Abbreviations: (AACE)American Association of Clinical Endocrinologists, (ADA) American Diabetes Association, (AMA) American Medical Association, (CGM) continuous glucose monitoring, (CMS) Centers for Medicare and Medicaid Services, (CPT) current procedural terminology, (DMEPOS) durable medical equipment, prosthetics, orthotics, and supplies, (E/M) evaluation and management, (HCPCS) Healthcare C...

This report examines the current clinical uses of CAD/CAM in prosthetics and orthotics. We conducted interviews to contrast patterns of CAD/CAM use in different private practice settings, at two different teaching institutions, and within two large Prosthetic and Orthotic delivery systems. Investigation into these patterns of use has revealed several lessons. First, there currently exist severa...

On a purely personal note, may I suggest as we turn from the prosthetics side to orthotics that this area has a historic interest for me . After I had poliomyelitis 50 years ago, in July 1924, I became involved a great deal in the era of the wooden wheelchair, crutches, canes, full-length leg braces, and then short ones . I still use orthopedic shoes and two canes. The number of patients requir...

PURPOSE Most literature about the efficacy of tone-reducing orthotics pertains to adults and children with central nervous system (CNS) pathology. There is relatively little mention of using this type of orthotic with adults after spinal cord injury (SCI). Therefore, the purpose of this study was to investigate whether tone-reducing orthotics have an effect on gait including electromyographic (...

This study examined the effect of foot orthotics and footwear on static rearfoot kinematics. Thirty-four subjects (5 males, 29 females) from physical therapy clinics and the college community gave informed consent to participate. Subject age was 42 (18) years; subject height was 1.7 (0.1) meters; subject body mass was 72.6 (12.1) kg. Markers were placed on specific sites of the lower leg and ca...

The term “airway orthotic” (AO) is derived from the belief that these tooth-retained oral devices work by manipulating the jaw into the posture that best stabilizes the airway, thus normalizing airway behavior. Several studies have demonstrated their ability to normalize both airway structure and function through manipulation of mandibular posture. Although officially condoned for the treatment...

The single greatest obstacle to progress in amputation surgery has been the surgeon's lack of prosthetic knowledge . While a small number of surgeons throughout the years have become involved and, in fact, have made significant contributions to prosthetic improvements, the vast majority of amputations continue to be performed by surgeons uninformed in the area of prosthetic rehabilitation . Thi...

DURING the early 1950s, pioneering clinicians in the management of the child amputee repeatedly insisted that children were not miniature adults, to whom modes of fitting developed for adults could be applied indiscriminately. The physicians argued that these children had characteristics and problems that required special study and treatment. Primarily because of the missionary efforts of these...