Department of Prosthetics and Orthotics

Introduction

The Department of Prosthetics and Orthotics provides Rehabilitation Service to the persons with locomotor disabilities. The disabilities caused by amputation who lost part of their Lower and Upper Limb due to Poliomyelitis, Cerebral palsy, Congenital skeletal limb deficiencies and spinal cord injury who has weak or deformed limb thereby unable to stand and walk properly require Prosthetic and Orthotic aids and appliances. The Department of Prosthetics and Orthotics designs, fabricates and fits latest and light weight Prosthetic and Orthotic appliances to the Persons With Disabilities utilizing the material available in the country. The type of aids and appliances provided are: –

Lower and Upper extremity Orthosis for supporting weak or deformed limb, to prevent or correct deformity
Spinal orthosis to support or immobilize the spine to relieve the pain, to prevent deformity
Lower and Upper limb prosthesis (artificial limbs) to restore function and cosmetic appearance, provide ambulation and
Prefabricated aids/ appliances (Crutches, Walkers, Wheel chairs, Tricycles etc.) for mobility.

Details	Sanctioned Posts	Filled Posts	Vacant Posts
Faculty	12	09	03
Technical	25	19	06
Administrative	05	05	–
Total	42	33	09

Service Activities

Workshops:

The Department has two well equipped workshops with necessary tools, equipments and machineries and a leather section for fabricating of rehabilitation aids and appliances, to provide for services to Persons With Disabilities and training the students of Prosthetic and Orthotic courses.

Fitment of Rehabilitation Aids and Appliances:

Physical disabilities restrict the individual to perform activities as a productive member of the Society. The factor influence the productivity of a Person With Disabilities due to nature of disabilities which constraint a person’s capacity for self directed purposeful movement. Walking is the most common form of Mobility for Human beings and the mode is walking most desired by the people for movement. The Prosthetic and Orthotic Devices and other rehabilitation aids assist the Person With Disabilities to achieve a level of performance that at best approaches that of the able bodied person. The department has well equipped Prosthetics and Orthotics Workshop, Prosthetic and Orthotic professionals who design, fabricate and fit suitable and appropriate prosthetics and orthotics devices for
Person With Disabilities.

Prosthetic Devices:

Lower Limb Prosthesis:

Prosthetic Devices (Artificial Limbs) are functional and Cosmetic replacement of the missing part of the amputated limb. The amputee who lost part of his Lower limb can use Artificial limb for walking. The department of Prosthetics and Orthotics fabricate and fit Partial Foot Knee Prosthesis, Symes Prosthesis, Bellow Knee Prosthesis, Through Knee Prosthesis, Above Knee Prosthesis, Hip Disarticulation Prosthesis and Extension Prosthesis and make fitments to Person With Disabilities of various level of amputation.

Upper Limb Prosthesis:

The Upper Limb Prosthesis are designed and fabricated for Upper Limb Amputees to restore grasp function and cosmetic appearance. The various types of Upper Limb Prosthesis designed and fabricated by the department are Partial Hand Prosthesis, Carpometacarpal Prosthesis, Wrist Disarticulation Prosthesis, Below elbow Prosthesis, Above Elbow Prosthesis and Shoulder Disarticulation Prosthesis.

Orthotic Devices:

The Orthotic Devices are generally used for management of various Orthopaedic and Neuromuscular disorders including congenital deformity of lower limb, upper limb and spine. The devices are used for wide spectrum of physical disabilities. They are used to correct the deformity, to maintain the correction and support the unstable part of the body. The various types of Lower Limb Orthosis are Foot Orthosis, Ankle Foot Orthosis, Knee Orthosis, Knee Ankle Foot Orthosis, Hip Orthosis, Hip Knee Ankle Foot Orthosis etc. The types of Upper Limb Orthosis are Wrist Hand Orthosis, Elbow Orthosis and Elbow Wrist Hand Orthosis etc. The Spinal Orthosis like Sacroiliac Belt, Lumbo-Sacral Belt, Lumbo-Sacral Corset and Thoraco-lumbosacral Orthosis (PP) are also provided.

Camps and outreach program

:
To provide the rehabilitation services to the Persons With Disabilities in rural, tribal, remote and interior areas, the Institute has been conducting rehabilitation camps in collaboration with District Authorities and NGOs to provide aids and appliances in different states of the country including Odisha.

Assessment CampIn the first phase assessment Camps are conducted to asses and evaluate the Person With Disabilities and their needs for various types of Aids and Appliances. This will facilitate to derive the exact number of aids and appliances required for particular camp. After procurement of the required number of aids appliances they were distributed to the Person With Disabilities under Rehabilitation camps.
Assessment cum Distribution campAssessment cum Distribution camps are conducted to asses and evaluate the Person With Disabilities and at the same time aids and appliances were provided to the Person With Disabilities at the camp site. If the number of PWD exceeds the numbers of aids and appliances, the balance aids and appliances were provided in the second phase under Rehabilitation camp.
Rehabilitation CampRehabilitation camps are organized in a planned manner and the aids and appliances were distributed at the Camp based on the list of the Person With Disabilities identified in the earlier assessment camp.

Academic Activities

The Department conduct Long term and short courses under human resource development in the field of Prosthetics and Orthotics. The teaching programme includes classroom lectures, Practical demonstration followed by student’s practical, Clinical discussion, case presentation in the seminar. The passed out students are successfully placed in different Hospitals/Institutes within the country and abroad. Study tour is a part of course curriculum (usually for the Final Year students) for a period of two weeks to visit various Institutes, Hospitals, Artificial Limb Centres in the country.

Long-Term Courses:

The 18 month Prosthetic and Orthotic Technician Course was started in May 1976. This course was converted as Diploma in Prosthetic and Orthotic Engineering (DPOE) in 1987 and was affiliated to State Council of Technical Education & Vocational Training, Odisha. DPOE course was converted as a Bachelor Degree in Prosthetics and Orthotics (BPO) of 3 ½ years from 1998 and is affiliated to Utkal University, Bhubaneswar. From 2003 the duration of the course has been increased from 3 ½ years to 4 ½ years and presently the duration of the course has been changed to 4 years since 2012 as per RCI norms. The minimum educational qualification prescribed for this course is Ten Plus two years with Physics, Chemistry and Biology/Mathematics. The intake capacity for the course is 46 seats.

Short-Term Courses:

The department conducts Short Orientation Courses as Workshops, Seminars etc. for the Professionals working in various Government and Non- Governmental Organisastions in order to augment their knowledge in the latest development in the field of Prosthetics and Orthotics. The representatives of multinational companies are invited to the Work shop to demonstrate their latest and advance technology in Prosthetics and Orthotics. The Short courses are also conducted in other subjects under the broad category Rehabilitation.

Guest Faculties invited:

Guest speakers are invited for delivering lectures in long term courses and short term courses.

Research & Development

The Department designed and developed light weight low cost Prosthetic and Orthotic Devices and Other Rehabilitation Aids under the Research Project funded by Science and Technology Mission Mode, Ministry of Social Justice and Empowerment, Govt. of India. The Endoskeleton technology designed is economical cost wise and better import substitute and benefit to large number of Lower Limb Amputees. Due to light weight the amputee needs very less energy expenditure for ambulation. The Aids and Appliances designed by the

Department are:

Modular B. K. Prosthesis
Modular A. K. Prosthesis
Modular B. K. Prosthesis

Modular B. K. Prosthesis is a technological innovation that is aimed to restore efficient mobility of Below Knee Amputees so that they can lead a productive life in the society. The prosthesis consist of Polypropylene thermoplastic custom molded socket, endoskeletal prefabricated components made of Aluminium alloy and prefabricated prosthetic foot and cosmetic cover. The prosthesis is being fabricated and fitted to the amputees based on the latest materials available in our country. The fabrication of prosthesis is very simple and needs very less time. The prosthesis is very easy to wear and is durable and comfortable. The Prosthesis was successfully fitted to large number of Below Knee Amputees.

Modular A. K. Prosthesis:

The Department has designed and developed Modular Above Knee Prosthesis with Four-bar linkage Knee Joint based on the Endoskeleton technology. The Technology is applicable for Prosthetic fitment and Rehabilitation of large number of Above Knee amputees. The technology developed for Above Knee amputees can also be used for prosthetic fitments of Through Knee and Hip Disarticulation Amputees as well. Most of the higher level of Lower Limb amputees will be benefited by this light weight, low cost and more comfortable prosthesis. The Four-bar linkage Knee joint incorporated in the prosthesis provide inherent knee stability through out the gait cycle. The prosthesis also has Superior cosmetic appearance and surface soft feel.

Other Research Activities:

The Instituted has been constantly introducing new methods, techniques and upgrading existing technology for development of suitable aids & appliances for benefit of Person With Disabilities. For improving and leading a meaningful life of the Person With Disabilities many aids and appliances were also designed and developed by considering the various clinical conditions. The aids and appliances designed and developed are:

Thermoplastic Polypropylene Orthosis
Modular Upper limb Prosthesis
Multipurpose Orthosis for paralyzed children.

Participation in the Conferences and Seminars:

Based on the various Research Activities carried out in the department there are good numbers of Scientific Papers were presented in the National and International conferences and some of the papers were appreciated by the professionals and received best paper award.

SL NO.	DATE	NAME (AUTHOR)	CONFERENCE	TOPIC	PRESENTER
1	14 to 16th FEB 2014	N. Ojha, A. N. Nanda	XXI National Conference OPAI held at Chennai	An Indigenous design of Shoulder and Elbow Orthosis for Management of Brachial Plexus Injury	Diptimayee Pati, BPO student, Neha, BPO Student
2	14 to 16th FEB 2014	M. D. Burman, Sanket Kumar Rout	XXI National Conference OPAI held at Chennai	Neurophysiological AFO	Saiprava Mishra, BPO, Internee
3	14 to 16th FEB 2014	Chittaranjan Mohanty	XXI National Conference OPAI held at Chennai	Dynamic Multiaxial Shoulder Splint with Spring Loaded Elbow Joint	Parthsarathi Swain, BPO student, Sonali Mohanty, BPO Student
4	14 to 16th FEB 2014	N.Ojha, B.D.Moharana	XXI National Conference OPAI held at Chennai	Cost effective N.O.P off loading Orthosis for Management of O.A. Knee	Sudipta Pradhan, BPO Internee, Pradipta Patra, BPO Student
5	14 to 16th FEB 2014	N. Ojha, B.D.Moharana, Rojalin Pradhan	XXI National Conference OPAI held at Chennai	An Adjustable Ankle –Foot Orthosis for Stretching of Tendoachialis for management of Spatic Cerebral Palsy Children	Chinmayee Subhasmita Panda, BPO Student, Niharika Satpathy, BPO Student
6	14 to 16th FEB 2014	N. Ojha, Lagnajit Behera	XXI National Conference OPAI held at Chennai	Dynamic Splinting to Prevent Wrist Flexion Contracture (in case of distal radius Fracture)-A Case Study	Diptirani Pradhan
7	14 to 16th FEB 2014	N.Ojha, Lagnajit Behera	XXI National Conference OPAI held at Chennai	Effect of a Modified Spinal Brace for Idiopathic Scoliosis- A Pilot Study	Prachiprava Pattnaik, BPO Student, Supriya Pradhan, BPO Student
8	14 to 16th FEB 2014	M.D.Burman, N. Ojha	XXI National Conference OPAI held at Chennai	Modified Orthosis for Torticolis associated with Scoliosis	Sayada Nikhat Jaman Bano
9	14 to 16th FEB 2014	S. Moharana	XXI National Conference OPAI held at Chennai	Intelligent design and fine tuning in Prosthetics	Sanket Ku. Rout, S. Moharana
10	14 to 16th FEB 2014	S. N. Rout, S. K. Rout	XXI National Conference OPAI held at Chennai	Extension Prosthesis for Congenital Skeletal limb Deficiency	Supriti Mahakud, BPO Internee, Rajkishore Sahoo, BPO Internee
11	14 to 16th FEB 2014	S. N. Rout, Lagnajit Behera	XXI National Conference OPAI held at Chennai	Light weight Modified Paediatric Transfemoral Prosthesis	Jitendra Kumar Sahoo, BPO Internee, Shradhanjali Muduli, BPO Internee
12	14 to 16th FEB 2014	N. Ojha, R. K. Barik, Rojalin Pradhan, Dr. S. P. Das	XXI National Conference OPAI held at Chennai	Orthotic & Prosthetic Management for Electrical Post Burn Contracture of both Lower extremity and Right Shoulder Disarticulation Amputee- A case report	N. Ojha
13	14 to 16th FEB 2014	S. Moharana, A. N. Nanda	XXI National Conference OPAI held at Chennai	Post Burn Upper Limb Amputation and Prosthetics	Debasis Sahoo, BPO Internee, Jayanti Jena, BPO Internee
14	14 to 16th FEB 2014	N. Ojha, Lagnajit behera	XXI National Conference OPAI held at Chennai	A New design of Prosthetic Ankle Joint incorporated with four bar Linkage knee of Transfemoral Prosthesis for Squatting	Truptiranjan Swain, BPO Student, Sasmita Behera, BPO Student
15	14 to 16th FEB 2014	A. N. Nanda	XXI National Conference OPAI held at Chennai	Management of Children with Congenital deficiency of the Legs	Sukanya Sahoo, BPO Student, Aparna Sahoo, BPO Student
16	14 to 16th FEB 2014	M. D. Burman, Ranjan Das	XXI National Conference OPAI held at Chennai	Design of Prosthetic Foot for transtibial Prosthesis	Rajkishore Sahoo, BPO Internee
17	14 to 16th FEB 2014	S. Moharana	XXI National Conference OPAI held at Chennai	Bilateral Upper Limb Amputation and Clinical Management	Sasmita Ojha, BPO Student, Ranjita Kumari, BPO Student
18	14 to 16th FEB 2014	S. K. Rout	XXI National Conference OPAI held at Chennai	Neuroprosthetic Devices-A new era begins	Priyanka Behera
19	14 to 16th FEB 2014	S. Moharana, A. N. Nanda	XXI National Conference OPAI held at Chennai	Loading in Hip Disarticulation Prosthesis- A critical analysis	Sushree Swikruti Swagatika, BPO Student, Yajnasenee Mohanty, BPO Student
20	14 to 16th FEB 2014	S. K. Rout	XXI National Conference OPAI held at Chennai	The Accessible Journey	Jayanta Kumar Dash, BPO student, Choudhury Madhusmita Dash, BPO Student

Awards Received:

Miss Sudipta Pradhan, BPO Internee student and Miss Pradipta Patra Final year Student received the Best Scientific Paper awards in Orthotics (1st Prize) for the Scientific paper title “Cost Effective N.O.P. off loading Orthosis for management of O.A Knee”.
Debasis Sahoo, BPO Internee student and Jayanti Jena BPO Internee student received the Best Scientific Paper in Prosthetics (2nd Prize) for the Scientific paper title “Post Burn Upper limb Amputation & Prosthetics”.
Smruti Mohanty, BPO student and Subhashree Bijoyinee Devi BPO Student received the best Poster Award (2nd Prize) for the Poster title” Normal Human Locomotion- at a Glance”.

Awareness Programme:

For awareness of PWD and Public in general, the Department participate in the various Exhibitions organized at the different parts of the country and displayed the innovative aids and appliances for the Person With Disabilities. The hand out leaflets of the Institute activities and facilities available are distributed at the Exhibition.