Webinar - Making Rehabilitation Work Better for People - Save the Date 1 December 2014

Save the date - 1 December 12.45- 1.30

Webinar - Making Rehabilitation Work Better for People

 

The webinar will be of relevance to everyone with an interest in improving rehabilitation services. It will consider how changes can be made that better support people to return to meaningful occupation, including education and work. It will also share information about NHS England's Improving Rehabilitation Services programme and how you can get involved.

 

This is the first of four webinars (other dates are 19^th January, 5^th February, 2^nd March) which 'The Improving Rehabilitation Services Community of Practice' will hold over the next few months that offer learning and an opportunity to interact and discuss ideas in a live format. Please click on the link to view a longer communication which includes more detail about the content of the webinar:  Webinar Information

 

To Register (and submit a question) click here

Participants have the opportunity to submit questions on this topic to our speakers before and during the webinar. 

 

Please note places are limited.  Unfortunately webinar content currently cannot be viewed on mobile devices.

 

Please refer to the RCSLT's webinar guide for participants for more information on participating in a webinar, and technical requirements.

 

If you are new to webinars, please allow plenty of time prior to the start to familiarise yourself with the technical requirements.

If you can't join us live, a recording of the webinar will be made available after 1 December 2014 via the Community of Practice and the COP forum.

 

NHS Clinical Soft Intelligence Service has developed this webinar with NHS England and it is produced in collaboration with the Royal College of Speech and Language Therapists.

Sherwood Forest Hospitals - Band 5 Orthotist

For full details of this vacancy please click here

Sherwood Forest Hospital - Senior Orthotist - Nottinghamshire

Click here to view Job Advert

Exercise improves gait, reaction time and postural stability in older adults with type 2 diabetes and neuropathy

S. Morrison, S.R. Colberg, H.K. Parson, A.I. Vinik

Journal of Diabetes and its Complications

Abstract

Aims

For older adults with type 2 diabetes (T2DM), declines in balance and walking ability are risk factors for falls, and peripheral neuropathy magnifies this risk. Exercise training may improve balance, gait and reduce the risk of falling. This study investigated the effects of 12 weeks of aerobic exercise training on walking, balance, reaction time and falls risk metrics in older T2DM individuals with/without peripheral neuropathy.

Methods

Adults with T2DM, 21 without (DM; age 58.7 ± 1.7 yrs) and 16 with neuropathy (DM-PN; age 58.9 ± 1.9 yrs), engaged in either moderate or intense supervised exercise training thrice-weekly for 12 weeks. Pre/post-training assessments included falls risk (using the physiological profile assessment), standing balance, walking ability and hand/foot simple reaction time.

Results

Pre-training, the DM-PN group had higher falls risk, slower (hand) reaction times (232 vs.219 ms), walked at a slower speed (108 vs. 113 cm/s) with shorter strides compared to the DM group. Following training, improvements in hand/foot reaction times and faster walking speed were seen for both groups.

Conclusions

While falls risk was not significantly reduced, the observed changes in gait, reaction time and balance metrics suggest that aerobic exercise of varying intensities is beneficial for improving dynamic postural control in older T2DM adults with/without neuropathy.

http://www.sciencedirect.com/science/article/pii/S1056872714001226

Prosthetist Vacancies - Opcare - Roehampton, Newcastle & Cambridge

Click here to view job advertisement

Clinical Audit Awareness Week

HQIP is pleased to confirm details of this year's Clinical Audit Awareness Week(CAAW) webex sessions. The free, interactive lunchtime webinars have this year been designed around the classic Clinical Audit Cycle and will run everyday during CAAW from 20-24 October 2014 at 1-1.30pm. 

Further details can be found on the following link:

http://www.hqip.org.uk/clinical-audit-awareness-week-webinar-booking/?utm_medium=email&utm_campaign=eBulletin+2014-10-21&utm_content=eBulletin+2014-10-21+CID_b2634dcb0e3ad84bd86cd3c4cdc7527c&utm_source=ebulletin&utm_term=Its%20Clinical%20Audit%20Awareness%20Week

Trulife - Orthotist - North West London & The North West/Midlands

Click here to view the Job Advert.

BAPO Conference & Exhibition 2015 - SpeakEasy

Opcare Job Advertisement - 3 x Orthotist positions, England

To find out further information on the positions available please click on the following link:

Opcare Orthotist Positions, England

UNISON NHS Agenda for Change Action

UNISON is asking it's NHS employed members to take industrial action over NHS pay offer.  There will be strike action from 7am-11am on Monday 13 October 2014 followed by 4 days of action short of strike action from 14 October – 17 October. 

UNISON asks that if a member is employed directly by an NHS organisation on Agenda for Change terms and conditions then they are covered by the action and able to show support.  Members who choose to strike would lose pay as a result.

If a member is self employed, or employed under a contract for services, then they are not covered by the action. If this is the case we would ask that they do not cross picket lines or cover the work of striking workers. These BAPO members cannot be asked to strike or take action short of strike action. 

It is unlikely that any workplaces will close as a result of the strike however if so then any BAPO members should be informed by their employer and receive their full normal pay.
 
UNISON and other trade unions will likely be maintaining picket lines at entrances to workplaces. Pickets are allowed to peacefully persuade workers and others not to cross the picket line but anyone who decides to cross must be allowed. Anyone crossing the picket line will also likely be asked to not undertake any duties of to cover those who are on strike. 

Of course it is an individual decision and BAPO members can explain that they have not been balloted and are not on strike.  

The background to the strike is here http://www.unison.org.uk/at-work/health-care/key-issues/nhs-pay/home/ . 

BAPO Conference & Exhibition 2015 - Call for Posters

Ankle-foot orthoses in children with cerebral palsy: a cross sectional population based study of 2200 children

Ankle-foot orthosis (AFO) is the most frequently used type of orthosis in children with cerebral palsy (CP). AFOs are designed either to improve function or to prevent or treat muscle contractures.

The purpose of the present study was to analyse the use of, the indications for, and the outcome of using AFO, relative to age and gross motor function in a total population of children with cerebral palsy. 

Methods: A cross-sectional study was performed of 2200 children (58% boys, 42% girls), 0-19 years old (median age 7 years), based on data from the national Swedish follow-up programme and registry for CP. To analyse the outcome of passive ankle dorsiflexion, data was compared between 2011 and 2012.

The Gross motor classification system (GMFCS) levels of included children was as follows: I (n = 879), II (n = 357), III (n = 230), IV (n = 374) and V (n = 355). 

Results: AFOs were used by 1127 (51%) of the children. In 215 children (10%), the indication was to improve function, in 251 (11%) to maintain or increase range of motion, and 661 of the children (30%) used AFOs for both purposes.

The use of AFOs was highest in 5-year-olds (67%) and was more frequent at lower levels of motor function with 70% at GMFCS IV-V. Physiotherapists reported achievement of functional goals in 73% of the children using AFOs and maintenance or improvement in range of ankle dorsiflexion in 70%. 

Conclusions: AFOs were used by half of the children with CP in Sweden.

The treatment goals were attained in almost three quarters of the children, equally at all GMFCS levels. AFOs to improve range of motion were more effective in children with a more significant decrease in dorsiflexion at baseline.

Author: Maria WingstrandGunnar HägglundElisabet Rodby-Bousquet
Credits/Source: BMC Musculoskeletal Disorders 2014, 15:327

http://7thspace.com/headlines/489888/ankle_foot_orthoses_in_children_with_cerebral_palsy_a_cross_sectional_population_based_study_of_2200_children.html

BAPO Conference & Exhibition 2015 - Registrations Open

AHP Healthy Conversations

Public Health England are looking to better understand the extent to which AHPs engage in healthy conversations with clients and related issues including potential barriers and training support needs.

Please complete the survey below to register your views as a Prosthetist/Orthotist

https://www.surveymonkey.com/s/AHPSurvey2014

The effectiveness of combined bracing and exercise in adolescent idiopathic scoliosis based on SRS and SOSORT criteria: a prospective study

Recently an RCT confirmed brace efficacy in adolescent idiopathic scoliosis (AIS) patients. Previously, a Cochrane review suggested also producing studies according to the Scoliosis Research Society (SRS) criteria on the effectiveness of bracing for AIS.

Even if the SRS criteria propose a prospective design, until now only one out of 6 published studies was prospective. Our purpose was to evaluate the effects of bracing plus exercises following the SRS and the international Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) criteria for AIS conservative treatment. 

Methods: Study design/setting: prospective cohort study nested in a clinical database of all outpatients of a clinic specialized in scoliosis conservative treatment.Patient sample: seventy-three patients (60 females), age 12 years 10 months +/-17 months, 34.4+/-4.4 Cobb degrees, who satisfied SRS criteria were included out of 3,883 patients at first evaluation.Outcome measures: Cobb angle at the end of treatment according to SRS criteria : (unchanged; worsened 6[degree sign] or more, over 45[degree sign] and surgically treated, and rate of improvement of 6[degree sign] or more).Braces were prescribed for 18-23 hours/day according to curves magnitude and actual international guidelines.

Weaning was gradual after Risser 3. All patients performed exercises and were managed according to SOSORT criteria.

Results in all patients were analyzed according to intent-to-treat at the end of the treatment. Funding and Conflict of Interest: no. 

Results: Overall 46 patients (49.3%) improved.

Seven patients (9.6%) worsened, of which 1 patient progressed beyond 45[degree sign] and was fused. Referred compliance was assessed during a mean period of 3 years 4 months+/-20 months; the median adherence was 99.1% (range 22.2-109.2%).

Employing intent-to-treat analysis, there were failures in 11 patients (15.1%). At start, these patients had statistically significant low BMI and kyphosis, high thoracic rotation and higher Cobb angles.

Drop-outs showed reduced compliance and years of treatment; their average scoliosis at discontinuation was low: 22.7[degree sign] (range 16-35[degree sign]) at Risser 1.3 +/- 1. 

Conclusions: Bracing in patients with AIS who satisfy SRS criteria is effective. Combining bracing with exercise according to SOSORT criteria shows better results than the current literature.

Author: Stefano NegriniSabrina DonzelliMonia LusiniSalvatore MinnellaFabio Zaina
Credits/Source: BMC Musculoskeletal Disorders 2014, 15:263

http://7thspace.com/headlines/478452/the_effectiveness_of_combined_bracing_and_exercise_in_adolescent_idiopathic_scoliosis_based_on_srs_and_sosort_criteria_a_prospective_study.html

--

Jonathan

BAPO Bulletin September 2014

 

 

BAPO Bulletin September 2014

 BAPO Short Courses

 

Spaces available - book quickly to avoid disappointment

 

Paediatric Gait Analysis and Orthotic Management: A Segmental Kinematic Approach - Elaine Owen MSc SRP MCSP
16^th-17^th October, 2014, Venue- Mercure Goldthorn Hotel, Wolverhampton

The course explores 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.

 

Orthotic treatment of Neurological Conditions
Friday 14^th November, 2014, Venue- Peacocks Medical, Newcastle

Developed to support clinicians to consolidate and update their clinical knowledge with neurological conditions, this one day course is aimed at level 5/6 clinicians.  This course gives an intensive overview of orthotic treatment interventions and principles for a wide range of neurological conditions.  Common interventions to compliment orthotic treatment will be discussed along with the role of specialise orthotic skills such as FES.

World Obesity Survey 

This survey developed by the International Association for the Study of Obesity (Now World Obesity Clinical Care) aims to build a better understanding of how obesity is currently managed and to identify educational and other priorities to improve outcomes for people who are overweight or obese.  It takes 5-10 minutes to complete and is a good opportunity to raise awareness of the contribution of AHPs.  Please encourage relevant members to contribute.

http://staging.n24i.com/novosurvey/index.cfm?UnqRef=3CBCB2FF-C9E6-40B2-BCE7-F7DB51DD655D

Regional Meetings

BAPO have recently hosted some regional meetings in the North East of England on the 29th July and Scotland on the 12th August. Read the reports in the upcoming BAPOmag for more details. These are the first in a series of meetings, with plans for meetings in the south of England and Wales. Please look out for more details and how to get involved.

 

Allied Health Professionals Survey

Following the success of Making Every Contact Count (MECC) initiative in supporting people to lead healthier lives in NHS settings, the Royal Society for Public Health is working in partnership with Public Health England to explore the potential for Allied Health Professionals (AHPs) to engage in “healthy conversations” with their clients in order to improve the health and wellbeing of their patients and clients.

In collaboration with Allied Health Professional Bodies, we are keen to hear from AHPs to better understand the extent to which professionals already engage in healthy conversations with their patients or clients and some of the challenges they might face.

We would really appreciate it if you could spare five minutes to complete a short survey to help direct our research.

www.surveymonkey.com/s/AHPSurvey2014 

 Professional Indemnity

As you may be aware the government have now introduced legislation that
requires all HCPC registrants, apart from social workers in England, to
hold appropriate professional indemnity cover as a condition of
registration with the HCPC.

This will not affect the majority of registrants as they will already be
indemnified either through their employer, BAPO Indemnity Insurance, directly
with an insurer or a combination of these. It is, however important that
each HCPC registrant has the appropriate level of cover for their practice.

HCPC have published guidance for registrants, -Professional indemnity and your registration, which is available on their website here:

http://www.hcpc-uk.org/assets/documents/10004776Professionalindemnityandyourregistration.pdf

HCPC have also put together some Frequently Asked Questions which are
available here: http://www.hcpc-uk.org/registrants/indemnity/

 

Fundamental standards: improving quality and transparency in care

The government has announced legislation which introduces fundamental standards for health and social care providers. Subject to parliamentary approval, they will become law in April 2015.

The new measures are being introduced as part of the government’s response to the Francis Inquiry’s recommendations and are intended to help improve the quality of care and transparency of providers by insuring that those responsible for poor care can be held to account.

https://www.gov.uk/government/news/fundamental-standards-improving-quality-and-transparency-in-care

HCPC CPD audit process webinars

The HCPC will be running free CPD audit process webinars on Thursday 25

September 2014.

This online event will focus on the Health and Care Professions Council's
audit process and how this links to your HCPC registration and CPD and will
provide detailed information on how to put your CPD profile together

The presentation will last around 40 minutes, followed by the opportunity
to ask representatives from the HCPC questions about the audit (via the
webinar portal).

We will be running two sessions on 25 September 2014:

1pm - 2.30pm
4pm - 5.30pm

If you would like to register for these events, please click here

Further details about the webinar, including the link to join on the
day and how to send in questions, will be sent to those registered 1 week
before the event.

You can find further details on CPD and registration on our webpage -
http://www.hcpc-uk.org/registrants/renew/

BAPO Conference & Exhibition 2015 - Call for Papers

HSE West - Orthotist vacancies Ireland

For full details of this job advert please click here

Halo Medical - Experienced Orthotists

For full details of this job advert please click here

Lancashire Teaching Hospitals - Senior Prosthetist & Senior Orthotist Positions

For further information regarding the latest vacancies please follow the link below.

Lancashire Teaching Hospitals Vancancy

Orthotic Treatment of Neurological Conditions

This event aims to:

Review orthotic principles of managing different types of neurological conditions

Provide up to date knowledge on orthotic prescription and interventions available to complement orthotic treatment.

For further information on the BAPO short course please follow the link below:

Orthotic Treatment of Neurological Conditions

Guidance Framework for personalised care and population health

Resource to support nurses, midwives, health visitors and AHPs to access best evidence for practice and deliver their public health role.

Guidance can be found here:

https://www.gov.uk/government/publications/framework-for-personalised-care-and-population-health

The effect of knee orthoses on gait parameters in medial knee compartment osteoarthritis: A literature review

Maryam Maleki, Mokhtar Arazpour, Mahmoud Joghtaei, Stephen W Hutchins, Atefeh Aboutorabi, Ali Pouyan

Background: Knee osteoarthritis is a musculoskeletal condition which is most prevalent in the medial compartment. This injury causes considerable pain, disability, and negative changes in kinetic and kinematic parameters. The efficiency of unloader valgus brace as a conservative treatment for medial knee osteoarthritis is not well documented.

Objectives: The aim of this study was to review the previous research regarding the biomechanical effects of knee valgus braces on walking in medial compartment knee osteoarthritis patients.

Study design: Literature review

Methods: According to the population intervention comparison outcome measure methods and based on selected keywords, 12 studies were chosen according to (met) the inclusion criteria.

Results: The results indicated that treatment with knee braces was effective in decreasing pain, improving function, ameliorating improvement in range of motion, and increasing speed of walking and step length in conjunction with a reduction in the adduction moment applied to the knee.

Conclusion: Osteoarthritis knee braces may be considered for improvement of walking and treatment of medial compartment knee osteoarthritis.

Clinical relevance Knee braces are an orthotic intervention that could potentially be significant in assisting in improving the walking parameters and treatment of medial compartment knee osteoarthritis.

Source: http://poi.sagepub.com/content/early/2014/08/23/0309364614547411.abstract

Ankle-foot orthoses that restrict dorsiflexion improve walking in polio survivors with calf muscle weakness

H.E. Ploeger, S.A. Bus, M.A. Brehm, F. Nollet

Abstract

In polio survivors with calf muscle weakness, dorsiflexion-restricting ankle-foot orthoses (DR-AFOs) aim to improve gait in order to reduce walking-related problems such as instability or increased energy cost. However, evidence on the efficacy of DR-AFOs in polio survivors is lacking. We investigated the effect of DR-AFOs on gait biomechanics, walking energy cost, speed, and perceived waking ability in this patient group.

Sixteen polio survivors with calf muscle weakness underwent 3D-gait analyses to assess gait biomechanics when walking with DR-AFOs and with shoes only. Ambulant registration of gas-exchange during a 6-minute walk test determined walking energy cost, and comfortable gait speed was calculated from the walked distance during this test. Perceived walking ability was assessed using purposely-designed questionnaires.

Compared with shoes-only, walking with DR-AFOs significantly increased forward progression of the center of pressure (CoP) in mid-stance and it reduced ankle dorsiflexion and knee flexion in mid- and terminal stance (p  < 0.05). Furthermore, walking energy cost was lower (-7%, p = 0.052) and gait speed was higher (p = 0.005). Patients were significantly more satisfied, felt safer and less exhausted with the DR-AFO, compared to shoes-only (p  < 0.05). DR-AFO effects varied largely across patients. Patients who walked with limited forward CoP progression and persisting knee extension during the shoes-only condition seemed to have benefitted least from the DR-AFO.

In polio survivors with calf muscle weakness, DR-AFOs improved gait biomechanics, speed and perceived walking ability, compared to shoes-only. Effects may depend on the shoes-only gait pattern, therefore further study is needed to determine which patients benefit most from the DR-AFO.

Source: http://www.sciencedirect.com/science/article/pii/S0966636214005487

BAPO Conference & Exhibition 2015 - Save the date

Ottobock, Prosthetist x 2, Cleveland

For full details of job advert click here

Buchanan Orthotics, Orthotist, Glasgow

Click here to view job advertisement

Personalized Orthoses as a Good Treatment Option for Charcot Neuro-osteoarthropathy of the Foot

Maria Luz González Fernández, Rosario Morales Lozano, Carmen Martínez Rincón, and David MartínezHernández

Background: We sought to assess the biomechanical characteristics of the feet of patients with Charcot neuro-osteoarthropathy and to determine reulceration rates before and after personalized conservative orthotic treatment.

Methods: A longitudinal prospective study was performed in 35 patients with Charcot's foot. Although some patients had a history of ulcers, at the study outset no patient had ulcers. All of the patients underwent biomechanical testing and a radiographic study. A radiophotopodogram was prepared by superimposing an imprint of the sole on a plantar radiograph. Based on the results of these tests, an orthopedic insole was prepared and therapeutic footwear prescribed for each foot. The following variables were compared between the Charcot and unaffected feet: previous ulcers and ulcer sites, reulcerations produced after treatment, type of foot (neuropathic/neuroischemic), ankle mobility, first-ray mobility, and relaxed calcaneal stance position. Treatment efficacy was determined by comparing ulcers presenting in patients in the year leading up to the study period and the year in which treatment was received.

Results: In a 1-year period, 70 feet received orthotic treatment, of which 41 were Charcot's feet. Ulceration rates before the study were 73.2% in feet with Charcot's and 31.0% in those without. After 1 year of wearing the customized orthoses, rates fell significantly to 9.8% in the Charcot feet and 0% in the feet without this condition.

Conclusions: Conservative customized orthotic treatment was effective at preventing ulcers and the complications that often lead these patients to surgery.

Source: http://www.japmaonline.org/doi/abs/10.7547/0003-0538-104.4.375

Paediatric Gait Analysis and Orthotic Management

This course explores a fresh approach to the observation and analysis of normal gait and standing, and the classification and management of gait disorders.

If you are interested in this course, please click the link below for further details:

Paediatric Gait Analysis

Ottobock - Orthotist - Portsmouth

Click here to view the job advertisement. 

The Subtalar Joint Axis Palpation Technique Part 2: Reliability and Validity Results Using Cadaver Feet

Ken K. Van Alsenoy, Kristiaan D'Août, PhD, Evie E. Vereecke, Joris De Schepper, and Derek Santos

Background: Clinically locating the point of no rotation to determine the subtalar joint axis location by applying pressure on the plantar surface of the foot was described by Kirby in 1987 but was never validated. We sought to extend a previously validated mechanical model to cadaver feet and to examine the intratester and intertester reliability.

Methods: Four testers with different levels of experience determined the subtalar joint axis location and moved the subtalar joint through its range of motion, capturing the movement using kinematic analysis. The comparison of the spatial subtalar joint axis location as determined by palpation between and within testers determined the intertester and intratester reliability. The helical axis method was performed to validate the model.

Results: The intrarater reliability varied from a high of α = 0.96 to a low of α = 0.26 for the slope and was, in general, high (α = 0.78–0.95) for the intersection. The interrater reliability scored moderate to high, depending on the specific cadaver specimen. Concerning the exact location of the subtalar joint axis, no significant difference was found between the results determined by different testers and the helical axis method.

Conclusions: The palpation technique as part of the subtalar joint axis location and rotational equilibrium theory proposed by Kirby is a reliable and valid clinical tool. Experience in performing the palpation technique has a positive influence on the accuracy of the results. In the context of evidence-based practice, this technique could be a standard tool in the examination of patients with lower-limb–related pathologic disorders.

Source: http://www.japmaonline.org/doi/abs/10.7547/0003-0538-104.4.365

ᐧ

Hampshire Hospitals NHS Foundation Trust - Orthotist

For full details of vacancy please click here

Buchanan Orthotics - Orthotist Vacancy

For full advert details please click here 

#hellomynameis

As a healthcare professional you know so much about your patient. You know their name, their personal details, their health conditions, who they live with and much more. What do we as patients know about our healthcare professionals? The answer is often absolutely nothing, sometimes it seems not even their names. The balance of power is very one-sided in favour of the healthcare professional.

Getting to know people's names is part of building good working relationships with both patients and other colleagues. It is the first rung on the ladder to providing compassionate care and often getting the simple things right, means the more complex things will follow more easily and naturally.

Dr Kate Granger created the #hellomynameis campaign. If you support this idea please download a #hellomynameis name card from the BAPO website, add your name and send in a photograph of yourself toenquiries@bapo.comor post to the Secretariat. BAPO would like to create a collage of images that will be put onto YouTube to promote this campaign and our profession.

Please share with your fellow Prosthetists and Orthotists to see how many pledges we can get!

Orthotist Name Tag

Prosthetist Name Tag

Student Name Tag

OARSI guidelines for the non-surgical management of knee osteoarthritis

OARSI have published new guidelines for the non-surgical management of kneeosteoarthritis.  They recommend use of biomechanical interventions as directedby an appropriate specialist.
Full guidance can be downloaded here:
http://www.oarsi.org/sites/default/files/docs/2014/non_surgical_treatment_of_knee_oa_march_2014.pdf

ᐧ

Dorset Orthopaedic - Orthotist - Hampshire

Click here to view Job Advert.

BAPO Bulletin July 2014

BAPO Bulletin July 2014

Outcome Measures
BAPO is doing some work on outcome measures. If you haven’t filled in the survey yet now is your chance, we need as many P&O professionals as possible to fill it in so please pass it on to those who may not be BAPO members. http://survey.bapo-online.com/index.php/944889/lang-en

Professional Indemnity
The government have now introduced the legislation requiring all AHP’s to have professional indemnity insurance. This will not affect the majority of registrants as they will already be indemnified either through their employer, BAPO Indemnity Insurance, directly with an insurer or a combination of these. It is, however, important that each HCPC registrant has the appropriate level of cover for their practice.

HCPC have published guidance for registrants, -Professional indemnity and your registration, which is available on their website here: http://www.hcpc-uk.org/assets/documents/10004776Professionalindemnityandyourregistration.pdf

HCPC have also put together some Frequently Asked Questions which are
available here: http://www.hcpc-uk.org/registrants/indemnity/

AHP Research Network
BAPO are part of the AHP research network and as such our profession can access and involve themselves in their activities. For those considering or already involved in research, the following may be of interest:
Clinical Academic Careers Capability Framework – May 2014
www.aukuh.org.uk/index.php/affiliate-groups/20-nmahps/128-clinical-academic-careers-pathway-capability-framework

Chief Allied Health Professions Officer Appointed
NHS England has announced the appointment of Suzanne Rastrick as Chief Allied Health Professions Officer. She will work alongside colleagues both within and outside of NHS England, as the Senior Adviser to the Department of Health on AHP matters, as well as representing England’s health professionals on the international stage

 

An Open NHS Culture
Sir Robert Francis is currently leading a review to drive up safety standards in the NHS and to protect staff who speak out in the public interest in order to create an open culture needed to ensure safe care for patients.

The link below gives more detail about this campaign and the new data which is available to the public regarding safety in hospitals. http://www.gov.uk/government/news/nhs-rated-on-open-and-honest-reporting-culture-in-world-leading-transparency-drive

The government has also produced some fundamental standards of care in response to this review which can be seen on the link below: https://www.gov.uk/government/news/fundamental-standards-improving-quality-and-transparency-in-care

 

 

Keep an eye on your inbox for more information on regional meetings and short courses. Coming soon!!!

BAPO Secretariat

Please note that the BAPO Secretariat will be closed for the holiday weekend from 5pm on Thursday 17 July and will re-open on Tuesday 22 July at 8.45am 

Heart of England NHS Foundation Trust - Clinical Specialist Orthotist

For job advert details please click here

Improving the design of the curved rocker shoe for people with diabetes

Jonathan D Chapman

PhD Thesis 2014

AbstractIntroductionFoot ulceration and re-ulceration are a serious problem in people with diabetes as the outcome can be lower limb amputation, reducing quality of life and increasing mortality. The pathogenesis of foot ulceration is multifactorial with neuropathy, alterations in foot structure, callus formation and increased plantar foot pressure. The most effective intervention for reducing plantar pressure is the curved rocker outsole. To date this design has been prescribed from clinical intuition rather than scientific evidence. Therefore the studies within this thesis aimed to improve our understanding of how to best to design, and also prescribe, a rocker sole.
MethodsEthical approval was obtained from the University of Salford and the NHS. Study 1 investigated the independent effect of varying the three outsole design features (apex angle, apex position and rocker angle) on plantar pressure in 24 people with diabetes and healthy participants. In-shoe pressure data was collected using Pedar-x and analysed using Matlab. Study 2 investigated the effect of varying apex position in combination with rocker angle, in 87 people with diabetes, and aimed to establish how many people would receive sufficient offloading when wearing a pre-defined rocker design. Study 3 investigated a new method of prescribing a rocker sole using artificial neural networks with an input of gait variables on 78 people with diabetes. Gait data was collected using Vicon and analysed using Visual-3D and Matlab.
ResultsThe results of Study 1 suggested that fixing apex angle at 95° would be a suitable compromise to offload the high risk areas (medial forefoot). It also suggested that apex position and rocker angle needed more investigation. Therefore, in Study 2 the combined effect of two rocker angles and four apex positions were investigated. Despite some inter- subject variability, this study showed that over 60% of participants received sufficient offloading when walking in a mean optimal design. Furthermore, over 60% of people received sufficient offloading with the smaller rocker angle of 15°. The results in Study 3showed there was low accuracy when predicting an individual optimal shoe using gait variables as inputs (34-49%).
ConclusionsThis project has shown it is possible to significantly reduce plantar pressures in people with diabetes with a well-designed rocker shoe (95° apex angle, individual apex position and 15° rocker angle). This finding paves the way for future clinical trials which could provide robust clinical evidence for the use of rocker shoes.
Source: http://usir.salford.ac.uk/31862/1/PhD_Thesis_Jonathan_D_Chapman_2014.pdf

ᐧ

ProActive Prosthetic Job Advertisement - Prosthetist, Surrey

For further information on the current vacancy please click on the link below:

ProActive Prosthetic - Prosthetist, Surrey

Club Foot Appeal

Algeos are looking for your help to support a fantastic charity called the http://www.infantclubfootappeal.org

Algeos have helped the charity set up a fully functional O&P workshop which will enable the team to produce suitable O&P devices.

 

Our container of products leaves Liverpool for Zanzibar on Monday 28^th July. If anyone would like to make any generous donations we are in need of the following items.

Your help and support would be really appreciated and the people of Tanzania would be eternally grateful.

 

·         Paediatric & adult shoes / boots to treat clubfoot

·         Paediatric & adult insoles to treat clubfoot

·         Paediatric & adult shoes

·         Paediatric & adult insoles

·         Paediatric & adult AFO's

·         Nimco or similar style

·         Scoliosis brace

·         Foot supports

·         Leg braces

·         Skull guards

Please contact Algeos directly if you can help provide some of these items. Many thanks in advance, your support is very much appreciated and your generosity will make a huge difference.

ᐧ

Blatchford - Orthotist - South West

Click here to view the job advertisement.

Ottobock - Prosthetist Vacancy

Click here to view vacancy

Blatchford - Orthotist - Carlisle

Click here to view the Job Advertisement.

The immediate effects of fitting and tuning solid ankle–foot orthoses in early stroke rehabilitation

Bruce Carse, Roy Bowers, Barry C Meadows, Philip Rowe

Abstract

Background: Ankle-foot orthoses are known to have a generally positive effect on gait in stroke, however the specifc type of AFO and the time point at which it is provided are highly variable in the currently available literature.

Objective: The objective was to determine the immediate spatiotemporal and kinematic effect of custom-made solid ankle–foot orthoses in early stroke rehabilitation, compared to shod walking.

Methods: Five male and three female participants were recruited to the study (n = 8), with a mean age of 57 (16) years who were 3.5 (3) weeks post-stroke. Each received a custom-made solid ankle–foot orthosis to a predefined set of design criteria and tuned using heel wedges to control the shank inclination angle during shod walking. Repeated spatiotemporal and three-dimensional gait measures were taken pre- and immediately post-intervention.

Study design: A pre–post-test experimental study.

Results: With the solid ankle–foot orthosis, walking velocity increased from 0.22 (0.2) to 0.36 (0.3) m/s (p < 0.05), overall average step length increased from 0.28 (0.1) to 0.37 (0.1) m (p < 0.05), cadence increased from 45 (19) to 56 (19) steps/min (p < 0.05) and step length symmetry ratio increased from 0.65 (0.2) to 0.74 (0.2) (not significant). No clear changes were observed in the joint kinematics of the hip and knee.

Conclusion: In our small group of early stroke patients who were fitted with a solid ankle–foot orthosis, immediate significant improvements occurred in walking speed, step length and cadence, when compared to walking with shoes only.

Clinical relevance This study provides evidence about the immediate effects of custom solid ankle–foot orthoses on gait of early stroke survivors. Ankle–foot orthosis design specifications are fully described for replication. This study suggests that observing global segment orientation may be more useful than joint angles when fitting and tuning ankle–foot orthoses for optimal ankle–foot orthosis/footwear alignment.

Source: http://poi.sagepub.com/content/early/2014/06/16/0309364614538090.abstract

ᐧ

Ottobock - Prosthetist (Maternity Cover) - Stoke on Trent

Click here to view the Job Advertisement. 

Dorset Orthopaedic - Experienced Prosthetist, Hampshire

Click here to view job advert details