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National Center on Physical Activity and Disability

This web site has a wealth of information on adapted recreation and fitness for people with disabilities.
This web site has a wealth of information on adapted recreation and fitness for people with disabilities.

I recently visited a web site at www.ncpad.org, run by the University of Illinois, with a great deal of information about adapted exercise. Although I find the pastel font on a black background difficult to read, there are a number of resources that might be useful to P&O patients.

For example, there is a bibliography of references and resources for specific disabilities. I took a look through the "amputee" citations, and recognized most of them as good sources for information on sports and recreation for this population. This site also offers PowerPoint slide shows on related topics, a newsletter, chat group, and a wealth of other resources. I was chagrined to learn from one slide show that the totally unrealistic "$1500 lifetime coverage cap" we saw HMOs apply to P&O care a few years ago is now being applied to outpatient rehabilitation services as well.

Given the advances in materials, socket designs, and components for prosthetic rehabilitation in the past decade, I am increasingly convinced that one of the most major barriers to greater mobility for many of our patients is their lack of fitness. How many times have you done everything humanly possible to make the prosthesis stable, lightweight, and responsive only to discover that the amputee's hip muscles are so weak that they fatigue after 20 steps and the gait becomes increasingly erratic after that?

Traditional gait training is helpful in teaching people how to walk again, but the evidence is mounting about the value of strength and fitness conditioning to improve walking efficiency, and that properly adapted conditioning can help even the frail, elderly individual. Walking with less effort is equally important for our orthotic patients, and proper cardiovascular and strength training can be helpful to these populations too. This web site is a good place for the clinician to learn more about the benefits that increased physical activity can offer.



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Reader Comments:

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Ohio O&P Association meeting 4/12/02
John, Thanks again for your participation! I am wanting to get a copy of the presentation you gave on Thursday. Joe PS I hope this is the correct venue to request the info!

- Joe Whiteside LO,CO   4/16/2002


Re: Ohio O
This is fine. You can also request copies of the handout from the lecture on "How To Make A Presentation" via my personal email: JWM@CPOServices.com. Either way, I'm happy to send the outline. I will post it on next month's Corner as a d... read more

- John Michael   4/17/2002

Orlando Academy Meeting - Rheo?
Are you able to provide any information about the Ossur "Rheo" knee (workshop 20) that took place at the meeting on March 20th? Thank you.

- Tony   4/2/2002


Re: Orlando Academy Meeting - Rheo?
I was unable to attend that workshop because I was conducting the training for Horton's Stance Control Orthotic Knee Joint, but I understand that the topic was changed to OSSUR's new Ceterus foot and the knee was not mentioned. --John Mich... read more

- John Michael   4/2/2002


Re: Re: Orlando Academy Meeting - Rheo?
In response to intense interest in Ceterus, the new Flex-Foot® with responsive rotation, the decision was made to present this currently available product at the Academy meeting. The Ossur Mechatronix team is currently verifying the 'Rheo' ... read more

- Bob Seth, Ossur Product Manager, Knees,   4/9/2002


Re: Orlando Academy Meeting - Rheo?
That means the "Rheo" is likely behind schedule as I have heard rumored. Thank you very much for the info and the quick reply. You have been a great source for info on the C-Leg, I will keep a close eye on this web space for updates on thes... read more

- Tony   4/2/2002

La Esquina de John Michael en Español.
Ciudad de México 1° de Abril, 2002. Estimado John Michael C. P. O. Interesantes los artículos presentados en esta Esquina del mes de Abril. Esperamos la publicación en Español, para beneficio de los ortesistas de América Latina. Le envia... read more

- Alberto E. Castillo Moreno O.P.   4/1/2002


Re: La Esquina de John Michael en Español.
Dear Alberto- Please resend your translation to oandp.com; I think there was a problem with the email. Thanks. --John Michael CPO

- John Michael   4/2/2002


Re: Re: La Esquina de John Michael en Español.
Ciudad de México 2 de Abril, 2002. Estimados John Michael y Jon Shinn: enviamos nuevamente la edición de abril de La Esquina de John Michael traducida al idioma Español. Los articulos que se presentan son muy importantes para los practica... read more

- Alberto E. Castillo Moreno O.P.   4/2/2002


Re: Re: Re: La Esquina de John Michael en Español.
Estimado John Michael C. P. O. FAAOP: le enviamos un cordial saludo y le informamos a usted como miembro del Comité Iberoamericano de Educación en Ortésis y Prótesis que la Universidad Don Bosco y la Escuela de Protesistas y Ortesistas de ... read more

- Alberto E. Castillo Moreno O.P.   4/11/2002


Re: Re: Re: Re: La Esquina de John Michael en Español.
I am very pleased to learn that Don Bosco University will be conducting a Spanish language Distance Learning program for P&O faculty, under the auspices of ISPO. That is a wise idea and a very sensible way to implement DL. I'm sure the fa... read more

- John Michael   4/11/2002


Re: Re: Re: Re: Re: La Esquina de John Michael en Español.
Estimado John Michael: recibí su pregunta sobre la busqueda de un diccionario en español relacionado con Ortésis y Prótesis. No conocemos este tipo de diccionarios de términos médicos. Nosotros nos basamos para el trabajo de traducción en "... read more

- Alberto E. Castillo Moreno O.P.   4/23/2002


Re: Re: Re: Re: Re: Re: La Esquina de John Michael en Español.
Thanks Alberto- Hopefully the dictionaries you suggest will help the translator even though they are not specific to P&O. Best regards. --John Michael CPO

- John Michael   4/24/2002

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