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ORTHOTICS, PROSTHETICS, TANGIBLE REHABILITATION

Sadeeq AliPhD Scholar

University of Malaya, Malaysia

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Overview

• Prosthesis• A medically prescribed appliance which

replace the missing body part.

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• Orthosis• A medically prescribed appliance which correct,

support and maintain the correction of the deformed or disable part of the body.

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Prosthetist & Orthotist

Prosthetist: Designs, fabricates, and fits prostheses for persons who have lost a limb due to an injury or disease.

Orthotist: Designs, fabricates, and fits orthoses to support limbs or spine affected by muscle or ligament weakness, paralysis, or lack of muscle control.

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History of prosthetics treatment• In the dark ages the amputee only

used the peg leg or hand hook

• With the birth of the great civilizations of Egypt, Greece and Rome came the development of the scientific approach toward medicine and subsequently prosthetic science

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History of prosthetics treatment

• In 1696, Pieter, a Dutch surgeon, introduced the

first non-locking, below knee prosthesis

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History of orthotics treatment

• Archaeologists have uncovered specially fabricated braces in Egypt that date back to 2500 BC .

• Later there are records that some blacksmiths makers became known for fabricating devices for injured people.

• craftsman began to specialize in fabrication of devices

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History of orthotics treatment ….cont

• In Camper down, New South Wales, Australia’s first hospital based full time Orthotic Department was established in 1911 at Royal Alexandra Hospital for Children (RAHC).

• Major advances in orthotics and prosthetics resulted from the increase of patients due to the First and Second world wars and the Polio epidemic of the 1940’s and 1950’s.

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Statistics

• Diabetes and trauma are the most common causes of amputation in most parts of the World.

• In 2030 Pakistan will be the 4th largest diabetic population in the world (Diabetes Association Pakistan)

• Major cause of amputation in Pakistan is diabetes and trauma (Bomb blast, mines, EQ, Car accidents)

4.3%3.4%

1.6%

Known Diabetes with Complications

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• These patients needs special prosthetic/orthotic rehabilitation to avoid further complications

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Rehabilitation of Patient

Patient

Ortho Surgeon

Psychologist

Rehab Physician

NursePhysio

Social worker

Prosthetist

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Rehabilitation of Patient

• After amputation Prosthetist/Orthotist play a significant role in the rehabilitation process of the patients.

• But the system available is not according to the International standard

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P & O Education

More than 75% of developing countries have no P&O educationOnly 24 schools in developing countries (less than 400 graduates annually)

Developing Countries

developing countries with P&O educationat least in one category

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PIPOS is the pioneer in P&O education in Pakistan

4-year education, Category-II Degree in P & O

Recently four P & O Schools are providing education in Pakistan

P&O Education in Pakistan

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Other Organizations providing P & O Services

ICRC HOPE PRSPParaplegic Centre

AND

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The growing need forProsthetists/OrthotistsIn developing countries

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Thanks to Helping Hand

• First Conference on Physical Rehabilitation in Pakistan

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Thank You