Lance Anderson – The Rodeo Stuntman

Lance Anderson – The Rodeo Stuntman

May 16, 2016

Name:  Lance Anderson

Background information:

Lance Anderson, the ‘Rodeo Stuntman’ first qualified as a Stunt Performer in 1989, and brought with him over 10 years professional Rodeo experience. Competing extensively throughout Australia, Canada and the United States. Lance went on to win the 1978 World Bull Riding Title, proving himself to be a man dedicated to pushing the boundaries and earning a formidable reputation in all areas of stock work including Bull Riding, Bareback, Roping, Whip Cracking, Camel Wrangling as well as in practical skills such as welding and oxy cutting and operating heavy machinery.

Rodeo Lance Since that time, Lance has gone on to demonstrate that the commitment and versatility that served him so well in the professional Rodeo Circuit, has provided a strong basis from which to build his subsequent career as a Safety Supervisor & Stunt Performer. From precision and stunt driving to animal wrangling, rigging & wire work, high falls to body torches, street fighting and beyond, Lance has proved himself to be an asset both in front of the camera and behind the scenes. Sunrise feature a fantastic story on Lance recently… you can watch the video here:

https://twitter.com/i/status/1018276795295002624

 

Lance out for a ride

Testimonial from Lance…

“When I became an above knee amputee I was very apprehensive about what lay ahead for me. My fears were soon put at ease when I met Monique and David from Promotion Prosthetics. Their professional and knowledgeable approach to my problems made my transition to walking again a great experience. Their understanding of what I needed and the best way for me to achieve my goals, made every trip to Promotion Prosthetics enjoyable and when I left I felt confident with my prosthetic and what I could do, everything was explained and shown in detail and nothing was a problem for them. From horse riding to exercising, and a comfortable fitting prosthesis, I would not hesitate to recommend Promotion Prosthetics to anyone needing to get moving again. Great company and people to deal with.”

Advances in Prosthetic Technology

Advances in Prosthetic Technology

Feb 1, 2016

Limbs 4 Life has a free quarterly publication called Amplified which is distributed nationally free of charge in digital and print formats. Featuring profiles and perspectives from amputees, amplified covers a diverse range of topics including health and wellbeing, advocacy and articles relating to amputees. This fantastic read entitled Advances in Prosthetic Technology by Holly Franklin can read below. 

Download more editions from the Limbs 4 Life website.

L4L Amplified Summer_online

Registered NDIS provider

Registered NDIS provider

Feb 1, 2016

National Disability Insurance Scheme

I support the NDIS - Registered NDIS service providerCongratulations on taking the first few steps in your NDIS journey! Like with everything new, understanding the NDIS can seem a little overwhelming at first, however, we hope that with the following information you can feel better equipped with the knowledge you require to transfer your prosthetic service funding to the NDIS.

If you are a person with an amputation or limb loss, and you meet the NDIS’ access requirements, you can become a ‘Participant’ in the scheme.

ProMotion Prosthetics is a ‘Registered NDIS Provider’ and currently treats NDIS Participants for both upper and lower limb amputations or limb loss. If you’ve previously been treated under the Victorian (or other State’s) artificial limb program at a Public Department and are interested in transferring to the NDIS, then read on.

The NDIS is now fully rolled out in Victoria, including Metro Melbourne. So, if you are thinking about registering with the NDIS, or perhaps you already have and want to know what to do next, here are some resources for you to read, ahead of accessing your plan, funds and prosthetic treatment under the NDIS.

The main steps you will need to take are:

1. Register with NDIS

If you visit the am I eligible page, you will find an NDIS checklist to see if you are eligible.

If you meet the criteria and you would like to become a participant, call the NDIA on 1800 800 110 or go in person to your Local NDIA office and ask to make an access request.

You will be required to provide evidence of your disability verified by a medical practitioner, for example your GP.

If you make your Access Request over the phone, you can email or post copies of your existing information, including letters or reports to one of the following:

  • email: NAT@ndis.gov.au
  • Post to: GPO Box 700, Canberra ACT 2601, or
  • drop it into your nearest NDIS office

For more information as a Participant under the NDIS you can visit the NDIS website.

2.Have your Planning Meeting (with a planner at the NDIS)

Preparing for your planning meeting

The NDIS website has some important information to read in preparation for your planning meeting.

Limbs 4 Life has also produced the Amputee Guide to the NDIS, which is extremely useful in preparing for your Planning Meeting. Limbs 4 Life also has a checklist you can print off in preparation for your Planning Meeting.

You must also bring along any relevant reports or assessments to your Planning Meeting. It helps the NDIS planner to understand the types of supports you need.

It would be preferable to meet with you prior to you having your NDIS Planning Meeting so we can discuss your prosthetic needs. To make a ‘pre-Planning Meeting’ appointment, please contact the office on 03 9532 5098.

Attending a Planning Meeting to create your plan

Attending a Planning Meeting, either in person or over the phone, is the best way for NDIS to gather all your information, to develop the best plan for you.

During your Planning Meeting, make sure you discuss the goals/activities/tasks you want to achieve with your Local Area Coordinator (LAC) or NDIA planner.

Goals/activities/tasks are a really important part of your NDIS plan and we will ask you what you would like to achieve. It could be a goal to use public transport independently; a goal to help build your life skills so you can become more independent, or a goal to assist with family or work duties.

The purpose of a planning meeting

The Planning Meeting would allow you to highlight any short-term goals or any unmet needs in your current life. If your goals/activities/tasks are medium to long-term, your planner can break them down into short-term goals and help you take ‘smaller steps’ towards achieving those bigger goals. 

3. Plan approved

Receiving your approved NDIS plan

Your LAC or NDIA planner will talk to you about how long it will take to get your approved NDIS plan and the steps you need to take next.

The NDIA must approve your NDIS plan initially, then once it is approved, your LAC or NDIA planner will give it to you in person, post or via the MyPlace Portal.

There are three types of support budgets that may be funded in your NDIS plan.

  • Core Supports budget
    Core Supports help you with everyday activities, your current disability-related needs and to work towards your goals. Your Core Supports budget is the most flexible and can be used for low cost (off-the-shelf) consumables such as stump socks, ointments, cosmetic stockings etc.
  • Capacity Building Supports budget
    Capacity Building Supports help build your independence and skills to help you reach your long-term goals. Funding can only be used to purchase approved individual supports that fall within that Capacity Building category. As your prosthetic provider, we would access funds within your Capacity Building budget under the ‘Improved Daily Living’ category – which covers our clinical time for the “assessment, training or therapy to help increase your skills, independence and community participation”.
  • Capital Supports budget
    Capital Supports include higher-cost pieces of assistive technology, equipment and home or vehicle modifications, and funding for one-off purchases you may need. The Capital Supports budget has two support categories: Assistive Technology and Home Modifications. Assistive Technology category is where we would access funds for your prosthetic devices – “This includes equipment items for mobility, personal care, communication and recreational inclusion such as wheelchairs or vehicle modifications”.

Using your plan

When you have an approved NDIS plan, you need to understand the different support budgets (see above), who can help you start using your plan, and how your plan is managed.

There are 3 ways you can manage the funds in your plan, which should be explained to you during your Planning Meeting so that you can elect for each Support Budget:

  • Agency Managed
    The participant has nominated the NDIA to manage the funding for supports provided. After providing those supports, the provider will claim payment for those supports directly from the NDIA via the Provider portal.
  • Plan Managed
    The funding for any of the supports provided is managed by a Plan Nominee. After providing those supports, the provider will send the participant’s Nominee an invoice for those supports for the participant’s Nominee to pay.
  • Self Managed
    The participant has chosen to self-manage the funding for NDIS supports provided. After providing these supports, the provider will send the participant an invoice for the participant to pay. The participant manages the funds via the MyPlace portal.

Remember to speak with your LAC or planner about how best to manage the funds in your plan.

4. AT quote to be submitted

NDIS will always require a Quote to be submitted by us, for the AT (Prosthetic device) funds to be added to your Capital Supports budget.

The quote(s) will be generated following a full assessment; which will take about an hour to go over your goals, your current prostheses and highlight your prosthetic needs in the future. We may collect Outcome Measures at this appointment to help us generate a prescription that best suits your goals.

At the time of submitting your Prosthetic AT request paperwork, including your quotes to the NDIA we will request payment under your Capacity Building support budget for our clinical time (including assessment, prescription, AT request paperwork and quotes).

5. AT quotes approved

Once the AT quote(s) are approved, you will be notified by the NDIA. During the waiting period for funding to be added to your support budget, you may contact the NDIS or your LAC for updates on its progress.

We have found that the NDIS encourages self-advocacy and while we are happy to follow things up on your behalf, the NDIS responds best when contacted directly by the participant.

Remember, you can also add ‘consent’ for ProMotion Prosthetics in your plan so that we can contact the NDIA directly on your behalf. Speak to your LAC about this during your Planning Meeting.

6. Prosthetic treatment commences

Once the quote(s) have been approved and the funds added to your Capital (AT) support budget, we can commence the Prosthetic treatment.

Your plan will have funds allocated for the remaining months of your (12 month) plan.

Once any work has been provided, we will submit a payment request for that work and provide an invoice to you, your plan manager or the agency (depending on how your plan is being managed).

Things to know:

  • Your ‘plan’ being approved does not always mean you have funds allocated for your prosthetic service. This requires a quote from us to be submitted and be approved before those funds can be added to your plan.
  • The AT quotes can take months to be approved (depending on the costs required).
  • It would be really useful to book in to see us for an appointment prior to having your Planning Meeting with NDIS, and you can contact our office on 03 9532 5098 to arrange an appointment.
  • If you have already had your Planning Meeting and have your paperwork, that’s ok too. Call our office on 03 9532 5098 to arrange an appointment for us to talk through your prosthetic service needs.

The Limbs 4 Life website has excellent information to help guide you through your NDIS journey; from registering all the way through to preparing for your Planning Meeting.

Here are some answers that may help guide you through the queries you may first have when you are considering registering with the NDIS:

But I already receive my prosthetic treatment at a Public Department, what does this mean for me?

You may currently be receiving your prosthetic treatment under a public department, funded by the Government’s artificial limb program, but once you become registered with NDIS you can choose to receive your prosthetic treatment with us at ProMotion Prosthetics.

We would be happy to help facilitate the transfer of your Prosthetic treatment, contact us on 03 9532 5098 to discuss your needs.

How will the NDIS work for me?

  • NDIS Providers (ProMotion Prosthetics) are registered with the NDIA to deliver a support or product to the participant of the NDIS (you).
  • You have choice and control over the providers you wish to engage with to deliver the supports in your plan.
  • After you are registered, you will be able to choose which Prosthetic provider suits your needs and goals best, and a plan meeting will be arranged between you and a representative from the agency.
  • It is ideal that you make contact with us prior to this meeting, so you are best prepared for the meeting that will be the point by which your plan will be developed and your prosthetic supports related to.
  • You will receive an individualised plan that identifies the outcomes you wish to achieve, the disability supports that will be funded by the NDIS, and other supports you require.
  • Your plan will last for 12 months, and can cover multiple prostheses for you to achieve all your life, family, work and hobby goals.

What happens if you disagree with what’s in your plan?

You have the right to ask for an internal review of your plan by the NDIA.

Your LAC or NDIA planner will explain how to do this and can put you in touch with advocates who can help you with this process.

Requesting a review

A request for internal review of a decision must be made within three months of receiving notice of the decision from the NDIA.

If you’re not happy with the internal review, you can apply for a review by the Administrative Appeals Tribunal (AAT), which exists outside the NDIA.

If you have any questions, have registered, or are thinking of registering with the NDIS, get in touch with us today on 03 9532 5098 to discuss your needs.

ProMotion Prosthetics Provider Registration #: 4050001505

Advanced Surgical Amputee Program (A.S.A.P)

Advanced Surgical Amputee Program (A.S.A.P)

Feb 1, 2016

Comprehensive Surgical and Rehabilitation Program

The Advanced Surgical Amputee Program (A.S.A.P) is a specialised program that brings together a team of experienced surgeons, medical practitioners, therapists, and rehabilitation consultants to provide  Muscle Reinnervation (TMR), and soft tissue reconstruction.

Leading the A.S.A.P is Mr. Frank Bruscino-Raiola, a renowned surgeon specialising in TMR and Osseointegration. As the head of the Plastics Department at Alfred Health, he brings extensive expertise to the program.

All clients referred to the A.S.A.P undergo an initial appointment at Alfred Hospital. During this appointment, a comprehensive assessment is conducted by the multidisciplinary team to determine the suitability of surgical intervention.

For more information or to inquire about the A.S.A.P, please contact:

Mr. Steven Gray – Director: A.S.A.P Plastic, Hand and Faciomaxillary Surgery Unit Alfred Health Melbourne, Australia. Phone: 03 9076 2847 Email: sjgray@alfred.org.au

 

Targeted Muscle Reinnervation (TMR)

Targeted Muscle Reinnervation (TMR) is a groundbreaking surgical procedure that has revolutionised upper limb myo-electric prosthetics and is an innovative surgical procedure for enhanced control and pain management. Pioneered by Alfred Health, TMR enables users to experience intuitive control over their prosthetic devices, significantly improving functionality and enhancing their daily lives.

In addition to its advancements in prosthetic control, TMR surgery has demonstrated remarkable success in alleviating pain. It is utilised for both upper and lower limb amputees to effectively manage phantom limb pain and residual limb pain, providing much-needed relief and improving overall quality of life.

Soft Tissue Reconstruction

Soft tissue reconstruction is a surgical procedure that is sometimes requires to assist in improving prosthetic fit; including de-bulking, removal of skin grafts, adherent scars or refashioning the soft tissues of the residual limb.

If you are having ongoing, persistant socket fit issues which are caused by residual limb shape/volume, please contact the A.S.A.P director Mr Steven Gray to discuss your options.

 

Osseointegration (OPRA)

Osseointegration is a surgical procedure carried out at the Alfred Hospital, for the insertion of an implant and abutment, to create a direct attachment for the prosthesis. This abutment replaces the conventional ‘socket’ of the prosthesis.

David Lee Gow has been the involved in the prosthetic management of the Osseointegrated clients since 2000, as the prosthetist responsible for the management of trans-femoral amputees for the OPRA program (Osseointegration Program for the Rehabilitation of Amputees).

Although the procedure was first undertaken in 1994 in Australian only a small number of suitable clients have been fitted with an OPRA osseointegrated implant and articulated prosthesis to date. The system is available and is an option for ‘suitable’ trans-femoral and trans-humeral candidates. A collaborative approach is required between client, surgical team and rehabilitation team to realise the potential of this technology and treatment regime.

 

Background

Many people who have tried to use or are using an above knee prosthesis have reported a range of problems and difficulties in using a prosthesis with a prosthetic socket. In a Swedish scientific survey of patients with a unilateral above knee amputation, 72% report problems with heat and sweating in the prosthetic socket, 62% report problems with chafing from the socket, and 44% say it is uncomfortable to sit while wearing the prosthesis and that these difficulties considerably reduce their quality of life.

Direct bone anchorage means that the prosthesis is attached without using a socket. The method is based on the principle of osseointegration, which has been in clinical use for prosthetic replacement of teeth since 1965. By surgically implanting a titanium screw, known as a fixture, into the bone, the method produces a direct attachment for the prosthetic device.

The main difference between a conventional socket prosthesis and a bone anchored prosthesis is the absence of a socket, which means the prosthesis always fits, always attaches correctly and is always firmly held in place. The absence of a socket also relieves other problems directly related to the use of a socket, such as heat, chafing and discomfort.

 

Treatment

The treatment involves two surgical procedures. In the first operation, a specially designed titanium screw known as a fixture is inserted into the residual femur. The fixture is then allowed to heal into the bone for 6 months with no load. During this period it is usually possible to use a standard socket prosthesis as soon as the residual limb has healed. In the second procedure an extension known as an abutment is attached to the bottom of the fixture. This abutment protrudes from the skin penetration area and serves as the attachment onto which the prosthesis is screwed.

However, to ensure a solid attachment between the titanium fixture and the bone, the bone needs to be carefully subjected to a load before the patient can start walking properly with a prosthesis again. This is done through controlled, gradually increased training using a short ‘training prosthesis’. It is not possible to walk with the training prosthesis. The real ‘articulated’ prosthesis is fitted around 3 months after the second operation. In the months that follow the prosthesis can gradually be used more and more, although always with a pair of crutches. Walking without support or with only one crutch is possible around 6 months after the second operation.

The first operation generally requires 5-7 days in hospital, and the second about 10 days. The overall length of the treatment including both operations, rehabilitation and prosthesis provision is estimated at around 12 months for patients with a normal bone quality.

The point at which the abutment protrudes is called the skin penetration area. Just as it is important always to brush your teeth morning and evening, the skin penetration area must be cleaned twice a day.

The prosthesis itself is made up of much the same parts as a standard prosthesis. However some components, such as certain knee joints, may not be suitable. At the top of the prosthesis is a special connector  (RotaSafe) which forms the attachment between the abutment and the prosthesis. The connector has an in-built safety mechanism to prevent bone damage in the event of excessive loads, such as in a fall. As with all surgical treatment, there is a risk of complications which can alter the treatment or compromise the results. Superficial infections in or around the skin penetration area are not uncommon. These can normally be treated by particularly careful cleaning, although antibiotics may sometimes be required. More serious complications such as the fixture working loose or rupture of the attachment sections or the bone can also arise. Most complications are treatable.

Once treatment is complete, regular medical checkups are required by both the surgical and rehabilitation team.

Please feel free to contact ProMotion directly for more information in regarding the prosthetic osseointegration rehabilitation for amputees.

For further information, please contact:

Mr Steven Gray
Director: A.S.A.P
Plastic, Hand and Faciomaxillary Surgery Unit
Alfred Health
Melbourne. Australia

03 9076 2847
sjgray@alfred.org.au

 

Link:
http://www.opraosseointegration.com

http://www.integrum.se/
http://www.sahlgrenskaic.com/osseointegration/
http://www.integrum.se/website/pdf/Integrum%20Info%20000%20216%2000.pdf
http://www.alfred.org.au/Department.aspx?ID=182

http://www.oandp.com/articles/NEWS_2013-02-22_01.asp

S Jonsson, K Caine-Winterberger, R Branemark (2011) Osseointegration amputation prostheses on the upper limbs: methods, prosthetics and rehabilitation, 190-200. In Prosthetics and orthotics international 35 (2).

http://www.ncbi.nlm.nih.gov/pubmed/21…

Laurent Frossard, D L Gow, Kerstin Hagberg, Nicola Cairns, Bill Contoyannis, Steven Gray, R Branemark, Mark Pearcy, David Lee Gow, Richard Brånemark (2010) Apparatus for monitoring load bearing rehabilitation exercises of a transfemoral amputee fitted with an osseointegrated fixation: a proof-of-concept study, 223-228. In Gait and Posture 31 (2).

http://www.sciencedirect.com/science/…
http://www.ncbi.nlm.nih.gov/pubmed/19…

Laurent Frossard, Kerstin Hagberg, Eva Haggstrom, David Lee Gow, Rickard Branemark, Mark Pearcy (2010) Functional outcome of transfemoral amputees fitted with an osseointegrated fixation: Temporal gait characteristics, 11-20. In Journal of Prosthetics and Orthotics 22 (1).

http://ovidsp.ovid.com/ovidweb.cgi?T=

Kerstin Hagberg, Rickard Brånemark (2009) One hundred patients treated with osseointegrated transfemoral amputation prostheses—Rehabilitation perspective, 331-344. In J Rehabil Res Dev 46 (3).

http://www.biomedsearch.com/article/O…
http://www.ncbi.nlm.nih.gov/entrez/qu…

Winson C C Lee, Laurent A Frossard, Kerstin Hagberg, Eva Haggstrom, David Lee Gow, Steven Gray, Rickard Brånemark (2008) Magnitude and variability of loading on the osseointegrated implant of transfemoral amputees during walking., 825-833. In Medical Engineering & Physics 30 (7).

http://www.ncbi.nlm.nih.gov/entrez/qu…

Laurent Frossard, Nathan Stevenson, James Smeathers, Eva Häggström, Kerstin Hagberg, John Sullivan, David Ewins, David Lee Gow, Steven Gray, Rickard Brånemark, D Lee Gow (2008) Monitoring of the load regime applied on the osseointegrated fixation of a transfemoral amputee: a tool for evidence-based practice, 68-78. In Prosthetic and Orthotics International. 32 (1).

http://www.ncbi.nlm.nih.go

W Lee, L Frossard, K Hagberg, E Häggström, D Lee Gow, S Gray, R Brånemark (2007) Magnitude and variability of loading on the osseointegrated fixation of transfemoral amputees during walking, 825-833. InMedical engineering & physics.

L Frossard, N Stevenson, J Smeathers, D Lee Gow, S Gray, J Sullivan, C Daniel, E Häggström, K Hagberg, R Brånemark (2006) Daily activities of a transfemoral amputee fitted with osseointegrated fixation: continuous recording of the loading for an evidence-based practice, 53-62. In Kinesitherapie Revue 6 (56-57).

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.