Taycare - Orthotist Vacancy

For full details of this vacancy please click here

Ottobock - Commercial Manager Prosthetics & Orthotics: Egham

For full details of this vacancy please click here

Effectiveness of Total Contact Insoles in Patients with Plantar Fasciitis

Hilda Alcântara Veiga Oliveira, Anamaria Jones, Emília Moreira, Fabio Jennings and Jamil Natour

Abstract

Objective To assess the effectiveness of total contact insoles (TCI) in patients with plantar fasciitis (PF).

Methods A double-blind randomized controlled trial was carried out with intention-to-treat analysis. Seventy-four patients were randomly allocated to use a TCI made of ethylene vinyl acetate (study group, n = 37) or a flat insole (control group, n = 37). The following assessment tools were used: visual analog scale for pain while walking and at rest, Medical Outcomes Study Short Form-36 (SF-36) for quality of life, Foot Function Index and Foot Health Status Questionnaire for foot function, 6-min walk test (6MWT), and baropodometer FootWalk Pro for plantar pressure analysis. The groups were evaluated by a blinded assessor at baseline and after 45, 90, and 180 days.

Results The groups were homogeneous for the majority of variables at baseline. The over-time comparisons show a statistical difference between the groups for pain while walking (p = 0.008) and the 6MWT (p = 0.010). Both groups showed significant improvements in pain at rest, foot function, and some quality of life variables (physical functioning, bodily pain, vitality, and social functioning), with no significant statistical differences between them. The baropodometer recorded no changes from the use of the insoles.

Conclusion A TCI can be used to reduce pain while walking and to increase walking distance in individuals with PF.

Source: http://www.jrheum.org/content/early/2015/03/10/jrheum.140429.abstract 

Effects of Ankle–Foot Orthoses on Functional Recovery after Stroke: A Propensity Score Analysis Based on Japan Rehabilitation Database

Ryo Momosaki, Masahiro Abo, Shu Watanabe, Wataru Kakuda, Naoki Yamada, Shoji Kinoshita 

The purpose of the present study was to investigate potential effects of ankle–foot orthoses (AFOs) on the functional recovery of post-acute stroke patients following rehabilitation.

Subjects and Methods

This study is a retrospective cohort study. Participants were in-hospital stroke patients registered in the Japan Rehabilitation Database between 2005 and 2012. A total of 1862 patients were eligible after applying exclusion criteria. Propensity score analysis was applied to adjust for potential bias and to create two comparable groups. An additional subset analysis focused on Functional Independence Measure (FIM) scores on admission.

Results

In this sample, 30.7% of 1863 eligible patients were prescribed AFOs. Propensity score matched analysis showed that patients with AFOs had significantly higher scores than those without them for discharge FIM (mean: 91.3 vs 85.8; p=0.02), FIM gain (mean: 28.9 vs 23.5; p<0.001), and FIM efficiency (mean: 0.27 vs 0.22; p<0.001). Inverse probability weighting analysis showed similar results. In the subset analysis, patients with AFOs had significantly higher discharge FIM compared with those without them in the low admission FIM subgroup only. In addition, patients with AFOs performed independent exercise more than those without them (p<0.001).

Conclusions

These data suggest that stroke survivors may have better functional recovery if they are prescribed an AFO than if they are not prescribed an AFO. The use of AFOs is considered to be a feasible option to improve functional recovery of stroke rehabilitation patients.

Source: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0122688 

Rehabilitation Interventions for Children With Cerebral Palsy: A Systematic Review

In a systemic review of the literature, Abbaskhanian et al suggests that clinicians should depend on their clinical experience and patient values to handle the clinical decision-making process in determining the prescription of AFOs.

The found evidence encouraging the use of an articulated ankle foot orthosis (AFO) by children with CP because of the enhanced function when using this type of orthosis. Yet, other studies indicated the advantages of a rigid orthosis for children with greater disabilities involving spasticity and contracture. 

http://cdn.neoscriber.org/cdn/serve/70/08/7008dff33bed20188825836989b3259d1b77212b/jpr-03-361.pdf

Opcare - Orthotists, Various Positions

Please click here for further information on the job advertisements available.

BAPO Measuring Change Document - April 2015

Measuring Change: An Introduction to Clinical Outcome Measures in Prosthetics and Orthotics

In today’s demanding and pressured healthcare environment it is essential that the effects of medical interventions, including prosthetic and orthotic care, are accurately assessed and recorded. Outcome measures (OMs) are useful in assessment, clinical decision making and evidencing the outcomes of treatment to either the service user or third parties. OMs also facilitate clinical audit and research. 

The Measuring Change document is the result of a one year project by a working group formed by members of the BAPO Professional Affairs and Education committees. The working group initially conducted a survey of Prosthetists and Orthotists in the UK to determine existing use and knowledge of OMs. Following this, a small group of OMs were selected and literature reviews were conducted to identify the measures’ psychometric properties in addition to normal data and minimal clinically important difference values. The included OMs are the numeric pain rating scale (NRS-11), socket comfort score (SCS), 10 metre walk test (10MWT), timed up and go (TUG) and disabilities of the arm, shoulder and hand (DASH). The Measuring Change document includes the results of the reviews, instructions on how to use and interpret the selected OMs, a summary of the survey results, and an introduction to relevant psychometric terms and concepts. The primary aim of the document is to enable Prosthetists and Orthotists to understand and use simple OMs in clinical practice to improve patient care.

Measuring Change is available for BAPO members to download from the members section of BAPOnline. Non-members may request hard copies (paperback, 40 pages, full colour) from enquiries@bapo.com at a cost of £10.

Opcare - Orthotist, Various

Please click here to view job advertisement.

RSL Steeper - Various Job Vacancies

Please click here to view job advert.

HCiViocare - Prosthetist, Glasgow

For further information on the position available please click on the link.

HCiViocare

LimbPower - 2015 Advanced Rehabilitation Clinic

LIMBPOWER DELIGHTED TO ANNOUNCE 2015

ADVANCED REHABILITATION CLINIC

LimbPower, the National Disability Sports Organisation dedicated to helping amputees and the limb impaired reach their sporting potential, are holding another Advanced Rehabilitation Clinic following the success of the initiative launched last year.  This clinic will help primary amputees build confidence, strength, stability and empower them in the early stages of their quest to improve their mobility.

 

LimbPower’s Advanced Rehab Clinics aim to bridge the current gap that exists between the rehab offered by the NHS, and the ability to participate in sports, fitness and lifestyle activities.  The current service teaches amputees how to walk using their artificial limb with training on basic techniques, but there is much more that could be done to aid amputees in the early stages of rehabilitation which would have a huge impact on their quality of life. 

Research shows that participation in physical activity enhances the lives of amputees, reducing the risk of medical interventions such as knee and hip replacements and even improving life expectancy. 

For 2015, the Advanced Rehab Clinic will include a separate programme dedicated to carers, partners and case managers, ensuring that this important support network are equipped with the information to assist in the ongoing progress of the amputee.

Kiera Roche, LimbPower Founder commented; “Back in 2006 I attended a running clinic where I was taught the basic techniques of running, but what really opened my eyes were the day-to-day benefits of the stability exercises and leg strengthening exercises I was taught to improve my gait and balance.  We have used these techniques within our own successful ‘Learn to Run’ clinics since then, but the Advanced Rehab Clinics will allow us to reach those new amputees who are yet to even consider sport as something for them and help them to get the most from their prosthetics.”

 

The one-day course will be a mix of educational and practical training sessions focussing on core stability, proprioception of the artificial limb, gait training exercises and general health and fitness.  The course will encourage new amputees to take control of their own rehabilitation and well-being and equip them to take part in any sport or activity they choose.

The 2015 Advanced Rehab Clinic will be on the 15^rd April at and be held at Roehampton University.  Anyone interested in finding out more details should contact Gemma Trotter on Gemma@limbpower.com

Freedom to Speak Up: Give your views on supporting NHS staff to raise concerns about care

A consultation on plans to support NHS staff to speak up about poor care and patient safety has launched.

It follows the publication of Sir Robert Francis's Freedom to Speak Up review in February 2015, which made recommendations on how to create a culture where NHS staff feel safe and confident in speaking out. The report was commissioned by Health Secretary Jeremy Hunt in response to concerns about the reporting culture and the treatment of whistleblowers in the NHS.

The recommendations were accepted in principle by the Government, and we are now consulting on the best way to implement the principles and actions. Specific actions we are seeking views on include:

• Every NHS organisation having a Freedom to Speak Up Guardian
• A new Independent National Whistleblowing Officer who will provide national leadership; and
• Standards for professionals on raising concerns.

The consultation closes on 4 June 2015.

Read the consultation and take part.

Source: http://compassionatecare.dh.gov.uk/2015/03/12/freedom-to-speak-up-give-your-views-on-supporting-nhs-staff-to-raise-concerns-about-care/

HCPC - Prosthetist/Orthotist Visitors

For full details please click here

Short Course Timetable2015

The Education Committee are delighted to unveil the short course timetable for the first half of the year.  The committee have worked hard to bring you courses which are not only excellent value but which offer diversity in topics and locations. 

Click the link below for detailed information on the courses now available and look out for updates detailing additional course dates and topics in the comings months!

Course Information

Prosthetists and Orthotists on Shortage of Occupation List (SOL) for a minimum of 4 years

BAPO have managed to get recognition that there is a shortage of Prosthetists and Orthotists. We're now on the shortage of occupation list (SOL) for a minimum of 4 years.

http://www.cfwi.org.uk/publications/migration-advisory-committee-mac-healthcare-occupation-submission-main-report-for-the-2014-shortage-occupation-list-sol

Webinar 4 - Managing Relationships for Transition - Save the date Monday 2 March 2015

Monday 2 March 2015 – 13:00-13:50

This fourth and final webinar, provided by the NHS Clinical Soft Intelligence Service in partnership with the Royal College of Speech and Language Therapists and supported by the Chartered Society of Physiotherapists, will explore two examples of how rehabilitation service providers have carried out service improvements across a pathway.  In particular the webinar will discuss how they are improving transition for people who use the service.
 
The speakers will discuss the issues around:

·        enablers and obstacles to improving transition for people at different points in a pathway

·        issues pertinent to working in partnership to improve transitions between rehabilitation services in different organisations

·        ensuring the sharing of skills and expertise across providers to ensure effective transition

 

To find out more and register, go to http://www.tinyurl.com/NHS4a for a place at this webinar and to submit any initial questions around this topic. You are also able to submit questions during the webinar.

Buchanan Orthotics - Orthotist

Please click here to view job advertisement.

The Influence of Foot Orthoses on Patellofemoral Pain Syndrome: A Systematic Analysis of the Literature

Ahlhelm A, Alfuth M

Abstract

Background: The patellofemoral pain syndrome (PFPS) is one of the most commonly encountered disorders involving the knee. The symptoms often lead to a reduction of physical activities resulting in sport- and job-related disabilities and the potential occurrence of severe disorders. Different theories for the development of the syndrome exist which result in different therapy modalities. A change in foot posture and its effect on lower limb kinematics seem to be one potential risk factor for the development of the syndrome. This leads to the assumption that foot orthoses might be a potential therapy device. Objectives: The aims of this study were to outline the state of evidence for the treatment of PFPS with foot orthoses and to identify the effect of foot orthoses on PFPS. Study Design: A systematic review of clinical (CT) and randomized controlled trials (RCT) was undertaken. Methods: A systematic search for studies (CT, RCT) was conducted using the databases of Medline (PubMed), Cochrane library, and PEDro. The relevance for further analysis of studies was reviewed on the basis of title and abstract. An additional search was undertaken using the reference lists of the included studies and additional literature as well as the PubMed function "related articles". Results: 11 studies were included in this analysis. The effect of different types of foot orthoses on pain, function and kinematics of the lower limb and muscle activation of selected lower limb muscles was analysed. Significant effects on pain and function were determined. A slight effect on kinematics of the lower limb and muscle activation of selected lower limb muscles was identified. Conclusion: Foot orthoses seem to be an effective treatment device in the therapy for PFPS. An immediate and long-term reduction in pain and an improvement of function occurred following the intervention. There was just a slight change in lower limb kinematics and muscle activation of selected lower limb muscles. The relationship between biomechanical effects of orthoses and pain still seems to be unclear.

Source: http://www.ncbi.nlm.nih.gov/pubmed/25675398 

NHS Lothian - Head of Technical Services

For full details of this post please click here

BAPO Conference 2015 Accommodation Bookings

Please note that  the online link for Conference 2015 accommodation bookings is due for release on 16 February, after which time there will be just a limited choice of hotels available via Reservation Highway and the rate will not be guaranteed.

Therefore if you haven’t already secured your accommodation for Conference 2015 please book as soon as possible via www.reservation-highway.co.uk/bapo15

Kent and Medway NHS - Prosthetic Team Leader

Click here to view Job Advertisement.

CSP - Improving Adult Rehabilitation Services Community of Practice – Soft intelligence Summary Bulletin

Following up on our requests for snapshots of good practice, we wanted you to share with you the first bulletin capturing the thoughts or 'soft intelligence' of the Improving Rehabilitation Services Community of Practice (IRSCOP).

Members are encouraged to enter the debate by adding comments to what people are saying about improving rehabilitation services and are invited to:

• Feedback on the themes within the bulletin that are either missing or upon which you have a different perspective
• Share what action you are taking in relation to these themes (however big or small)

How to submit feedback & comments
I would be very happy to receive feedback from members. Alternatively, comments can either be emailed to katherine.andrews@nhs-commissioning.net or posted on the discussion forum (making these anonymous if requested)

Feedback will be used to enrich the emergent themes and populate the next Soft intelligence Bulletin. We are grateful for your assistance.

Webinar 3 - Integration in Action: Breaking down Boundaries - Save the date 5 February 2015

Save the date - 5 February 2015 - 1:00-1:50 

 

Webinar 3 - Integration in Action:  Breaking down Boundaries  

 

We are delighted to announce a third webinar, provided by NHS Clinical Soft Intelligence Service in partnership with the Royal College of Speech and Language Therapists and supported by the Chartered Society of Physiotherapy to the Improving Rehabilitation Services Community of Practice.

 

This webinar will explore two examples of how service providers have carried out service improvements across health, social care and the voluntary sector.

 

Following the webinar, participants will be aware of:

·        alternative ways of engaging with partner organisations to deliver good rehabilitation

·        how these services overcame barriers and be able to consider ways in which they are applicable to their own circumstances

 

Speakers will include

Dr Karen Robb – Regional Lead for Rehabilitation - London

Bernadette Kennedy - St. George's Healthcare NHS Trust

Dr Joanne Fillingham – Regional Lead for Rehabilitation – Midlands and East

Alison Shortman - Staffordshire and Stoke On Trent Partnership Trust

 

To find out more and to register for this webinar, please go to:

http://tinyurl.com/CSIweb3a

 

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 have any relevant examples of great services, guidelines or resources which you have produced or know of, we would be delighted to hear about them on the NHSCSI on line forum. 

Trulife - Senior Orthotist Opportunities

For full details please click here

HCPC - Chair of Council Role

For full details of this advert and how to apply please click here

Lancashire Teaching Hospitals - Senior Orthotist

Click here for full details of the advert

Dorset Hospitals, Orthotist, Dorset

Click here to view job advertisement

Peacocks - Experienced Orthotists

For full details of this job advert click here

National Institute for Health Research (NIHR) funded Masters in Clinical Research

The University of Brighton are now recruiting for NIHR fully funded (SUBJECT TO AGREEMENT BY NIHR) places for the MRes (Clinical Research) course, starting in September 2015. Funding includes salary costs and course fees for full time over one year or part time route over two years.

Click here to view more information.

Prosthetic developments worth watching

http://www.onlinetmd.com/medical-device-design-prosthetic-developments-emerson-1315.aspx#.VKxm2IqsWhZ