles TWO Teesside University students have been chosen to work with prestigious national sports teams.

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Kenneth Watt has overcome strong competition to clinch a place as a physiotherapist at this year's World University Games. The 29-year-old, who is in the final year of his degree, was selected to work for Team GB as part of a team of six at the Games in Serbia. He helped treat up to 180 athletes taking part in 15 different sports, ranging from athletics, football, basketball and swimming. Kenneth said: "There were 50 applications for one place to work as a physiotherapist at the games so I was delighted to be accepted. And Catriona Thomson, who completes her Sports Therapy degree this summer, has clinched a new role as honorary masseur for the England women's rugby league team. The voluntary role will last until December 2010, when it will be reviewed to see how Catriona works within the team. If successful, she could be kept on until the 2012 World Cup. Catriona, 21, will be one of three masseurs working in collaboration with the team's physiotherapist. Catriona Thomson

She said: "I was over the moon to

Kenneth Watt

get the post and dead chuffed; I didn't really expect to get it. I thought there would be people with more experience. The masseurs and physiotherapist will be working together to make sure the squad of 50 keep in shape. “I'm looking forward to the

experience of travelling with the team and working with elite level athletes. I never thought I'd get to do this. I play women's rugby union myself, so I have some insight into the demands that are placed upon the league players. I enjoy the team spirit and socialising with my team mates.”

Double acquisition for Langer ORTHOTICS company Langer UK has become the country’s biggest manufacturer of medical footwear products after taking over two key players in the same industry. Chesterfield-based Talar Made and the Somerset firm RX are now operating under the Langer UK umbrella – a move which combines more than 40 years of experience in the design, manufacture and supply of custom made orthotics to health professionals and customers worldwide. Managing director Adrian Bishop

said: “The takeover of RX and Talar Made combines some four decades of experience in the manufacture of high quality foot orthoses and allows skilled technicians to pool their knowledge and share expertise which will benefit new and existing customers. “There have been teething problems, which can only be expected with such a big transfer of assets, but we are back on track and despite the continuing recession, business remains steady. The last two months have been solid and we can look ahead with optimism.”

New consultant at Boston PATIENTS requiring hip and knee surgery in Lincolnshire are benefiting from a new consultant. Dipak Raj has recently started work at Pilgrim Hospital, Boston as consultant orthopaedic and trauma surgeon with a special interest in hip and knee surgery. He will also be seeing patients in clinics at County Hospital, Louth. Dipak has a background of developing a specialism in hip and knee surgery. After completing his orthopaedic training at Oxford, he 4

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completed a fellowship in lower limb arthoplasty and soft tissue reconstruction at Addenbrooke’s Hospital Cambridge. He said: “I have continued my interest in knee and hip surgery and like to stay at the forefront of technology. I am especially interested in young adults’ hip and knee problems (20 to 65 years old) as in this age group many procedures other than full hip and knee replacements can be done to improve their condition.”

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Monkeys used in microchip research By Dominic Musgrave SCIENTISTS in America are closer to helping paralysed patients move prosthetic limbs by implanting microchips in the brain. A team at the University of Pittsburgh, in Pennsylvania, have only tested the revolutionary device on monkeys, but it proved a huge success, giving hope to thousands of paraplegics across the world.

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The device was inserted directly into the part of the brain which controls voluntary movement – the cortex. Electrodes on the chip – which are finer than a human hair – are able to pick up tiny electronic pulses and send them to a computer, which deciphers the pattern and strength of the signals to move a robotic arm. Professor Andrew Schwartz, who is leading the study, said: "The monkeys pick this task up and using the prosthetic setting, very rapidly. “Just a few days and they have a pretty good performance with this tool. “It's pretty amazing because monkeys aren't used to using tools – we use them all the time though. "Imagine you're moving your arm to

A monkey was able to grab a piece of marshmallow in last year’s trial

get that piece of food – conveying that to a monkey is pretty difficult yet the monkey learns it fairly rapidly and is comfortable. "As the days go by you see the monkeys start using it as if the

device has been embodied so they think of it as part of their own body." The arm is far more advanced than previous prototypes and has wrist movement as well as three 'fingers'

which gave the monkeys more control over their actions. Last year Andrew’s team were able to teach a monkey how to use a complex robotic arm using mind control so well that it could reach out to grab, and turn, a handle.

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Oscar pledges to support young Harley

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PARALYMPIC athlete Oscar Pistorius has pledged to support a four-yearold Manchester boy who has lost all his limbs to meningitis. The South African sprinter intends to speak to the parents of Harley Slack, who contracted meningitis B and developed septicaemia, to share his own experiences of how he copes with his disability. Oscar was born without a fibula in his legs, and had both amputated below the knee at 11 months old. He has since gone on to be one of the highest profile sportsmen on the planet. Harley's family launched an appeal to raise money for the toddler after he was taken ill in June. The funds will be used to provide him with the best possible care and high quality prosthetic arms and legs.

Oscar Pistorius

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Harley’s dad Adam said: "We've been overwhelmed by the support, but it's really fantastic someone like

Oscar should take an interest.” Harley’s condition developed in just a few hours and quickly left him fighting for his life. The formerly healthy youngster’s heart stopped four times and his circulation broke down, leaving his arms and lower legs requiring amputation and his skin damaged all over his small body. The four-time Paralympic games gold medallist will donate his race money from a competition in Scotland on August 27 to the fund, and will also donate a pair of specialised peadiatric running feet in cooperation with Harley‘s prosthetic caregivers. Oscar, who recently competed at the BT Paralympic World Cup in Manchester, said: "When I was told about Harley, I was really moved.” His Icelandic prosthetics sponsor Össur have also arranged for Harley to be visited by his idol Sporticus, a cartoon super hero also from Iceland.

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Technology that enables individuals to manoeuvre a powered wheelchair or control a mouse cursor using simple tongue movements can be operated by individuals with high-level spinal cord injuries. Dominic Musgrave found out more.

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Trial for tongue technology ... THE clinical trial at the Shepherd Center in America tested the ability of the individuals with tetraplegia, as a result of high-level spinal cord injuries, to perform tasks related to computer access and wheelchair navigation—using only their tongue movements. Maysam Ghovanloo, an assistant professor in the School of Electrical and Computer Engineering at the Georgia Institute of Technology, said: “This clinical trial has validated that the Tongue Drive system is intuitive and quite simple for individuals with high-level spinal cord injuries to use. “Trial participants were able to easily remember and correctly issue tongue commands to play computer games and drive a powered wheelchair around an obstacle course with very little prior training.” At the beginning of each trial, Maysam and graduate students Xueliang Huo and Chih-wen Cheng attached a small magnet— the size of a grain of rice—to the participant’s tongue with tissue adhesive. Before using the Tongue Drive

system, the subjects trained the computer to understand how they would like to move their tongues to indicate different commands. A unique set of specific tongue movements was tailored for each individual based on the user’s abilities, oral anatomy and personal preferences. Movement of the magnetic tracer was detected by an array of magnetic field sensors mounted on wireless headphones worn by the subject. The sensor output signals were wirelessly transmitted to a portable computer, which was carried on the wheelchair. The signals were then processed to determine the relative motion of the magnet with respect to the array of sensors in real-time. This information was used to control the movements of the cursor on a computer screen or to substitute for the joystick function in a powered wheelchair. He added: “All of the subjects successfully completed the computer and powered wheelchair navigation tasks with their tongues without difficulty.

Trial participant Cruise Bogle trains the computer to understand how he will move his tongue to indicate the different commands.

“This demonstrates that the Tongue Drive system can potentially provide individuals unable to move their arms and hands with effective control over a wide variety of devices they use in their daily lives.” Maysam chose the tongue to operate the system because unlike hands and feet, which are

controlled by the brain through the spinal cord, the tongue is directly connected to the brain by a cranial nerve that generally escapes damage in severe spinal cord injuries or neuromuscular diseases. The trial was funded by the National Science Foundation and the Christopher and Dana Reeve Foundation.

System to help more natural walking By Mary Ferguson AMERICAN manufacturers have developed new technology to help people with prosthetic legs walk more naturally. OrthoCare Innovations will begin producing the Compas computerised prosthesis alignment system, which detects misalignments in a prosthetic device as a person walks, in the near future. The company’s chief technology officer David Boone told Assistive Technologies that data is then sent to a computer and recommendations are made on how to adjust the device for maximum efficiency and comfort. He added: “The Compas adds a multi-axial force sensor to almost any lower limb prosthesis and smart software that helps the prosthetist to see and to interpret even the smallest deviations in the dynamic balance of a prosthesis. “It provides the kinetic information that one might seek in a gait laboratory, but the measurements can be made without specialised 8

laboratories or technicians and the information is relayed instantaneously and directly to the prosthetist.” There is currently no clinical instrument which can provide this information directly to the prosthetist in the clinic. David added: “Designed from the start to fit in with standard prosthetics practice, application of Compas is as easy as assembling any standard modular prosthesis system, and it is compatible with virtually all modular prostheses regardless of manufacturer. “The hardware and software work together automatically so that clinicians can easily and intuitively harness the power of our computerised alignment interpretation. “This system is designed for everyday use by prosthetists without need for supporting engineers or specialised staff.” The Compas uses Bluetooth to communicate wirelessly with automatic gait analysis software on a PC or PDA.

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The Compas computerised prosthesis alignment system

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Suite of robots undergoes trials in US ENGINEERS in America are hoping to create robotic devices to improve the lives of children with brain injuries and disorders such as cerebral palsy.

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The engineers at the Massachusetts Institute of Technology have turned their attention to children after successfully testing systems to help stroke patients learn to control their arms and legs. Hermano Igo Krebs, principal research scientist in mechanical engineering and one of the project's leaders, said: "Robotic therapy can potentially help reduce impairment and facilitate neurodevelopment of youngsters with cerebral palsy. “We started with stroke because it's the biggest elephant in the room, and then started to build it out to other areas, including cerebral palsy as well as multiple sclerosis, Parkinson's disease and spinal cord injury.” The team's suite of robots for shoulderand-elbow, wrist, hand and ankle has been in clinical trials for more than 15 years with more than 400 stroke patients. The Department of Veterans Affairs has also just completed a largescale, randomised, multi-site clinical

i-LIMB hand protocol is launched TOUCH Bionics has launched the iLIMB Hand Protocol for Therapists, written by Diane Atkins in cooperation with the company’s clinical team. The focus of the Protocol for Therapists is to introduce the occupational or physical therapist with the unique characteristics and function of the i-LIMB Hand, and to familiarise them with the progression of functional training. The materials provided are also designed to facilitate authorisation for patient services, enhance evaluations, support team based rehabilitation services and, ultimately, to optimise the success that wearers will have when using the i-LIMB Hand. Touch Bionics will offer i-LIMB Hand Accredited Therapist training programs both in the UK and America over the next few months. The company’s marketing director Phil Newman said: “We are very excited to embrace the OT community and we now have the protocol to do support our efforts “The protocol will, without a doubt, prove to be a huge support for end users and therapists alike – we want to increase user experimentation and function to allow them to benefit fully from what the i-LIMB Hand can do.” 10

study with these devices. The team is focusing on improving cerebral palsy patients' ability to reach for and grasp objects. Patients handshake with the robot via a handle, which is connected to a computer monitor that displays tasks similar to those of simple video games. Hermano added: “In a typical task, the youngster attempts to move the robot handle toward a moving or stationary target shown on the computer monitor. “If the child starts moving in the wrong direction or does not move, the robotic arm gently nudges the child's arm in the right direction.” Results from three published pilot studies involving 36 children suggest that cerebral palsy patients can also benefit from robotic therapy. The studies indicate that robot-mediated therapy helped the children reduce impairment and improve the smoothness and speed of their reaching motions. Krebs’ team has focused first on robotic devices to help cerebral palsy patients with upper body therapy, but they have also initiated a project to design a pediatric robot for the ankle.

Physio Alison heads down under A PHYSIOTHERAPIST will take her skills across the globe for the World Transplant Games in Australia.

giving the athletes massages to ensure they are in the best possible condition.

Alison Bloxham, of Kendal Physiotherapy Centre, will be one of two physiotherapists on-hand to offer any of the 122 UK athletes a variety of treatments and massages during the event. The other is Hayley Mount from Sheffield.

“Looking after so many athletes makes for a hectic schedule, but there is a great atmosphere at the Games, which makes it all worthwhile.

This will be her Alison’s fifth time she has helped the team at the biennial event, which brings together people from all over the world who have had a life-saving transplant. She added: “The main work we will be doing over there is treating pulled muscles, sprains and strains, which inevitably happen during both training and competition, as well as

“They provide the athletes with a second chance at living, and they really do make the most of it and are really motivated.” She will be joined at the Games by Hayley Mount from Sheffield. More than 1,000 athletes from over 50 countries will take part in the Games at the end of August in a variety of sports including swimming, athletics, cycling and tennis.

Alison Bloxham

Lift for children’s hospice CHILDREN at a South Yorkshire children’s hospice have been given a lift following the donation of two new wheelchairs from mobility specialist Remploy Healthcare. The Dash Lite’s will ensure the children at Bluebell Wood are able to move around the hospice safely and comfortably. Designed with support from wheelchair services and user groups across the UK, the lightweight aluminium frame enables safer handling and transportation, has been successfully crash tested and comes complete with a full two-year parts warranty. Remploy’s marketing manager Chris Ford said: “Hopefully the wheelchairs will make the children’s stay in the hospice that little bit easier and give them the freedom to explore the wonderful facilities that are on offer at Bluebell Wood. We are just delighted that we have been able to help in any way possible.”

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Remploy’s Chris Ford presents the new wheelchairs to Bluebell Wood head of care Shona Tutin.

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Company search

WE’RE on the search once more for the companies that have gone that extra mile, in providing excellent service and innovation over the last year. If there’s a company you feel should get recognition, then you can nominate it for a BHTA Excellence Award, sponsored by Assistive Technologies magazine. Open to all readers, there are four categories: Mobility, Rehabilitation, Prosthetic and Orthotic. The winner in each category will receive a special trophy from Angela Rippon at the Annual Awards Dinner at the Hotel Russell on December 3. The runner up will receive a certificate. Once we have your nominations we will prepare a shortlist for each category, and in our next issue readers will be able to vote again from that shortlist. We look forward to receiving your nominations. All you have to do is text 07825 264211 stating your name, position and contact number or email plus the category and name of the company for nomination. Alternatively, you can follow the instructions on our website www.assistivetechnologies.co.uk or complete the form on Page 16.

Have you got an exciting new product you think deserves special recognition? THE British Healthcare Trades Association (BHTA) is calling all manufacturers of innovative healthcare and assistive technology products to enter them for this year’s Independent Living Design Awards sponsored by Assistive Technologies magazine. The first, second and third prize winners will be announced by broadcaster Angela Rippon at the Annual Dinner and Awards Ceremony at Hotel Russell in Central London on December 3. Over the years designers and manufacturers have made huge strides in devising clever, practical products which enable elderly and disabled people to stay in their own homes leading an independent life. Last year the winning product was the NuDrive from Pure Global Ltd; second prize went to the Jay J3 wheelchair back from Sunrise Medical and third prize went to the Lightwriter SL40 from Toby Churchill. BHTA director general Ray Hodgkinson said: “The BHTA ILD Awards are the only ones in the UK which specifically recognise innovation and invention in the area of AT products, and we hope they’ll provide an incentive for others to get their ‘eureka moment’. With people

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NuDrive’s representatives Rabi Salifu and Chris Bartlett receive the 2008 award from Sue Norris and Angela Rippon

living longer and the Government’s aim to encourage people to stay in their own homes, such products are more important than ever.” Judges will be looking at entries from the point of view primarily of innovation but will also examine aesthetics; usability and practicality; enhancement of quality of life; and finally clarity of user instructions and literature. The winners will receive an exclusively designed trophy. Entry forms are available from the BHTA on 020 7702 2141, via email

mailtobhta@bhta.com or by visiting www.bhta.com. The deadline is September 18 and no entries will be accepted unless product literature and instructions for use are received, together with a guide price and details of when the product was first placed on the market. The shortlist of no more than 10 products will be drawn up and companies with shortlisted products will be invited to present their actual product to the judges in October.

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A former Paralympic swimmer is swapping the pool for the mountains for his next challenge. Dominic Musgrave found out more.

Marc swaps laps for Alps IN an illustrious 17-year career Marc Woods won 12 medals from five games, four of them being gold.

He added: “Using an artificial leg is pretty tricky on a mountain, particularly when it comes to coming down. Going up is pretty easy because I can kick my boot into the ice and snow, but you cannot do that because the ankle is stiff so I cannot get it into the ground.

But after hanging up his trunks several years ago he has turned his attention to climbing, and he is currently planning an expedition to climb Mount Everest in 2012 with friend and former Olympic bronze medallist swimmer Steve Parry.

“I have been working with Bob on a foot that gives me more movement in the ankle joint. I tried a few out before we heard of Blatchford’s Echelon, which I took to the Alps rock climbing recently and was able to flex right down. It has made a huge difference.”

Marc, who had his left leg amputated because of cancer when he was 17, told Assistive Technologies that he is planning to include a number of teenagers in his team to raise awareness of the Olympics. He added: “I have been doing a fair amount of climbing over the last few years in the Alps and Nepal and, along with Steve, I am trying to put an expedition together linked in with the 2012 Olympics and Paralympics. “I want to get into the schools over the next two-and-a-half years to talk about the Games

Marc ice climbing

coming to London, and am offering three young people the chance to climb Everest.” Climbing has caused Marc several problems with his limb, and he is working closely with Bob Watts at Dorset Orthopaedic to modernise his prosthesis.

Bob attached the Echelon to the Brio heel height device, which Marc says has made it even better, but he has so far been unable to do anything about the problem of heat in his socket. Marc added: “It is something I am going to have to live with unless somebody can develop breathable silicon. Because it is silicon lined it cannot breathe and it gets hot and uncomfortable.”

Therapist is suspended AN occupational therapist has been suspended from the HPC Register for lack of competence while working for the Greater Glasgow and Clyde NHS trust. A panel of the HPC Conduct and Competence Committee heard how Hannah McIlhinney had been employed on a six-month contract during which time it quickly became apparent that she had difficulties making the transition from being a student to a basic grade occupational therapist, and a number of deficiencies in her practice in a clinical setting had emerged early in her employment. The panel also heard that she did not appear to be able to rise to the challenges posed by practice despite the support given by senior colleagues at the hospital. The panel found that her practice had fallen short of the standards expected of registrant occupational therapists and she did not have sufficient knowledge or skills expected of a qualified occupational therapist. Chair Derek Adrian-Harris said: "If Ms McIlhinney is serious in her stated ambition to resume her career in occupational therapy, this period of suspension will allow her the time and the opportunity which she seeks to address these matters." The panel decided the most appropriate action was to suspend her from the register for a year with immediate effect.

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A microeclectrode which could help paralysed people move their limbs again Picture: Neurosurgical Focus and University of Utah Department of Neurosurgery

Brain signals can be detected by microelectrodes on the brain MICROELECTRODES that sit on, instead of in, the brain may one day help paralysed people move their limbs, according to the researchers behind the device. The University of Utah study found that brain signals controlling arm movements can be detected accurately using new microelectrodes that sit on the brain but don't penetrate it. Bradley Greger, an assistant professor of bioengineering and co-author of the study, said the microelectrocorticography, or microECoG, devices may enable

amputees to have “a high level of control over a prosthetic limb”. He added: “The unique thing about this technology is that it provides lots of information out of the brain without having to put the electrodes into the brain. “That lets neurosurgeons put this device under the skull but over brain areas where it would be risky to place penetrating electrodes: areas that control speech, memory and other cognitive functions." "It will enable amputees or people with severe paralysis to interact with their environment using a prosthetic

ASSISTIVE TECHNOLOGIES I AUGUST/SEPTEMBER 2009

arm or a computer interface that decodes signals from the brain." Researchers at the University of Utah are also working on a $55million Pentagon project to develop a lifelike bionic arm that war veterans and other amputees would control with their thoughts, just like a real arm. Scientists are debating whether the prosthetic devices should be controlled from nerve signals collected by electrodes in or on the brain, or by electrodes planted in the residual limb. Bradley added: “If you're going to have your skull opened up, would

you like something put in that is going to last three years or 10 years? “No one has proven that this technology will last longer, but we are very optimistic that by being less invasive, it certainly should last longer and provide a more durable interface with the brain.” The new study was funded partly by the Defense Advanced Research Projects Agency's bionic arm project, and by the National Science Foundation and Blackrock Microsystems, which provided the system to record brain waves.

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Firm announces £2m investment in warehouse HOMECRAFT Rolyan will consolidate its newly-enlarged rehabilitation and healthcare supplies business onto its purpose-built site at Huthwaite, Sutton-in-Ashfield following the recent acquisition of Mobilis Healthcare. It has also announced a £2m investment in a new 20,000 sq ft warehouse to house the increased product inventory, augmenting the existing 80,000 sq ft office and distribution building, completed in May 2006 at a cost of £7m. The acquisition is expected to create up to 50 new jobs at Huthwaite, which are being offered initially to employees at the Mobilis site in Oldham, who choose to relocate to the East Midlands. The amalgamated business is set to double in size from the present £45m combined turnover, generating still further employment opportunities in the area. Underlining its membership of the $3billion US group Patterson

Companies Inc, the new company will be renamed Patterson Medical Limited, though the familiar trading names are being retained for key business activities. Patterson Medical MD David Amson said: “When we moved to this purpose-designed site, we bought sufficient land for future expansion and this is now being used for building extra warehousing, to accommodate the Mobilis stock inventory. “Nevertheless, the growth potential for the amalgamated business is tremendous, both in this country and overseas, and we foresee doubling its size within the next five years, with the option of relocating to a larger site in the same area, thereby retaining our excellent communication links.” Building of the new storage warehouse, adjoining the existing Huthwaite premises, will commence with a view to integrating Patterson Medical UK operation onto a single site by late summer.

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Funds raised for new exercise bike PATIENTS in Devon have a new state-ofthe art exercise bike available to use following the fundraising efforts of a physiotherapist. Anita Sweetman, pictured above, raised more than £3,000 for the new piece of equipment for the unit at Sidmouth Victoria Hospital through hosting various fundraising events, with more than £400 coming from competing in the Dartmoor Vale marathon. She told Assistive Technologies that the bike is already making a big difference in the rehabilitation of a variety of patients including amputees in the town. Anita added: “The one we had

previously was pretty old, and many patients wouldn't be able to get on it. £3,000 is a lot of money for one piece of equipment, but when you look at the benefits it gives people it is worth every penny. We have a lot of people who are not able to bend their legs but would benefit from bike exercise, and with the new one they can sit on it and we can raise the seat for them. We can also focus the bike to concentrate on exercising a particular part of the leg, such as the hamstring, ankle or quad” Sidmouth Victoria Hospital Comforts Fund found the remaining money to help Anita reach her goal.

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NEWS

Ben Herz

Claims that Wii can treat Parkinson’s Disease symptoms By Dominic Musgrave THE Nintendo Wii may help treat symptoms of Parkinson's disease, it has been claimed. Medical College of Georgia researcher Ben Herz believes the games console, which simulates various sports and activities, could improve coordination, reflexes and other movement-related skills, as well as other benefits. The program director and assistant professor in the School of Allied Health Sciences Department of Occupational Therapy said: "The Wii allows patients to work in a virtual environment that's safe, fun and motivational. “The games require visual perception, eye-hand coordination, figure-ground relationships and sequenced movement, so it's a huge treatment tool from an occupational therapy perspective.” In an eight-week pilot study, 20 Parkinson’s patients spent an hour playing the Wii three times a week for four weeks. The patients, all in a stage of the disease where both body sides were affected but with no significant gait disturbance yet, played two games each of tennis and bowling and one game of boxing. He added: “By the middle of the study, we actually had a number of people who could knock their 16

ASSISTIVE TECHNOLOGIES I AUGUST/SEPTEMBER 2009

opponent out in the first round, which amazed us. “Participants showed significant improvements in rigidity, movement, fine motor skills and energy levels. Perhaps most impressively, most participants' depression levels decreased to zero.” An estimated 45 per cent of Parkinson’s patients are reported to suffer from depression, though Ben suspects the actual figure is much higher. Studies have shown that exercise and video games independently can increase the production of dopamine, a neurotransmitter deficient in Parkinson's patients. Dopamine also helps improve voluntary, functional movements, which Parkinson’s patients “use or lose”. Ben added: “I think we're going to be using virtual reality and games a lot more because it provides a controlled physical environment that allows patients to participate in the activities they need or want to do. “A patient doesn't have to go to a bowling alley and worry about environmental problems or distractions “Game systems are the future of rehab. About 60 per cent of the study participants decided to buy a Wii for themselves. That speaks volumes for how this made them feel.”

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Event earns ‘fantastic feedback’ MORE than 3,000 people attended the annual Beyond Boundaries Live exhibition, which this year was held at new venue Farnborough FIVE. Activities for visitors to try at the event included rock climbing and SCUBA diving, while in the Disability Sporting Village there was a chance to have a go at wheelchair

basketball, sitting volleyball, hand cycling, shooting, Boccia, goal ball and cricket. Stars of the BBC programme Britain’s Top Missing Model, Sophie Morgan and Kelly Knox, took part in the shows on the Beyond Fashion stage, while Michelin star celebrity chef Michael Caines hosted a series of

practical cooking demonstrations. Event director Mark Brewster said: “We are delighted with this year’s event and the fantastic feedback we are receiving. Our aim has always been to deliver a truly dynamic and inspirational event – an event the whole community and industry can get behind.”

Occupational therapists find a new Wii to help patients By Dominic Musgrave

movement.

OCCUPATIONAL therapists at a Lincoln hospital are using an innovative way of helping their patients to regain movement in their arms.

Senior occupational therapist Claire Flavell said: “As outpatient occupational therapists we frequently see patients who have hand function problems as a result of fractures or other injuries.

The County Hospital’s occupational therapy department has recently been given a Wii computer console by the manufacturers Nintendo. Playing the games involves using a range of different arm movements, which helps patients to practice different exercises and helps them to regain normal

the Wii is being used more and more within rehabilitation settings with very good results. “It is particularly good for people who need to improve the movement in their wrist, elbow and shoulder.

“Amongst other things we help to reduce swelling, develop hand grip and improve joint range of movement,” she said.

“Playing the game is a good distraction for patients who are in pain and encourages natural movement.

“Traditional rehabilitation equipment is still very much in use, but it is essential to keep up to date with information technology and

A Wii console is also being used at Pilgrim Hospital, Boston to help with the rehabilitation of stroke patients.

Diary dates September 9-10 – Disabled Living Scotland – SECC, Glasgow September 15-18 – BOA annual congress – Manchester Central September 16 – BAOT North West annual conference – University of Liverpool October 7-8 – Care Show – London Olympia October 8-9 – ISPO UK – Crowne Plaza Hotel, Chester October 17-18 – CSP annual congress – Echo Arena, Liverpool

Exhibition returns to Glasgow INDEPENDENT Living Scotland returns to Glasgow at the beginning of September. The biannual free-to-attend event is Scotland’s premier homecare, disability and rehabilitation exhibition and attracts over 3,000 visitors. Special features at the show include the Lifestyle Seminar and Demonstration Zone, where visitors will be able to see the products in action and attend free informative sessions. This year’s seminar programme is being put together by Kate Sheehan, a leading independent occupational therapist accredited for the highly popular and successful CPD seminar programme at Naidex. Event manager Liz Virgo said: “After the largest Naidex ever, we are very excited about Independent Living Scotland’s return to Glasgow which promises to be a great event for visitors and exhibitors alike. We believe Independent Living Scotland has a duty to provide visitors with a comprehensive and informative range of exciting new products, CPD seminars and all the latest information on independent living in Scotland and the north of England, which combine to make a great visitor experience.” It takes place on September 9 and 10.

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EVENTS

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PODIATRY

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Could we be moving into a new era? By Daniel Blackman BACK in the midsts of time, trainers were made of poor quality nonbreathable PVC and on their own did more harm to sporting feet than high heels or winkle pickers ever did. But we are now confronted with trainers having gel heels, mid foot control, stability or motion control zones. As a clinician I am forced to understand relative shore values and material properties of rubbers and plastics that were never covered in any text book I was asked to read. Every day in my clinic I am asked when discussing injury prevention with patients what type of trainer should I buy? This is usually followed by an equally thorny inquiry – and should I wear orthotics in them? Research currently underway at the Melbourne Institute of Sports and Exercise Medicine is looking at the rather simple concept of why we as biomechanists should always examine runners running. Although not complete, the research suggests using the principle that it takes less energy to deflect the direction of an object in motion, and the faster that object is moving the energy needed is exponentially less.

This could lead to the conclusion that runners need less control in trainers or on orthotics than walkers in the rear foot, and on goes the debate. The problem I have always had with rear foot control trainers is the level of control in the trainer is related to the shore value of the material used. This does not usually account for the body weight of the patient or the mobility of the foot. Therefore, is a 60kg runner getting more control than a 100kg rugby player, or does the argument follow that a 60kg runner gets less support as they cannot engage the control because of their body weight. An orthotic does allow you clinically to add the correct level of control to the foot arrived at by examination,diagnosis, body weight, shape and sport type. They also allow you to correct for asymmetry which trainers do not. Before the research was started in Australia I wanted conclusive proof that trainers must be neutral, and orthotics must control the foot. This is thrown into sharp relief if the conclusions are, as the interim results appear to show. Could we be moving into an era where we let the trainers take the

strain and ensure the high level of control needed for walking is achieved by orthotics? The debate continues but a new

chapter is written. Daniel is head of clinical services and a senior biomechanics specialist at RSscan Lab Ltd.

Study looks at customised foot orthotics A NEW study being conducted at one of America’s top podiatric medical colleges is looking to better understand customised foot orthotics. The three-year study, funded by the American Podiatric Medical Association (APMA), is currently investigating the success rate of them in the treatment of patients suffering from plantar heel pain—an ailment that many podiatrists are able to treat successfully with prescription orthotics. The study, which will focus on a total of 300 patients, ages 18-75, is also comparing prescription orthotics to over-the-counter, prefabricated 18

insoles – another common recommendation for managing heel pain. The research is being led by Dr James Wrobel, podiatrist and interim director of Scholl’s Center for Lower Extremity Ambulatory Research (CLEAR) at Rosalind Franklin University of Medicine and Science in North Chicago. He said: "We are trying to better understand how well custom foot orthotics prescribed by podiatric physicians compare with over-thecounter insoles and pre-fabricated insoles to reduce or eliminate heel pain, and improve a patient’s quality of life.

ASSISTIVE TECHNOLOGIES I AUGUST/SEPTEMBER 2009

"Prescription foot orthotics are an important treatment that a podiatrist uses to help patients recover from painful injuries and return to an active lifestyle. "Such as with many other prescribed medical treatments, it is vital that evidence-based, statistical data be gathered in a scientific environment to support the use of custom foot orthotics for patient care." Dr Wrobel added that this research study is the first of its kind to measure how specific foot types, such as low and high arches, respond to certain specific treatments, including custom orthotics.

Prescription orthotics are custommade shoe inserts that help to correct faulty foot function, or to remedy foot pain. Sometimes referred to as prescription "arch supports," many podiatrists can measure a patient’s foot for an orthotic device in just minutes. The in-office process often includes either taking a cast mould of the patient’s foot or taking a digital image to obtain the patient’s distinct arch and heel pattern needed to fit the orthotics. After custom manufacturing, the finalised orthotic is fitted and dispensed to the patient with specific instructions for wear.

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Centre launches pager system for patients A DISABILITY treatment centre has launched an innovative pager system for patients who need specialist mobility rehabilitation. The Specialist Mobility Rehabilitation Centre, which is part of the Lancashire Teaching Hospitals NHS Foundation Trust, provides artificial limbs, orthotics and wheelchairs for patients from across Lancashire and South Cumbria. The new electronic pager system issues each patient who checks-in with a personal pager which gives them a five-minute warning before their appointment with a range of specialists. The initiative ensures patients can use the centre’s many facilities, including a café area and playrooms or relax in its surrounding gardens, without fear of missing their appointment. A wheelchair that can be steered by brainwaves alone has been developed by Japanese car manufacturer Toyota. The company said it is among the fastest systems in the world for analysing brain signals. Current systems require several seconds to read brain waves, but the new technology requires only 125 milliseconds. The system works via a cap worn on the wheelchair user's head.

The cap, which can read brain signals, relays them to a electroencephalograph scanner (EEG), which analyses the readings on a computer in the chair. The revolutionary system allows the wheelchair user to turn left or right and go forward, almost instantly, according to the researchers involved. Coming to a stop requires more effort. The user must puff up a cheek, which is picked up by a detector worn on the face.

Dr Fergus Jepson, consultant in rehabilitation medicine, said: “We have state-of-the-art facilities which have been designed with patients

with mobility issues in mind. “Patients told us they wanted to use these facilities but were worried about missing their appointments. The introduction of personal pagers for patients to notify them of their impending appointment was a simple but effective solution and we are delighted with how it is working.”

MOBILITY

The SMRC is based in the ground floor of the Preston Business Centre and it features dedicated consultation areas, including upper and lower limb paediatric treatment rooms, assessment rooms for wheelchair and specialist seating clinics, plus a resource room for training purposes. A new test track, which features cobbles, wooden floors, uneven surfaces, kerbs, steps and slopes, has also been installed for testing mobility aids, such as wheelchairs or to allow patients to test artificial limbs or to train orthotic patients.

Surgeon introduced new knee pain treatment By Dominic Musgrave A LINCOLN surgeon has introduced a successful new way of treating patients suffering from knee pain caused by cartilage damage. Consultant orthopaedic surgeon Mohammad Maqsood is now carrying out cartilage repair using Trufit plugs for patients at Lincoln County Hospital. This new way of repairing cartilage damage in the knee, thus preventing arthritis, speeds up recovery times for patients and is much more effective than previous methods. Mohammad said he is delighted to be able to offer the treatment. He added: “A number of patients suffer from damage to the cartilage in their knees which causes pain and eventually leads to arthritis. “This damage can be caused by

sporting injuries or sometimes develops for other reasons. “For many years, we have worked to prevent arthritis occurring by transplanting patients’ own cells into the cartilage defect to protect the knee joint after growing them in a laboratory, but that wasn’t always effective and involved two operations, as well being costly because the cells had to be transported to Switzerland to be grown. “Now we have developed a new way of treating these patients which involves just one operation and which has a much better success rate.” He has begun using Trufit plugs to plug the gaps in the articular cartilage of patient’s knees. These provide a structural scaffold that new cartilage can build around, helping the patient’s body to repair itself. ASSISTIVE TECHNOLOGIES I AUGUST/SEPTEMBER 2009

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Craig focuses on rehab and fitness in new studio By Mary Ferguson A VIBRATION training studio focusing on rehabilitation and fitness has opened in Birmingham. Craig Ingley, a former physical training instructor in the armed forces, has opened Vibro-Suite in Birmingham following management positions with Bannatynes, Esporta and VibroGym International. The facility uses eight VibroGym Evolution vibration plates, set up in a large open plan studio, and will also offer physiotherapy, osteopathy and beauty treatments. Craig said: “The whole format will run the same as a normal health club, meaning people will get assessments and programmes. We will also do studio classes on the plates – the whole point is to condense the amount of time spend in there and people get the same benefits using a vibration plate in a third of the time compared to general gym work.”

“The whole point is to condense the amount of time spend in there and people get the same benefits using a vibration plate in a third of the time compared to general gym work.” wellness rooms and a mobile service will enable the plates to be taken into the workplace. Craig said his ultimate aim is to promote vibration training as a complete health and wellness concept and is confident the new business will do well. He added: “Vibration training isn’t just a fluffy female-style way of losing weight and I expect an equal number of men and women coming through the door – ranging from those with medical conditions like MS to elite athletes.”

Craig said as well as targeting busy professionals, he also hopes to tap into the rehabilitation market, claiming the medical benefits of using the plates are huge. He will be promoting the exclusivity of the studio by capping membership at 500, in a bid to keep the ‘intimidation factor’ to a minimum. The studio is sandwiched between a Bannatynes and a Virgin Active health club – who both offer vibration plates – but Craig will also be using Olympic rings, punch bags and kettlebell training to maximise the effectiveness of the workouts. “The medical capabilities of these plates also gives us the edge and because I know firsthand how attrition works at those clubs, I’m expecting a few of their dropouts over here.” As well as the main studio there will be three

Pictured above: Craig Ingley and left, Vibro-Suite the vibration training studio which he has opened in Birmingham focusing on rehabilitation and fitness

Society launches ‘Move for Health’ initiative ALMOST two thirds of adults in the UK could be threatening their future health because of a lack of exercise, according to a new survey. Sixty three per cent of those questioned by the Chartered Society of Physiotherapy said they were not getting enough exercise, and could therefore be putting themselves at greater risk of life threatening illnesses like cancer, heart disease and stroke. The association has launched a new UK-wide campaign called ‘Move for Health’ to highlight the importance of exercise in maintaining good 20

health and preventing illness. Bridget Hurley, chartered physiotherapist and Society spokesperson, said: “Most people know physical activity is good for their health but when it comes to doing it, exercise simply isn’t a priority. “Regular physical activity is as important as eating five portions of fruit and vegetables a day, and people need to understand that you can’t keep putting it off. Without sufficient physical activity you increase your risk of life-threatening illnesses”.

ASSISTIVE TECHNOLOGIES I AUGUST/SEPTEMBER 2009

Despite overwhelming evidence that regular exercise combats obesity and decreases the chance of developing a serious illness, the survey reveals many people are ignoring basic health advice.

per cent of people know how much exercise they need to do each day, and more than half (56 per cent) think the recommended amounts of exercise are less than they actually are.

Twenty per cent of those questioned exercise only once a month or less, although 41 per cent said they would take regular exercise if it led to a longer or healthier life, and more than half (52 per cent) if it would help weight loss.

The low levels of activity revealed by the survey suggest poor levels of fitness, with over a third of people (39 per cent) saying they get out of breath fairly quickly from walking up a flight of stairs. Women appear to be less fit than men, with 43 per cent saying they get out of breath fairly quickly, compared with 34 per cent of men.

The survey also reveals confusion about how much exercise adults think they should be doing. Just 13

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Conference call for material POSTERS, papers and abstracts are required for a conference which will focus on the latest innovations in assistive technology. Recent Advances in Assistive Technology and Engineering takes place at the Hilton Hotel Coventry on November 30 and December 1, and will be of interest to everyone who uses, works with, develops or conducts research on AT. Individuals are invited to submit

the following:

adults.

Papers for a 20-minute platform presentation.

These may include reporting on research projects, service developments, case studies, evaluations, new developments or reviews. To present a paper you must also register for the conference.

Posters on one of the following topics: User involvement in the development of services. Technology adoption. AT and learning disabilities. Transition services for young

Abstracts of no more than 300 words should be submitted by August 31 to www.raate.org.uk/submit-a-paper

Wood structure A TEAM of scientists in Italy have developed the first prosthetic bone material made from wood. The substance had previously been thought to be unsuitable for making prostheses as it was thought that it would erode and rot inside the body. The team solved this problem by transforming the building blocks of wood into the material from which bone is made, while retaining the wood’s natural porous structure. They did this by heating the wood to remove water content and proteins, leaving behind a carbon skeleton of the wood’s architecture. They then caused the template to react with carbon dioxide and oxygen, turning it into calcium carbonate. The result is a white material that is chemically indistinguishable from bone, but which has the underlying structure of wood.

Arena date THE North East’s largest independent living event takes place at the Metro Arena in Newcastle on October 21 and 22. Sponsored by Hilton Newcastle Gateshead, DNEX 09 provides information, equipment and advice for disabled people, older adults, carers, health and social care professionals. The annual exhibition attracts more than 5,000 visitors, and includes 100 stands and programme of seminars and workshops, where appropriate certificates of attendance will be awarded to healthcare professionals for their CPD portfolio.

The MORPHO™ Cryo-Matrix remains colder 12 times longer than standard ice and gel packs, and can be programmed to stay at a constant ‘cold’ temperature (with an ideal skin

THE mother of a man who was born with quadriplegic cerebral palsy says the tailor-made SAFO® from Dorset Orthopaedic gave him newfound confidence and comfort. As a child, Crosby Casey’s left foot and ankle were unstable, and the foot would not remain in a normal position as he grew. He was fitted with a knee-high rigid plastic splint, which the family called 'Old Faithful' throughout his childhood and teenage years. His mum said: “Old Faithful was a hard friend to please. Crosby needed a long sock to stop the rigid plastic chafing his calf. He also needed a thin synthetic sock inside the long cotton one to avoid recurrent athlete's foot. “When he hit his late teens and was due to go to university, I saw an advert for Dorset Orthopaedic’s SAFO®. He was keen to try it, so off we went to Hampshire.” She said once Crosby tried on a sample he was blown away, and that he remembers the moment he collected the product as the day his life changed for the better.

Helping users be more active A NEW design of rollator has been launched that aims to help users be more active – even on challenging terrains. The Trionic Walker from Homecraft features a patented climbing wheel that tackles 13cm high obstacles and is the brainchild of two students at the Royal Technical Institute in Sweden. Stefan Kindberg and Johan Kuikka, who had backgrounds in cycling and sport respectively looked at rollators from this perspective. At the front is the patented Trionic

climbing wheel, which increases the ability to overcome obstacles, by spreading the load over two longitudinally displaced wheels and dividing the climbing sequence into two manageable steps. An independent study by ergonomic specialists, ERAK, compared the Trionic Walker with leading outdoor rollators and found that the forces needed to overcome a series of obstacles were 6-12 times greater with the conventional rollators. Seven of the nine test users also preferred the Walker to their current models.

Cryotherapy pack ‘reduces pain’ SALITAS has launched a ground breaking cryotherapy pack which reduces pain and improves joint mobility among osteoarthritis patients and helps athletes recover quicker and more effectively from injury or surgery.

Product brings newfound confidence and comfort

PRODUCT NEWS

interface temperature between 712°C) for up to four hours, as opposed to the 20 minutes associated with conventional gel packs.

These unique features allow joints and muscles to be kept at the right temperature, for the right amount of time, promoting faster recovery rates after surgery or injury.

It is made from a unique matrix structure that moulds onto the patients’ skin, even when they are moving; allowing patients to receive treatment while taking part in exercise, training schedules or physiotherapy programmes.

Ideal for professional sports people who want to get back to full fitness fast, MORPHO™ can also be used as a long term treatment for osteoarthritis patients – one of the most chronic diseases affecting the elderly.

Brad Parks opens symposium THE founder of wheelchair tennis and the two bounce rule Brad Parks was the special guest at a conference held in Nottingham. The founder of the National Foundation of Wheelchair Tennis officially opened the international symposium sponsored by Invacare at the East Midlands Conference Centre, which coincided with the World Team Cup event at the city’s tennis centre. He said: “For me to play tennis I had to have an able-bodied person to play with, but I was always shy of playing with the two bounce rule. Eventually the rule caught on, and the sports has grown and grown from there. “I am so excited by the sport and to see where wheelchair tennis is today. I cannot believe that it has come this far since 1980, and that we now have people taking part in events from all over the world.” Other speakers at the event included Paralympic bronze medallist Ade Adepitan, Invacare World Team Cup ambassador Rainer Kuschall and artist and writer Tim Rushby-Smith.

ASSISTIVE TECHNOLOGIES I AUGUST/SEPTEMBER 2009

PRODUCTS

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INVACARE LAUNCHES SUPERLIGHT WHEELCHAIR

DENOVO HEALTHCARE INTRODUCES THE ‘DYNAMIC WALK’ BY CENTRI

Küschall has fashioned a completely new, yet extremely simple design of wheelchair. The KSL fuses together state-of-the-art technology and revolutionary design to create a highly dynamic rigid wheelchair for independent active users and trendsetters.

THE Dynamic Walk is a dynamic foot lifter AFO made of a lightweight carbon fibre composite and double sided PEEK rods that provide high strength and flexibility. This unique design allows you to drive and climb stairs since it provides stable free movement and constant lifting of the foot. The open heel construction and slim foot design allows the AFO to fit easily into normal shoes. The Peek rods are the key to the Dynamic Walk’s lifting action and extreme flexibility. When the patient’s ankle is at around a 90 degree position, the rods are held out of their unloaded position and will use that stored energy to actively lift the foot at the initiation of the swing phase. The ability of the rods to be moved beyond 90 degrees allows the patient to easily plantarflex. The Revolutionary Thermoplastic Carbon Fibre Material used in this product offers the strength and stability of carbon fibre but also allows the possibility of reshaping and trimming the composite material to suit the individual patient’s requirements.

This superlight chair has a sleek and dynamic design with unseemly parts kept to an absolute minimum, and reducing the overall weight of the chair in its standard configuration to just 7kg! KSL features quick release wheels, and offers a range of backrest and seat angles with a choice of seat widths and depths. It is available in a wide variety of stunning colours including the Küschall Colour Power set. The KSL uses the highest quality aluminium frame materials, and offers a range of options in either carbon or titanium to ensure not only the best driving performance and stability, but lightness and speed. With a maximum user weight of just 100kg, the new KSL is truly like driving on air. For further information please contact Invacare Ltd on 01656 647327 or visit www.kuschall-uk.co.uk.

COMPANY ADDS NEW PRODUCT TO RANGE THE SAFO Go™ is an exciting new addition to Dorset Orthopaedic’s established SAFO® family. The primary purpose of the Go™ is to make the SAFO® more available to a wider number of patients as an “off the shelf” paediatric product that comes in a variety of sizes. The big difference with the SAFO Go™ when compared to previous designs, is that it comes with an adjustable foot section which can be fastened, using a silicone adhesive that comes with the SAFO Go™. The fastening system on the leg is identical to the SAFO Walk™ design and incorporates two wrap around Velcro straps. Once glued, the foot section is fixed permanently. The simplicity of this design, which was produced with functionality and comfort in mind, provides the flexibility to assess and fit the patient in one appointment. Key benefits of the SAFO Go™: Allows ‘normal’ foot/ankle action. Provides improved sensory feedback. Can be used as part of a full rehabilitation programme. Reduces risk of pressure sores. Easy to fit, clean and maintain. Enquiries: Telephone 01425 481742. www.dorset-ortho.com

BRACE USED FOR ‘KNOCK KNEE’ OR ‘BOW LEG’ INSTABILITY OF THE KNEE OTTO Bock’s Genu Immobil product line comprises of four products and serves as the first therapeutic measure for post-operative and post-traumatic immobilisation of the knee joint after acute injuries. Genu Immobil products offer many possibilities, ranging from immobilisation at 0° of flexion, up to mobilisation through individual control of the flexion angle. Genu Immobil 0O and 20O Provides immobilisation of the knee at a 0O or 20O flexion angle and is available in four sizes. Genu Immobil Vario A universally sized ROM knee brace which is suitable for patients with a lower leg circumference of 43cm and an upper leg circumference of 62cm. The range of flexion and extension can be set in 10°increments, allowing early mobilisation. Genu Immobil Vario T A telescopic, universally sized ROM knee brace. The telescopic bars on the thigh and lower leg allow the length to be adjusted from 52 to 64cm, whilst the range of flexion and extension can be set in 10°increments, allowing early mobilisation. Enquiries: Telephone 01784 744900.

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Enquiries to Denovo Healthcare, Telephone 01934 808416 or email sales@denovohealthcare.com

LIGHTWEIGHT PROTECTIVE HELMETS Baby/Infant Helmet. One size fits 7 months – 2 + years (40-50cm). Available in pink or blue multi adjustable. Constructed from soft foam and covered with Lycra/nylon. Fastens with elastic Velcro strap £39.00 Scrum Type Helmet. Sizes S M L Available in black with rear lace adjustment. Firm sponge covered with Lycra/nylon. Fastens with Velcro chin strap £44.85 Toppen 77. Sizes 46cm – 59cm. Available in blue with red lining. Constructed from soft sponge covered with Lycra/nylon. Open sections on top of head for increased comfort. Fastens with under chin strap.£51.70 These helmets are not suitable for high risk activities, e.g. skateboard/cycling To order or for further information contact: M G Gilligan Ltd 10 Wasdale Avenue Davyhulme Manchester M41 5TL Tel: 0161 747 8728 Fax: 0161 747 7163 Email: mggilligan@hotmail.com

PROMEDICS’ EXCLUSIVE PROMEDICS Orthopaedic Ltd. has strengthened its commitment to the Orthotic market by developing a new partnership with Orthoservice AG of Switzerland. Promedics has the exclusive rights to distribute the SPINE UP osteoporosis brace and HIPOLITE lightweight hip orthosis in addition to the other spinal and hip products available from the Orthoservice range. Launching this exciting new range of Spinal and Hip Orthoses at BAPO 2009, Promedics demonstrated that the Orthoservice products are designed and manufactured to the highest standards. This allows clinicians to have total confidence in the function and fit of all products in the range. Promedics alliance with Orthoservice AG will also result in a stream of new products being released over the coming months. Promedics will provide a dedicated email order service via orthotics@promedics.co.uk. Next day delivery is available for orders placed before 5pm With a new range of quality products and a renewed commitment to the Orthotic market, Promedics strengthens its support to both clinicians and patients. Enquiries to orthotics@promedics.co.uk.

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