Notes from meeting with Hanger Clinic Staff
Date: 7.23.18
Time: 10:50 AM – 12:15 PM
Location: Hanger Clinic, 3440 Losey Blvd South, La Crosse,
WI 54601
Project Team Members: Alex & Mr. Johnston
Staff Interviewed:
Bob Loper (Branch manager)- Certified Prosthetist and
Orthontist
Michael Schmitt, Certified Prosthetist and Orthontist
1 Lower limb would be better to harvest kinetic energy because there is more movement. Upper limbs can be more static.
2 Average pinch force of a hand is 17 lbs.
3Electric hands break more easily usually in moving a load from the index to the pinky fingers. They run on 2500 mA and are good from 24-48 hours.
4. Insurance is the problem as it will normally only pay for one. Some people could use both a electric and a mechanical arm. Think of them as tools in your tool box for different applications.
5. Creating a socket can be around $7000. New flexible sockets are made with polyurethane and can have silicon sleeves.
6. When a person loses a limb they go through a grieving process just like you do when you lose a loved one.
7. The Orthontist builds a relationship with the person. This sometimes is for a lifetime.
8. The places we can develop the most movement to generate kinetic energy is the ankle and knee. There is also a small bit of tib/fib rotation that could be harvested.
9. Many limbs are made of carbon fiber. The freedom foot costs $2000.
1 People are fitted for a prosthesis but it is not like buying a car, they do not get take it for a test drive. Basically what you see is what you get.
Inclines are the hardest for amputees to navigate (both up and down).
The type of artificial limb you get is determined by their current or potential functioning status. They are given a K level (See below):.
Level 0 -Does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.
Level 1-Has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. Typical of the limited and unlimited household ambulator.
Level 2-Has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. Typical of the limited community ambulator.
Level 3-Has the ability or potential for ambulation with variable cadence. Typical of the community ambulator who has the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.
Level 4-Has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels. Typical of the prosthetic demands of the child, active adult, or athlete.
1 Lower limb would be better to harvest kinetic energy because there is more movement. Upper limbs can be more static.
2 Average pinch force of a hand is 17 lbs.
3Electric hands break more easily usually in moving a load from the index to the pinky fingers. They run on 2500 mA and are good from 24-48 hours.
4. Insurance is the problem as it will normally only pay for one. Some people could use both a electric and a mechanical arm. Think of them as tools in your tool box for different applications.
5. Creating a socket can be around $7000. New flexible sockets are made with polyurethane and can have silicon sleeves.
6. When a person loses a limb they go through a grieving process just like you do when you lose a loved one.
7. The Orthontist builds a relationship with the person. This sometimes is for a lifetime.
8. The places we can develop the most movement to generate kinetic energy is the ankle and knee. There is also a small bit of tib/fib rotation that could be harvested.
9. Many limbs are made of carbon fiber. The freedom foot costs $2000.
1 People are fitted for a prosthesis but it is not like buying a car, they do not get take it for a test drive. Basically what you see is what you get.
Inclines are the hardest for amputees to navigate (both up and down).
The type of artificial limb you get is determined by their current or potential functioning status. They are given a K level (See below):.
Level 0 -Does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility.
Level 1-Has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. Typical of the limited and unlimited household ambulator.
Level 2-Has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. Typical of the limited community ambulator.
Level 3-Has the ability or potential for ambulation with variable cadence. Typical of the community ambulator who has the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion.
Level 4-Has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels. Typical of the prosthetic demands of the child, active adult, or athlete.
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| Mr. Looper demonstrating a prosthesis |
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| Alex holding and example prosthesis. |
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