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Archives for April 2025

22nd April 2025 by BAPO Admin

BAPO Teatime Talk – Advances in clinical trials involving prosthetics therapies

Details

This talk will focus on clinical trials involving prosthetics therapies in the UK. Following a successful NIHR-funded feasibility trial (delivered in 2018-2020) that investigated the acceptability of a self-aligning hydraulic ankle-foot to transtibial amputee patients categorised as K2-level users (limited community mobility), the STEPFORWARD full-trial will begin in 2026. This 4-year definitive trial will evaluate the clinical and cost-effectiveness of a self-aligning foot compared to usual care feet for K2-level users. The findings of the trial will inform future decision-making and prioritisation of funding by NHS commissioners for prosthetics. This talk will also present other research involving advancing socket technologies for primary patients.  

Filed Under: Education, HomePage News, News

17th April 2025 by BAPO Admin

Job Advert – Opcare – Orthotic Clinical Lead, Coventry

Click here to view job advert

Filed Under: Jobs, News

17th April 2025 by BAPO Admin

National Feet Week 2025

National Feet Week 2025 raises awareness and invites everyone to prioritise foot health. This week we shine a light on how prosthetics and orthotics play a role in good foot health.

Please see the below information collated for National Feet Week from our Education Committee.

Foot health article (2)Download

Filed Under: News

15th April 2025 by BAPO Admin

Job Advert – Orthotist – Steeper – Leeds Teaching Hospitals

Download hereDownload

Filed Under: Jobs, News

14th April 2025 by BAPO Admin

Job Advert – Orthotist – Opcare – London and surrounding areas

Job advert- Orthotist – Opcare – London and surrounding areasDownload

Filed Under: Jobs, News

11th April 2025 by BAPO Admin

Job Advert – Opcare – Orthotist – Great Ormond Street (OCS)

Click here to view job advert

Filed Under: Jobs, News

10th April 2025 by BAPO Admin

Job Advert – Clinical Orthotist – Peke Waihanga

Click here to view job advert

Filed Under: Jobs, News

9th April 2025 by BAPO Admin

To tune or not to tune – is that the question?

Details

In two influential studies, a number of UK orthotists have stated they do not ‘tune’ their AFO prescriptions. The definition of tuning is to ‘adjust for optimum performance’, so this finding is puzzling and suggests UK prescriptions may not be optimised. Do these findings reflect the current status of the situation in the UK? What is the evidence for tuning and optimal alignments? Do you align your AFOFCs, and tune or optimise that alignment? If not, what are your barriers to implementation. What is usual practice in the UK, what should it be? This teatime talk will be thought provoking and provocative

Filed Under: Education, News

7th April 2025 by BAPO Admin

Revolutionise Your Health with LimbPower’s Amputee BMI Calculator!

Say goodbye to one-size-fits-all health measurements! LimbPower has created a game-changing Amputee BMI Calculator designed specifically for amputees and individuals with limb differences. This innovative tool factors in limb absence to deliver accurate, personalised BMI results, ensuring a more relevant and meaningful health assessment.

Using it is easy. Simply enter your height, weight, and level of limb loss (left leg, right leg, left arm, or right arm). The calculator instantly adjusts the formula to reflect your unique body composition, giving you a precise BMI score tailored to you.

Why it matters? Understanding your BMI helps you manage weight, optimise prosthetic fit, and take control of your health. Plus, it’s quick and easy—no more inaccurate, generic calculations!

LimbPower has rigorously tested this tool to ensure accuracy and usability. Try it now and take the guesswork out of your health journey! https://www.limbpower.com/exercise/new-amputee-bmi-calculator

Photo Credit: Jennifer Burk
Photo Credit: Sinseeho
BMI word on wood cubes with woman measuring waist hip with a tape at the background. Copy space.

Filed Under: News

7th April 2025 by BAPO Admin

Limb Power – Understanding Phantom Limb Pain: What It Is and How to Cope

Understanding Phantom Limb Pain: What It Is and How to Cope

Phantom limb pain (PLP) is a condition experienced by many amputees, where sensations, often painful, are felt in a limb that is no longer there. For many, this pain is not just physical but deeply psychological, affecting overall quality of life. Understanding what causes phantom limb pain and exploring effective coping mechanisms can provide significant relief and a better pathway to managing this complex condition.

What Is Phantom Limb Pain?

People with phantom limb pain experience acute sensations of pain that appear to come from the limb that has been amputated. It is estimated that between 50 and 80 percent of amputees develop phantom limb pain post-amputation.

The term ‘phantom’ does not mean that the pain is imaginary. Phantom limb pain is a very real phenomenon confirmed through brain imaging scans. Symptoms range from mild flashes of pain, similar to an electric shock, to constant, severe discomfort.

Researchers believe PLP results from a complex interaction between the brain, spinal cord, and nerves, with three main theories explaining its causes:

  • The Peripheral Theory: Nerve endings at the stump may form clusters, or neuromas, generating abnormal impulses that the brain interprets as pain.
  • The Spinal Theory: Loss of sensory input from the amputated limb causes chemical changes in the central nervous system, triggering pain symptoms.
  • The Central Theory: The brain retains a ‘memory’ of the amputated limb and its signals, leading to pain when expected feedback is absent.

Psychologist Keren Fisher explains, “When you lose a limb, the brain doesn’t just stop recognizing it. The neural pathways are still wired to that missing part of the body and continue sending signals as if it’s there.” Stress and trauma often intensify PLP, making it a multifaceted condition requiring a holistic approach.

Impact on Individuals

Phantom limb pain can profoundly affect daily life. Pain and discomfort may disrupt routines, interfere with sleep, and cause frustration or disconnection from one’s body. Social withdrawal, anxiety, and depression are common, as individuals adjust to life without a limb.

Coping Mechanisms and Effective Therapies

While there is no universal cure for phantom limb pain, several therapies and techniques have proven effective:

  1. Mirror Therapy
    Mirror therapy uses a mirror placed in front of the intact limb to simulate movements in the missing limb, tricking the brain into perceiving the limb as functional and alleviating pain.
  2. Cognitive Behavioural Therapy (CBT)
    CBT helps amputees reframe negative thought patterns. A study in the Journal of Pain Research found that patients undergoing CBT reported a 30–50% reduction in pain intensity.
  3. Mindfulness and Relaxation Techniques
    Deep breathing, meditation, and mindfulness exercises calm the nervous system and reduce stress, which exacerbates PLP.
  4. Medications and Pain Management
    Doctors may prescribe medications such as anticonvulsants (e.g., gabapentin), antidepressants (e.g., amitriptyline), or opioids (e.g., codeine, morphine). However, opioids carry risks of dependency and are generally used cautiously.
  5. Non-Invasive Techniques
    • Heat or cold applications (e.g., ice packs or creams).
    • Massage to improve circulation and muscle stimulation.
    • Acupuncture to stimulate specific points and relieve pain.
    • Transcutaneous electrical nerve stimulation (TENS) disrupts pain signals and stimulates endorphin release through small electrical impulses delivered to the stump.
  6. Mental Imagery and Mirror Visual Feedback
    Imagining movements like stretching phantom fingers or toes can reduce pain. Similarly, mirror boxes provide visual feedback to the brain, reducing discomfort by simulating the presence of the missing limb.
  7. Advancements in Prosthetics
    Prosthetics with sensory feedback mechanisms reconnect the brain to physical sensations, reducing PLP. Kiera Roche praised her microprocessor knee, saying, “It doesn’t just restore mobility; it can reduce phantom pain by giving your brain sensory feedback.”

The Power of Community Support: Stuff That Works Research Community

While individual treatments can help manage phantom limb pain, many amputees find that connecting with others who share similar experiences is equally beneficial. The Stuff That Works community is an invaluable resource for those seeking support, shared experiences, and research-backed insights into managing PLP effectively.

By joining the Stuff That Works Phantom Limb Syndrome Community, individuals can learn from real-world experiences, discover what treatments have worked for others, and contribute their own stories to collective research. The platform enables members to find practical solutions that go beyond medical literature, fostering a sense of belonging and empowerment.

To read about other lived experiences and contribute to the community, visit:
🔗 Phantom Limb Syndrome Community
🔗 Residual Limb Pain Community

The Importance of a Holistic Approach

For many amputees, managing phantom limb pain requires a combination of therapies tailored to individual needs. Kiera Roche emphasised, “Dealing with phantom limb pain isn’t just about fixing the physical sensations—it’s about treating the whole person. Healing happens when you focus on your body, mind, and spirit together.”

Phantom limb pain is a challenging condition, but with the right strategies and a strong support network, it can be managed effectively. By understanding the science behind PLP, exploring proven coping mechanisms, and engaging with supportive communities like Stuff That Works, amputees can regain a sense of control and lead fulfilling lives.

Photo Credit: Aaron Blanco

Filed Under: News

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The British Association of Prosthetists and Orthotists (BAPO) was established to encourage high standards of prosthetic and orthotic practice. It is committed to Continued Professional Development and education to enhance standards of prosthetic and orthotic care.

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