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 Gary Berke
Gary M. Berke MS, CP, FAAOP, is a prosthetist with 33 years of clinical experience and is currently an Adjunct Clinical Associate Professor at Stanford University, in the Department of Orthopaedic Surgery. He is also the Owner of Berke Prosthetics & Orthotics in San Mateo, California. Gary has lectured nationally and internationally on prosthetic design and fitting and has multiple published papers and book chapters. He is a Past President of the American Academy of Orthotists and Prosthetists and winner of the Academy’s Titus Ferguson Lifetime Achievement Award. Gary has a passion for technology that properly serves the amputee population worldwide.
Talk 1.The Xtremity project: from idea to market
The Xtremity project is a US based start-up that hopes to bring new polymer to the market. Gary will discuss from a clinical perspective the process of design, iteration, testing, protocol, regulation for the US and UK marketplace. Emphasis will be placed on forwarding the knowledge of how to take an idea and making into a healthcare device on the market. The Xtremity system fills unmet clinical need for a socket that is easy to fabricate, fit and adjust in an attempt to improve comfort for the user.
Talk 2.Contact Detection in Myoelectric Prostheses.
Contact detection is a novel concept in an attempt to improve function in myoelectric prostheses. The use of opposing finger contact detection to raise the EMG threshold and stop hand motion can theoretically improve fragile item grasp and decrease cognitive demand of using a myoelectric prosthesis. Gary will discuss this CDMRP funded, IRB approved research project and its results on improving function in myoelectric prostheses. The work to date shows the impact of cognitive and visual load on able body persons performing various task and is a unique testing protocol.
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.
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 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 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.
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 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, fully qualified Technician with City and Guilds in Mechanical Production and Electrical Engineering from Kingston College and Sheet Metal Fabrication from Wandsworth College. Previously worked for J.E Hanger, Blatchford and Vessa. Currently working for Ottobock UK, as their Technical and Regulatory Affairs Manager.
Have been in the Prosthetic and Orthotic industry for more than 40 years and have had the privilege of working as a Technician in supporting the Paralympic, world Para and Invictus games on multiple occasions both in the UK and overseas.
Title: Material Science for KAFO manufacture
With declining numbers of KAFO users across the UK, exposure to KAFO assessment, prescription and manufacture may be limited to a small number per year.
During this session we will look at the different materials available for KAFO manufacture, the material’s properties and how this information can help us to select the most appropriate option for our KAFO manufacture. We will also consider technical issues and challenges faced by clinicians and technicians working with KAFOs, from the KAFOs presentation in clinic through to workshop review.
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.
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!
Dr Ali Jabran is a post-doctoral researcher at University of Salford (Manchester) on an NIHR StarWorks project. His research background lies in mechanical design and optimisation of medical devices. He attained his PhD in mechanical engineering at the University of Manchester on the parametric design optimisation of orthopaedic implants.
His current project aims to design and manufacture a mechanical device that decouples myoelectric prosthesis electrodes from the effects of socket movements, and allows adjustments to electrode pressure and orientation with respect to the skin
Evaluation of an Adjustable Myoelectric Prosthetic Electrode Housing for Children with Limb Absence
Myoelectric prosthesis control is reliant upon a stable electrode-skin interface. Electrodes need to be held in firm contact with the skin, be aligned in parallel to the target muscle fibres, and ideally not be dragged or lifted off the skin by the effects of socket movements. Clinical standard electrode housings are fixed within the socket walls, and offer little or no adjustment once fitted. We have developed an adjustable electrode housing that also decouples the effects of socket movement from the electrode within the socket. The device has been demonstrated to substantially reduce the number and magnitude of signal artefacts in adults with transradial limb absence, during simple, repeatable arm movements, when compared to similar use of the standard housing. Following further funding, we are now undertaking similar trials, on children with transradial limb absence
Up to three children are being recruited and alongside our previous analyses of using simple repeatable arm movements, we are assessing the device’s functionality compared to the clinical standard when used to play a myoelectrically-controlled game.
Our device has the potential to optimise control and functionality but still enable children to wear sockets that are comfortable, with some growing room. Overall, we anticipate that our new device could improve a child’s use of their myoelectric prosthesis and reduce the number of clinical visits.
Dr Matthew Dyson
I have a multidisciplinary background having worked in computer science, neuroscience and psychology departments before joining the School of Engineering at Newcastle University. My recent research has focussed on using muscle signals to control upper-limb prosthetic devices. During my postdoc I managed an NHS approved trial of a novel prosthesis control system for amputees. In 2018 I joined the NIHR Devices for Dignity MIC (D4D) Starworks Child Prosthetics Project. Following this, I took up a position as a Newcastle University Research Fellow to pursue independent research focussed on child prosthetics.
Children born with upper-limb difference typically reject a prosthesis unless it provides significant functional gain. For myoelectric prostheses (powered devices controlled by muscle activity in the residual limb) a core factor limiting functional gain is the method of control.
Our objective is to develop a child-friendly game-based myoelectric muscle training system using the principles of biofeedback. Our system is designed for low cost home-use. The assumption underlying our project is that myoelectric control can be implemented separately from a prosthetic device, allowing children to learn control before being fit with a prosthesis.
Our prototype was tested on a small group of children who provided feedback as part of an ongoing co-design process. Children played wearing a Shimmer3 electromyography (EMG) unit on their residual limb. The device detects and communicates both limb position and muscle activity which is used to control a virtual terminal device. After playing, children answered a short set of open questions.
All children were able to use the system and feedback on the perceived level of control was positive. A central issue for rehabilitation games such as this is how to sufficiently engage users such that they willingly perform activities that would otherwise be considered repetitive.
Dr Simin Li is senior lecturer in mechanics of biomaterials at Loughborough University, he is expert in mechanical testing and modelling of biomaterials across length-scales. He has developed novel capabilities for multi-scale modelling of damage and fracture in biological tissues. His research covers a broad area of mechanics of biomaterials, including musculoskeletal tissue modelling; characterization of tissue engineered constructs; damage and fracture propagation of bone; wound healing; prosthetic socket design and optimization. His research has led to multiple RCUK, government, and Royal society funded projects totalling over £3.1m in value, with £226k direct as PI and £536k as CoI.
Talk :Development of a digital design and manufacturing workflow for personalised paediatric prosthetic sockets
James Smith, James Gardner, Brad Kennon, Jatin Kumar, Nuradilla Alias, Todd Shepherd, Thomas Allen, Simin Li
Background: The functionality of socket-based prosthesis has improved since its conception, due to advancements in microelectronic technologies and material science. However, the fabrication steps of the socket remain largely unchanged. Existing sockets have fixed shape and rigidity, and therefore, are not fit for residual limbs of children which grow non-uniformly and experience both long- and short-term volumetric changes.
Aims: The project aims to develop a robust and personalised prosthetic socket that is comfortable, suitable for exercise, and adaptable to limb growth via digital design and manufacturing methods.
Methods: Three main areas of research have been explored in this project: a) develop an automated design workflow which can generate anatomically conforming socket geometry with spatial-varying auxetic structure using Rhinoceros 3D, via a developed Grasshopper routine; b) select and characterise functionally gradable materials for additive manufacturing of prosthetic socket components using material extrusion; c) characterise the mechanical performances of the additively manufacture socket components and prototype.
Results & Discussion: Progress made on the project thus far has been directed towards the development of a proof-of-concept prototype in all three mentioned areas. A fully-parametrized Computer-Aided Design (CAD) software-routine with 27 parametric set-points (can be further added/removed based on prosthetists’ requirement/input) was developed for increasing prosthetic forming efficiency with no or little requirement of CAD skills. A prototype socket with stiffness gradient stemming from novel CAD design, materials selection and auxetic structure design was realised. Each socket component was mechanically tested in both static and dynamic conditions, and the final prototype socket was tested using a simulated socket-testing apparatus in accordance with the standard (BS EN ISO 10328:2006). The result presented in this study demonstrated both the feasibility and challenge aspects of the proposed design and manufacturing workflow with recommendations for future improvement.
Dr Anthony McGarry & Navid Aslani
Dr Anthony McGarry
Senior Teaching fellow in the Department of Biomedical Engineering, University of Strathclyde for nineteen years. Completed a PhD for research in Prosthetics using CAD systems (2009). His research is focused on, shape capture methods, developing prosthetics treatment pathways, outcome measurement, prosthetic design, cosmetic appearance and gait analysis as a routine clinical tool for rehabilitation clinicians.
Navid received his MSc degree in Mechanical Engineering from Politecnico di Milano University in 2014 and his PhD degree in Biomedical engineering from Bournemouth University in 2017.
He was working as a KTP Associate for Ability Matters Ltd & the University of Strathclyde, since March 2017. Navid’s KTP project was about development of new innovative device for measuring the post-operative dimensions of the residual limb of amputees.
Navid has been R&D Lead in Ability Matters Group since March 2019. His current research interests include measurements systems in prosthetics, artificial limb design and the application of additive manufacturing in prosthetics.
Talk: Customisable 3-D printed covers for children’s prostheses
Children who are happier with the appearance of their artificial limb may be inclined to wear the device and use it more. The majority of children’s prostheses are fixed in shape and hard to the touch. The choice and style of cosmetic finishes are limited. Children and their families may value some interchangeability; allowing them to change their cover according to their mood, situation or changing tastes.
This project uses scanning and 3-D printing technology to develop low-cost high quality customisable covers. Individually printed covers seamlessly clip on over the surface of the existing structural shape, and are easy to remove or change according to the child’s choice and activity.
It is hoped that this process will help improve engagement with the prosthetic rehabilitation process. Design processes should be fun and promote positive discussion between the family, friends and the child about the prosthesis and the rehabilitation journey.
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)
Simon Bartold is a graduate of Adelaide University where he gained a Bachelor Degree in Science with majors in Physiology and Zoology. His further qualification in Podiatry was gained at the University of South Australia. He graduated with honours and was awarded the University prize for dux of the course. Simon holds postgraduate fellowships in Sports Podiatry with the Australian Academy of Podiatric Sports Medicine, in Sport Sciences with Sports Medicine Australia, and in Sports Medicine with the Faculty of Podiatric Medicine with the Royal College of Physicians and Surgeons (Glasg)
In 1998 he was awarded the prestigious Best Clinical Paper award for original research at the Australasian Conference of Science and Medicine in Sport. He repeated this feat in 2002 with a paper entitled “A Numerical Foot Model to Predict Sole Stability Parameters in Athletic Footwear”. In 2007 he was once again recognized for research excellence with a paper entitled “Effects of estrogen on the mechanical behaviour of the human Achilles tendon in vivo.”
It is the first and only time this award has been presented to the same researcher on multiple occasions.
In July 2009, Simon was awarded the Richard O Schuster Award by the American Podiatric Medical Association for outstanding contributions to Education and Research in the field of Biomechanics. It is the only time the recipient has been a non-North American native.
Simon has been an executive board member of the Australian Sports Medicine Federation (SMA) and Past President of the Australian Academy of Podiatric Sports Medicine, and remains the only podiatrist worldwide to ever hold a commission position with the International Sports Medicine Federation (F.I.M.S.).
He has been the consultant podiatrist to the Australian Institute of Sport Cricket Academy, The British Cricket Academy and the Indian Cricket Team as well as a number of state and national sporting teams. He was the Deputy Director of Podiatry Services at the Sydney Olympic Games in 2000, and again chosen for the medical teams in Athens 2004 and Turin 2006. He attended his 4th Olympic games in London in 2012.
In 2006-2009 and 2014-2015 he was consultant podiatrist to the Port Power in the AFL.
He has been an Editorial Board Member for the Journal of Science and Medicine in Sport and the Australasian Physiotherapy Journal and a journal reviewer for the Australasian Journal of Podiatric Medicine and the British Journal of Sports Medicine. He is also a member of the Advisory Committee for the Australasian Journal of Podiatric Medicine
Simon is a Fellow of the Faculty of Podiatric Medicine of the Royal College of Physicians and Surgeons (Glasg), a Fellow of the University of Melbourne at the centre for Health, Exercise and Sports Medicine (CHESM) and a Visiting Fellow at the University of Staffordshire. He has published over 30 papers in high impact peer-reviewed journals, has authored numerous book chapters and has lectured at international conferences in 37 countries.
His authored book, The Foot and Leg in Sport has just been e-published to great acclaim. Research interests include the technical aspects of athletic footwear and pressure/force measurement in relation to intervention parameters and injury.
Simon worked as International Research Consultant for the global body of the Asics Corporation until July 2013.
Since 2012 he has administered his website www.bartoldbiomechanics.com which has over 1000 members, including institutional membership from 3 of the 7 Universities of Podiatric Medicine in the U.S.A.
Simon currently lives and works in France in his capacity as Director of Strategic Programs for Amer Sports.
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.
Whilst travelling in South America in October 2017, Angus found himself paralysed below the neck with little hope of survival. The cause: Guillain Barrè Syndrome. Fortunately, the British Embassy intervened and organised for him to be taken to a better equipped hospital, where he was diagnosed and treated so that he could be medivacced to the UK. Once back in the UK, he underwent intensive rehabilitation with the intention that he would move and walk again, and finally regain independence. He has written a blog at inmymindiamfree.com and is in the process of writing a book about his experiences.
Since those life changing events of October 2017, I have spent 8 months as an inpatient and 18 months as an outpatient undergoing regular neurological physiotherapy. I aim to talk proactively about GBS and my experiences in managing a life with it. I will talk through my story in more detail, running through how a hospital in Bolivia differentiates to the NHS and UK treatments. As well as the therapies and techniques I found really helped me get back on my feet.
I will also spend some time talking through the emotional aspect of losing one’s independence at 21 and what I did to keep myself sane in such an unfamiliar environment.
To make the talk as constructive as possible, I will offer plenty of time to ask questions at the end.
Alex Gunter Profile (Co-host)
Alex has been with Angus from the start of his journey with Guillain Barrè Syndrome, and is here to support him today. She is very happy to answer any questions that you might have.
Katie Kinch & Laura Wiggins
Katie has been working as Lead Advanced Physiotherapy Practitioner (Paediatric Orthopaedics) in NHS Fife since 2016. Katie had been working as a Clinical Specialist post in since 2008. She gained her MSc (Dist) in Advanced Practice in 2013. She was awarded a Fellowship from the Association of Paediatric Chartered Physiotherapists (APCP) in 2018. She also has a Post Graduate Diploma in Lower Limb Orthotic Biomechanics from University of Strathclyde.
Katie has been involved with Cerebral Palsy Integrated Pathway Scotland (CPIPS) from 2011. She is on the APCP Cerebral Palsy Integrated Pathway UK National Network (CPIP UK NN) and is current Chair of the APCP Neurodisability group
Laura has worked as Physiotherapist for the WestMARC Gait laboratory since 2002 following completion of a Post Graduate Diploma in Clinical Gait analysis from Strathclyde University. She has also worked within Specialist Children’s Services NHS Greater Glasgow & Clyde as a Community Paediatric Physiotherapy Lead with a specialist interest in Neurodisability and Cerebral Palsy
She is a past Chair and Honorary member of the UK Association of Paediatric Chartered Physiotherapy.
Laura has been involved with development of the Cerebral Palsy Integrated pathway Scotland (CPIPS) since 2011, providing training workshops and presentations throughout the UK and Ireland
Title: Cerebral Palsy Integrated Pathway – what does it mean for our patients? What does it mean for professionals involved?
Children with cerebral palsy (CP) are at risk of developing musculoskeletal problems such as muscle contractures, displacement of the hip and scoliosis which in turn leads to pain, decreased function and increased difficulties with personal care.
Cerebral Palsy Integrated Pathway Scotland (CPIPS) was established in 2013 through collaborative work primarily between physiotherapists and orthopaedic consultants. The main goal of CPIPS is to prevent hip dislocation and severe contractures by early identification of these problems, enabling timely intervention.
Following the success of CPIPS, the Association of Paediatric Chartered Physiotherapists (APCP) began work in 2015 to expand this programme to all parts of the United Kingdom. The Cerebral Palsy Integrated Pathway UK National Network was established in 2016. The National network has representation from orthopaedic and medical colleagues. All APCP regions within the UK are now following the standardised, objective assessments for children with CP with some areas using the electronic database.
A key component to this patient management system is promotion of sharing clinical data between professionals to improve communication and outcomes.
There will be a main presentation detailing the evolution of CPIPS/CPIP, the rationale, success to date and plans for future. We will also have a smaller workshop for clinicians specifically treating children with CP. The workshop will go through the assessment as well as provide an opportunity of discussion/questions.
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 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.
Information coming soon!
Emily Greenan & Jimmy McVicar
Emily Greenan graduated from Strathclyde University in 2018 with a BA (Honours) in Prosthetics and Orthotics. After working within a commercial Orthotics company, she has recently joined the NHS, based in Forth Valley, Scotland. Emily has a specific interest in working within the paediatric service and this interest has stemmed from her role previously as an athletics/ multi-sport coach.
Emily represented Scotland in athletics at under 18 level, and following numerous injuries, she went on to become a UKA level 2 athletics coach, with a specific interest in disability sport. She coaches athletes with physical, sensory and learning disabilities. Several of the athletes that Emily coaches are on the autism spectrum and this is where her interest in the field of ASD began. Emily has always had a desire to combine both her interest in orthotics and sport and is beginning to look at auditing sports participation within Forth Valley with the support of Scottish Disability Sport and Forth Valley Disability Sport.
Jimmy McVicar graduated in 1997 from University of Strathclyde and is a Clinical Lead Orthotist working for NHS Lothian, based at Royal Hospital for Sick Children in Edinburgh.
He has spent time working in both NHS and for commercial orthotic companies gaining valuable experience being involved in multi-disciplinary clinics.
His interest in treating paediatrics began at University and has continued to progress throughout his professional career.
Helped establish and worked in a gait laboratory with Trulife in Birmingham.
Outside of work, Jimmy was involved as a football coach for 12 years where careful planning of various drills and exercises were designed to improve technique and physical ability. On match days psychological talks to individuals and the team as a whole prepared them to succeed on the pitch.
Talk title: Neurodiversity: Autism Spectrum Disorders
We wish to share our research and passion to help you understand more about Neurodiversity: Autism Spectrum Disorders (ASD) and to open your mind to new ways of treating this variation of “normal”.
Neurodiversity is a movement that wants to change the way we think about autism. It rejects the idea that autism is a disability and sees it instead as a neurological difference: one with a unique way of thinking and experiencing the world. The idea is that if autism is seen as a normal variation of the human experience, then those with autism will be treated more humanely and with more understanding that they might have different needs or different ways of coping.
There are thought to be over 700,000 people in UK diagnosed with ASD and through greater awareness and testing this number is increasing.
We will help you to recognise certain traits for undiagnosed children and how you may be able to sign post families to further information.
We will inform you what actions you can take to improve both your clinical environment and communication skills. You can develop these to make the whole experience for the child as unstressful and enjoyable as possible.
There are theories and evidence that pressure therapy may help the processing of sensations and we will explain them to you.
We look forward to seeing you all at our presentation and talking afterwards about your experiences and what changes you have made.
Dr Malte Bellmann, Alan Gordon & Hanna Brandt
Information coming soon!
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.
Information coming soon!
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.