Tuesday , October 24 , 2017
Newsletter September 2013
International Society for
Prosthetics and Orthotics,
Australian National Member Society
Kiribati Project Update:

Donations from Ossur Asia-Pacific and JAPO Make Shipping of Donated Goods for Temporary Workshop Possible

It is with great excitement that the ISPO Outreach Committee announce that the shipping container with donated goods for the setup of a temporary P&O and rehabilitation service has arrived in Kiribati!

This was made possible by the very generous sponsorship of:
Ossur Asia-Pacific and the Japanese Academy of Prosthetists and Orthotists whom have donated the total cost of freight of the container from Australia to Kiribati.



‘Kam Bati n Rabw’a!’ (Thank you very much!) to Ossur Asia Pacific and JAPO!

The ISPO Outreach Committee and Tungaru Rehabilitation Service, Kiribati would like to take this opportunity to once again extend our thanks to the wider P&O community for their interest and support for the project; in particular to the following companies that have generously donated goods:
  • Algeos
  • Reis Orthopaedics
  • Gadean Footwear
  • Law Comfort Pty Ltd
  • OAPL
  • Royal Melbourne Hospital Prosthetics & Orthotics Dept.
  • Geelong Football Club

Next Steps - ISPO Signs MoU with Motivation Australia for Exciting New Project

The ISPO Australia Outreach Commitee will send a volunteer to Kiribati in the coming months to assist with the set up of the temporary workshop and train the local staff in the use of the new equipment. The workshop will be equipped to fabricate foot orthoses, perform shoe modifications and allow for modifications and repairs to existing P&O devices in the community.

The visit of an ISPO Volunteer proves timely - the ISPO Outreach Committee are very proud to collaborate with Motivation Australia to contribute towards a fantastic new project - ‘Keep Moving’ - to be piloted in Kiribati.

Last week, ISPO Australia signed a memorandum of understanding with Motivation Australia for the project. The work will primarily involve drafting and reviewing education materials for priority areas of offloading wounds and non-prosthetic mobility. The ISPO representative, whilst in Kiribati for the set-up of the temporary workshop will assist Motivation Australia to implement the pilot.

Keep Moving

Across the many Pacific Islands nations, rates of amputation secondary to complications of diabetes are alarmingly high and still increasing. There are major challenges in the prevention of diabetes and secondary complications; specifically amputation. There is also a serious lack of effective management and support for people who receive an amputation. Functional outcomes are poor and mortality rates are high. Of further concern, these amputations are occurring in 30 and 40 year olds.

The World Health Organisation Western Pacific Regional Office have commissioned a project to initiate the development of training resources that build the skills and capacity of people in the Pacific Islands to prevent lower limb amputation and to support the return to mobility for people who have had an amputation. The work is intended to complement existing initiatives underway in the region, including reviewing existing resources in use across the world and considering their relevance for the region.

The project is being directed by Motivation Australia, a not-for-profit disability and development organisation that works in partnership with local organisations to enhance the quality of life of people with mobility disabilities in the Asia Pacific region. Motivation has strong networks through the Pacific region and experience in delivery of similar projects, most notably their work on WHO’s Wheelchair Service Training Package.

Working group meeting

To initiate the project, Motivation Australia and the Fiji National University (FNU) jointly convened a two day Working Meeting on the 30th and 31st of July 2013 at the College of Medicine, Nursing & Health Science, FNU. The meeting was attended by 20 stakeholders from Fiji, Tonga, the Solomon Islands and the Marshall Islands. The ISPO Australia Outreach Committee was represented by Dr Lauren Fortington, an orthotist with clinical experience in high risk foot management and a research background in lower limb amputation.

The main goals of the Working Meeting were to finalise the conceptual framework and set priority areas for the training packages. We encourage you to read the meeting report, which includes an overview of the presentations and discussions and presents the outcomes and directions for the project.

Please follow this link to read the full report - HERE

ISPO members who are interested in contributing to this project are invited to contact us at outreach@ispo.org.au.
Perspectives from Prosthetics and Orthotics International

In an effort to promote awareness of current research in the Society’s journal, ISPO Australia will publish a short communication in each newsletter that focuses on a topical piece. The first of these perspectives draws attention to recent research published in Prosthetics and Orthotics International that contributes to a broader understanding about the incidence of lower limb amputation. 1, 2

If you would like a particular topic to be addressed in an upcoming newsletter, or would like to make a contribution, please contact sci-ed@ispo.org.au

Changes in types of lower limb amputation in Australia
While the incidence of lower limb amputation has remained constant in Australia, the types of amputation have changed considerably.

International accords such as the St Vincent’s Declaration3 and national strategies such as the Australian National Diabetes Strategy and Implementation Plan4 were introduced to reduce complications of diabetes, including lower limb amputation.

Recent Australian research found that the incidence of lower limb amputation has remained constant over the last decade2. There is a complex and interesting story that belies this observation.

The researchers found a considerable shift in the type of amputations occurring; the incidence of transtibial and transfemoral amputations have declined while partial foot amputation - principally digit amputations -have increased proportionately.
Specific reasons for the change in incidence patterns in Australia, and indeed worldwide, are unknown.
Incidence rates are not reflective of the quality of care provided 5 and may be influenced by any number of factors, including: changes in the population at risk; access to foot clinics; the skills, knowledge and preferences of the surgical team; or even changes in the way the statistics are recorded. In the case of the Australian research, the authors give an illustrative example that improved awareness and screening of diabetes, along with better management of high blood glucose and lipid levels at a community level, may reduce the severity of late-stage complications. This may make distal partial foot amputation a more viable alternative where previously transtibial amputation was necessary.

Despite a clear reason for the change in amputation patterns, the impacts of these observations are wide reaching. As one example, we might expect an increase in the demand for specialist high-risk foot clinics that provide follow up for persons with distal partial foot amputations, including foot orthoses and appropriate footwear.
If you’d like to learn more about changing incidence rates of amputation in Australia, and globally, the following publications are available in the Society’s journal Prosthetics and Orthotics International.  
1.   Fortington LV, Rommers GM, Postema K, van Netten JJ, Geertzen JHB and Dijkstra PU. Lower limb amputation in Northern Netherlands: unchanged incidence from 1991-1992 to 2003-2004. Prosthetics & Orthotics International. 2013; 37: 305-10.
2.   Dillon MP, Kohler F and Peever V. Incidence of lower extremity amputation in Australian hospitals from 2000-2010. Prosthetics & Orthotics International. 2013; In press.
3.   Landry GJ, Silverman DA, Liem TK, Mitchell EK and Moneta GL. Predictors of healing and functional outcome following Transmetatarsal amputation. Arch Surg. 2011; 146: 1005-9.
4.   Colagiuri S, Colagiuri R and Ward J. National diabetes strategy and implimentation plan. Canberra.: Diabetes Australia, 1998.
5.   Jeffcoate WJ, van Houtum WH. Amputation as a marker of the quality of foot care in diabetes. Diabetologia 2004;47:2051-2058.

Science and Education Committee Welcomes New Members

Earlier this year, the Science and Education Committee welcomed two new members, Ms Sarah McDonald and Ms Kaori Oka.

Sarah McDonald
Sarah is a registered psychologist and research coordinator at the University of Sydney. In addition to running a multi-centre Beyond Blue funded randomised controlled trial of depression in older adults with chronic medical conditions, she is also a candidate for a Doctorate of Clinical Psychology & PhD at the University of Sydney. The development of a theoretical model of body image for individuals with an amputation and diabetes formed the core of her PhD Research. Her research interests include body image and psychosocial outcomes associated with illness, disability and associated treatments/devices.

Kaori Oka
Subsequent to obtaining a B.A. in Psychology and P&O Cat II education in her native Japan, Kaori moved to Australia for further study in 2005. She has worked for various Prosthetic facilities in Australia and is currently based at Caulfield Hospital in Melbourne. She is especially experienced in lower limb prosthetics, treating both long-term and recent amputees as part of a multidisciplinary team.

Kaori and Sarah have been invaluable contributors to the current SEC initiative, to offer a Mental Health First Aid course tailored to allied health professionals who work with users of prosthetic and orthotic devices.

We are delighted to have them on board.

Renee Mackenzie
Chair. Scientific and Education Committee


ISPO Australia recognises outstanding scholarship at the La Trobe University Faculty of Health Sciences Prize Ceremony
ISPO Australia proudly presented three outstanding students with awards at the Faculty of Health Sciences Prize Ceremony at La Trobe University on Thursday 25 July 2013.
The ISPO Australia awards recognise the achievements of outstanding students in the Bachelor of Health Sciences and Masters of Clinical Prosthetics and Orthotics courses, at the National Centre for Prosthetics and Orthotics, La Trobe University.
Professor Karen Dodd, Executive Dean, Faculty of Health Sciences presided over the ceremony and prizes were awarded by Professor Andrew Brennan, Pro Vice-Chancellor, Research, and ISPO Australia Vice-President, Dr Lauren Fortington.
We extend congratulations to Mr David Thomas who was recognised as the most outstanding student in the final year of the Master of Clinical Prosthetics and Orthotics. Mr Thomas will receive one-year full membership to ISPO Australia and complimentary registration to an ISPO Australia course or conference.
In keeping with ISPO Australia’s efforts to promote evidence based practice, we are delighted to recognise Ms Zoe Johnson and Ms Olivia Lucas for their outstanding achievement in the second year subject, HLT2IEP Integrating Evidence into Practice. Ms Johnson and Ms Lucas will each receive a one year student membership to ISPO Australia.
We congratulate Mr Thomson, Ms Lucas and Ms Johnson for their outstanding academic achievements in the Bachelor of Health Sciences and Master of Clinical Prosthetics and Orthotics, and to La Trobe University for their administration of the awards.

Professor Andrew Brennan, Mr David Thomas, Dr Lauren Fortington at the Faculty of Health Sciences prize ceremony.

Professor Andrew Brennan, Ms Olivia Lucas, Ms Zoe Johnson and Dr Lauren Fortington at the Faculty of Health Sciences prize ceremony.

Mental Health First Aid for Health Professionals – A tailored approach.

In 2011, the ISPO Annual Scientific Meeting explored the Psychosocial Impact of disability and limb loss. This meeting included a broad range of presenters who discussed the reality and nature of psychosocial concerns for many of our clients.  Ms Betty Kitchener is the founder of Mental Health First Aid and presented an invited address at this meeting on the advantage of mental health literacy in clinical practice.  

The Science and Education Committee of ISPO Australia is delighted to announce that they will be partnering with the team at Mental Health First Aid, with the plan offer MHFA courses tailored to health professions who work with people with disability and limb loss.

Attendees of these courses can expect the curriculum to be delivered in the context of working with our particular client group. This will include the opportunity to work through case based examples and discuss their own clinical experiences in this area.
 The first of these courses will be available in 2014 with the view towards offering them in a range of locations across the country. Further information will be available in due course.

If you are interested in attending a course in 2014 or hosting a course at your facility, please contact Kaori Oka via e-mail: K.Oka@cgmac.org.au
For more information on the Mental Health First Aid course, please visit their website: www.mhfa.com.au
Renee Mackenzie
Chair. Science and Education Committee.

New ISPO eLecture!
Intelligent Biomechanical Machines

ISPO is proud to announce the release – for ISPO Members only – of a new eLecture on its website: Prof. Dr. Edward Lemaire’s keynote address on Intelligent Biomechanical Machines, presented at the ISPO 2013 World Congress.
Follow this link to access the video (scroll down to the bottom of the page). ISPO members in good standing can access the lecture by entering their login and password in the login fields on the right hand side of the ISPO website.
This lecture is part of the ISPO lecture series, which seeks to provide access to, and archive, some key lectures in broad discipline areas from around the world. One of the most important emphases of the series is to capture and share keynote addresses from ISPO Biennial World Congresses and from regional or national Member Society events around the world.
The eLearning Subcommittee of the ISPO Education Committee welcomes proposals from ISPO Member Societies, and will solicit contributions from national and regional meetings, World Congresses and directly from presenters.
Don’t hesitate to contact us in case you have any issues with accessing the video.

Enjoy the lecture!
The ISPO Team

The International Society for Prosthetics and Orthotics (ISPO) and its Education Committee would like to kindly remind you to fill in this reply card by 16 October 2013 to express your interest in attending the first ever ISPO Global Educators Meeting, to be held from 25-27 June 2014 in Kobe (Japan)! NOTE: in case you have already filled in the reply card, please do not complete it again.
This three-day event will host orthotic and prosthetic educators and stakeholders from across the globe, with content inspired from survey responses provided by you, the P&O educators. Follow this link or download the attached document to check out the flyer announcement with further details on the event and the preliminary programme!
The Kobe College of Medical Welfare has graciously offered to host the event at the college and surrounding venues. The meeting will provide participants with opportunities to experience the beautiful culture of Japan. Participants will be asked to pay an attendance fee and arrange for their own flight and accommodation. ISPO is currently seeking funds that would allow it to provide partial support to representatives from less resourced countries.
If you have any questions, please do not hesitate to contact us at ispo@ispoint.org.
We look forward to your replies!
Kind regards,
The ISPO Team
International Society for Prosthetics and Orthotics,
Australian National Member Society.
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