Prostheses with 2-way communications could provide a natural feel | Lightweight hand exoskeleton would allow at-home rehab | Paralyzed amputee able to move prosthetic arm with his thoughts
September 22, 2016
AOPA In Advance SmartBrief
News for Professionals in the Orthotics, Prosthetics and Pedorthics Profession
Top Story
Prostheses with 2-way communications could provide a natural feel
To make prostheses more useful and responsive, it's not just a matter of getting them to respond to signals from the brain but also a matter of sending a signal back that confirms they have performed as intended. That's the goal Bradley Greger and his team at Arizona State University's Neural Engineering Lab have set for themselves in work with amputees that could lead to prostheses that feel like true extensions of the wearer. (9/2016) 
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Attention Pediatric Orthotists, PTs and PTAs
We have developed an entirely original, interactive continuing education course. New videos, product comparisons, and case studies! We will cover high-tone and low-tone orthotic solutions and much more. You won't want to miss it! Check out our fall schedule and register at our website.
Science and Technology
Lightweight hand exoskeleton would allow at-home rehab
Swiss professor Roger Gassert is working with a Japanese scientist to develop a hand exoskeleton that is light enough -- at just over 4 ounces -- so paralyzed patients can use it at home for rehabilitation. They hope to develop a way for patients to control such devices with their thoughts. (U.K.) (9/22) 
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Paralyzed amputee able to move prosthetic arm with his thoughts
Scientists at the Applied Physics Lab at Johns Hopkins University tested a robotic prosthetic arm on Army veteran Jerral Hancock, who lost his arm and was paralyzed after a 2007 bomb explosion in Iraq. Hancock was able to move the artificial limb by thinking of it, using sensors placed on the surface of his skin where he lost his arm.
Stars and Stripes (tiered subscription model) (9/20) 
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Medical News
CLI patients with diabetes at increased risk of amputation, study finds
The rate of major amputation among critical limb ischemia patients with diabetes was 34.1% at five years, compared with 20.4% among those without diabetes, according to a study in Diabetes Care. Dutch researchers evaluated 281 CLI patients and found no difference in the major event or mortality rate among those with and without diabetes. News (9/20) 
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Multidisciplinary approach critical to preventing amputation in CLI, expert says
Patients suspected of having critical limb ischemia should undergo revascularization and receive care from a multidisciplinary team to prevent amputation, Dr. Lawrence Garcia said at a vascular medicine conference. Early intervention and education for patients and caregivers, as well as dedicated wound care specialists, are crucial to help salvage the limbs of these patients, Garcia said.
Healio (free registration) (9/20) 
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Cuba-developed foot ulcer treatment may enter clinical trials in US
As diplomatic relations normalize between Cuba and the US, negotiations are underway to hold clinical trials in the US on a diabetic foot ulcer treatment developed in Cuba, said Rafael Perez Cristia, director-general of Cuba's Center for State Control of Drugs, Medical Devices.
Regulatory Focus (9/20) 
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Differences among amniotic membrane products for lower-extremity wounds
A variety of amniotic membrane products are commercially available for clinical use, and the decision to choose a specific product is based on a variety of factors, write podiatry student Artinder Nanrhe and podiatric surgery professor Stephanie Wu. They describe the composition and function of amniotic membrane products, some of the more common modalities and the clinical evidence that is available for the products.
Podiatry Today magazine (9/2016) 
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Legislative and Regulatory
Bill would expand coverage of chronic care in high-deductible health plans
Proposed legislation that would allow high-deductible health plans to cover care for some chronic conditions before the deductible has been met might initially increase costs, but the idea is in line with the principles of value-based care, experts say. The proposal would allow insurers to offer tailored plans, says America's Health Insurance Plans spokeswoman Clare Krusing.
Kaiser Health News (9/20) 
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Business and Finance
Bill would protect against cybercriminals
Entrepreneurs stand to benefit if the Improving Small Business Cyber Security Act of 2016 is passed, writes columnist Christopher Coble. Small businesses would gain new tools, strategies and assistance in fending off cyberattacks, along with specialists to look at their specific operations for risks.
FindLaw (9/21) 
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HHS request to U.S. District Court rejected
O&P and others subject to RAC audits are interested by the recent U.S. District Court decision to reject an HHS request for delays of court action in a hospital suit challenging ALJ delays in excess of the statutory 90 days. Read the full story in today's AOPA's Breaking News.
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Earn CE credits with the O&P Almanac
Take the corresponding quiz of the latest O&P Almanac issue to earn 2 CE credits. It's that simple! See the latest issue.
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Man is only truly great when he acts from the passions.
Benjamin Disraeli,
prime minister
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