Staffing needs are changing for O&P providers | VR helps improve amputees' perception of their prosthesis | Study: Restoring blood flow cheaper, better than amputation in CLI
August 16, 2018
AOPA In Advance SmartBrief
News for Professionals in the Orthotics, Prosthetics and Pedorthics Profession
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Top Story
Staffing needs are changing for O&P providers
More regulation and competition has prompted some O&P providers to add compliance officers and create research and clinical outcomes positions. Some companies are also hiring more marketing staff to tell their story and care extenders such as fitters and assistants.
O&P Almanac (Adobe Flash required) (8/2018) 
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Naked Prosthetics custom designs prostheses for partial finger amputees
Fully Custom - Each device is custom designed to within millimeters of a patient's unique amputation and hand structure. We often get asked will I be able to type with my prosthesis? This patient shows that not only can you type with it, but she can type 83 WPM! Learn more.
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Science and Technology
VR helps improve amputees' perception of their prosthesis
European researchers found that a virtual reality headset paired with a prosthetic sensor with a nervous system interface helped make amputees' prostheses feel more like an extension of the body. Therapy with the VR device also helped ease phantom limb pain, researchers reported in the Journal of Neurology, Neurosurgery, & Psychiatry.
MobiHealthNews (8/15) 
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Medical News
Study: Restoring blood flow cheaper, better than amputation in CLI
Medical records of over 72,000 Medicare patients diagnosed with primary critical limb ischemia between 2010 and 2015 revealed a survival rate of 23% and an average annual health care cost of $55,700 over a four-year period among patients who had an amputation, compared with 38% and $49,700, respectively, among patients who had angioplasty to restore blood flow and 40% and $49,200, respectively, among those who received vein grafts. The findings, published in the Journal of the American Heart Association, highlight the need to raise awareness and establish clinical guidance, according to an editorial accompanying the paper.
HealthDay News (8/15) 
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Study links HbA1C to coronary artery disease risk
HbA1C was associated with an increased risk of developing coronary artery disease risk, but not with cardiovascular disease, according to a study in Diabetes Care. Researchers evaluated 38 genetic variants strongly and independently related to HbA1C and suggested developing interventions that target HbA1C reduction to reduce the global burden of CAD.
Endocrinology Advisor (8/13) 
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Research examines bone mineral density losses in diabetes patients
A study in The Journal of Clinical Endocrinology & Metabolism showed that men with type 1 diabetes experienced reduced bone mineral density over 10 years, which stabilizes over time, compared with women whose BMD remained normal over 10 years. Researchers used a cohort of 48 diabetes patients and found that male patients had a statistically significant BMD increase at the lumbar spine and a similar, but insignificant, trend at the forearm, while female patients had a significant, but weak, BMD increase at the forearm.
Endocrinology Advisor (8/13) 
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Prosthesis Pattern Recognition
Sponsored content from Coapt
Pattern Recognition Myocontrol Expands Internationally
After five years of widespread acclaim and achievement in the domestic US market, Coapt LLC has signed two agreements with partners in Europe and Australia for distribution of the Coapt COMPLETE CONTROL pattern recognition system. These partnerships will introduce and support the beneficial technology beginning soon. Read the full announcement >
 
What to Control with Upper Limb Pattern Recognition?
Modern, intuitive prosthesis control has been artfully crafted as an add-on kit, making it compatible with the majority of commercially available, powered upper limb prosthetic components. Users of various levels and presentations can operate a solution that is just right for them. Find out what it works with >
 
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AOPA News
Learn more about AOPA:
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Legislative and Regulatory
Oral arguments scheduled for lawsuit targeting ACA protections
Oral arguments in a case filed in a Texas court by 20 states questioning the constitutionality of the Affordable Care Act will be held on Sept. 10, two months before the midterm elections and about six weeks before open enrollment begins on Nov. 1. Rather than defending the law, Justice Department attorneys also said the ACA is not constitutional and asked the court to strike down the law's protections for people with pre-existing conditions.
The Examiner (Washington, D.C.) (8/14) 
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Trend Watch
N.Y. students design prosthetic hands for children in need
Middle- and high-school students in Western New York are designing prosthetic hands for children through the Hand in Hand project organized by the WNY STEM Hub. The hands will be manufactured by an East Aurora company and given to three local children and two in other countries.
WGRZ-TV (Buffalo, N.Y.) (8/14),  WIVB-TV (Buffalo, N.Y.) (8/15) 
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Business and Finance
Proposed changes could mean better reimbursement for off-the-shelf orthoses
The CMS has not included off-the-shelf orthoses as products requiring competitive bidding, and the agency does not appear to be aggressively pursuing it, writes Joseph McTernan, director of reimbursement for AOPA. However, the CMS is proposing that the single payment amount be based on the maximum winning bid for the lead item in each product category rather than on the median bid, a move that would likely increase reimbursement for providers, McTernan writes.
O&P Almanac (Adobe Flash required) (8/2018) 
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If in our daily life we can smile, if we can be peaceful and happy, not only we, but everyone will profit from it.
Thich Nhat Hanh,
monk and peace activist
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