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Feb 2018
Feb 2018


Hyatt Regency - New Orleans 601 Loyola Avenue New Orleans , Louisiana 70113
Tel: (504) 561-1234
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44th Academy Annual Meeting And Scientific Symposium - American Academy Of Orthotists & Prosthetists






Event Overview:

Why You Should Attend

At the Academy Annual Meeting, you'll discover new ideas and learn practical strategies that deliver real results for your patients. But that's not all.

What's New In 2018:

Lounge and Learn

Lounge and Learn sessions are 15 – 30-minute bursts of education scheduled at various times and locations throughout the conference area.


Crowd-Sourcing gives you the control. Using the meeting App, you will get to vote for the topic that interests you.

Learning Labs

Learning Labs focus on your personal well-being. Topics may include social media, your health, wellness, and other subjects to improve your personal and professional lives.

Can We Talk?

Roundtable discussions with specific table topics offer you the opportunity to brainstorm, sound off, and share challenges, experiences, and ideas while strengthening ties to your professional community.

Hands-On Sessions

New to the 2018 Annual Meeting two handson sessions featuring prosthetic casting and scoliosis design led by well-known experts in the profession.

About The Academy:

The Academy, founded in 1970, is the professional organization representing certified practitioners, state-licensed practitioners, assistants, technicians, fitters, and others affiliated with the profession of orthotics and prosthetics (O&P). The Academy is dedicated to helping members provide the highest level of professionalism and service to their patients.

The Academy is the premier source of learning, knowledge, and research for the orthotic and prosthetic profession, providing professional resources, continuing education, and advocacy to enhance the skill level and awareness of orthotic and prosthetic professionals.


Feb 14   

7:00 am - 7:00 pm


Registration and Speaker Ready Room Open

8:00 am - 12:00 pm



Live Prosthetic Casting
Mark Muller, CPO, FAAOP

While we all have our own negative impression technique for lower limbs that meet the needs of our particular patient population, it is good to know what other techniques are available and to refresh our skills. This hands-on course will review a variety of impression-taking techniques (plaster and scanning) from experienced clinicians focusing on four distinct levels of amputation (long transtibial, short transtibial, long transfemoral, and short transfemoral). For each level the live demonstration will cover seasoned and innovative techniques that can help every clinician broaden his or her clinical skills.



Technical Workshop

Leveraging The OPIE Toolbox For Business Success
Sponsored by: OPIE Software

This workshop is for prospective OPIE users. You will learn how OPIE can improve work ow, optimize efficiencies, and provide data that can help to advance patient care and overcome reimbursement issues.



Technical Workshop

Simpler, Smoother Fittings With The Motion Control iOS App And Nexo Skeletal Systems
Sponsored by: Fillauer

With Motion Control’s new iOS app and bluetooth ETDs (including the newly released ETD2) the power to succeed is now in the palm of your hand. Using the versatile NEXO system, we will show you how to modernize and significantly drop the weight, cost, and complexity of upper-extremity prostheses.



Technical Workshop

Making Decisions On Mechatronic Technology In Your Evidence-Based Practice
Sponsored by: Ottobock

Advances in prosthetic technology are transforming patient outcomes more than ever. This course will review mechatronic solutions from Ottobock for both lower- and upper-limb amputees. We will focus on functional differences, patient selection, and fitting and training tips, as well as available clinical evidence. Know what technology to use and why to enhance your clinical practice outcomes.



Technical Workshop

Keys To Locking Out Lawsuits And Lowering Taxes
Sponsored by: Legally Mine

Victimization is an epidemic in the USA today, and through lawsuits, being a victim can be very rewarding. The problem is that you are more than likely the target of these lawsuits, making you a victim without wanting to be one. This lecture will show you how to use the law in your favor.



Technical Workshop

Improved Clinical Outcomes With Consistent Successful Socket Fit Via Full Weight Bearing Hydrostatic Casting Technique
Sponsored by: Cypress Adaptive

Learn about a new full weight bearing casting technique that enables the practitioner to capture an individual’s limb conditions exactly as they would be inside a prosthetic socket under weight bearing conditions. The implementation of this technique reduces/eliminates the need for cast modi cations and multiple check sockets. Participants will learn about the technique through instruction, case studies, and a live patient demonstration.



Technical Workshop

The Neuro Swing Custom AFO
Sponsored by: Fior & Gentz GmbH

This workshop will present a new breakthrough AFO technology and treatment concept based on practical experience and scientific evidence for the orthotic management of patients with neuromusculoskeletal conditions, such as stroke and cerebral palsy. Custom fabricated in carbon fiber and Kevlar®, this unilateral ankle joint system has endless independent adjustment possbilities. Bench, static, and dynamic alignment will be discussed.



Technical Workshop

O&P Fabrication Is Changing. Don’t Get Left Behind
Sponsored by: Vorum

O&P clinics are rushing to start using computer-aided design and manufacturing (CAD/CAM) tools, and interest in 3-D printing is quickly growing. Attend this workshop to learn how Spinal Technologies, Shriners Hospitals for Children, Orthomerica, and others are using CAD/CAM to boost productivity by as much as 600% and better serve patients.



Technical Workshop

CAD CAM Modifications Design Essentials (Part 1)
Sponsored by: WillowWood®

Roger Wagner, CPO, will present this highly informational, hands-on workshop that examines how CAD technology enables O&P technicians, assistants, and practitioners to easily modify scanned images in preparation for fabrication. Featured in the workshop is OMEGA® CAD Software by WillowWood. Emphasis is placed on its user interface, workspace, and work ow tools as they relate to transtibial and transfemoral socket fabrication and AFO and TLSO fabrication. Attendees will work directly with CAD software throughout this full-day course. Part 2 of this workshop will be offered in the afternoon.



Technical Workshop

Effects Of A Mechanical Knee With Terminal-Swing Lock Engagement And Toe Load/Hip Flexion Release On Energy Cost And Gait Mechanics Of Transfemoral Amputees
Sponsored by: LegWorks

A mechanical knee with lock engagement prior to heel strike and disengagement via proper gait mechanics will be reviewed. Clinical studies on energy cost and fall incidence using popular K2 knee types compared with the All-Terrain Knee will be discussed. A live fitting session will follow the lecture.



Technical Workshop

Documenting And Comparing Infant Head Shape Changes Over Time
Sponsored by: Orthomerica Products, Inc.

This workshop presents two unique comparison utilities that were specifically developed to document and compare infant skull shape changes over time. The STARscannerTM Laser Data Acquisition System replaces the need for plaster casting and in less than two seconds captures 3-D head shape data. More than 25 discrete measurements are acquired to document skull deformities and supplement clinical care. The SmartSoc image capturing device converts 2-D video images into a 3-D model. The Measurement Comparison Utility (MCU) documents 11 anthropometric measurements with customizable features for specific inquiries. Both comparison utilities produce a report that can be shared with allied healthcare professionals, parents, and payers. The differences of each system will be reviewed as well as the ease of operation, increased clinical efficiencies, and ability to accurately compare a head shape changes in a growing model. Finally, an integrated clinical care program will be presented that synthesizes current publications and subject matter expert collaborations. The information presented in this workshop benefits all orthotic clinicians involved in the clinical care of infants with skull deformities.



Technical Workshop

Designing And Re-Engineering A Laminated Socket And Its Outcome: Overview Of The VGK Prosthetic Knee Joint
Sponsored by: ST&G USA Corp.

This workshop will cover how to design and engineer a socket to significantly improve outcomes compared to standard fabrication techniques. Discussion will cover carbon fiber, alternate high-tech fibers, resin selection, fiber orientation layup order, and current socket design techniques. VGK knee discussion will include performance on patients over the past three years.



Technical Workshop

BOC Standards And Compliance
Sponsored by: Board of Certification/ Accreditation (BOC)

This workshop explains how you can improve the overall performance of your practice by having credentialed individuals on staff and provides a better understanding of what standards are applicable to your business. You will receive tips on how to get employees credentialed and how to maintain compliance.



Technical Workshop

Maximize Your Productivity With Integrated Business Service Solutions
Sponsored by: OPIE Software

This workshop is for current OPIE and Futura users. Join us to learn about the tools currently available to maximize the effectiveness of O&P offices.

8:00 am - 3:00 pm


Exhibitor Set-Up

12:00 pm - 1:00 pm


Lunch on Your Own

1:00 pm - 5:00 pm



Scoliosos: A Hands-On Approach to TLSO Design
Luke Stikeleather CO; Kevin Felton CO; Leigh Davis, MSPO, CPO, FAAOP

Expert panelists will discuss their approaches to scoliosis care while focusing on TLSO design and strategies to implement CAD/CAM. Audience members will be able to participate in scanning (shape capture) techniques and will rotate between simulation workstations that investigate specific CAD modi cations, curve types, and current trends in TLSO designs. Attendees will gain insight on an introductory level into more recent scoliosis care models that include European concepts, such as the Rigo-Cheneau TLSO and Schroth method and discuss opportunities for further scoliosis education.



Technical Workshop

Orthotic Management Of Adolescents And Adults With Childhood-onset Neuromotor Disabilities
Sponsored by: Orthomerica Products, Inc.

The purpose of this program is to discuss the unique challenges faced by many adults with childhood-onset neuromotor disabilities. Pediatric-centered care programs are abundant across the country in many healthcare disciplines. Difficulties arise as children reach adolescence and juggle the need to exert independence while still relying on their parents for determining the direction of their orthotic care. Often, adolescents rely less on their orthotic solutions in an effort to fit in with their peers while ignoring the long-term complications of insufficient orthotic treatment. As adults, further challenges are encountered trying to locate and access medical experts who understand their needs. This program will summarize the current literature aimed at addressing these patients, perceptions of healthcare professionals providing services, and offer orthotic design suggestions to best meet the physical, functional, and social needs of adolescents and adults with childhood-onset disabilities.



Technical Workshop

Willowwood One® System Certification
Sponsored by: WillowWood®

Participants in this two-hour instructor- led training session will receive an overview of the key aspects of fitting patients with the WillowWood One System, a socket suspension system that improves socket fit, function, and comfort through advances in liner technology and seal design. Course topics include patient selection, component function, shape capture, socket fitting, and vacuum parameter adjustment.



Technical Workshop

Alpha® Liners
Sponsored by: WillowWood®

This two-hour seminar provides an overview of the various options available in the Alpha Liner product family. Participants will learn the characteristics and applications of the various types of interface materials and profiles, recommended cast and modification criteria, the concept of "retrofitting," volume management, and post-delivery assessments.



Technical Workshop

Successfully Navigate Foot Selection For K3 And K4 Patients
Sponsored by: Fillauer

Do you always “go up a category” for some patients? How do patient weight, limb length, activities, and muscle strength affect foot selection? Focusing on Fillauer’s K3 and K4 foot line, we will cover patient and product selection criteria including tips for successfully fitting posterior and distally mounted products.



Technical Workshop

Improving Lives Through Innovation
Sponsored by: Ability Dynamics/Rush Foot

Ability Dynamics is challenging the prosthetic foot market with the RUSH Foot®, a remarkable innovation that integrates a new approach to foot design with new composite materials used in the aerospace industry. This radical departure from the industry status quo of using carbon fiber composites and traditional designs has resulted in improvements in gait, a reduction in socket issues, and ultimately a better quality of life for amputees. Practitioners will also learn how improvements in design and composite materials can impact their practice by eliminating unbillable repairs and warranty returns.



Technical Workshop

Pattern Recognition: The Standard In Intuitive Myoelectric Control
Sponsored by: Coapt

Since 2013, Coapt has established its COMPLETE CONTROL pattern recognition product line as the most modern and intuitive myoelectric control option for upper-limb amputees. This workshop will cover the many benefits of the technology as well as clinical approaches to evaluating potential users. The system’s compatibility with other manufacturers’ devices will be detailed, and attendees will have an opportunity to have their questions answered. Attendees will also learn about the technology straight from its users and will be able interact with and experience the product for themselves.



Technical Workshop

Helping Kids Be Kids: Pediatric Orthotic Solutions To Mobilize Vs. Immobilize, And Managing Pediatric Ankle/Foot/Hip Instabilities And Contractures
Sponsored by: Allard USA

This workshop will include patient assessment, case studies, and a training session for SWASH®, Allard’s Standing- Walking-And-Sitting-Hip orthosis. Participants will get a premier viewing of the upgraded model to be released in the spring of 2018. This workshop will also cover customization techniques to achieve optimum alignment, function, and mobility for ankle/foot instabilities, as well as when to manage contractures with dynamic versus static range of motion control.



Technical Workshop

Lim Innovations: Beyond The Infinite Socket®
Sponsored by: LIM Innovations

Utilizing state-of-the art technology and design, the Infinite Socket System has provided a gateway to measurable accountable care. We leverage our technology to improve functional outcome measures and drive continued innovation of our product line. The Infinite Socket System has provided O&P providers the opportunity to expand their business through improved service, device delivery, patient referrals, and better patient outcomes. This training will provide real-life case studies from certified providers who we have partnered with to grow their business, as well as deliver the latest clinical developments to the Infinite Socket System.



Technical Workshop

The End Of Rigid Sockets: Latest Innovations For All Amputation Levels
Sponsored by: Martin Bionics

The Socket-less SocketTM technology fits like a sneaker and provides a direct biomechanical link, superior control, and unparalleled comfort. Discover all new socket configurations for all amputation levels. The Socket-less SocketTM technology offers a more efficient clinical practice, increased revenue, and fewer follow-up adjustments compared with conventional sockets.



Technical Workshop

Advanced Technologies In Lower-Extremity Orthoses
Sponsored by: Ottobock

From incomplete spinal injury to post stroke, learn more about advanced lower-extremity orthosis technologies. This course will provide tips on device selection, discuss processes to get the most out of fittings, review what products Ottobock has to designed to maximize your patients’ function, and much more. Discover ways to encourage and inspire your patients to live a more active, pain-free life.



Technical Workshop

CAD CAM Modifications Design Essentials (Part 2)
Sponsored by: WillowWood®

Roger Wagner, CPO, will present this highly informational, hands-on workshop that examines how CAD technology enables O&P technicians, assistants, and practitioners to easily modify scanned images in preparation for fabrication. Featured in the workshop is OMEGA® CAD Software by WillowWood. Emphasis is placed on its user interface, workspace, and work ow tools as they relate to AFO and TLSO fabrication. Attendees will work directly with CAD software throughout the course.



Technical Workshop

Applied Upper-Limb Clinical And Technical Innovations With Axis Shoulder, Boston Digital Arm, And M-Fingers
Sponsored by: College Park Industries

This informational hands-on workshop presentation will cover College Park Industries/Liberating Technologies Axis Shoulder Joint, Boston Digital Arm, and M-Fingers. This workshop will include an overview of the Axis Shoulder disarticulation’s exoskeletal, endoskelatal humeral attachment, mechanical lever lock, and nudge control. We will provide a detailed overview of the Boston Digital Arm system’s microcomputer-based prosthetic interface and its ability to support input signals from a variety of sensors including myo-electrodes, Magnesnap electrodes, remote electrodes, servo-transducers, force sensor pads, switches, targeted muscle reinnervation, and COAPT pattern recognition. We will also present M-Fingers for partial-hand amputations, including full-finger kits, partial-finger options, and the Titan Series, with control options for various partial-hand amputations. Product design, component selection, function, and fitting and fabrication strategies will be discussed.



Technical Workshop

Socket Selection Criteria And Alignment Considerations
Sponsored by: Alps

Prosthetists have come to adopt liners with pins and locking devices as their mainstay suspension method for transtibial amputees. While this provided them with major improvements over previous suspension methods available, not all amputees have the proper tissue and limb configuration to be fitted with locking suspension. The stresses created at the distal end will cause skin and suspension problems in a good number of amputees. Additionally, the largest segment of the amputee population, more specifically geriatric and less functional individuals, often have difficulty donning a pin.



Technical Workshop

Toe Walking Intensive
Sponsored by: Cascade DAFO

There are multiple causes for toe walking, but there is no specific bracing solution for any given diagnosis. Each case requires an individual assessment and treatment plan based on the patient’s unique presentation, goals, and real-life factors. In this advanced course, we’ll build on your knowledge of toe walking treatments by showing you new ways to look at patient presentations and discuss various bracing solutions you may not have considered. We’ll share multiple case studies and successful approaches used by other clinicians—including course participants—focusing on assessment, brace selection and optimization, and tips for casting and fitting.



Technical Workshop

Orthotic Solutions for Neuromuscular Conditions, PTTD, and Knee OA
Sponsored by: Townsend Design/Thuasne USA

This interactive lower-extremity course provides cases studies, outcome measures, and diverse insights about carbon stance-control KAFOs, a hybrid KAFO with a dynamic AFO attachment, locking knee orthoses, composite AFOs, a low-profile AFO for PTTD, and results from an independent OA bracing study conducted by Stony Brook University.

5:10 pm - 6:45 pm

Keynote Presentation and Annual Meeting Opening Session

"The keynote speaker at the 2018 Academy Annual Meeting will open your eyes to new opportunities and help you view your life and career with a fresh perspective. You’ll leave the Opening Session with a renewed passion for your career and what you do each and every day.

We will also announce the recipients of the Academy Titus-Ferguson Lifetime Achievement and the Distinguished Practitioner Awards. Help us honor and recognize those who have helped make this profession great.

The Orthotic and Prosthetic Education and Research Foundation (OPERF) will present the Carlton Fillauer Prize for Outstanding contributions to Prosthetic Science and Practice. Arrive early and make sure you have a seat to experience this unique once-a-year event.

6:45 pm - 8:00 pm

Welcome Reception in the Exhibit Hall

After a busy first day, relax and have fun while catching up with colleagues and friends in the Exhibit Hall. The Opening General Session will be followed by cocktails and hors d’oeuvres at the Welcome Reception in the Exhibit Hall. Enjoy this opportunity to view the latest O&P devices and technology in the Exhibit Hall.

Feb 15   

6:30 am


Run, Walk, or Roll with the Academy

7:00 am - 5:00 pm


Registration and Speaker Ready Room Open

8:00 am - 9:00 am


Thranhardt Lecture

Functional Bracing for Treatment of Pediatric Diaphyseal Femoral Fractures: An Alternative to Spica Casting?
David Speers, CPO/L

Hip spica casting to treat diaphyseal femur fractures in children 0–5 years old is the current method of treatment. A functional fracture brace has been used at one of our centers for seven years, and a retrospective study has shown that the brace provides equivalent healing of femur fractures when compared to a spica cast but is more cost-effective and tolerated better than the cast. Radiographic comparison between those treated with the fracture brace and those treated in a spica cast showed no difference in healing rates, magnitude of angular correction, or functional outcomes. Treatment of pediatric diaphyseal femur fractures with a fracture brace is a viable alternative to spica casting and is currently used as the preferred method of treatment in one of our centers.



Thranhardt Lecture

A Narrowing Beam Walking Test Diferentiates Lower-Limb Prosthesis Users with and without a History of Falls with Greater Accuracy than Other Clinical Tests
Andrew Sawers, PhD, CPO

Existing clinical balance tests often fail to predict who is a risk for a fall. We address this gap by developing a more challenging test based on beam walking, the Narrowing Beam Walking Test. It eliminates common conceptual, practical, and psychometric limitations, providing a more accurate determination of who is at risk for a fall than existing clinical balance tests. The objective of this presentation is to introduce attendees to a new, clinically feasible balance test that addresses many of the conceptual, practical, and psychometric limitations of existing clinical balance tests. Attendees will leave with a new tool they can use to quantify fall risk in amputee patients.

8:00 am - 9:00 pm

Technician Program

The Academy will offer two days of education geared toward technicians. This is your chance to learn more about the latest fabrication techniques, materials, and best practices so that you can take your fabrication lab to new levels of efficiency and innovation.

9:00 am - 5:00 pm


Special Event

Talk O&P Education and Residency (TOPER)
Charles Kuffel, MSM, CPO, FAAOP; Chris Robinson, MS, MBA, CPO, ATC, FAAOP(D); Ashley Mullen, MS, CPO, ATC; Phil Stevens, MEd, CPO, FAAOP; Paul Prusakowski, CPO, FAAOP; Bryan Malas, MHPE, CO, FAAOP; Tyler Dunham, MSPO, CPO; Julie McCulley, MS, MPO; Dominique Mungo

NCOPE has developed six, hour-long educational sessions geared toward the needs of residents, residency mentors/directors, and educators. These engaging and interactive sessions have been created to provide insight for the newest of practitioners to the most seasoned of residency directors. Learn how you can make a positive impact on our profession via the education and mentoring of the next generation of O&P professionals.

9:10 am - 10:40 am


Organized Session

Panel Discussion: Clinical Decision Making in the Face of Technological Advancement
Gary Berke, MS, CP, FAAOP ; Wendy Beattie, CPO, FAAOP; David Moe CPO (c); Scott Cummings, CPO, PT, FAAOP

This panel discussion will focus on a couple of interesting cases. The discussion will center around clinical decision making as it pertains to choosing high tech components using comfort, function, cost, cool, cosmesis, durability, visit frequency, and the impact of literature on that decision making process.



Organized Session

Understanding Spasticity
Beverly Cusick, PT, MS, NDT, COF

In children born prematurely and those with diplegic cerebral palsy (CP), findings obtained with diffusion tensor imaging (DTI) are challenging the accuracy of the definition of CP as “a motor disorder caused by a static lesion to the upper motor neurons resulting in spasticity,” and so, treatment strategies that target spasticity. In this program, the instructor discusses research on the effects of spasticity and “spasticity reduction” interventions on deformities and gait pathology in children with CP. She invites participants to consider the significance of deficits in—and orthotic management strategies that target— postural control as an alternative management strategy.



Free Paper

Factors Associated with Interest in Novel Prosthetic Interfaces
Susannah Engdahl, MS

"Although surgically invasive interfaces for upper-limb prosthetic controlmay facilitate the use of advanced prostheses, some individuals may not want to try them due to the associated medical risks. Our results suggest that these interfaces may be accepted most readily by individuals who are young, have unilateral limb loss, and/or have acquired limb loss."



Free Paper

Pattern Recognition Control of Powered Prosthetic Arms by Novice and Experienced Users: A Preliminary Study
Nathan Brantly

We will present information on the impact of prior experience on real-time pattern recognition control system performance. We hope to present information that will clarify the relationship between the amount of experience with pattern recognition control and virtual control performance, including learning effects and other factors that may influence performance.



Free Paper

Technical, Clinical, and Functional Considerations for the Development of 3D Printed Upper-Limb Prostheses
Jorge M. Zuniga, PhD

This presentation will review quantitative data and describe the technical, clinical, and functional considerations for the development of 3D printed upper-limb prostheses.



Free Paper

Older Individuals with Congenital Upper-Limb Difference and Secondary Conditions: A Needs Assessment
Debra Latour, MEd, OTR/L

Individuals with upper-limb difference face challenges accessing care and are likely to experience secondary conditions that include pain, overuse, perceptions of isolation, and social stigma. A needs assessment specifically focused on the challenges experienced by this population offers insight into program needs that will improve access and interventions to overcome these obstacles. This presentation is designed to raise awareness about the needs of the aging adult population with congenital upper-limb differences and discuss the responsibility on the part of the healthcare team to address secondary conditions to prevent further disparity to physical and mental health.



Free Paper

Factor Analysis of Upper- Limb Prosthetic Acceptance from Retrospective Prosthetic Clinician Survey
Gerald Stark, PhD, MSEM, CPO/L, FAAOP

Review results of this retrospective case survey that was created using a third-party web-based survey provider to assess upper-limb prosthetic acceptance.



Professional Development

At the End of the Day, Numbers Don’t Lie: Staying Profitable in the World of O&P
Rob Benedetti

This presentation will focus on some financial pitfalls in running an O&P business, how to go about gaining market share and leveraging your footprint in your region, controlling runaway costs, and financial benchmarking. Attendees will be challenged to know and understand the numbers, data, and trends of their businesses.

10:00 am - 5:00 pm


Exhibit Hall Open

10:45 am - 12:25 pm


Lunch/Brunch in Exhibit Hall with Three Product Display Showcases

12:30 pm - 2:00 pm


Organized Session

Challenging Case Studies: Orthotics (Focus on Comorbidities)
Keith Smith, CO, FAAOP; Gary Bedard, CO, FAAOP; Elaine Owen, MBE, MSc, SRP, MCSP; Nick LeCursi, CO

This session features leaders in the profession discussing their most challenging cases and encouraging your input and recommendations.



Organized Session

Myoelectric- and Body-Power Control Options for Upper-Limb Prosthetics: A Review of the Academy State of the Science Conference 12
Phillip Stevens, MEd, CPO, FAAOP; Jason Highsmith, PhD, DPT, CP, FAAOP; Andreas Kannenberg, PhD; Richard Weir, PhD; Carrie Davis

This session will summarize the contents of the Academy’s recent State of the Science Conference on this topic, including a synthesis of published evidence, along with clinical, engineering, international, and patient perspectives.



Free Paper

A Model to Explain the Effect of Shock-Absorbing Pylons on Gait
Steven A. Gard, PhD

The purpose of this study was to determine the effect of a shock- absorbing pylon on the magnitude of an impact force in the in vitro testing of a physical model of the residual limb and prosthesis. A characterization of the residual limb/prosthesis model was performed during a controlled impact using an impact testing apparatus.



Free Paper

Within Day Changes in Residual Limb Displacements in Transtibial Amputees
Amy L. Lenz, PhD, MSME

This session discusses socket kinematics comparing liner displacement changes throughout the day to better understand the limb-socket interface mechanics.



Free Paper

Relationship between Residual Limb Pain Intensity and Mobility in Adults with Lower-Limb Amputations
Michayla Petel

Residual limb pain may impact mobility in patients with lower-limb amputations using a prosthesis. This study evaluates the relationships between residual limb pain and self-reported and performance-based mobility after adjusting for potential covariates; i.e., gender, age, body mass index, time since the amputation, and bilateral versus unilateral limb involvement.



Free Paper

Differences in Outcome Measures between Patients with Lower-Limb Amputations Classified as K2 versus K3
Jaclyn Megan Sions, PhD, DPT, PT, OCS

Prosthetic prescription is based on functional level classification; i.e., K-Level assignment, but insurance-provided definitions of K-Levels are vague. Use of outcome measures that can differentiate between different K-Level categories; e.g., K2 versus K3, may assist clinicians with justifying a patient’s functional level and reduce inter-clinician variability in K-Level assignment



Free Paper

Improved Control of a Virtual Prosthesis Using a Pattern Recognition Algorithm and an Interactive Training Environment in a Transhumeral Amputee Demonstrating Local Reinnervation
Emily Ramly, MD

Improving the function of prosthetic arms remains a challenge, especially for amputations at the elbow or higher. Myoelectric control via skin surface electromyogram (EMG) detection is possible, but intuitive control of modern prostheses has not been fully achieved due to limited sites for input monitoring. However, we hypothesize that postoperative local reinnervation by major motor nerves is possible and can be optimized with careful surgical strategy at the time of amputation.



Your Accounts Receivable – Is It Still Under Your Control?
Joyce Perrone

Understanding through better analysis will help you be strategic in getting the best collection ratios. This will be a highly interactive and open discussion. We will all learn from each other in this guided talk to get some great collection hacks.

2:10 pm - 3:40 pm


Organized Session

2D Clinical Gait Analysis: How to Utilize Video
Elaine Owen, MBE, MSc, SRP, MCSP; Cara Negri, BSME, CP, FAAOP
Sponsored by the Gait and Lower Limb Prosthetics Societies

Where does video gait analysis fit into your practice? Utilizing video gait analysis can help you create more effective orthotic and prosthetic interventions and quantify the changes your care is making. This session will highlight what the full spectrum of systems has to offer so that you can decide which one could work for you and what you are looking to achieve in your clinic. This session will take out the intimidation factor by helping you learn how to use the features on your iPhone and interpret data from more robust systems we hear about in research. Get help navigating how to maintain HIPAA compliance when using digital media and hear from speakers on how video gait analysis can add tremendous value to your clinical practice.



Organized Session

Myoelectric Upper-Limb Orthosis: Debating the Merits of Functional and Therapeutic Utility of a Myoelectric Wearable Upper-Limb Orthosis
Stefania Fatone, PhD, BPO(Hons); Svetlana Pundik, MD, MSc; Jessica McCabe, MPT; Lauren Wengerd; Marlies Cabell, CPO

The objective of this symposium is for an interdisciplinary panel to explore the different potential applications of myoelectric upper-extremity orthoses with regards to functional assistance and therapeutic effects in populations that include stroke, traumatic brain injury, and spinal cord injury. Content will include discussion of hypotheses regarding potential benefits, clinical case studies illustrating potential benefits, and emerging research-based evidence for use of myoelectric upper-extremity orthoses.



Free Paper

Comparison of Voluntary Open and Closing Terminal Devices Using the Box and Blocks Test
Stephanie L. Carey, PhD

The purpose of this study was to examine the differences in the VO and VC devices using the modified Box and Blocks test with motion-capture data in order to better inform prosthesis users.



Free Paper

Use of the Southampton Hand Assessment Procedure in Conjunction with Motion Analysis in Evaluating Externally Powered Partial-Hand Prostheses
Jeremy Farley, CPO/L

This study used the Southampton Hand Assessment Procedure (SHAP) along with kinematic analysis to examine the functional benefit of an externally powered prosthesis.



Free Paper

Impact of Wrist Control on Pattern Recognition Grip Selection for Individuals with a Transradial Amputation
Ann Simon, PhD

The goal of this study was to evaluate grip selection accuracy in a pattern recognition system trained with and without wrist control for individuals with a transradial amputation. Results demonstrate that participants showed 90 percent accuracy with a system trained with either four grips with no wrist control or three grips and two degrees of freedom control at the wrist using their unaltered natural muscle patterns.



Free Paper

Comprehensive Prosthetic Rehabilitation for Complex, High-Level Upper-Limb Amputation Cases
Scott Spring, CP, LPO

Individuals with complex, high-level upper-limb amputations often present with unique challenges in terms of prosthetic rehabilitation. Case studies for two individuals receiving holistic care in an outpatient upper-limb prosthetic rehabilitation setting are presented.



Professional Development

Respect Your Mom, Respect Your Money, Respect Your Business
Rob Benedetti

This presentation will focus on three elements of business: people, process, and profit to keep a company financially strong and viable. Financial reporting, operating budgets, and controlling costs will be discussed in detail. Attendees will be challenged to implement processes to ensure that cash flow, the lifeblood of the company, is not interrupted or compromised.



Certificate Program

Fundamental Principles of Behavioral Science for the Prosthetist Orthotist

A Clinical Psychologist’s Perspective on the Management of Rehabilitation Patients

While psychological and psychosocial issues are common in the O&P patient population, these matters tend to be less understood. This session discusses these issues and their impact on patient outcomes.

3:45 pm - 5:20 pm


Break in Exhibit Hall with Three Product Display Showcases

3:25 pm - 6:30 pm


Organized Session

Contemporary Upper-Limb Prosthetics: Understanding and Overcoming Barriers to Successful Clinical Outcomes
"Chris Baschuk, CPO, LPO, FAAOP
Sponsored by the Upper Limb Prosthetics Society"

Join us for a town hall meeting led by Upper Limb Prosthetics Society chair, Chris Baschuk, CPO, LPO, FAAOP, as we discuss some of the barriers that are faced by clinicians and patients in achieving successful upper-limb prosthetic clinical outcomes. Discussion will surround establishing medical necessity, determining basic function, appropriate component selection, medical policy, activities of daily living, and quality of life. Please direct questions you would like covered to


Poster Presentation Sessions



Free Paper

Randomized, Cross-Over Multicenter Study Evaluating a Novel Electronic Prosthetic Knee Joint for Moderately Active Amputees
Stephan Domayer, MD, PhD

This is a high level of evidence clinical study comparing mechanical knees and a novel microprocessor-controlled knee (Kenevo, Ottobock) in transfemoral amputee patients who are classified at Medicare Functional Classification Level 2. The results indicate that limited community ambulators may bene t significantly from the Kenevo microprocessor knee in terms of increased safety and mobility.



Free Paper

On the (lm)-Possibility to Predict Who May Benefit from a Microprocessor-Controlled Prosthetic Knee Component
Andreas Hahn, PhD, MSC

Review the data from trial fittings with Genium (Ottobock) gathered in a retrospective cohort analysis.



Free Paper

Cost-Effectiveness of Advanced Hydraulic Microprocessor-Controlled Knee Prostheses in Patients with Lower-Limb Amputations
Andreas Hahn, PhD, MSC

Review a study assessing the cost- effectiveness of advanced hydraulic microprocessor-controlled knee prostheses in patients with lower-limb amputations.



Free Paper

Prosthetic Knee Selection for Individuals with Unilateral Transfemoral Amputation: A Clinical Practice Guideline
Phillip Stevens, MEd, CPO, FAAOP

Clinical practice guidelines are intended to synthesize available published evidence into actionable clinical principles. These guidelines are intended to facilitate evidence-based clinical decision-making in the provision of prosthetic knee mechanisms to individuals with unilateral transfemoral amputation.



Free Paper

Concurrent Validity of 3D Skin Level Spinal Alignment Parameters for Adolescent Idiopathic Scoliosis
Sun Hae Jang, MSc, CO, FAAOP

Spinal alignment parameters measured from the skin surface level can sufficiently quantify 3D deformities of patients with adolescent idiopathic scoliosis (AIS), as confirmed by concurrent validity with 2D radiographic values. These skin-level parameters will be used in a new digital calculating and visualization system that uses motion- capture cameras and a special pointer to provide a 3D analysis of AIS.



Free Paper

Ability of Pygmalion Effect to Reduce Non-Compliance and Improve Orthotic Outcomes in Patients with Adolescent Idiopathic Scoliosis
Cassandra Delgado, MSPO

Utilizing the Pygmalion effect and over- prescribing TLSO wear time for patients with adolescent idiopathic scoliosis is a strategy to compensate for non- compliance.



Free Paper

To Use or Not to Use a Thermal Sensor in My Brace: Comparative Thoughts from Patients and Parents
James H. Wynne, CPO, FAAOP

Scoliosis bracing is dose related, so measuring dose is important to patient success. Orthotists need to know how patients and parents feel about having a monitor added to their bracing system and why some patients/parents may opt not to have a monitor added to their brace.



Free Paper

Impact of a Flexion Orthosis on Clinical Parameters in Patients with Neurogenic Claudication: A Prospective Randomized Trial
Sylvia Schreyer, MD

The purpose of this study was to examine the clinical effects of a newly developed lumbar flexion orthosis in patients with neurogenic claudication due to spinal stenosis.

Feb 16   

6:30 am


Run, Walk, or Roll with the Academy

7:00 am - 5:00 pm


Registration and Speaker Ready Room Open

8:00 am - 8:45 am


Annual Member Business Meeting & Continental Breakfast

* Includes opportunity to meet with Academy board members from 8:45 – 9:00 am.

9:00 am - 5:00 pm

Technician Program

The Academy will offer two days of education geared toward technicians. This is your chance to learn more about the latest fabrication techniques, materials, and best practices so that you can take your fabrication lab to new levels of efficiency and innovation.

9:00 am - 6:00 pm

Mastectomy Program

Presented by: Rhonda F. Turner, PhD, JD, MBA, BOCPO/LPO, CFm

9:00 – 10:30 am

Inventory: Options for the Future
A realistic look at the origin and efficacy of current inventory and sales methods and new options as post- mastectomy evolves.

10:35 am – 12:05 pm

Post-Mastectomy Care: A Changing Environment
Changes in insurance coverage, surgery methods, and financial pressures affect the delivery of post- mastectomy care throughout the country. This presentation will provide analysis of changes in policy, care locations, and products.

12:10 – 1:45 pm

Lunch in Exhibit Hall

1:45 – 2:15 pm

Post-Mastectomy Care: A Changing Environment (continued)

2:15 – 3:15 pm

Fitting Reconstruction: Increased Use of Partial Prosthesis
Younger diagnoses, prophylactic mastectomies, and skin-sparing surgeries have increased the use of partial prostheses. Join us as we look at changing conditions and address the fit problems that arise when fitting with partial prostheses.

3:25 – 5:00 pm

Break in Exhibit Hall

5:15 – 6:00 pm

Breast Care Navigators: Who? What? Why?
Navigation is a vital part of cancer treatment, which often ends at remission. This presentation will look at successful breast navigation programs that include post-mastectomy care.

9:00 am - 7:00 pm

Pedorthic Program

9:00 – 9:15 am

Introduction and Welcome to the 7th Annual Pedorthics Program at the Academy

Seamus Kennedy, CPed, BEng (Mech)

9:15 – 10:15 am

Forensic Podiatry: Shoe gear and Insole Analysis
One cannot get into or out of a crime scene without leaving some pedal or shoe gear evidence, whether it be gait characteristics on closed circuit television, shoes left at the crime scene, or even footprints. Forensic podiatry is an evolving discipline of forensic science falling under the category of physical evidence. Learn how sound and researched podiatric knowledge and experience is applied in forensic investigations.

Bryan B. Kagan, DPM, MCSFS, DASFP

10:00 – 10:45 am

Current Research
Dr. Geza Kogler will present current research from his ongoing work at the Master of Science in Prosthetics and Orthotics program at Georgia Tech.

Geza Kogler, PhD

10:45 – 11:15 am

X-Rays: The Inside Story
X-rays provide a unique view of the foot and help tell a patient’s story with measurable and conclusive findings. Understanding X-rays helps the practitioner fabricate foot orthotics that promote patient compliance and better outcomes. Review the bony anatomy of the foot and ankle and see examples of fractures and other clinical findings.

Teresa Alpert, CO, CPed

11:15 am – 12:10 pm

The Biomechanics of Running
Walking and running, similar insofar as they are bi- pedal activities, are quite distinct from a biomechanical perspective. Examine the differences between both forms of ambulation and learn about some of the unique aspects of running.

Seamus Kennedy, BEng (Mech), CPed

12:10 – 1:45 pm

Lunch in Exhibit Hall

1:50 – 3:25 pm

Pediatric and Adult Biomechanics
Perform a quick and easy two-minute functional assessment that can efficiently and accurately determine each patient’s foot type. Application of that information will allow practitioners to know the type of functional orthotic best suited for each patient and how to select the correct prescription. Participants will understand the origins of biomechanically based chief complaints and gain the confidence to educate the patient on why orthotics are important and how they work.

Louis J. DeCaro, DPM

3:25 – 5:00 pm

Break in Exhibit Hall

5:10 – 5:40 pm

Pediatric and Adult Biomechanics (continued)

Louis J. DeCaro, DPM

5:40 – 6:25 pm

A Step in the Right Direction: 3-D Identification of Insoles
Currently, measurements and examination of insole footprints are undertaken on a two-dimensional approach platform. A three-dimensional approach, enabled and strengthened by topographical mapping software, could enhance the validity of identifyingthe wearer of specific footwear. Learn about the initial stages of developing a protocol for insole examination, which could lead to identification of the wearer similar to fingerprint identification.

Bryan B. Kagan, DPM, MCSFS, DASFP

6:25 – 7:00 pm

The Shifting Paradigms of the Pedorthic Practice
For years there has been an ongoing debate between two supposed camps of pedorthics: retail and clinical. This presentation explores both and explains how, ultimately, the two are not so different. In fact, it is the blurring of these distinctions that will ensure the survival of pedorthics in the modern healthcare landscape.

Dennis Janisse, CPed

9:00 am - 10:30 am


Organized Session

Addressing Residual Limb Pain
Deanna Chapman, CPO, LPO, FAAOP

This session will bring together prosthetists focused on pain and patient management.



Organized Session

Balancing Act: Exploring Clinical, Theoretical, and Evidence-Based Perspectives in the Optimization of Balance Using Orthoses in Peripheral Neuropathy
Stefania Fatone, PhD, BPO(Hons); Paul Charlton, MSc; Cleveland Barnett, PhD, BSc(Hons); Nerrolyn Ramstrand, PhD, BP&O(Hons)

The objective of this symposium is to explore the mechanisms by which lower-limb orthoses influence balance in persons with peripheral neuropathy by bringing together clinical, theoretical, and evidence-based perspectives.



Free Paper

Does Asking a Prosthesis User about Best, Worst, or Average Socket Comfort Provide a More Stable Assessment of Socket Fit than Current Comfort?
Sara Morgan, PhD, CPO

The single-item Socket Comfort Score is commonly used in prosthetic clinics but has poor measurement stability. Results from this study suggest that assessment of best, worst, and average socket fit demonstrate better measurement properties than the current Socket Comfort Score and can provide additional information regarding socket fit.



Free Paper

A Computational Comparison of Composite Laminated Sockets with 3D Printed Socket Variants: Analysis of Stress
Emily Hurst; Jared Howell, MS, CPO, FAAOP

A novel finite element model of a transtibial amputee with osseointegration was developed to investigate the mechanisms of load transmission in the residual limb and the parameters that affect these mechanisms.



Free Paper

Evaluation of the NU-FlexSIV Socket for Persons with Transfemoral Amputation: Interim Results
Stefania Fatone, PhD, BPO(Hons)

This abstract describes interim results for the first 10 subjects who participated in an ongoing clinical trial comparing comfort and functional performance of the Northwestern University Flexible Sub-Ischial Vacuum (NU-FlexSIV) Socket and ischial containment socket in persons with unilateral transfemoral amputation.



Free Paper

Multiaxial In-Socket Movement and Its Relationship to Fit
Matthew Wernke, PhD

Understanding how the socket moves relative to the residual limb will enable better socket and suspension designs, improve evidence-based practice, and allow for better functional outcomes for the prosthesis user. Here we quantify vertical and horizontal movement of the limb and how this data changes with socket fit.



Free Paper

Mechanical Testing of Textured Prosthetic Sockets Provides Insight on Improving Suspension
Julia Quinlan, PhD

Prosthetic sockets typically have a smooth inner surface in order to comfortably transfer load-bearing forces to the residual limb. The aim of this research is to evaluate the effect of socket texturing on socket suspension.



Free Paper

The Comprehensive Lower-Limb Amputee Socket Survey (CLASS): A Self-Report Measure of Stability, Suspension, Comfort, and Appearance
Robert Gailey, PhD, PT

The Comprehensive Lower-Limb Amputee Socket Survey (CLASS) is a self-report measure of socket stability, suspension, comfort, and prosthetic appearance, with excellent test-retest reliability and internal consistency. The CLASS can provide an effect means of documentation and communication for describing socket fit issues by the prosthesis wearer to convey to the prosthetist the wearer’s primary concerns, including when the problem occurs.



Professional Development

Managing Difficult People
Joyce Perrone

What do you do to turn around or turn out difficult employees or patients? How do you work best with a difficult manager or owner? Conversation and communication techniques will be discussed to help you develop your own style to make the most out of difficult situations, or at least still maintain a positive attitude with less stress!

10:35 am - 12:05 pm


Organized Session

Savvy Clinician: Put Research to Use in Your Clinic
Michelle Hall, MS, CPO, FAAOP(D); Leigh Davis, MSPO, CPO, FAAOP; Sara Morgan, PhD, CPO

Today’s savvy clinicians are using research to expand their clinical knowledge, improve patient care, and aide in reimbursement. Join us to learn how to find primary and secondary sources of knowledge, critically evaluate it, and put it to use in your clinical practice.



Organized Session

Update on the Evidence for Benefits of Microprocessor-Controlled Knees in Limited Community Ambulators: Review of the Literature, Results of Current Studies, and Future Research Projects
Ken Kaufman, PhD; Stephan Domaier, CPO, CPed; Beth Halsne CPO, or Sara Morgan, PhD, CPO; Andreas Hahn, PhD; Andreas Kannenberg, PhD

This session will discuss the current state of the evidence, yet-unpublished study results, and running and planned future research projects with microprocessor- controlled prosthetic knees (MPK) in persons with transfemoral amputation and K2 mobility. The purpose of this session is to make the prosthetic community aware of the growing body of evidence that supports the use of MPKs in K2 patients.



Free Paper

Outcomes Associated with the Intrepid Dynamic Exoskeletal Orthosis (IDEO): A Systematic Review of the Literature
M. Jason Highsmith, PhD, DPT, CP, FAAOP

The Intrepid Dynamic Exoskeletal Orthosis (IDEO) was developed to assist injured military servicemen in rehabilitation following high-energy lower-extremity trauma. Current literature also shows promising results of this orthosis in high-activity patients. Results of a systematic literature review regarding the IDEO will be presented.



Free Paper

A Clinical Test to Help Identify Design Characteristics for an Ankle Foot Orthosis for Hemiplegia
Paul Charlton, MSc

This session reviews a clinical test to assess deficits and orthotic design for an ankle foot orthosis in hemiplegic patients.



Free Paper

Maximizing Leverage and Stiffness Influences Biomechanical Motion Control Performance of AFOs
Christopher Hovorka, PhD, CPO, LPO, FAAOP

Third-party payers have demanded more rigorous evidence by healthcare professionals to justify the use of orthoses as a treatment. Therefore, the purpose of this investigation is to clarify a general principle of orthoses that maximizing leverage and stiffness will produce maximum biomechanical motion control.



Free Paper

Plantar Pressure Changes with Use of a Custom Dynamic Ankle-Foot Orthosis
Richard S. Miltenberger, CPO

This presentation will review the results of a study on the plantar pressures within the Intrepid Dynamic Exoskeletal Orthosis (IDEO). Peak plantar pressures are studied in the IDEO and compared to shod plantar pressures.



Free Paper

Heel Wedge Design Influences Smoothness of Gait with Intrepid Dynamic Exoskeletal Orthosis: A Case Series
Andrea J. Ikeda, MS, CP

Center of pressure velocity (COPvel) was used to quantify the differences of walking with a standard vs. extended heel wedge with the Intrepid Dynamic Exoskeletal Orthosis (IDEO). Self- reported smoothness of gait improved and peaks in COPvel were diminished when walking with the extended wedges.



Professional Development

Seven Billion People on Earth, So What Makes You Different?
Russ Hornfisher

In this tough economy, get tips on how to make your company stand out from the rest. Customer service is consistently rated one of the top priorities of consumers. Maximize your customer service and sales force.



Special Event

Future Political Climate of Healthcare
Jared Howell, MS, CPO, FAAOP; Mac McClellan, CPO/L, FISPO, FAAOP(D)

Discuss the current political climate as it relates to healthcare and O&P professionals.

12:10 pm - 1:45 pm


Lunch in Exhibit Hall with Three Product Display Showcases

1:50 pm - 3:20 pm


Organized Session

Can We Talk?
Wendy Beattie, CPO, FAAOP; Lee Childers, PhD, MSPO, CP; Ronnie Dickson, CP/LP; Kinsey Herrin, MSPO, CPO; Chrysta Irolla, MS, MSPO, CPO; Katie Johnson, MS, CPO; Brian Kaluf, BSE, CP; Sarah Sawers, CO, LO; Andy Wolfe, CO, LO

To keep the conversation flowing in New Orleans, roundtable discussions with specific table topics will offer participants the opportunity to be part of at least three group discussions to brainstorm, sound off, and share their challenges, experiences, and ideas, while strengthening ties to their professional community. Tables will feature topics ranging from current clinical treatment challenges to modern developments in O&P practice. Tables will have 15 minutes of facilitated discussion, and each table will report out their solutions, recommendations, and even questions. You’ll then move on to the next topic that is of interest to you.



Organized Session

Town Hall - Advanced Topics in Cranial Remolding
Tiffany Graham, CPO, LPO; Darren Poidevin, CPO, LPO; Jessica Corso, CO, LO; Dulcy Lima, CO, OTR
Sponsored by the Craniofacial Society"

This is a roundtable discussion for experienced CRO clinicians. We will be talking about compliance, self-improvement in head shape, postoperative remolding, and troubleshooting skin complications. The format allows for discussion among the attendees themselves and/or the presenters and attendees.



Free Paper

Validity of a Wearable Sensor System for Assessing Balance in High- Functioning Lower-Limb Prosthesis Users
Kyle Miller, BA

The purpose of this study was to assess the validity of the APDM Mobility Lab wearable sensory system for measuring functional balance in lower-limb prosthesis users. Findings from this study with high-functioning lower- limb prosthesis users partially validate the Mobility Lab for assessing patient balance performance in the clinic.



Free Paper

Does Attempted Symmetry Affect Dynamic Balance During Gait in Unilateral Transtibial Prosthesis Users?
Marie Bisele, MEng

Achieving symmetry in gait is often viewed as being advantageous. The current study investigates the implications this assumption has for dynamic balance in prosthesis users.



Free Paper

The Effects of Prosthesis Push-Off Timing and Power on Energy Loss in the Contralateral Leg During Gait
Nathan Walden

The goal of this research is to determine the effects of timing and push-off energy on collisional energy. Timing affected push-off, but push-off did not directly affect collisional energy.



Free Paper

Cleaning-Coating Technology Reduces Bacterial By-Products on Liners
John D. Jarrell, PhD, PE

A common problem for amputees is irritation, odor, and infections related to prosthetic liners. BI Medical’s cleaning and coating applicator chemistry for prosthetic liners addresses the root issues related to both Gram-positive and Gram-negative bacteria. There was >99.9997% reduction in S. aureus and >99.9998% reduction of P. aeruginosa two weeks after application compared to controls.



Free Paper

Below-Knee Prosthesis Users Make Specific Anticipatory Locomotor Adjustments to Resist Lateral Perturbation
Matthew Major, PhD

The purpose of this study was to quantify anticipatory gait adjustments of below-knee prosthesis users when a priori information of an impending lateral perturbation was varied. Findings suggest that below-knee prosthesis users exploit passive mechanics when walking to resist lateral perturbation and maintain gait stability.



Free Paper

Preventing an Increase in Metabolic Cost after Below-Knee Amputation: Insights from Modeling and Simulation
Elizabeth Russell Esposito, PhD

The purpose of the present study was to examine the effect of muscle strength on the metabolic cost of walking with various prosthesis designs using computer modeling and simulation. The metabolic cost of walking does not unavoidably increase after below- knee amputation. If muscle strength is maintained, a powered ankle-foot system can compensate for up to 20 percent of systemic losses in strength.



Special Event

2018 Compliance Update: Compliance Excellence, Best Business Practices, Successful Accreditation Survey, and Changes in Privileging
Jim Lawson
Sponsored by ABC

Change is all around us, and it’s how you stay ahead of the curve that will ensure your success. Being able to understand compliance and O&P standards is immeasurable. It can make or break your business. Discuss best business practices and ways to help your facility be compliant with ABC accreditation standards. We’ll discuss ABC’s extensive set of accreditation tools and resources to help you become and remain the best business you can be.



Certificate Program

Management of Children with Upper- and Lower- Extremity Limb Deficiencies: Congenital and Acquired

Upper- and Lower-Extremity Rehabilitation

Explore age-appropriate therapies geared toward normalizing function. Discuss life span considerations, developmental issues in treatment, and outcomes in children with amputations.

3:25 pm - 5:00 pm


Refreshment Break in Exhibit Hall with Three Product Display Showcases

5:10 pm - 6:30 pm


Organized Session

Bioenergetics of Amputee Ambulation: Evidence Report and Point-Counterpoint
Jason Highsmith, PhD, DPT, CP, FAAOP; Emily Russel-Esposito; Elizabeth Halsne, CPO

This session will incorporate the presentation of results from recent Academy-sponsored systematic reviews.



Special Event

Evidence-Based Practice: Journal Club
Michelle Hall, MS, CPO, FAAOP(D)

Are you a busy clinician who wishes to implement evidence-based practice techniques? The Academy’s Secondary Knowledge Committee has a solution for you: Academy Journal Club. Join us to learn more about this new endeavor, participate in our first discussion session, and find out how to implement it in your clinical practice. Note: Participants must read the designated article prior to attending. Details on the article will be sent to all registered attendees prior to the meeting.



Free Paper

Quality of Life and Satisfaction Are Related to Mobility for Patients with a Lower-Limb Amputation
Shane R. Wurdeman, PhD, CP, FAAOP

The holistic care of the lower-limb prosthesis user should include optimizing quality of life and satisfaction, yet emphasis is typically placed on mobility. This study looked at the relationship between mobility and quality of life and satisfaction in 500-plus lower-limb prosthesis users.



Free Paper

The Presence of Comorbidities Does Not Preclude Regular Mobility for Patients with Lower-Limb Amputation
Shane R. Wurdeman, PhD, CP, FAAOP

Most lower-limb amputees have one or more comorbidities. This study examined the impact of comorbidities on mobility in 500-plus lower-limb prosthesis users.



Free Paper

Turning of Individuals with Unilateral Lower-Limb Loss: Preference and Biomechanics
Jonathan S. Akins, PhD

Turns occur often, and individuals with lower-limb loss who have a history of falls also have reduced turn ability. This study investigated turn direction preference and turn characteristics. Individuals with lower-limb loss had no preference for turn direction when performing a 180-degree turn and turned with greater angular velocity toward the sound limb. Turning tasks should be a focus of rehabilitation.



Free Paper

Should a Transfemoral Prosthesis Be Used When Cycling?
Emily Chizmar

Should a transfemoral amputee even wear prosthesis when cycling? Examining a modeled time trial for an experienced male cyclist with a transfemoral amputation in three conditions reveals some unexpected information.



Professional Development

Resume Writing and Interviewing Skills
Charles Kuffel, MSM, CPO, FAAOP; Terri Kuffel, Esq.; Nick Sellas, Cped

Designed for students, residents, and new clinicians, this session focuses on resume writing, interviewing skills, and creating professional networks through social media. Sponsored by the Student Resident Committee

5:30 pm


Exhibitors Forum

6:30 pm - 7:30 pm


Women in O&P Reception

Feb 17   

6:30 am


Run, Walk, or Roll with the Academy

7:00 am - 12:00 pm


Registration Open

7:00 am - 2:30 pm


Speaker Ready Room Open

8:00 am - 9:30 am


Organized Session

An Introduction to Behavioral Science: Concepts, Research, and Skills
John Brinkmann, MA, CPO, LPO, FAAOP(D); Chad Duncan, CPO; Tyler Deleo
Sponsored by the Behavioral Sciences Society

This Organized Session will introduce the Behavioral Sciences Society to Academy members by describing behavioral science concepts, research, and skills. Presentations will include an overview of behavioral science, a description of motivational interviewing (MI), and a report on research related to implementing MI techniques in P&O practice. Attendees will observe experienced clinicians respond to common patient scenarios using MI strategies.



Organized Session

Advanced Materials in O&P
Gary Bedard, CO, FAAOP; Michael Carpenter

Materials that make up the orthotic and prosthetic devices that we provide are central to our clinical practices and fabrication processes. Breakthroughs in device design and enhanced function are made possible by advancements in material science. Either by learning more about the chemical or physical properties of the materials we use most or by integrating novel materials, this session will share expertise in advanced material science to practitioners in the O&P profession.



Free Paper

Gait Performance of Three Prosthetic Feet for High-Performance Transtibial Amputees
Derek J. Lura, PhD

Double-blinded randomized repeated measures test of transtibial amputees walking and running on the O?ssur Variflex, Endolite Elite Blade, and the O?ssur Reflex Rotate feet for amputee participants, with comparisons to non- amputee participants. Ankle angle range of motion, ground reaction force, and ankle moment are evaluated.



Free Paper

Increasing Prosthetic Foot Energy Return Reduces Sound Limb Loading Across Uphill and Downhill Terrains
Lee Childers, PhD, CP

Providing additional prosthetic limb propulsion during downhill walking has traditionally been thought to increase loading on the sound limb and would not be considered advantageous. Here, we will discuss how people with amputation can adapt to leverage the unique properties of a passive prosthetic foot and actually reduce sound limb loading during downhill walking.



Free Paper

Prosthetic Foot Selection for Individuals with Lower-Limb Amputation: A Clinical Practice Guideline
Phillip Stevens, MEd, CPO, FAAOP

Clinical practice guidelines integrate the findings of published research into actionable clinical principles. This effort summarizes available evidence-based practice guidelines related to prosthetic foot selection.



Free Paper

The Efficacy of Microprocessor Feet on Sloped Ground
Michael McGrath, PhD

Microprocessor control of prosthetic knees is widely documented to provide patient benefits, while the same approach is less well accepted for prosthetic ankles. The addition of microprocessor-controlled adaption of hydraulic ankle damping was shown to improve inter-limb joint loading symmetry when ascending and descending sloped ground.



Free Paper

Mechanical Characterization of Prosthetic Feet to Predict Effective Ankle Joint Stiffness
Sarah R. Chang, PhD

The purpose of this study was to systematically characterize the mechanical properties of the range of Venture Foot (College Park Industries) keels and ankle dorsiflexion bumpers. Results from the mechanical testing will be used to predict effective ankle joint rotational stiffness for different combinations of prosthetic keels and ankle dorsiflexion bumpers.



Free Paper

Comparative Effectiveness of Microprocessor and Energy-Storing Prosthetic Ankles: Patient-Reported Outcome Measures
Brian Kaluf, BSE, CP

This study compares differences in patient-reported balance, mobility, and socket comfort while walking and standing on a ramp with an energy- storing-and-returning prosthetic ankle and a microprocessor-controlled prosthetic ankle.



Professional Development

Do You Wanna Live Out Loud? Effective Activism in O&P
Dave McGill

Since 2015, the need for and use of activism on key issues confronting O&P professionals and the individuals they serve has increased dramatically. In this presentation, Dave McGill reviews those efforts, analyzes which O&P advocacy elements were most effective, and summarizes key activism best practices and resources for individuals and organizations looking to make their voices heard on important issues.

9:35 am - 11:15 am


Brunch in Exhibit Hall with Three Product Display Showcases

11:30 am - 1:00 pm


Organized Session

Prosthetic Foot Technology: Latest Trends
Andrew Hansen, PhD; Phil Stevens, MEd, CPO, FAAOP; Vibhor Agrawal, PhD; Beth Orzell, CPO; Kimberly Sarvis, CPO

Presenters in this session will discuss a recently published chapter on prosthetic feet/properties, recently published clinical practice guidelines on prosthetic feet, and literature on comparison of feet on ramps in transtibial amputation. There will be a discussion on how a multidisciplinary clinic determines component selection and outcome measures obtained.



Organized Session

Clinical Documentation Best Practices
Brian Kaluf, BSE, CP; Stephanie Green, Esq.

The landscape of insurance coverage for prosthetic and orthotic devices is ever changing, and the requirements for medical necessity can limit patient access to care. Clinicians improve patient care by reviewing the most up-to-date information about documentation requirements and the reimbursement landscape. In this organized session, subject matter experts will reveal best practices and recent trends in insurance coverage for prosthetic and orthotic devices.



Free Paper

The Effect of Gait and Balance Control While Walking with Charcot Restraint Orthotic Walker in a Healthy Normal Adult: A Single-Subject Experimental Study
Ammanath Peethambaran, CO, FAAOP

Gait analysis and posturography was performed in a single subject wearing a Charcot restraint orthotic walker (CROW) in varying rocker angles. The results may provide valuable insight into fabrication of these devices for our patients with neuropathic conditions to limit risk of balance disturbance and falls.



Free Paper

Comprehensive Solutions for People with Charcot-Marie-Tooth
Marmaduke Loke, CPO

Review the results of a case study of a 38-year-old male with CMT.



Free Paper

Foot Orthotics Fit and Comfort Comparison: Additive Manufacturing or Milling
Behrokh Eskandari

Evaluation of fit and comfort of conventional devices such as milled polypropylene and EVA and additive manufactured devices.



Free Paper

Evaluating the Effectiveness of Upper-Limb Orthoses in Adults with Rheumatoid Arthritis: A Systematic Review
Brittany E. Mott

This presentation evaluates the effectiveness of upper-limb orthoses presently being used to alleviate symptoms of rheumatoid arthritis by systematically analyzing current literature.



Professional Development

Who Moved My Dog Dish?
Russ Hornfisher

Most people are fearful of change, both personal and professional, because we don’t have any control over how or when it happens. Explore a simple way to take the fear and anxiety out of managing the future. Discover how to anticipate, acknowledge, and accept change in order to have a positive impact on your job, your relationships, and every aspect of your life.

1:10 pm - 2:40 pm


Organized Session

Considering a Career in Education: Best Pathways and Practices
Wendy Beattie, CPO, FAAOP; Ashley Mullen, CPO

Listen and learn from a panel of O&P educators who work in the realms of academia, clinical education, and continuing education. Panelists will discuss the skills required to be a successful educator, pathways to entrance and promotion in education, and using clinical education to enhance your practice. Panelists will also share insights on balancing roles as educators and clinicians.



Organized Session

Hands-On Outcome Measure Training and Live Demonstration
Tyler Klenow, MSOP, CPO, LPO; Chris Doerger; Duffy Felmlee, CPO

There is no substitute for hands-on training and learning a new skill by practicing it with expert instructors. The Academy Outcome Research Committee has invited experts in the profession to demonstrate how to administer a performance-based outcome measure and interpret the results live in the session. Attendees will have the opportunity to practice and receive feedback from the experts.



Free Paper

The Rockers of Gait: A Need for Debate?
Elaine Owen, MBE, MSc, SRP, MCSP

This presentation discusses two current opinions about the mechanisms of the ”rockers of gait.” A four-event inclusive and comprehensive model is proposed, supported by video vector images.



Free Paper

Developing a Competence-Based P&O Core Curriculum: A Delphi Study
Nerrolyn Ramstrand, PhD, BP&O(Hons)

University curricula are transitioning from a subject-based approach to a competence-based approach. This study presents results of a Delphi study designed to determine core competencies of prosthetist/orthotists in Sweden and presents a means of developing an evidence-based P&O curriculum.



Free Paper

Entrustment Trends in Orthotics and Prosthetics Clinical Residency: A Preliminary Report
Camille Cruz

This study examines results from a survey about entrustment and progression of clinical residents administered to orthotic and prosthetic clinical residency directors and mentors.



Free Paper

The Baylor College of Medicine Residency Model: Description, Reflection, and Progress
Ashley Mullen, MSAT, CPO

This study presents data from the case logs of Baylor College of Medicine orthotic and prosthetic clinical residents used to describe the experiences and inform clinical curriculum.



Free Paper

Experience Integrating Outcome Measures in Routine O&P Practice
Clay Barrow, CIO, CO

This presentation will identify administrative, practical, and technical obstacles and review steps taken at a multicenter private O&P practice to improve utility and utilization of outcome measures in treatment plans, outcome monitoring, and continuous quality improvement activities.



Free Paper

Incremental Socket Size Adjustments during Ambulation: Effects on Residual Limb Fluid Volume
Joan Sanders, PhD

In this research, volumes of adjustable sockets of transtibial prosthesis users were incrementally increased during ambulation. Data from 12 participants demonstrated that in the user-preferred socket size range, the response curve was linear (limb fluid volume vs. socket volume). Limb fluid volume increased more after socket enlargement than after socket reduction.



Free Paper

Volume Changes of Adjustable Sockets
Joan Sanders, PhD

A novel technique to determine volume of cabled-panel adjustable sockets was used in an investigation of 10 transtibial prosthesis users to determine their usable socket volume range and their preferred optimum socket volume.



Free Paper

Transtibial Prosthetic Socket Surface Strain with ISO-10328 Loading
Meredith Owen

Three transtibial prosthetic sockets of different material types were tested and analyzed for surface strain during ISO 10328 loading. Digital image correlation techniques were used to determine socket deformation and strain during loading.



Certificate Program

Fundamental Principles of Behavioral Science for the Prosthetist Orthotist

Methods for Assessing Patient Care Satisfaction
Chad Duncan, PhD

This presentation provides clinicians with strategies for improving outcomes and reviewing research shaping clinical practice throughout the healthcare spectrum.

2:45 pm - 4:15 pm


Organized Session

Bridging the Gap in Lower Limb Orthotics
Kyle Sherk, MS, CPO, FAAOP
Sponsored by the Lower Limb Orthotics Society

This session will cover topics pertaining to the day-to-day practice of improving the benefits for lower-limb orthotic users. Learn how key points of your patient evaluations translate alongside AFO design considerations toward achieving the outcomes seen with advanced AFO interventions. Everyday patient presentations will be provided as demonstrations. Attendees will leave with several techniques and time-effciency tips to implement upon return to clinic.



Certificate Program

Management of Children with Upper- and Lower- Extremity Limb Deficiencies: Congenital and Acquired

Congenital Lower-Limb Deficiencies

During this session, treatment outcome differences between pediatric and adult patients will be discussed.



Free Paper

The Role of Exercise Testing in Prosthetic Rehabilitation: A Systematic Literature Review and Clinical Practice Guideline
Tyler D. Klenow, MSOP, CPO, LPO

Alternatives and augments to the current K-Level system are currently being explored. One method being considered is exercise testing. Results of a systematic literature review of exercise testing in the amputee population and subsequently developed clinical implementation pathway will be proposed.



Free Paper

Evaluating Participation in 235 Veterans with Amputation
Christopher R. Erbes, PhD

Community participation and reintegration is a key rehabilitation outcome. This presentation provides results from a survey of 235 veterans with lower-limb amputation evaluating amputation, prosthesis, mobility, and psychosocial predictors of community participation.



Free Paper

Lower-Limb Prosthetic Outcome Measures: A Retrospective Chart Review
Russ Lundstrom, MS

This session presents an analysis of outcome measures in over 1,500 lower- limb prosthetic patients assessed over a 30-month period at two prosthetic clinics. Data analysis reveals that nearly 50 percent of patients showed clinically meaningful improvements in PLUS-M scores with smaller percentages of patients showing clinically meaningful improvements in other outcomes, such as walking speed, AMP, and TUG tests.



Free Paper

Outcome Measures Results: Influence of Upper-Limb Prosthetic and Therapeutic Interventions
Lisa Smurr-Walters, MS, CHT, OTR/L

Multidisciplinary upper-limb prosthetic rehabilitation objective outcomes are presented. This type of data and its impact on clinical protocols, reimbursement, and device regulation will be reviewed.



Free Paper

On the Use of Health Economic Instruments to Evaluate Prosthetic Services
Andreas Hahn

Health technology assessment and health economic value proposition play increasingly important roles in modern healthcare systems. Review the results of a study to assess the use of health economic instruments to evaluate prosthetic services.



Free Paper

Insurance Denials for Prosthetic Devices: Results from a National Survey of People with Limb Loss
George Gondo, MA

Review the results of an Amputee Coalition survey that examined the experiences of people with limb loss concerning insurance coverage and denials of prosthetic devices.



Free Paper

Osseointegrated Implants in Patients with Diabetes Mellitus: A Case Series of Ten Patients
Munjed Al Muderis, MD

This paper analyzes the appropriateness for osseointegration to be considered as an alternative method to help diabetic patients maintain a higher activity level after amputation, which in turn improves their chances of survival as well as quality of life.



Free Paper

The Safety and Complications of Osseointegrated Implants for Transfemoral Amputees
Munjed Al Muderis, MD

The results from this paper provide further evidence on the safety and complication rate of the novel osseointegration surgery, which will enable clinicians to make better decisions for patients.



Free Paper

Transcutaneous Endo-Prosthetic Reconstruction of Wheelchair Bound Transfemoral Amputees
Munjed Al Muderis, MD

In this paper we analyze 38 wheelchair- bound patients who received osseointegrated reconstruction, which shows that osseointegration may be considered a highly effective and safe alternative for the definitive reconstruction of wheelchair-bound amputees. Osseointegration has the potential to revolutionize the way people with amputations, who were previously wheelchair bound, are treated.

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