Suspended without pay

HCPC REGISTRATION RENEWAL REMINDER
DEADLINE:  30 SEPTEMBER 2013

Can you afford to be suspended without pay?  46% of P&O registrants still have not re-registered with HCPC.  All registrants must re-register by 30th September 2013 or you will be unable to practice as a Prosthetist or Orthotist.  Re-registration only takes 5 minutes and can be done simply online on the HCPC website.
 
http://www.hpc-uk.org/aboutregistration/theregister/

Paediatric Gait Analysis and Orthotic Management - BAPO Run Short Course - 8th & 9th November 2013

This Course Aims to: 

Explore a fresh approach to the observation and analysis of normal gait and standing, and the classification and management of gait disorders. The biomechanics of normal gait and standing, and the pathological gaits of disabling conditions will be extensively reviewed, with particular reference to orthotic management. Pre-gait analysis and orthotic management assessment will be demonstrated. The emphasis of patient cases will focus on cerebral palsy, myelomeningocoele and other neurological conditions. Participants will gain a knowledge of the aims of orthotic management and how to achieve them through: the biomechanics of ankle-foot orthoses, the influence of footwear, varieties of ‘AFO Footwear Combination’ design, tuning ‘AFO Footwear Combinations’ to optimise gait and extensive video examples. In addition live patient demonstrations will help participants refine their clinical decision making skills involved in gait analysis and orthotic design.

                                                          Paediatric Gait Analysis and Orthotic Management

Register as a stakeholder for a Clinical Reference Group

Registration is now open for anyone with an interest in the work of the Specialised Services Clinical Reference Groups (CRGs).  To become a stakeholder in a particular CRG you will most likely be a patient, carer, a member of the public, a member of a voluntary organisation, or a clinical or non-clinical professional.

Physiotherapy to Complement Orthotic Treatment

This course aims to:

Share how physiotherapists look at patients regarding an assessment and detail what elements of that assessment may lead to the involvement of orthotics.

Explore reasoning behind physiotherapy intervention, namely core stability, flexibility, strength, pathology, neurological involvement etc.

The event will be delivered by tutors who are also active clinicians using audio/visual aids as appropriate. We may call upon willing delegates to participate in the direct delivery of the syllabus. There will group discussions and case studies.

Contact hours: 6 hours plus 2 hours of independent reading

Physiotherapy to Complement Orthotic Treatment Short Course

Does excessive flatfoot deformity affect function? A comparison between symptomatic and asymptomatic flatfeet using the Oxford Foot Model

Matthias Höslemail, Harald Böhm, Christel Multerer, Leonhard Döderlein

Treatment of asymptomatic flexible flatfeet is a subject of great controversy. The purpose of this study was to examine foot function during walking in symptomatic (SFF) and asymptomatic (ASFF) flexible flatfeet. Thirty-five paediatric and juvenile patients with idiopathic flexible flatfeet were recruited from an orthopaedic outpatient department (14 SFF and 21 ASFF). Eleven age-matched participants with typically developing feet served as controls (TDF). To study foot function, 3D multi-segment foot kinematics and ankle joint kinetics were captured during barefoot gait analysis. Overall, alterations in foot kinematics in flatfeet were pronounced but differences between SFF and ASFF were not observed. Largest discriminatory effects between flatfeet and TDF were noticed in reduced hindfoot dorsiflexion as well as in increased forefoot supination and abduction. Upon clinical examination, restrictions in passive dorsiflexion in ASFF and SFF were significant. During gait, the hindfoot in flatfeet (both ASFF and SFF) was more everted, but less flexible. In sagittal plane, limited hindfoot dorsiflexion of ASFF and SFF was compensated for by increased forefoot mobility and a hypermobile hallux. Concerning ankle kinetics, SFF lacked positive joint energy for propulsion while ASFF needed to absorb more negative ankle joint energy during loading response. This may risk fatigue and overuse syndrome of anterior shank muscles in ASFF. Hence, despite a lack of symptoms flatfoot deformity in ASFF affected function. Yet, contrary to what was expected, SFF did not show greater deviations in 3D foot kinematics than ASFF. Symptoms may rather depend on tissue wear and subjective pain thresholds.

http://www.gaitposture.com/article/S0966-6362(13)00251-8/abstract

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Jonathan 

Prosthetic finger out of Bicle Parts

Colin MacDuff invents prosthetic finger out of BICYCLE partsDaily Mail

Mr Macduff constructed the prosthetic device using leftover bike parts, ... but doctors told him that there were no prosthetics for finger amputees available.

NICE Stroke Rehabilitation Guideline

Stroke rehabilitation: long-term rehabilitation after stroke

Clinical guidelines, CG162 - Issued: June 2013

This guideline offers evidence-based advice on the care of adults and young people aged 16 years and older who have had a stroke with continuing impairment, activity limitation or participation restriction.

http://www.nice.org.uk/nicemedia/live/14182/64098/64098.pdf

NICE has published good practice guidance on patient group directions (PGDs)

The guidance has been developed to help individuals and organisations who are considering the need for, developing, authorising, using and/or updating PGDs to ensure they are appropriate, legal and that relevant governance arrangements are in place within commissioning and provider organisations.

The guidance underlines that supplying and/or administering medicines under PGD should be reserved for situations where this offers an advantage for patient care without compromising patient safety and where there are clear governance arrangements and accountability.

Physiotherapy to Complement Orthotic Treatment Saturday 12th October 2013

For further information on the 'Physiotherapy to Complement Orthotic Treatment' BAPO Short Course please follow the link below:

Further Information

Please note that the cancellation date of this course is 2 September 2013.  If you wish to book a place on the BAPO short course then please do so at your earliest convenience.

The clinical management of diabetic foot in the elderly and medico-legal implications

Claudio Terranova, Andrea Bruttocao

Abstract

Diabetic foot is a complex and challenging pathological state, characterized by high complexity of management, morbidity and mortality. The elderly present peculiar problems which interfere on one hand with the patient's compliance and on the other with their diagnostic-therapeutic management. Difficult clinical management may result in medico-legal problems, with criminal and civil consequences. In this context, the authors present a review of the literature, analysing aspects concerning the diagnosis and treatment of diabetic foot in the elderly which may turn out to be a source of professional responsibility. Analysis of these aspects provides an opportunity to discuss elements important not only for clinicians and medical workers but also experts (judges, lawyers, medico-legal experts) who must evaluate hypotheses of professional responsibility concerning diabetic foot in the elderly.

http://msl.sagepub.com/content/early/2013/08/06/0025802412473595.abstract

The effect of removing plugs and adding arch support to foam based insoles on plantar pressures in people with diabetic peripheral neuropathy

The effect of removing plugs and adding arch support to foam based insoles on plantar pressures in people with diabetic peripheral neuropathy

TL Lin, HM Sheen, CT Chung, SW Yang, SY Lin… - … of Foot and Ankle Research, 2013

... However, what the four insole conditions will be, the configurations, and possible biomechanical
effects, were not told. ... 18. Menz HB: Two feet, or one person? Problems associated with statistical
analysis of paired data in foot and ankle medicine. Foot 2004, 14(1):2–5. 19. ...