Introducing Mohammed – An Australia Awards Scholarship recipient

Introducing Mohammed – An Australia Awards Scholarship recipient

May 7, 2018

At ProMotion Prosthetics, we strive to do all we can to ensure our clients are able to achieve optimal outcomes and achieve their personal goals. However, it is not without the dedication, hard work and positive attitude of our clients that they will be able to reach their full potential. Needless to say, we are extremely proud of each and every one of our clients as we see them reach that potential and are always thrilled to be a part of their journey through rehabilitation and beyond.

One particular client whom we must acknowledge and owe a great deal of credit to for coming so far to achieve his goals is Mohammed. In early 2017, Mohammed arrived in Australia from his hometown of Malang, Indonesia to begin studying a Master degree in Law at the University of Melbourne. It wasn’t long after his arrival that we had the pleasure of being introduced to him.

Four years prior to this, he had undergone an amputation of his left leg above the knee after sustaining serious injuries in a road accident. Unfortunately, he was never fitted with a prosthesis in Indonesia, nor had he ever met a prosthetist. Unlike in Australia, Indonesia does not have in place the same level of funding for prosthetic or amputee rehabilitation services, creating a financial barrier to accessing such services for a large number of amputees. For those four years, Mohammed relied solely on a pair of crutches to ambulate.

Australia Awards Scholarship

The Australia Awards Scholarship is a fully funded scholarship from the Australian Department of Foreign Affairs and Trade awarded to students from low and middle-income countries. Mohammed was a recipient of this scholarship, and not only were his tuition fees covered but his necessary health expenses, including prosthetic management, were also supported. Mohammed was given the opportunity to be fitted with his first prosthesis.

Being fitted with a prosthesis for the first time can be an unusual and quite often challenging experience. In almost every case it requires significant amounts of time and practice in order to develop an ability to control the prosthesis and restore as much function as possible post-amputation. For Mohammed, learning to walk again posed an even more significant challenge given that his residual limb presented with marked weakness having not been used for the four years prior. Furthermore, he was simultaneously juggling full-time study in his second language and was also adapting to a new culture.

Nevertheless, Mohammed rose to the challenges always with a smile on his face and great gratitude for the opportunity which he had been offered. Over the course of a 10 months period, he received gait and strength training under the guidance of physiotherapist Jemma Keeves and his prosthesis was adjusted accordingly as his ability to ambulate with the prosthesis continually developed.

This concerted effort put into his prosthetic training has gone a long way and is a great example of how far strong will and persistence can take a person. On every occasion Mohammed came into ProMotion, there was an obvious improvement in his strength and mobility. From using a pair of crutches upon first prosthetic fitting to only a single-point stick for walking long distances and even climbing jungle gyms for a bit of fun, we were always thoroughly impressed. These improvements allowed Mohammed not only the ability to walk from class to class all over Melbourne Uni but also opened up opportunities to see more of Australia while he was here, enjoying visits to Adelaide and especially Tasmania along the way (look at that smile!).

Mohammed has now completed his studies, passing with flying colours. We must offer our greatest congratulations to him and all of his achievements over the past year. It has no doubt been a challenging road he has travelled but has done so always with great diligence and resilience.

Yet at the same time it was with some sadness that we also had to say farewell to Mohammed in February as returned home to Indonesia. We are sure his family would have been so proud to see him walk off the plane without crutches for the first time and also as a Master of Law. He has since let us know that life is
going very well now that he is back home and is pursuing work as a lawyer in either Surabaya or Jakarta, where he will have easier access to continuing prosthetic services.

Mohammed you have been an absolute pleasure to work with. All of us at ProMotion and your physiotherapist Jemma wish you all the very best success in your future career. You’re a shining example of the impact that a positive attitude and determination can have on a person and everyone around them.  Hopefully we will have the chance to see you again someday.

For more information on the Australia Awards Program. 

Mitch Farrar – Prosthetist, ProMotion Prosthetics

Mohammed on holidays

Mohammed on holidays

Mohammed on holidays

Mohammed on the climbing wall

Mohammed on the climbing wall

Mohammed on the climbing wall

Mohammed on the climbing wall

Mohammed on the climbing wall

Mohammed on the climbing wall

Mohammed making the most of his new mobility with his friends

Mohammed making the most of his new mobility with his friends

Mohammed making the most of his new mobility with his friends

Friends 2

Mohammed

Mohammed

Mohammed

How much water can your microprocessor knee handle?

How much water can your microprocessor knee handle?

Jun 30, 2017

In today’s climate of advancing prosthetic technology, the range of knees, feet, hands and other componentry that are available for amputees is ever-growing. With such large numbers of these products, it can be difficult to distinguish which activities each individual one is suitable for. As we described in our January 2016 blog Making a Splash with your Prosthetic Limbs, prostheses with specific components can be manufactured and fitted with some of these activities in mind.

Going to the beach or local pool, camping, fishing and taking the boat out are just some of the many recreational activities which many amputees may wish to enjoy in their spare time. It is for this reason that many prosthetic components are now classified as being either waterproof or water-resistant. Amazingly, this even includes most microprocessor knees technology.

Just like the latest smartphones and your GoPro camera, each microprocessor knee will be labelled with what is referred to as an Ingress Protection, or IP rating. This IP rating is important in defining just how protected a microprocessor knee is against water and dust getting into its electrical circuitry and potentially causing damage to its operation. It is most commonly made up of two numbers. The first number can range from 0 to 6, indicating the level of protection against dust and foreign objects, while the second digit can range from 0 to 8, indicating just how protected the knee is from water penetrating into its inner workings. With a few exceptions, the higher the number, the greater the level of protection.

Here are just a few examples of different microprocessor knee joints with varying levels of protection against penetration of water and dust:

Ossur Rheo Knee 3 and Rheo Knee XC: IP34

Ossur Rheo XC and Rheo3

The new Rheo Knee 3 and Rheo Knee XC both have been classified with an IP34 rating. This rating indicates that both knees are protected against foreign objects thicker than 2.5mm and also against splashing water coming from any direction. This means that you shouldn’t be too concerned if you got stuck in the rain with your Rheo Knee 3 or Rheo knee XC for a few minutes. That being said, showering with the Rheo Knee 3 or Rheo Knee XC is not recommended. Soapy, chlorinated and saltwater could still potentially cause harm and should be avoided. Should your Rheo be exposed to any conditions outside the IP rating, it must be reviewed by your prosthetist.

Otto Bock C-Leg 4 and Freedom Innovations Plié 3: IP67

Freedom Innovations Plie3

Otto Bock Cleg4

The Ottobock C-Leg 4 and Freedom Innovations Plié 3 both have a high level of protection against both foreign objects and water, with an IP67 rating. They have complete protection against dust particles for up to 8 hours of heavy exposure and can even be temporarily (no more than 30 minutes) submerged in fresh water up to 15cm deep. As such, an incidental splash of water while playing with your kids at the lake is nothing to be too worried about. However, like the Rheo Knee 3 and Rheo Knee XC, they are not designed to be routinely used whilst showering with soapy water or around salt or chlorinated water. If it is exposed to saltwater or chlorinated water, it should be rinsed off with fresh water straight away. It is also important to note that just because they may be submersible, it does not guarantee that they are protected against water jets, such as those projected from a powerful hose. Once again should these knees be exposed to any conditions outside this IP rating, you should inform your prosthetist quickly.

Ottobock Genium: IP54

Otto Bock Genium

The Ottobock Genium is also considered weatherproof, but not completely waterproof. It has an IP54 rating, which indicates that it is for the most part protected against penetration of dust, however, large quantities of dust may trigger complications. It also indicates that it is protected against splashing water, as is the Rheo Knee 3 and Rheo Knee XC. A bit of rain is nothing to worry about, but the Genium will be at risk of damage if it is submerged or sprayed with any hose or jet and most certainly should not come into contact with any soapy, salty or chlorinated water. If it does, it should gently be rinsed with fresh water, but may also need to be inspected by Ottobock technicians in Germany to make sure everything is still running smoothly.

Ottobock Genium X3: IP68

Otto Bock Genium X3

The Ottobock Genium X3 microprocessor knee unit offers functions very similar to that of the Genium, yet has the highest possible level of resistance to both dust and saltwater with an IP68 rating. This means it can is 100% protected from penetration of dust and can be submerged in water at least 1m deep for over 30 minutes and still remain operational at the same time. Furthermore, unlike other microprocessor knees, its parts have been designed with a corrosion-resistant coating which allows it to be used in saltwater and chlorinated water as well as freshwater, making it perhaps the most versatile of microprocessor knee units. However, it is still always recommended that the knee be rinsed off with fresh water after being exposed to saltwater or chlorinated water. It also must be recognised that while this IP rating permits the knee unit to be submerged in water, it does not guarantee that water will not be able to penetrate into the inner workings of the knee unit when projected in powerful jets or hoses.

It is important to recognise that the above information only applies to the microprocessor knee units mentioned and not necessarily other components that may be fitted to your prosthesis. As such although your knee may be used in or around water, it is possible that your foot or connecting components should not be. For this reason, it is always essential that you check with your Prosthetist what type of activities are safe to take part in if they potentially involve getting wet or simply being around water or dusty environments. If your current prosthesis is not suitable to use when heading to the pool or launching the dinghy, speak with them about different options that can keep you doing the things you love.

If you’re interested in learning more about the IP ratings and how they are determined, take a look at the link below:

http://www.webcitation.org/6DGYoRMwp?url=http://www.ce-mag.com/archive/06/ARG/bisenius.htm

Written by Mitch Farrar
Prosthetist, ProMotion Prosthetics 

Epworth Rehabilitation

Epworth Rehabilitation

Feb 1, 2016

As the exclusive accredited provider, we are dedicated to serving the unique needs of individuals who have experienced amputations due to road or work-related accidents.

Epworth Hawthorn stands at the forefront as a leading trauma centre, specialising in the treatment of patients who have acquired amputations. Our partnership with Epworth allows us to extend our comprehensive prosthetic services to all amputees completing their rehabilitation at this renowned facility.

At Epworth Hawthorn, we offer personalised programs catering to patients requiring inpatient, outpatient, and community-based rehabilitation. Our ultimate goal is to empower individuals, facilitating their return to a productive and functional lifestyle within the community. By maximising functional ability and enhancing quality of life, we strive to ensure a seamless integration back into the community.

With a specific focus on amputee and musculoskeletal rehabilitation, as well as orthopedic trauma, Epworth Hawthorn boasts expertise in these areas. Epworth Hawthorn boasts two fully equipped, state-of-the-art rehabilitation gyms on-site, including the cutting-edge Alter G treadmill and an advanced Driving Simulator. These exceptional facilities enable us to deliver the care and support each individual needs throughout the rehabilitation journey.

To access Outpatient Services at Epworth Hawthorn or Epworth’s Allied Health Clinic, more information can be found here.

ProMotion’s Prosthetists work alongside highly skilled physiotherapists, rehabilitation physicians, nurses, occupational therapists, speech pathologists, social workers, dieticians and psychologists to ensure a comprehensive and holistic approach to patient care is achieved.

 

Amputee Rehabilitation Services

The Epworth Amputee Rehabilitation Program offers a comprehensive range of care, treatment, education, and management for both inpatient and outpatient clients. Our services are designed to optimise your recovery and enhance your overall well-being.

The program encompasses various essential elements:

  • Education for Personal Care and Prosthetic Management: We provide comprehensive education to help you effectively manage personal care and optimise the use of your prosthetic device.
  • Post-operative Rehabilitation with Pain Management: Our team specialises in post-operative rehabilitation, focusing on pain management techniques to ensure a smoother recovery process.
  • Mobility Optimisation: We offer specialised training in prosthetic use and wheelchair mobility, helping you regain independence and maximise your mobility.
  • Pre-operative Assessment and Counseling: Our experts conduct thorough assessments prior to surgery where possible, providing valuable guidance and counseling to prepare you for the amputation procedure.
  • Emotional Support: We understand the emotional challenges that come with amputation. Our team is here to provide compassionate assistance, helping you adjust emotionally.
  • Recreational and Sporting Mobility: We offer recreational activities including specialised Running and Cycling programs in our High Mobility Groups led by skilled Exercise Physiologists. These programs are tailored to meet your unique needs and help you engage in active and fulfilling lifestyles.
  • Driving Re-training and Vehicle Modifications: Our comprehensive services include driving re-training and vehicle modification support, ensuring you can confidently return to the road after amputation.
  • Osseointegration: Our multidisciplinary team offers thorough assessments and post-operative rehabilitation for individuals considering osseointegration.
  • Long-Term Management of Amputees: We provide ongoing support and management for long-term care, ensuring your needs are met throughout life.
  • Outpatient Prosthetic Rehabilitation: Our outpatient program offers specialised prosthetic rehabilitation, providing continuous support and guidance as you adjust to your prosthetic device.
  • Gait Analysis: We conduct thorough gait analysis to assess your walking pattern and provide targeted interventions to improve your overall mobility.

Choose the Epworth Amputee Rehabilitation Program for comprehensive, individualised care that focuses on your unique needs. Our dedicated team is committed to supporting your recovery and helping you regain an active and fulfilling lifestyle.

Making a Splash with your Prosthetic Limbs

Making a Splash with your Prosthetic Limbs

Jan 26, 2016

Prosthetic Limbs

There are a lot of activities out there that you as a prosthetic user shouldn’t feel limited in doing, just because your prosthetic limbs don’t allow it. Did you know that we as prosthetists can design and manufacture limbs especially for you to take part in these activities? Gone are the days where you have to sit back and miss out on all the fun! Some of the activities when having a specialised prosthesis would be useful include:

GOING TO THE BEACH

Some people avoid the beach all together, because in the past sand and sea water haven’t gone well with prosthetic limbs, but now days there are a lot of components that have been rated as waterproof, and can make walking to/from the beach and enjoying the water with friends and family possible.

CAMPING/SHOWERING WITHOUT DISABLED BATHROOM FACILITIES

Clients have commented that having a waterproof prosthesis opens up a lot of opportunities when traveling or camping, when you don’t have to be restricted to hotel rooms or cabins with disable shower facilities. Having a prosthetic leg that you can wear in the shower makes this so much easier.

SWIMMING

If you want to improve your fitness in the pool, a specialised swimming arm or leg can help you build strength and technique while you swim laps.

RUNNING

Perhaps running is more your way of keeping up your cardio fitness, so a specially design running leg can be made, purely made for running and running and running!

CYCLING

Historically, prosthetic legs have used shoes with cleat attachments in them, on their prosthetic foot, however direct attachment of the cleat to the prosthetic leg has been preferred by some cyclists, as it allows a more direct transfer of power when peddling. And for prosthetic arms, there are ways to attach directly to the handle bars, to help control the bike when riding, but with a quick release function, in the case of the rider coming off the bike.

GYM

There are plenty of terminal devices for prosthetic arms that can be used for working out at the gym, which help hold on to weights and bars like this type of attachment. I Am Adaptive is an organisation that has a facebook page that posts pictures and videos of prosthetic users of all shapes and sizes coming up with creative ways of working out. There are some amazing ways to achieve results from people out there, so it is well worth a look.

PROSTHETIC DESIGN

The way your prosthesis looks is up to you. There are endless ways to make your sockets colourful, as well as covers for your limb to help tie in your individual image of yourself with your limb. These days, we as Prosthetists can incorporate pretty much any design into your socket and limb, so if you have an idea of how you want your prosthetic limb to look, share them with your Prosthetist.

A History of Prosthetics

A History of Prosthetics

Jan 15, 2016

A History of Prosthetics from Egyptian toes and Pirate legs… how far have we come?

Considering the very first prosthetic toe, seen here on this Egyptian mummy was made from a paper maché type mixture of linen, glue and plaster… we’ve come a long way in the development of Prosthetic materials and technologies. Nowadays, we see more modern materials, such as carbon fibre, titanium and fiberglass in the make up of our custom prosthetic sockets, and with technologies incorporated into our componentry,that include vacuum systems, microprocessor units and shock absorbers, that journey since that first mummy’s prosthetic toe dating back to 600BC has been a long and winding one.A History of Prosthetics - egyptian toe

On my quest to find out more about the history of Prosthetic limbs, I came across this fantastic article “Wooden Legs and Duck Feet: A Brief History of Prosthetic Innovation”, written by Lex Berko, that outlines this exact topic. Happy reading!