
JANUARY NEWSLETTER 7 Resolutions for 2007 1. Stay active - do something physical every day 2. Do something for others - talk to new amputees 3. Support your national organization - become a member of the Amputee Coalition of America. 4. Set goals - work hard to achieve them 5. Stay educated - ask questions 6. Don't be satisfied with second best 7. Live Life Without Limitations!!!!
From Your Prosthetist- Staying Active with Winter Sports Skiing, snow boarding and ice skating are fun winter sports. At A Step Ahead we can custom align your prosthesis so you can enjoy these activities safely. In addition to alignment, we custom fabricate knee orthosis and stump helmets. Knee braces are essential for below the knee amputees who ski. While skiing, your knee will be subjected to side to side forces that will place excessive strain on your knee joint. A custom brace can be fabricated to attach to your prosthesis and will provide improved side to side stability reducing the risk of injury to your knee. If you are an above the knee amputee, skiing without your prosthesis is common. To protect your residual limb, A Step Ahead can custom fabricate stump helmets. A Stump helmet is a device that will encompass and protect your residual limb if you fall. They are designed to reduce the risk of bruising and possible fractures of the bone in your residual limb. Although it is common for most above the knee amputees to ski without a brace, there is a new prosthetic knee, the XT9 that is specifically designed for extreme sports and mimics the function of the knee during these activities. You can find out more information about this knee at www.symbiotechusa.com. To get a better grip on the ice and snow, we recommend ice traction slip-ons, which attach to the bottom of your shoe or boot to improve traction in winter conditions. For more information on this and similar safety products for the winter go to: http://cozywinters.com/ice-cleats/ice-cleats.html?source=go&gclid=CIn72LPWwYkCFSmBFQoddD8r2ATeam A Step Ahead welcomes two new athletes to its growing list; Shlomo Nimrodi and Michael Laforgia.
Shlomo is an above the knee amputee who was injured while serving as a lieutenant in the Israeli army. Shlomo served in an elite commando unit of the Israeli Defense Forces. In 1978 during activity in Southern Lebanon, Shlomo's unit was involved in a battle with a group of terrorists from the P.L.O. During this battle Shlomo lost his left leg above the knee and suffered multiple injuries to his upper body. As a result of the injury he could not continue with most of his physical and sports activities. Shlomo started training as a swimmer and after 6 months he joined the Israeli handicap swimming team. After about a year Shlomo was invited to join a German ski club where he acquired his skiing skills and became a ski instructor for amputees. Since then he has been skiing every year in Europe and the US. Running, however, was still a far away dream!
In 2005, Shlomo started to ride road bikes and after a while he decided to train for a triathlon. After trying the first sprint distance in July 2005, Shlomo participated in the Westchester County Triathlon in September 2005, and he finished the full distance in 3.5 hours, using a running leg while on his crutches. In September 2006, Shlomo participated again in the Westchester County Triathlon where he meet fellow Team A Step Ahead triathelte Ray Viscome. Ray, who was watching Shlomo's struggle, approached him and told him that he ought to try A Step Ahead. Now, for the first time after 28 years Shlomo is able to run again. His goals for 2007 are: ASPIRE 10K run, New York City Triathlon, Westchester County Triathlon and a member of the Team A Step Ahead Relay team at the Challenged Athletes Foundation ½ Ironman.
Shlomo is married with 3 children. He moved to the United States with his family in 1996 as part of his involvement as a business executive in the Israeli high tech industry. In 2006, Shlomo and his family became US citizens. Shlomo has held several corporate level positions such as chief financial officer, chief operating officer and CEO of international companies. Currently, Shlomo is the CEO of Epana, a leading company in providing communication and financial services to the Hispanic community in the US.
 Michael Laforgia:
Mike lives in Smithtown, NY with his wife Donna. He has 3 children, Kaelyn, Michael Jr. and Jenna (13, 11 and 8 years old). Mike is a bilateral amputee, having lost his right leg below the knee and the toes on his left foot. His injuries were a result of a life threatening battle with bacterial meningitis (meningococcal). Mike acquired meningococcal on 1/1/05. Not expected to make it through the night, he remained in a coma for 7 days. Once stable, doctors removed the toes on his left foot and most of his right foot. His right foot was originally "rebuilt" using his back muscle. He spent the next 5 months in the hospital doing intensive physical therapy re-learning how to walk, progressing from wheel chair to walker to crutches to cane to walking. Unhappy with the mobility of his new right foot, Mike made the difficult decision to electively amputate his right leg below the knee. He received his new leg from A Step Ahead on 6/29/06. Prior to becoming ill, Mike was a runner and triathelte. He completed 2 NYC Marathons and the Florida 1/2 Ironman. Mike has just recently been outfitted with a running leg for his right leg and a brand new partial foot prosthetic with a running foot. Mike's goals for '07 include the Aspire 10K run and the bike leg of the Challenged Athletes Foundation San Diego 1/2 Ironman. He hopes to complete another NYC Marathon and 1/2 Ironman to complete his incredible journey! As a member of the National Meningitis Association, Mike hopes that he can use these activities as a way to increase meningococcal awareness. He currently works for JP Morgan Chase.
 Congratulations to Amy Winters who was named the 2006 female physically challenged triathelte of the year by the USA triathlon federation. Amy is well deserving of this prestigious award. Her accomplishments in the triathlon competitions this year included first place in the national championships at the New York City Triathlon, first place at the world championships in Lausanne, Switzerland and outstanding performances at the Pittsburgh and Chicago triathlons as well as placing first in her age group against able bodied athletes at the West Virginia ½ Ironman. For more information about Team A Step Ahead go to: http://www.astepaheadonline.com
Technology Corner We continue to test and deliver the Proprio Foot and ankle system to below knee amputee patients.Many of the patients have been providing an overwhelmingly positive response to the Proprio and how it is improving their gait and function on stairs, ramps and uneven terrain. In conjunction with the Touro College physical therapy department, we will start our research study in the beginning of the year, which will compare the Proprio foot and ankle system to more traditional systems.
 The Proprio Foot & Ankle System: In our continued effort to assist patients to live life without limitations we have begun fitting the Proprio Foot by Ossur. A Step Ahead is one of the first private facilities in the world to be authorized by Ossur to fit the Proprio foot. The Proprio foot and ankle system is the first powered prosthesis for below the knee amputees. This new technology incorporates artificial intelligence and terrain logic which improves mobility and reduces energy expenditure. If you are interested in finding out more about the Proprio foot and ankle system call A Step Ahead for a free consultation. For more detailed information on this exciting new technology call and speak to one of our prosthetists, or go to the following link: www.bionics.ossur.com/pages/312
The New C-leg: Otto Bock has recently launched its newest update to the C-leg. The C-leg has been redesigned to include a wireless remote to allow the patient to switch between modes, an electronic lock for standing and a 3rd mode that allows the user to slightly adjust the knees function for a variety of activities. For more information about the C-leg call and speak to one of our prosthetists or click HERE to go to the Otto Bock web site.
Rehab Corner Phil Kreuter, PT owner of Mobility Physical Therapy, is available to answer your questions, give you advice and help you with all of your needs regarding exercise, gait training, rehabilitation, physical therapy and sports. Phil has over 20 years of experience working with patients with all levels of limb loss. He also has over 25 years of experience coaching and training athletes with disabilities. In addition to providing physical therapy, he coordinates the Team A Step Ahead program for over 75 athletes across the country. In the coming months, Rehab Corner will feature articles and tips about exercise, gait training and fitness. You can contact Phil at phil@astepaheadonline.com or call 516-681-3484.  The Amputee Coalition of America (ACA) is proud to offer the results of a consumer survey completed by the Limb Loss Research & Statistics Program (LLR&SP), a collaboration of the ACA and the Johns Hopkins Bloomberg School of Public Health, in its new publication, People With Amputation Speak Out With the Amputee Coalition of America. The purpose of this multi-year research project, funded by the National Center on Birth Defects and Developmental Disabilities (NCBDDD), a division of the Centers for Disease Control and Prevention (CDC), was to determine how well people with limb loss were functioning in their everyday lives and what services they may need, but are not getting.Survey questions asked of the 954 amputee participants looked at the overall health and well-being of people with limb loss, the need for services such as medical care and rehabilitation, the use of, and satisfaction with, prosthetic devices and related services and environmental barriers and attitudes that impact overall well-being.
The main conclusions of this research are: - The majority of community-dwelling amputees are living independently. Pain and depressed mood are the most common secondary conditions associated with limb loss. Among the sample of amputees surveyed, the majority reported wearing a prosthesis daily.
- A significant number of amputees reported barriers to accessing physical and emotional healthcare during the past year.
To request your free, printed copy of this 14-page report, contact the ACA at 888/AMP-KNOW (267-5669) or by filling out an information request to the National Limb Loss Information Center online at ASK the NLLIC. Supply is limited, so request your printed copy today! This report is also available as a free download from the ACA web site at: http://www.amputee-coalition.org/people-speak-out/. The monthly ASPIRE adult amputee support group meeting will be held on Wednesday, January 31 at 6:15 pm at the Hospital for Special Surgery located at 535 East 70th Street, NY, NY For more information about this informative monthly meeting contact Charlie Steele at charlieatl@aol.com or (646) 331-1510.
Mobility Clinic 
Join Dave Balsley, P.T. and Phil Kreuter, P.T. for their monthly mobility clinic, Sunday, January 14 at 10 am at the Jericho High School track on Long Island. They will provide instruction in gait training running techniques as well as advanced mobility skills. Dave and Phil have extensive experience working with amputees of all ages and activity levels. For more information and directions to the mobility clinic, please call the office at 516-681-3484. |