Anatomical Concepts (UK)
Masters of Rehabilitation Engineering

Derek Jones: Anatomical Concepts (UK) Blog

Opinions, Ideas & News from Derek Jones and Anatomical Concepts (UK) Ltd

Electrotherapy, FES and it's historical roots

Functional Electrical Stimulation and its parent topic, Electrotherapy have been around a long time now but it seems to me are still not well-understood or embraced in the mainstream of healthcare in the UK. In a series of articles im going to take a look at this topic from a number of points of view. In this first article we peek at the historical roots of electrotherapy.

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Trying an Indego exoskeleton in 2019

As we pointed out in a recent article “How to Buy an Indego Exoskeleton”, we expect that potential users will want to try each exoskeleton on the market and explore what they can do. This is not something that should be done with a “quick demo”. In fact, it might be unsafe to take this approach because each exoskeleton will demand a certain level of “competence” from the user to get the best out of it.

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IndegoDerek JonesComment
What use is a PRAFO Ankle Foot Orthosis in 2019?

Lack of mobility tends to increase the risk of pressure sores and the heel is particularly vulnerable to ulceration. The PRAFO® range is perfect for all patients with compromised mobility and at risk of developing pressure sores at the heel.  It is not the only device on the market now but it still offers the best spread of functionality. When thinking about pressure relief it is important to remember some broader clinical objectives that can shape your choice of device.

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How to buy an Indego exoskeleton

Purchasing something like the Indego exoskeleton is potentially a life-changing event and deserves careful consideration. You should at least consider - Why would I purchase an exoskleton? What would I like to think, feel and be able to do? Is this purchase realistic based on guidance from my clinical advisors? It is a good idea to try all of the exoskeleton systems that are available if you can.

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Derek JonesComment
Fitting the E-Rom or Quad elbow orthosis

The E-ROM and Quad elbow orthoses are two of the popular designs in the Anatomical Concepts range of elbow orthoses. The designs share a common overall structure with a “single strut design” that positions the jorthotic joint behind the elbow. This makes these designs comfortable for patients to wear - leading to better overall compliance with useage. A video shows the general fitting procedure. You can turn the subtitles on and off as you choose.

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Comparing the Indego exoskeleton and the Tek RMD

As we noted in a recent article, we are sometimes asked, “You work with both the Indego Exoskeleton and the Tek RMD - which is better?” This is really like trying to compare oranges and apples. It very much depends on the functional ability and aspirations of the individual client. Whilst both can potentially allow someone with lower limb paralysis to stand and move, both products have very different features and benefits. Both are outstanding products but their true value can only be judged in relation to individual goals and priorities.

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Fitting and adjusting a 650SKG PRAFO

The 650SKG is an easy to fit PRAFO (Pressure Relief Ankle Foot Orthosis) design that is ideal to protect the heels of an at-risk patient. It is only the only design on the market with a metal upright and intrinsic walking base to ensure safe positioning and protection of the heel whether the patient is in bed, wheelchiar or carrying out limited ambulation. Here we look at fitting and adjustment.

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The PRAFO and preventing pressure sores

The PRAFO designs of ankle foot orthoses are an effective way of (ideally) preventing or healing pressure sores at the heel. So why are these designs successful in achieving this in both immobile and ambulant patients? The answer to the PRAFO’s effectiveness is very simple - even if understanding how pressure ulcers can develop is complex. In this article we touch on the biomechanics of pressure ulcers.

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