Friday

Dr David Armstrong                     

Dr. Armstrong is Professor of Surgery at the University of Southern California. Dr. Armstrong holds a Masters of Science in Tissue Repair and Wound Healing from the University of Wales College of Medicine and a PhD from the University of Manchester College of Medicine, where he was appointed Visiting Professor of Medicine. He is founder and co-Director of the Southwestern Academic Limb Salvage Alliance (SALSA).

Dr. Armstrong has produced more than 460 peer-reviewed research papers in dozens of scholarly medical journals as well as over 80 book chapters. He is co-Editor of the American Diabetes Association’s (ADA) Clinical Care of the Diabetic Foot, now in its third edition.

Armstrong was appointed Deputy Director of Arizona’s Center for Accelerated Biomedical Innovation (ACABI) and co-founder of its “augmented human” initiative, which places him at the nexus of the merger of consumer electronics, wearables and medical devices.

Dr. Armstrong was selected as one of the first six International Wound Care Ambassadors and is the recipient of numerous awards and degrees by universities and international medical organizations including the inaugural Georgetown Distinguished Award for Diabetic Limb Salvage. In 2008, he was the 25th and youngest-ever member elected into the Podiatric Medicine Hall of Fame. He was the first surgeon to be named University Distinguished Outreach Professor at the University of Arizona. He was the first podiatric surgeon to become a member of the Society of Vascular Surgery and the first US podiatric surgeon named fellow of the Royal College of Surgeons, Glasgow. He is the 2010 and youngest ever recipient of the ADA’s Roger Pecoraro Award, the highest award given in the field.

Dr. Armstrong is past Chair of Scientific Sessions for the ADA’s Foot Care Council, and a past member of the National Board of Directors of the American Diabetes Association as well as a former commissioner with the Illinois State Diabetes Commission. He sits on the Infectious Disease Society of America’s (IDSA) Diabetic Foot Infection Advisory Committee and is the US appointed delegate to the International Working Group on the Diabetic Foot (IWGDF). Dr. Armstrong is the founder and co-chair of the International Diabetic Foot Conference (DF-Con), the largest annual international symposium on the diabetic foot in the world.

Title: Offloading the Diabetic Foot: 30 years’ research in 30 minutes
The current literature consists of numerous works advocating the use of offloading in the diabetic patient to achieve both ulcer healing and post-operative pressure reduction. However, choosing the appropriate device for the appropriate occasion is often difficult. The gold standard of offloading remains the total contact cast. While there are many benefits with this device, there are equally as many disadvantages. Other devices have shown benefit, including the removable cast walker, instant total contact cast and for preventative measures, depth inlay shoes. Faced with active ulcers or recent amputations, appropriate wound care, debridement and pressure reduction will continue to be the essential components of treatment

 

 

Prof Pamela Gallagher

Prof Gallagher’s research applies psychological principles and theory to enable individuals with disabilities or long-term conditions to achieve optimal physical, psychological and social outcomes. There is a particular focus on amputation, prosthetics, outcome measurement and the role of assistive technology in enabling people to live personally meaningful lives. She co-directs the Dublin Psychoprosthetics Group, a multidisciplinary international collaborative applying psychological principles to prosthetic use (www.psychoprosthetics.ie). She developed the widely-used Trinity Amputation and Prosthesis Experience Scales (TAPES) to facilitate examination of the psychosocial processes involved in adjusting to a prosthesis. She has authored numerous papers, books and reports in the field.

Title: Managing AT Expectations: What, why, whose and how?

Focusing on person-centred delivery of care necessitates, inter alia, an emphasis on and recognition of the individual’s experience of limb loss and prosthesis use, the relevance of personally meaningful gains and outcome assessment, and the inclusion of these personal perspectives across all stages of care to optimise outcomes in a personally meaningful way. A key component to this is identifying, understanding and managing the beliefs and expectations about technology possibilities and outcomes. Beliefs and expectations potentially influence adherence, act as precursors of behaviour change and mediate a desired outcome. They are influenced by a multitude of pervasive internal and external sources. This paper considers the dynamics involved in these processes and considers practical strategies for managing the challenges they may present and for harnessing the benefits they may offer.

 

Christian Pankhurst

With over 18 years’ experience in the NHS complimenting various multi-disciplinary teams in the acute and community settings, Christian is a Clinical Specialist Orthotist in Guy’s and St. Thomas’ NHS Foundation Trust and King’s College Hospital.  He is the current co-Chair of the London Clinical Network for Foot Care, vice-Chair of FDUK, co-vice-Chair of BAPO’s Professional Affairs Committee and sits on the steering panel of the pa

n-England Diabetes Foot Network and the RHIVA clinical group.

Christian’s interest and enthusiasm for sharing clinical knowledge, experiences and education with clinicians and patients has seen him running and participating in annual multi-disciplinary conferences.

Title: Mental health screening in diabetes foot clinics

This presentation will introduce the overlap between mental and physical health and review the evidence which exists with regard to integrating healthcare services.

The existence of mental health issues within the population diagnosed with a long term condition will be reviewed, with exploration in to how cognition, depression and anxiety can affect the foot in diabetes.

These common mental health conditions encountered in diabetes will be delineated, with explanations as to how they can affect individuals.

The role of all members of the multi-disciplinary team in screening for mental health conditions will be discussed, along with screening methods and innovations developed and employed within King’s Health Partners toward these issues.

 

Joanna MacKenzie

Joanna graduated from the University of Salford in 2009 with a BSc In Prosthetics and Orthotics. Since graduating she has worked as both an in house and commercial orthotist, specialising in Paedriatric orthotics. Joanna joined the Ottobock Orthotic Academy Team in November 2018 which provides product support to clinicians and therapist without the UK.

Title: Stance Control Knee Ankle Foot Orthosis: Assessment Through To Funding

‘When considering the options to prescribe a stance control KAFO, this can cause  many challenges. Clinicians need to carefully consider if a patient is suitable for the device and if they can activate the stance control features. There can also be funding issues around the stance control devices. As clinicians we now little of how the process of Individual Funding Requests can be used to obtain additional funding for orthotic devices. I will share examples of successful funding requests and provide helpful insights on how you can gain access to fund stance control technology through the NHS. I will also share a patient’s experience who has recently been fitted with their stance control device to explain their thoughts on the technology.’

Adam Horrocks

Adam Horrocks graduated from Salford University in 2010 as a Prosthetist/ Orthotist and has spent the last decade working in a variety of orthotic clinical and operational settings.  He joined Talarmade in 2017 as a Clinical Specialist and developed a deeper interest in material science and its clinical applications.  Adam now manages the clinical team at Talarmade and in 2019 he successfully completed a Masters module run by the Chartered Society of Physiotherapist in Leadership and Change Management for AHPs at the University of Central Lancaster.

Adam is part of the R&D team at Talarmade and also has special interest in paediatrics and MSK conditions.  Adam delivers an educational programme around the UK on AFO design, MSK foot and ankle conditions and has delivered material science educational programs in Germany.

Title: Whose prescription is it anyway?  Are we focusing enough on the materials we select for our orthosis?

A long held belief in foot and ankle biomechanics was that foot orthoses needed to change alignment to influence pain.  As research has proven over recent years, this is not true.  Foot orthoses actually work by changing the way forces are applied through the foot and ankle and how this change in force distribution then influences tissue stress and joint motion.  Biomechanical theory and science has evolved significantly in recent years leading us to have increasing clarity that only 2 things really matter about a foot orthosis: its shape and the materials it is made from.

The focus of this session will be to challenge attendees on their knowledge of material science to identify potential benefits and risks which can contribute significantly to patient outcomes.

Prof Gary Berke

Information coming soon!

Christopher & Alan Hutchinson

Christopher and Alan are co-founders of ProsFit Technologies that enables prosthetic service provision at scale. Alan is CEO, and Christopher CTO and architect of ProsFit’s technology and business solutions.In 2009

Christopher was in an accident which led to amputations of both legs. As a result, he has intensive experience of prosthetic fitting, especially in relation to sockets – allowing ProsFit to deliver “user generated innovation”.

Alan is a seasoned business development professional, with experience in several sectors including industrial goods, medical and pharma products, consumer products and financial services. He has lived in Europe and Asia, and worked in the Americas.

Talk title: ProsFit – A Fitting Solution

Today 70% of the people in the world that need prosthetics don’t have access to them and of the people that do get fitted with devices, below 50% of them feel comfortable, safe and secure. On top of that, the number of people needing prosthetics will more than double in the next 10 years.

There was a clear and crucial need for something new, which is how ProsFit came into existence. The conception of the radically improved solution was driven by Christopher Hutchison, one of ProsFit’s founders who himself is a double amputee following an accident in 2009. Together with his father, an experienced business developer, he set about to find a better way.

ProsFit’s solution provides more than 90% fit rate, and requires one 5th of the time commitment over a considerably shorter period. ProsFit’s sockets cost 25% less, with the gap expected to widen to 50% within the next 5 years.

ProsFit’s solution uses mobile scanning technology, a proprietary cloud-based design and expert system, and uses additive manufacturing methods, allowing ProsFit to offer it anywhere in the world, rapidly and cost effectively.

Ivan Phelan 

Ivan works as a Research Fellow in Sheffield Hallam’s Research Institute (C3RI) where his research focus is on how Virtual Reality can be used Healthcare.

Ivan’s primary area of expertise is with the Unreal game engine which is a great tool to create high-quality game content.

He is currently involved with multiple VR projects funded by NIHR and the MRC, exploring virtual reality training for upper limb prosthetics, pain distraction during burn treatments, and rehab for children after arm injuries and lower limb surgery.

Working together with healthcare professionals and a world-leading bionic prosthetic maker, we created a prototype that to decrease the time it takes for a transradial amputee to train how to use a Myoelectric prosthetic arm.

Title: Use of VR for Upper Limb Training –  Interactive Session

This initial research employed the Oculus Rift, Microsoft’s Kinect and the Thalmic Labs’ Myo gesture control armband and allows the creation of unique virtual reality experience enabling trans radial amputees to become familiar with controlling myoelectric prostheses.

The research has been awarded NIHR i4i funding which has allowed the system to use current technology and integrate Ottobock’s MyoBoy. Initial trials at multiple sites are to begin early 2020.

This technology thus has the potential to improve patient training whilst producing a resource cost saving.

Russell Pizzey

Information coming soon!

Adam Horrocks

Adam Horrocks graduated from Salford University in 2010 as a Prosthetist/ Orthotist and has spent the last decade working in a variety of orthotic clinical and operational settings.  He joined Talarmade in 2017 as a Clinical Specialist and developed a deeper interest in material science and its clinical applications.  Adam now manages the clinical team at Talarmade and in 2019 he successfully completed a Masters module run by the Chartered Society of Physiotherapist in Leadership and Change Management for AHPs at the University of Central Lancaster.

Adam is part of the R&D team at Talarmade and also has special interest in paediatrics and MSK conditions.  Adam delivers an educational programme around the UK on AFO design, MSK foot and ankle conditions and has delivered material science educational programs in Germany.

Title: Whose prescription is it anyway?  Are we focusing enough on the materials we select for our orthosis?

A long held belief in foot and ankle biomechanics was that foot orthoses needed to change alignment to influence pain.  As research has proven over recent years, this is not true.  Foot orthoses actually work by changing the way forces are applied through the foot and ankle and how this change in force distribution then influences tissue stress and joint motion.  Biomechanical theory and science has evolved significantly in recent years leading us to have increasing clarity that only 2 things really matter about a foot orthosis: its shape and the materials it is made from.

The focus of this session will be to challenge attendees on their knowledge of material science to identify potential benefits and risks which can contribute significantly to patient outcomes.

Malgorzata Serafin

Information coming soon!

George Lawrence & Graham Dunn

George is a Senior Technician specialising in Prosthetics, Orthotics and Bespoke Shoemaking. Currently he works with Buchanan Orthotics as a Quality Development Specialist. George started his varied career over twenty-five years ago at Stracathro Hospital as a shoemaker-fitter. Following from this he became an Orthotic Technician at Dundee Royal Infirmary NHS Tayside. George also worked at the NCTPO, University of Strathclyde. Subsequent to this he worked at Perth Royal Infirmary, NHS Tayside as a Senior Lead Orthotic Technician.

 

 

 

 

 

Since graduating in 2004 Graham has worked in several different clinical settings. Starting his career working in the Midlands with Ottobock before moving to Leicester with Blatchfords. More recently he was employed in the Private sector for Dorset Orthopaedic and Ottobock as a clinical specialist Orthotist. This work lead to a specialism in Stance control Orthosis and Custom Carbon fibre devices.

Graham currently works for Buchanan orthotics in a development role focusing on emerging technology’s within footwear and orthotic production.

In addition to this he provides cover to NHS clinics as well as undertaking Private and Expert witness work.

Title: Footwear adaptions combing a technical and clinical perspective

Footwear adaptions are an often-underused clinical tool however when used and done correctly can have a great impact on a person’s life.

Adaptions are often poorly taught to Orthotists who often rely on basic adaptions can have difficulties specifying them accurately.  We aim to cover the clinical reasoning behind some sole adaptions as well as technical insight to achieve the best result for patient.

So, both technician and clinician can understand the science and clinical reasoning behind these adaptions.

Mick Barton

Role – Operations Manager at MAG Orthotics

Over the past 35 years I have held various roles in the field of Orthotic  & Prosthetic Manufacture from apprentice Orthopaedic Blacksmith at the start of my career in Orthotics at Ellis Son & Paramores to my current position leading the Operations function at MAG Orthotics – Quality, Environmental, GDPR, Health & Safety, Training and Site facilities / maintenance to name a few!

 

 

Saturday

Dr. Mike Dillon

 

Dr. Michael Dillon is an Associate Professor in Prosthetics and Orthotics, and currently serves as the Associate Head, School of Allied Health, Human Services, and Sports at La Trobe University as well as an Editor-in-Chief of Prosthetics and Orthotics International. Dr. Dillon is a graduate of La Trobe University and during the early part of his career, he worked as a prosthetist/orthotist in public hospitals as well as private practice. Dr. Dillon obtained a PhD in biomechanics and biomedical engineering from Queensland University of Technology prior to commencing his academic career at Hong Kong Polytechnic University and later La Trobe University. Dr. Dillon has taught across a diverse range of curriculum areas including transfemoral prosthetics, foot-ankle orthotics, and critical appraisal subjects that look to help students and experienced clinicians become informed consumers of the research evidence.  Dr. Dillon’s research is similarly diverse given studies in areas of biomechanics, epidemiology, quality of life and outcomes after lower limb amputation. In recent years, Dr. Dillon has led a small international collaboration to develop shared decision making resources that can help clinicians, and those facing the prospect of amputation, engage in meaningful conversations to help inform difficult decisions about amputation surgery.

Title:  Informing difficult decisions about dysvascular partial foot and transtibial amputation using a shared decision making approach.

Many people facing the prospect of amputation surgery are anxious about the likely outcomes, and concerned about whether they’ll walk again. It is often assume that having the least invasive amputation surgery will result in the best outcomes. However, about 40% of people will experience significant complications in the months following dysvascular partial foot amputation. 25% of people will need another amputation on the same limb within the year. Outcomes related to mobility and quality of life are not demonstrably better following partial foot amputation than they are for people living with below-knee amputation, despite the higher risk of complications and reamputation.

In our interviews with people about their experience of partial foot amputation, we were surprised by how poorly informed many people were about the surgery itself and the likely outcomes.  We also recognised the many challenges helping to inform these difficult decisions given the impact that many pain medication have on cognition and recall.

If people are to help people make a truly informed decision about amputation surgery, and plan for the likelihood of complications down-the-road, we need to find better ways to help inform these difficult decisions.

In this talk, we’ll look at the outcomes of dysvascular partial foot and transtibial amputation based on a recent systematic review, what people have told us about the experience of limb loss, and discuss shared decision making as one approach to help inform decisions about amputation surgery and help people prepare for the journey ahead.

 

Simon Bartold (OETT Keynote)

Information coming soon!

Jessica Herrick

I am an engineer at Open Bionics, where we turn disabilities into superpowers. I have worked at Open Bionics over 2 years, starting within the company as an intern I have progressed into the role of Lead Configuration Engineer. My main responsibilities include: managing a team of Configuration Engineers who design the bespoke prosthetic Hero Arm, and running clinical training sessions internationally. I graduated from The University of Manchester with a 1st Class Honours in Mechanical Engineering focusing my studies on medical devices.

Title: Hero Arm Update
Updates on our world-first SBRI trial. This is an NHS England funded trial with children and young people across multiple NHS sites measuring functionality, psychological acceptance, and clinical experience. It is the first ever multi-grip bionic hand trial that is independent and not run by a private company.
Updates on data from the field. I will take this opportunity to share how users from different regions and demographics are using the Hero Arm. This will include an in-depth analysis of multi-grip bionic hand users across ages, genders, congenital, acquired, unilateral, bilateral, and delivered through different clinics in multiple countries. This is interesting because we are the only company providing a full system multi-grip myoelectric prosthesis; completing all fabrication, including sockets, in-house. We have over one year’s worth of learning to share.

 

Angus Harper

Information coming soon!

Katie Kinch & Laura Wiggins

Information coming soon!

Tim Cooney

Tim Cooney is an Orthotist with experience in Private and Public healthcare provision. With a study and working history in Australia, USA and the UK, Tim has a keen interest in material sciences and modern manufacturing processes.

Title: Composite Fibre Materials in Support of Orthotic Science

How can the exceptional composite materials used in high end fields such as Aerospace, Marine and Sports be used to benefit of the average orthosis user?

This session explores the clinical implications of these materials and their practical application into the prescription principles of Orthotists for the benefit of end-users.

Katie Prosser

Katie Prosser graduated from Salford University in 2014, and has worked as an orthotist around London since this time. She completed her MSc in Healthcare Management in 2019 from Anglia Ruskin University and currently works as a senior orthotist at Guys and St Thomas’ NHS Foundation Trust. She has experience of both the NHS and private sectors, working in both secondary and tertiary care settings.

Title: Orthotist Job Satisfaction: The Evidence and What Can Be Done.  

The UK is suffering from a national shortage of orthotists and the profession is losing members at an ‘alarming’ rate (NHS England, 2015.There is little research into why we are choosing to leave, and whether the high rate of privatisation is impacting on our job satisfaction.

This talk presents recent research which highlighted that 37.4% of orthotists surveyed in England and Wales would leave the profession of they could. The reasons behind this will be discussed and the differences between NHS and in-house orthotist responses contrasted. Possible methods of improving job satisfaction and retention of orthotists will be explored.

Mitchell Graham

Information coming soon!

Emily Greenan & James McVicar

Information coming soon!

Dr Malte Bellmann & Alan Gordon

Information coming soon!

Matt Pearson

Matt Pearson is a current second year Prosthetics and Orthotics student at the University of Salford. He has interests in both research and clinical practice in P&O and is currently involved in projects including tracking volume changes in residual limbs and 3D scanning as a tool for evaluating rectification in prosthetics education. Matt was part of a group of students who travelled to Uganda for an elective placement in the summer of 2019. Before deciding on a career change into P&O, Matt was a physics teacher at secondary level.

Title: P&O in Low and Middle Income Countries: Uganda, a case study

Public healthcare provision varies considerably across the globe. In many places, rehabilitative branches of healthcare including prosthetics and orthotics are understandably funded secondarily to emergency provision and therefore allocated limited funding. Professionals that work in these settings must be innovative and resourceful and improvise solutions that utilise the limited materials and tools at their disposal. Intermittent and unreliable supply chains present further clear and obvious challenges. These challenges are accompanied by unique opportunities and stories of success, often seemingly against the odds.

Uganda is one country that falls into this category. This summer, a group from the University of Salford spent a four-and-a-half week period in P&O centres across the country on a part-elective placement, part-research scoping visit. One of the aims for the visit was to continue the knowledge-transfer scheme run by UK based charity Knowledge for Change (K4C). The other principle aim was to evaluate the possibility of manufacturing components for a new design of upper limb prosthesis, using locally sourced materials and manufacturing processes for the ESPRC and NIHR Global Challenges research funded Fit-for-purpose (F4P) project.

Susie Fraser

Information coming soon!

Monica Smith

Monica Smith, Clinical trainer for medi UK. Experience in community nursing for over 30 years with specialist posts held in tissue viability and lymphoedema, setting up and managing the central clinic in Birmingham for 9 years before moving to medi in 2015.

Title: Fast and Simple ABPI assessment -allowing you to compress with confidence

Why is measurement of ABPI so important and what are the barriers to assessment of ABPI in clinical practice? Using an automated ABPI device to improve leg ulcer services will improve diagnosis and healing rates.