Dr. Ranjeet Kumar

A new low-cost, light-weight prosthetic knee joint for better gait

2018-07-29T04:13:00.001-07:00

Researchers at the Indian Institute of Technology, Delhi have designed and fabricated a low-cost, and light-weight polymeric polycentric prosthetic knee joint with energy-efficient gait option.

The prosthetic is made up mainly of polymeric material through injection molding technique and is polycentric in design consisting of an upper part, a lower part with pylon adaptor, a middle bar, a side bar and connecting bolts. It weighs a mere 350 grams. The upper and lower parts are made of plastic material and the side and middle bars are made of aluminum alloy with a high strength-to-weight ratio. The side and the middle bars transfer the total weight of the body from the upper part of the knee joint to the lower part during single limb stance phase.

The prosthetic has multiple articulations with four axis points being the most common configuration. Since the four axes are connected by four linkage bars, this type of polycentric knee is also called four bar knee.

Polycentric designs offer several biomechanical advantages and, as a result, are increasingly popular. A key distinction is that the functional centre of rotation is generally located outside the knee joint, which provides inherent stability due to long leverage. In four bar knee, the instantaneous centre of rotation or ICOR can be determined geometrically by drawing straight lines through the posterior and anterior axes. The point in space where they intersect is the instantaneous centre of rotation. “ICOR is an imaginary centre of rotation at the time of movement it rotates from extension to flexion from one place to another,” explained Prof Naresh Bhatnagar, the lead researcher.

The researchers took seven years to come up with this knee joint design. It has been tested clinically at Department of Physical Medicine and Rehabilitation, Government Medical College, Thiruvananthapuram.

Nine patients with unilateral transfemoral amputation and who could walk a minimum of four metres were included in the study. All were given seven days gait training for adaptation of design before obtaining the gait data using BTS Smart DX Computerised Gait Analyser.

“The result showed that the patient using the new prosthetic walked closer to natural gait pattern compared to the conventional ones. The energy expenditure was also reduced,” said Dr Ranjeet Kumar, Research Scholar at IIT Delhi, who was also involved in the study along with another colleague Dr Puneet Mahajan.

This technology was showcased at a recently held meeting at Technological Interventions for Disabled and Elderly or TIDE programme of the Department of Science and Technology.

https://scroll.in/pulse/887546/lab-notes-a-new-low-cost-light-weight-prosthetic-knee-joint-for-better-gait

https://www.thehindubusinessline.com/news/science/low-cost-prosthetic-knee-joint-coming-soon/article24474743.ece

https://www.biovoicenews.com/iit-delhi-researchers-innovate-a-low-cost-prosthetic-knee-joint-to-be-available-soon/patient-walking-with-prosthetic-knee-joint/

https://www.researchstash.com/2018/07/20/low-cost-prosthetic-knee-joint-coming-soon/

Profile

2018-06-04T23:17:00.011-07:00

Name	Dr. Ranjeet Kumar
Sex and Date of Birth	Male and 15/11/1983
Highest Qualification	Ph.D.
Designation	Workshop Manager
Department	Artificial Limb and Rehabilitation Centre
Institute/University	Dr. Shakuntala Misra National Rehabilitation University Government of Uttar Pradesh
Complete Address with Pin Code	Mohaan Road, Lucknow

Mobile Number	+91-9953042727,9990138938
E – Mail	ranjiitd@gmail.com, wm.alrc@dsmnru.ac.in
Area of Interest	Orthotics, Assistive Technology, Rehabilitation Technology, Clinical Biomechanics,, Gait Analysis, and mobility aids.

EDUCATION:

Indian Institute of Technology, Delhi, New Delhi, India Jan 2012- Oct 2019

· Ph.D in Applied Mechanics

² Thesis: Analysis of Polymeric Polycentric Prosthetic Knee Joint

² Advisers: Prof. Puneet Mahajan, Department of Applied Mechanics

Prof. Naresh Bhatnagar, Department of Mechanical Engineering

² Focus: FE analysis, mechanical testing, and gait analysis of new prosthetic knee joint

Guru Gobind Singh Indraprastha University, Delhi, India Aug. 2006-July 2008

ISIC Institute of Rehabilitation Sciences, New Delhi

· Master in prosthetics and Orthotics
Cumulative Percentage: 72%

Calcutta University, Kolkata, India Aug 2001- Aug 2005
National Institute for the Orthopaedically Handicapped, Kolkata

· Bachelor in Prosthetics and Orthotics
Cumulative Percentage: 63.8%

EMPLOYMENT PROFILE: 12 years Academic/Clinical Experience

Composite Regional Centre for Skill Development, Rehabilitation, and Empowerment of Persons with Disabilities, Davangere May 2017-Till date
Under the administrative control of NIEPID, Secunderabad, Department of Empowerment of Persons with Disabilities, Ministry of Social Justice and Empowerment, Government of India

Position: Prosthetist and Orthotist

Job responsibilities

· Co-ordinator, ADIP Scheme (Scheme of Government of India to provide free rehabilitative services to the persons with disabilities and neuromusculoskeletal disorder)

· Co-coordinator, Telerehabilitation services

· Co-ordinator, Outreach and extension services

· Clinical management of persons with disabilities and neuromusculoskeletal disorder (amputees, Cerebral palsy, stroke, etc.)using prosthetics and orthotics modalities

· Clinical orthotic management of persons suffering from acute fracture (lower and upper limb fracture) and long term fracture (spinal cord injuries, traumatic brain injuries etc.

· Orthotic management of sports-related injuries

· Outreach services, Community based rehabilitation

· Tele-rehabilitation

· Creating awareness related to prosthetics, orthotics and rehabilitative services

· Research and development

Indian Spinal Injuries Centre (ISIC), New Delhi July 2008-May 2017

Position: Assistant professor, Prosthetics and Orthotics

Job Responsibilities

· Co-ordinator, Master in Prosthetics and orthotics Programme

· Co-ordinator, ADIP Scheme (Scheme of Government of India to provide free rehabilitative services to the persons with disabilities and neuromusculoskeletal disorder)

· Teaching prosthetics, orthotics, clinical biomechanics and gait analysis to the post-graduate students of Prosthetics and Orthotics

· Teaching post-graduate students of Physiotherapy and Occupational Therapy

· Research and Development, research guidance to post-graduate students

· Clinical orthotic management of persons suffering from acute fracture (lower and upper limb fracture) and long term fracture (spinal cord injuries, traumatic brain injuries, etc.)

· Clinical management of persons with disabilities and neuromusculoskeletal disorder (amputees, PPRP, Cerebral palsy, stroke, etc.)using prosthetics and orthotics modalities

· Clinical orthotic management of sports-related injuries (prophylactic and rehabilitative)

Artificial Limb Manufacturing Corporation of India ( ALIMCO), Kanpur, Uttar Pradesh Oct 2005-Sept. 2006

(Public Sector Undertaking under Department of Empowerment of Persons with Disabilities, Ministry of Social Justice and Empowerment, Government of India)

Position: Prosthetist and Orthotist

Job responsibilities

· Clinical management of persons with disabilities and neuromusculoskeletal disorder (amputees, Cerebral palsy, stroke, etc.)using prosthetics and orthotics modalities

· Outreach services, Community based rehabilitation

Jamia Milia Islamia Central University, Delhi July 2010-March 2011

Position: Visiting Faculty

Job responsibilities:

Teaching undergraduate students of Physiotherapy

AWARDS

National Award, Ministry of Chemical and Fertilizers, Government of India 2015

Special Award of Excellence, Orthotics and Prosthetics Association of India 2010

DETAILS OF ACADEMIC/ADMINISTRATIVE WORK

Program/Policy Development

· Member, Development Group for Fracture, World Health Organization (May 2020 till date).

· Institutional Member from ISIC, Delhi, Expert Committee, Rehabilitation Council of India, New Delhi (January 2014 to May 2017).

· Member Taskforce Committee, Curriculum Development, Ministry of Health & Family Welfare, Government of India (July 2014 till date)

· Member Scientific Committee, Orthotics & Prosthetics Association of India (January 2010- February 2012)

Courses taught at Postgraduate levels: Prosthetics, Clinical Gait Analysis, Clinical Biomechanics, Assistive Technology.

Paper Setter and External Examiner of Gujrat University, Gujrat, GGSIP University, Delhi, MUHS, Nashik, WBUHS, Kolkata, IGNOU, Delhi.

Projects/Research guided at Postgraduate level

Year	Name of Student	Title of Project
2010	Priyanka Behera	Efficacy of medial longitudinal arch support on the center of pressure and plantar pressure redistribution in the flexible flat foot”
	Sangeeta Saini	Effect of dynamic ankle-foot orthosis footplate length on the gait and dynamic balance of person with post-stroke hemiplegia
	Amit Kumar Vimal	Effect of Side Load Carriage on Energy Expenditure and Gait Characteristic in Right Handed Unilateral Transtibial Amputee
	Kshitiz Chandra Vishal	Effect on knee pain and stride characteristics in persons with medial compartment knee osteoarthritis: a comparative study between single bar uniaxial valgus knee orthosis and lateral wedge insole
2011	Ajay Kumar Mishra.	Comparison of Foot Insole Materials in Plantar Pressure Relief and Center of Pressure
2012	Isha Jain	Comparison between the effect of 3 and 6 degrees of rearfoot varus wedge on the center of pressure and plantar pressure in an individual with rearfoot varus deformity
2012	B.Janarthanan	Psychosocial impact of prostheses on adult Transtibial amputee
2013	Pooja Kumari	Efficacy of CTS Splint amongst Computer Users
2013	Chandra Kala Thaodem	Comparative study between newly-designed Wrist Hand Orthotist and WHO in working women
2014	Sohini Pal	Efficacy of soft postural brace on lung capacities, kyphotic index, and musculoskeletal pain in school children carrying heavy bags.
	Yashika Kumar	Soft vs Philadelphia collar: a short term effect on pain, gait, and balance in people with cervical spondylosis
	Alka Shinde	Evaluation of customized low cost polycentric Osteoarthritic knee Brace on pain and tibiofemoral(varus) angle in persons with medial knee osteoarthritis.
	Shivangi Mehra	Effectiveness of customized foot insoles in nursing staff with mechanical low back pain and pronated feet.
	Aarti Poddar	Pain and functional ability in persons with carpal tunnel syndrome – a comparative study among neutral, extension, and ISIC Splint.
2015	Chinmayee S. Panda	Efficacy of Heel Height Along with Medial Longitudinal Arch Support on Arch Height Index, Foot Mobility Measurement and Pain In Flexible Flat Foot
	Prachi P Pattanaik	Stride, energy expenditure, and user’s satisfaction in person with post-polio residual paralysis: A comparative study between pneumatic control and drop lock knee joint.
	Achintya Prakash	Designing and analysis of a new dynamic prosthetic foot on a transtibial amputee
	Sonali Mishra	Effect on stride parameter, energy expenditure and comfortness in patients with unilateral transfemoral amputee: A comparative study between Silesian suspension and total elastic suspension
	Aishwarya Kaur	Comparison between silver ring splint and gutter splint in terms of function, grip, and pain for swan neck deformity in person with rheumatoid arthritis
	Subhasundar Jena	Effect of cane height on energy expenditure and balance among geriatric population
	Sunita S Das	A quantitative analysis of pressure distribution in transfemoral prosthetic sockets using the finite element method
	Bapina K Rout	Design and testing of the dynamic pylon and to compare its effects on energy expenditure, walking speed, cadence, step length and stride length from standard pylon tube in transtibial amputees
	Jibanjeet Mohanty	Comparative study between standard and modified axillary crutch on energy expenditure and walking speed in transfemoral amputees in level walking

INVITED TALKS DELIVERED

Assistive Health Technology in India: an inclusive approach 2018

3^rd International conference on Challenging Exclusion

National Institute for Empowerment of Persons with Multiple Disabilities, Chennai

Pre-conference workshop on hand Splinting in spinal cord injuries 2015

International Spine and Spinal injuries Conference

Orthotic Management of Pediatric Spinal Deformities 2014

CRE on Pediatric Spinal Deformities

National Institute for the Orthopedically Handicapped, Kolkata

Contemporary orthotic management of Pediatric Spinal Injuries & Deformity 2013

National Conference on Rehabilitation of Persons with Spinal Cord Injuries

National Institute for the Orthopedically Handicapped, Kolkata

Basic Prosthetics options for persons with transradial amputations 2013

CRE on Myoelectric transradial Prosthetic fitting

Ottobock Healthcare India

Universal Design: Accessilbity for all 2010

CRE on Addressing Barriers in Environment and Universal Design

Akshay Pratisthan, Delhi

PROFESSIONAL MEMBERSHIP:

· Registered with Rehabilitation Council of India, Delhi (CRR no:-A07601)

· Executive Council Member (Hon), Orthotics and Prosthetics Professionals Association for Health and Rehabilitation

· Member, International Society for Prosthetics & Orthotics (ISPO)

· Member Scientific Committee in the National Conferences of Orthotics & Prosthetics Association of India (OPAI), 2010 and 2012.

PUBLICATION

International:

· MH Alaei, Kumar R, Singh P, Mahajan P, Ghosh AK, Bhatnagar N, (2013) Design and Development of an Offset Lightweight Polymeric Orthotic Knee Joint for Polio and Cerebral Palsy Patients. Indian Journal of Biomechanics.

· Mehra S, Kumar R, Sinha AK, Kumari P, (2016) Effectiveness of customized foot insoles in nursing staff with mechanical low back pain and pronated feet. International Journal of health science and research. Vol. 6, Issue 6.

· Pattnaik PV, Kumar R, Kumari P (2018), Stride, Energy expenditure, and user's satisfaction in person with post-polio residual paralysis: A comparative study between Pneumatic control and drop lock knee joint, International Journal of Health and Allied Sciences, Vol. 7.

· Kumar Y, Sinha AK, Kumar R, Kataria C (2019), Soft Vs Philadephia Collar: A short term effect on pain, gait, and balance in people with cervical spondylosis, International Journal of health science and research.Vol. 9, Issue 8.

· Kumar A, Kumar R, (2020), Designing and Evaluation of New Dynamic Prosthetic Foot on Transtibial Amputees in a Low Resource Setup. International Journal of Health and Allied Sciences (Under review)

National:

· Singh P, Sinha AK, Kumar R, Pal S, Vishal KC (2012)An analytical review on Ergonomics in Prosthetics and Orthotics: some efficient guidelines, Journal of Orthotics and Prosthetics Association of India.

· Singh P, Saini S, Kumar R, Sinha AK (2012) Neurophysiological approach in orthotics: an overview with present literature, Journal of Orthotics and Prosthetics Association of India.

· Behera P, Kumar R, Rout SK, Sinha AK (2012) A elbow flexion-extension control orthoses-an orthotic solution for flexible contracture, Journal of Prosthetics and Orthotics Association of India.

· Mishra AK, Kumar R (2013); Effectiveness of MCR & Silicone gel insole in plantar pressure reduction: a pilot study, Journal of Prosthetics and Orthotics Association of India.

· Sinha AK, Shrama S, Kumar R (2013) Effectiveness of a Modified Boston Brace for the persons with kyphoscoliosis: A case study, Journal of Prosthetics and Orthotics Association of India.

· Mitra NS, Bishoyi AN, Kumar R (2013), Diagnostic efficacy in Orthotic management of Progressive infantile tibia vara, Journal of Prosthetics and Orthotics Association of India.

· Vishal KC, Kumar R, Yadav SL, Sinha AK, Kumari P, Rani P, Shinde A (2016), the effect on knee pain and stride characteristics in persons with medial compartment knee osteoarthritis: A comparative study between single bar uniaxial valgus knee orthosis and lateral wedge insole, International journal of disabilities studies, special education and rehabilitation

· Pal S, Sinha AK, Sharma R, Kumar R (2016), Short Term Effect of Conventional TLSO on Balance and Gait in Individual with Osteoporosis of Spine, International journal of disabilities studies, special education, and rehabilitation

· Behera P, Kumar R, Sinha AK, (2016), Immediate Effect of Medial Longitudinal Arch Support on Centre of Pressure and Plantar Pressure Redistribution in Flexible Flat Foot, International journal of disabilities studies, special education, and rehabilitation

Conferences:

· Vimal AK, Sharma S, Joshi D, Kumar R, (2013), The Role of quadratus lumborum muscle in asymmetrical loading condition in unilateral transtibial amputees. Proceedings of 14^th World Congress of International Conference of International Society of Prosthetics and Orthotics.

· Kumar R, Mishra A (2013), A comparison of foot insole materials in plantar pressure relief and centre of pressure pattern. Proceedings of Conference of Society of Prosthetics and Orthotics, Kerala.

· Kumar R, Jain I, (2013), Clinical implication of gel liners. Proceedings of Conference of Society of Prosthetics and Orthotics, Kerala.

· Kumar Y, Kumar R, (2016), the Prescription rationale for paraplegic patients: A pilot study, Proceedings of 22^nd National Conference of Orthotics and Prosthetics Association of India.

· Janarthanan B, Kumar R (2014) Psychological impact of prosthesis on the persons with a lower limb amputation- A pilot study. Proceedings of 21^st National Conference of Orthotics and Prosthetics Association of India.

· Sehrawat S, Kumar R, Sinha AK, (2014), Socio-psychological crisis due to amputation: A systematic review. Proceedings of 21^st National Conference of Orthotics and Prosthetics Association of India.

· Vishal KC, Kumar R, (2012) Effect on knee pain and stride characteristics in persons with medial compartment knee osteoarthritis: A comparative study between single bar uniaxial valgus knee orthosis and lateral wedge insole: A pilot study. Proceedings of 20^th National Conference of Orthotics and Prosthetics Association of India.

· Behera P, Kumar R, Sinha AK, (2012), Evidence-based practice on a progressive curve. Proceedings of 20^th National Conference of Orthotics and Prosthetics Association of India.

· Singh P, Kumar R, (2012), R&D trends in Prosthetics and Orthotics: past, present, and future. Proceedings of 20^th National Conference of Orthotics and Prosthetics Association of India.

· Karn KC, Kumar R, Sinha AK, (2012), The relationship between prosthetics and orthotics services and community-based rehabilitation(CBR). Proceedings of 20^th National Conference of Orthotics and Prosthetics Association of India.

· Kumar R, (2010), Active Rehabilitation in Paraplegics. Proceedings of 19^th National Conference of Orthotics and Prosthetics Association of India.

· Kumar R, (2008), Simplified Advanced Prehension orthosis for tetraplegics. Proceedings of 18^th National Conference of Orthotics and Prosthetics Association of India.

TRAINING PROGRAM ATTENDED

· Wheelchair Service Training Package,

Training of Trainers Intermediate Level, WHO Approved 2017

· Wheelchair Service Training Package

Training of Trainers Basic Level, WHO Approved 2016

· Basic Cosmetic Restoration Course, RCI Approved 2016

· Regional Workshop on Copyrights, Patent, Citation and their Impact Factor 2015

· National Workshop on Citation Analysis, Impact Factor,

Patent and Copyrights for maximizing research impact 2015

· Wheelchair Service Training Package - Basic Level, WHO Approved 2015

· Wheelchair Service Training Package - Intermediate Level, WHO Approved 2015

· Orthotic management of Pediatric Spinal Deformities 2014

· Promoting universal Design in Public transport 2013

· Symposium on Insight into Research Methods and

Bio-statistics Researchers Perspective 2012

· Refresher Programme on Research Methodology 2011

· Faculty Development Programme on SPSS

for Educators in facilitating their research Skills 2011

· Hands on CRE on Basics and fitting of Myoelectric Transradial Prosthesis 2011

· Hands on CRE on Advancement in Orthotic Management of Scoliosis 2011

· Advancement in Prosthetics and orthotics

I-Limb Accredited Practitioner Programme 2010

· Evaluation/ Selection of Advanced Prosthetic Componentry,

Medical/ bio-mechanical treatment of diabetic foot and foot ulcers 2009

[CV compiled on 2020-06-20]

Preleminary Result of Prosthetics & orthotics Uplifment survey

2012-02-05T00:57:00.000-08:00

Disability Camp at ISIC,Department of Orthotics & Prosthetics

2009-06-19T10:35:00.000-07:00

Introduction
It has been the constant endeavour of the Government to provide the disabled persons with aids/appliance at minimum costs. The requirement for providing of aids/appliances, which are essential for the social, economic and vocational rehabilitation of the disabled persons, has come into sharp focus, particularly after the enactment of the Persons with Disabilities (Equal Opportunities, Protection of Rights and Full Participation) Act, 1995, which came into force in 1996. Various surveys conducted from time to time have made it clear that India has a very large number of disabled persons. Many of them come from low-income groups. Disability restricts their opportunities for leading functionally productive lives. From the application of modern technology, there have emerged a number of aids, which can reduce the effects of disabilities and enhance the economic potential of the disabled. To illustrate a wheel chair, an artificial limb, crutch, a brace, a splint can greatly improve the mobility of physically disabled individual. Similarly, with the help of a powerful hearing aid, persons with some residual hearing can be helped to carry on many activities of daily living. Low vision to read, print and undertake other activities resulting in their rehabilitation. However, a large number of disabled persons are deprived of the benefits of these appliances because of their inability to find funds to purchase them.
In the light of the Government’s growing stress on helping disabled persons and in bringing the aids and appliances within their reach, it has been decided to continue the ADIP Scheme and modify it in such a way that it becomes more user-friendly and the needy are not deprived of aids/appliances, which are essential for their social, economic and vocational rehabilitation. If they can, thereby, become earning members they would be much closer to achieve economic self-dependence and also be able to live and pursue their activities dignity.
In the light of the Government’s growing stress on helping disabled persons and in bringing the aids and appliances within their reach, it has been decided to continue the ADIP Scheme and modify it in such a way that it becomes more user-friendly and the needy are not deprived of aids/appliances, which are essential for their social, economic and vocational rehabilitation. If they can, thereby, become earning members they would be much closer to achieve economic self-dependence and also be able to live and pursue their activities dignity.

The Scheme and its Objectives
The Scheme aims at helping the disabled persons by bringing suitable, durable, scientifically-manufactured, modern, standard aids and appliances within their reach. The estimates, according to 58th Sample Survey conducted by NSSO in 2002, indicate that there are about 18.04 million persons with various types of disabilities in the country. Their disabilities restrict the opportunity for their economic and social growth. In addition, about 3 % of the children below 14 years of age suffer from delayed development. Many of them are mentally retarded and cerebral palsied and require some aids/appliances to attain the capacity for self-care and independent living.
The main objective of the Scheme is to assist the needy disabled persons in procuring durable, sophisticated and scientifically manufactured, modern, standard aids and appliances that can promote their physical, social and psychological rehabilitation, by reducing the effects of disabilities and enhance their economic potential. The aids and appliances supplied under the Scheme must be ISI .

Definition
Definitions of various types of disabilities as given in The Persons with Disabilities (Equal Opportunities , Protection of Rights and Full Prticipation ) Act , 1995 (PWD ACT)

Scope
The Scheme will be implemented through the Implementing Agencies as listed in the following para. The Agencies will be provided with financial assistance for purchase, fabrication and distribution of such standard aids and appliances that are in conformity with objective of the Scheme. The Implementing Agencies will take care of/make suitable arrangements for fitting and post-fitting care of the aids and appliances distributed under ADIP Scheme. The scope of the Scheme has been further enlarged to include use of mass media, exhibitions, workshops etc. for exchange of information and promoting awareness and distribution and use of aids/appliances.
The Scheme shall also include under its ambit, medical/surgical correction & intervention, which is essential prior to fitment of aids and appliances. The cost could range from Rs. 500/- for hearing & speech impaired to Rs. 1,000/- for visually disabled and Rs. 3,000/- for orthopaeidcally disabled.

Eligibility of the Beneficiaries
A person with disabilities fulfilling following conditions would be eligible for assistance under ADIP Scheme through authorized agencies:
He/she should be an Indian citizen of any age.
Should be certified by a Registered Medical Practitioner that he/she is disabled and fit to use prescribed aid/appliance.
Person who is employed/self-employed or getting pension and whose monthly income from all sources does not exceed Rs. 10,000/- per month.
In case of dependents, the income of parents/guardians should not exceed Rs. 10,000/- per month.
Persons who have not received assistance from the Government, local bodies and Non-Official Organisations during the last 3 years for the same purpose. However, for children below 12 years of age this limit would be 1 year.

Quantum of Assistance to Disabled
Only those aids/appliances which do not cost more than Rs. 6,000/- are covered under the Scheme. However, for visually mentally, speech & hearing or multiple disabled, the limit should be Rs. 8,000/- during their study period after IX standard. The limits will apply to individual items of aid and where more than one aid is required, the ceiling will apply separately. The amount of assistance will be as follows:
Total Income
Amount of Assistance
(i) Upto Rs. 6,500/- per month (ii) Rs. 6,501/- to Rs. 10,000/- per month
Full cost of aid/appliance
50% of the cost of aid/appliance
Further, traveling cost would be admissible limited to bus fare in ordinary class or railway by second class sleeper subject to a limit of Rs. 250/- for beneficiary irrespective of number of visits to the center and a Certificate from Doctor or Rehabiliation Professional, travel expenses subject to the same limit would be admissible to an attendant/escort accompanying the beneficiary. The beneficiary should attend the Rehabilitation Centre nearest to his/her place of residence, except in the North-Eastern Region where he may be allowed travel cost for traveling outside the Region till such facilities become available within that Region.
Boarding and Lodging Expenses at the rate of Rs. 30/- per day for maximum duration of 15 days would be admissible, only for those patients whose total income is upto Rs. 6,500/- per month.

Type of Aids/ Appliances to be Provided
The following aids and appliances may be allowed for each type of disabled individual. However, any other item as notified from time to time by the Ministry of Social Justice and Empowerment for the purpose will also be allowed:

Locomotor Disabled

All types of prosthetic and orthotic devices.
Mobility aids like tricycles, wheelchairs, crutches walking sticks and walking frames/rolators. Motorised tricycles for persons with locomotor disability that are likely to cost more than Rs. 6,000/- may be procured and provided in exceptional cases subject to prior approval of Ministry of Social Justice and Empowerment on case to case basis .Extent of subsidy would however continue to be Rs. 6000/- For all other devices ceiling is Rs.6,000/- .
All types of surgical footwears and MCR chappals.
All types of devices for ADL (activity of daily living)

Learning equipments like arithmetic frames, abacus, geometry kits etc. Giant Braille dots system for slow-learning blind children. Dictaphone and other variable speed recording system. CD player/ Tape recorder for blind student from X standard.
Science learning equipments like talking balances, talking thermometers, measuring equipments like tape measures, micrometers etc.
Braille writing equipments including Braillers, Braille shorthand machines, typewriters for blind students from X class. Talking calculators, Geography learning equipment like raised maps and globes.
Communication equipments for the deaf-blind. Braille attachments for telephone for deaf-blind persons.
Low vision aids including hand-held stand, lighted and unlighted magnifiers, speech synthesizers or Braille attachments for computers.
Special mobility aids for visually disabled people with muscular dystrophy or cerebral palsy like adapted walkers.
Soft-ware for visually handicapped persons using computers that are likely to cost more than Rs. 6,000/- may be procured and provided in exceptional cases subject to prior approval of Ministry of Social Justice and Empowerment on case to case basis. Extent of subsidy would however continue to be Rs. 6000/-. For all other devices ceiling is Rs.6,000/- .
Hearing Disabled
Various types of hearing aids
Educational kits like tape recorders/CD player etc.
Assistive and alarming devices including devices for hearing of telephone, TV, doorbell, time alarm etc.
Communication aids, like, portable speech synthesizer etc.
Mentally Disabled
Any suitable device as advised by Rehabilitation Professional or treating physician.

Stride Characteristics & Energy Expenditure in Unilateral Transtibial Amputees:A Comparison of SACH Foot & Jaipur Foot

2008-12-26T03:44:00.000-08:00

ABSTRACT

The aim of the study was to determine the Stride characteristics and Energy expenditure in unilateral transtibial amputees comparing SACH foot & Jaipur foot in a sample of 31 unilateral transtibial amputees. The design of study was one group post study experimental design. The subjects were studied on two parameters i.e. Stride characteristics and Energy expenditure. These parameters were obtained using paper walkway & stop watch. The Energy expenditure obtained by calculating Physiological Cost Index(PCI) which is an empirical measure of the energy expenditure in gait was calculated from the net heart rate (walking heart rate- resting heart rate) divided by the walking speed(meter/minute)(McGregor,1980). The result were expressed as Mean± standard deviation and significant established at p≤0.05.The result of Stride characteristics revealed significant difference in Stride length (t-value=2.19, p-value=0.037) & Step length (t-value =4.08, p-value=0.000). In Cadence (t-value=1.63, p-value=0.114) & Velocity (t-value=1.65, p-value=0.109), there were no significant difference found. The result of physiological cost index (t-value=0.81, p-value=0.422) revealed that there is no significant difference either using SACH foot or Jaipur foot. The result of the study suggests that both the prosthetic feet are compatible to the unilateral transtibial amputees. The ultimate effect is to show the effect on Gait efficiency & energy expenditure in unilateral transtibial amputees using two biomechanical prosthetic feet which may help the clinician in selecting the foot during the prescription of unilateral transtibial amputees.

INTRODUCTION

Transtibial amputation is the amputation through a part of the tibia. It occurs due to many reasons but trauma is the major cause of amputation in the developing world. The transtibial amputation is the twice common than the transfemoral amputation1. The transtibial amputation is the most proximal level at which near normal level function can be expected for most of the amputees2, because of preserved anatomical knee joint consume much less energy (33% more than normal) than the transfemoral amputation(65% more than normal)3. To ensure the efficient ambulation, the prosthetic feet should mimic the function of the human foot throughout the gait cycle to the degree that this is feasible4. In India, two feet are commonly prescribed; SACH foot & Jaipur foot. The SACH foot was developed by University of California in 1957, which has no moving parts & provides movement by means of material used4. The Jaipur foot was developed by experts of SMS College & hospital, Jaipur, India by which patient can walk bare foot, can do the squatting & cross-legged sitting. This foot is water proof & can be used in field work.Jaipur foot also claims greater degree of movement due to its material used5.Torburn et.al6(1990) found no significant difference in walking speed, stride length &energy cost comparing SACH & other energy storing feet. In different study7(1995) he also found that there was no significant difference in energy consumption, walking speed, stride length & cadence comparing SACH, CC-II, Seattle, Quantum & flex feet7. A number of reviews8-19 have been done on stride characteristics & energy expenditure in various energy storing feet along with SACH foot, but no study has been conducted on the Stride characteristics & Energy expenditure in unilateral transtibial amputees comparing SACH foot & Jaipur foot.
The purpose of this study is to compare the Stride characteristics & Energy expenditure in unilateral transtibial amputees using SACH foot & Jaipur foot. The hypotheses of the present study are (1) The SACH foot will show better stride characteristics than SACH foot. (2)The SACH foot will result in more energy efficient gait than Jaipur foot. These parameters were obtained using paper walkway & stop watch. These tools were used because these are simple to use, reliable, quick & practical & easy to conduct in Indian clinical settings.Researchers21 have estimated good inter-rater reliability=.99) & test retest reliability (r=.89-.90) for the use of paper walkway to calculate the stride parameters.Astrand & Rodahl20 (1986) have shown the linear relationship between the heart rate & oxygen consumption is fundamental to the PCI & Rose et.al(1989)22 shown when calculating the PCI the resting heart rate is sensitive & must be measured with accuracy.

METHODOLOGY

A sample of convenience of 31 persons with transtibial amputee took part in this study. They were recruited by from Assessment clinic at Bhagwan Mahaveer Viklang Seva Samiti, New Delhi. Subjects who fulfilled the inclusion criteria were selected .The inclusion criteria for this study was Persons with unilateral transtibial amputation, Amputation secondary to Trauma, Age group between 20-40 years, Amputee using prosthesis for at least two years, Ideal stump, Normal range of motion of intact joint, good muscle strength of lower extremity. The subjects with bilateral Transtibial amputation, Contracture, Neuroma, Edema, Spur formation were excluded from the study. The mean age (years) of the subjects was 32.80+ 6.53.the mean of stump length of the subjects was 38.51%.the mean height (Centimeter) of the subjects was 161.63±4.42, the mean of weight of the subjects was 58.03±6.05 & the mean of BMI for all the subjects were 22.2±3.92, which showed that all the patient were under their average body mass index. All subjects had amputation secondary to trauma & all had been wearing prosthesis for at least two years. None of the subject had residual limb pain, swelling, neuroma & none showed major gait deviations. None of the subjects had y assistive devices. Residual limb length (percentage) for all subjects was at least 30%of the total sound limb length but did not exceed more than 52% i.e. 15% of the total body height. These criteria reflect the importance of maintaining the consistent limb length among subjects when evaluating Stride parameters & energy cost. The subject was initially fitted with prosthesis using the foot from earlier to minimize the adaptation time. The criteria of selecting foot were based on the height, weight of the subjects & the foot length of the non-amputated limb. The foot is tested was attached to the ankle & optimally aligned by the Prosthetist.Since it has been determined that the prosthetic alignment has an effect on gait symmetry, each foot was worn on the test prosthesis for three weeks. At the end of three weeks, the gait symmetry was analyzed using observational method. The stride parameters were measured using paper walkway of 10meter & stop watch. The 10 meter paper walkway was used in which initial & last 2 meter was marked for acceleration & deceleration. The time & steps within the 6 meter was used to calculate the stride parameters. To calculate the resting heart rate, initially the subject was given rest for ½ hour to bring the subject in resting position. Before the stride parameters collected, the resting heart rate was measured manually by measuring the pulse of the radial artery at the wrist in sitting position. After collection of stride parameters, the patient was asked to walk for 6 minutes and the end of 6 minutes the walking heart rate measured manually. After collecting the data of one prosthetic foot, another foot was attached to the test prosthesis with proper alignment done by the Prosthetist.Again the test prosthesis given to the subject for 3 weeks for adaptation.

RESULT

Statistics were performed using SPSS software version 10.5. A paired t-test was used to analyze the difference between SACH foot & Jaipur foot in terms of Stride characteristics and Energy expenditure. A significance level of p≤0.05 was fixed. The significant difference found only in stride length & step length of stride characteristics, & there were no significant difference found in cadence, Velocity as well as in energy expenditure using either SACH foot or Jaipur foot.

STRIDE CHARACTERISTICS
The result of stride characteristics in unilateral transtibial amputees using SACH foot & Jaipur foot revealed that; in cadence(Table-1 and figure-1) using SACH foot (mean=71.55±13.85) & Jaipur foot (Mean=81.90±15.81) did not show any significant difference(t-value=1.63,p-value=0.114), indicating both the feet are equally compatible in terms of cadence. In step length (Table-3 and figure-3) using SACH foot (mean=64.41±7.81) & Jaipur foot (mean=64.62±4.12) showed significant difference indicating Jaipur foot showed better step length than SACH foot. The stride length (Table-2 and figure-2) using SACH foot (mean=125.75±17.33) & Jaipur foot (mean=128.80± 18.17) showed significant difference (t-value =2.19, p-value=0.037) indicating Jaipur foot produces more stride length than SACH foot. The velocity (Table-4 and figure-4) using SACH foot (mean=0.93±.256) & Jaipur foot (mean=0.96±0.256) revealed no significant difference (t-value=1.65, p-value=0.109) indicated that both feet produces equal velocity in unilateral transtibial amputees.

ENERGY EXPENDITURE
The result of physiological cost index (Table-5 and figure-5) revealed that no significant difference found using SACH foot (Mean=0.104±0.064) & Jaipur foot (Mean=0.126±0.154, t-value=0.81, p-value=0.422).

DISCUSSION
It has already been studied that the energy expenditure in transtibial amputees using SACH foot increases significantly more than normal subject. For the subject with unilateral transtibial amputees, it is very important to determine that which prosthetic foot are more compatible in terms of energy efficiency & stride characteristics, because it has already been said that in unilateral transtibial amputation the normal functions can be expected for most of the amputees. The purpose of this study was to determine whether the stride characteristics & physiological cost index significantly difference between unilateral transtibial amputees using prosthesis with SACH foot & Jaipur foot. The mean of cadence using Jaipur foot (mean=81.9±15.81) & SACH foot (71.55±13.85) & the mean of velocity (m/s) using Jaipur foot (mean=.96±.256) & SACH foot (.96 ±.256), revealed no significant difference in cadence & walking speed. The results correlate with the earlier studies by the Power et.al in which he found that the cadence comparing five prosthetic feet was not significantly different. The findings of the different study (Doane et.al, Lehmann et.al.Nielsen et.al.)18,23,24, showed that there is no significant difference in velocity using various prosthetic feet. Thus it shows that the finding of the present study is not incidental.
The mean of Stride characteristics in terms of Stride length of Jaipur foot (Mean=128.80±18.17) was significantly higher than the SACH foot (mean=125.75± 17.33). The Step length of Jaipur foot (Mean=65.62±9.12) was also significantly higher than the SACH foot (mean=62.41±7.81) indicating that SACH foot result in slower stride length & step length than Jaipur foot. The previous study (Arya AP et. al., 1995) stated that the performance of the Jaipur foot is more natural & nearer to the normal foot as compared to the SACH foot & Seattle foot. The better stride length & step length produced by Jaipur foot in unilateral transtibial amputee may be due to its natural appearance & more natural rocker action than SACH foot as said in previous study (Arya AP et.al19., 1995, Kabra & Naranan8, 1990). The mean of PCI of SACH foot (Mean=0.104±0.064) & Jaipur foot
(Mean=0.126±0.154, t-value=.81) showed no significant difference. In terms of energy expenditure, the finding of the present study is in the agreement with the study by Huang et.al.17, compared the energy cost in various energy storing prosthetic feet.
These data suggested that both the feet are compatible to the unilateral transtibial amputee. This is found that the prosthesis with Jaipur foot was better in stride length & step length. The energy expenditure using both the feet is not significantly different. The ultimate effect is to show effect on gait efficiency & energy expenditure in unilateral transtibial amputees using two biomechanical feet which may help the clinician in selecting the foot during the prescription of unilateral transtibial amputees occurred due to traumatic amputation.

FUTURE RESEARCH
As earlier mentioned, this study uses a small sample of subjects. So the study can be done including larger sample of subjects. This study was concluded on unilateral transtibial amputees of traumatic type. The future research involving dysvascular type unilateral transtibial amputees will generate the broadened aspect.

CONCLUSION
This study concludes that although both the feet are compatible to the persons with transtibial amputees, but it is found that the Jaipur foot showed better stride characteristics in terms of stride length & step length. But there were no significant difference found in cadence & velocity comparing both the feet. Also there was no significant difference found in energy expenditure during walking either using SACH or Jaipur feet. Thus concluding that both the feet are equally compatible to the amputee gait & both the feet consumes equal energy during walking.

ACKOWLEDGEMENT
The author thanks his parents for continuous support and moral backup. He also thanks to his esteemed Guide Mr. Tarun Kumar Kulshreshtha, Managing Director Total O&P India (P) Ltd, Noida, UP for his support throughout the study. He specially thanks to Dr. Chitra Kataria, Principal, ISIC, Institute of Rehab. Sciences, New-Delhi, Mr Gautam Jain, Head clinical Services, Endolite India Pvt.Ltd, New-Delhi for their unwavering encouragement, valuable advice & expertise.
References
1. Boontje AH. (1980).Major Amputation of the lower extremity for vascular disease. Prosthetics & Orthotic International; 4:87-89.
2.Bard G, Ralston JH (1959).Measurement of energy expenditure during ambulation, with special reference to evaluation of assistive devices. Archives of physical medicine and Rehabilitation; 40:415-420.
3.Murray DG. (1965).Below knee amputation in the aged: Evaluation and prognosis. Geriatrics; 20:2033-2038
4.Smith DG, Micheael JW, Bowker. (2003) Atlas of amputations & limb deficiencies, surgical, prosthetic, & rehabilitation principles.
5.Molen NH (1973).Energy-Speed relation of below knee amputees walking on a motor driven trademill.Int Z Angew Physiol; 31:173-185.
6.Torburn L, Perry J, Ayyappa E, Shanfield SL (1990).Below knee amputee gait with dynamic elastic response feet: a pilot study. J Rehabil Res Dev; 27(4):369-384.
7.Torburn L,Powers CM,Guiterrez R,Perry J(1995).Energy expenditure during ambulation in dysvascular & traumatic below knee anputee:a comparison of five prosthetic feet.J Rehabil Res Dev;32(2):111-119.
8.Kabra SG &Narayanan R.(1991).Equipments &methods for laboratory testing of ankle foot prosthesis as exemplified by the Jaipur foot. J Rehabil Res Dev; 28(3):23-34.
9.Craig J.Prosthetic feet for low income group. Journal of prosthetic and orthotics online library.
10.Craig J.Biomechanical & Metabolic comparison of SACH &Seattle feet in below knee amputees. Journal of prosthetics and orthotics online library.
11.Pinzur MS et al. (1995).The effect of prosthetic alignment of relative limb loading in persons with transtibial amputation: A preliminary report. J Rehabil Res Dev; 32:373-377.
12. Rossi SA, Doyle W, Skinner HB (1995).Gait Initiation of persons with below knee amputation: The characterization and comparison of force profile. .J Rehabil Res Dev; 32:120-127.
13. Saunders JE, Daly CH, Burgess EM (1993).Clinical measurement of normal and shear stresses on a transtibial stump: Characteristic of wave form shape during walking. Prosthetics orthotics international.
14.Barth et al (1992).Gait analysis & energy cost of below knee amputees wearing six different prosthetic feet. J Prosth Orthot; 4:63-75.
15.Cassias JM, et al. (1995).Bioenergetics comparison of a new energy storing foot & SACH foot in traumatic below knee vascular amputations. Arch Phys Med Rehabil; 76(1):39-44.
16.Gitter et al. (1991).Biomechanical analysis of the influence of prosthetic feet on below knee amputee walking. Am J Phys Med Rehabil; 70(3):142-148.
17. Huang GF, Chou YL, Su FC. (2000).Gait analysis & Energy consumption of below knee amputees wearing three different prosthetic feet. Gait Posture; 12(2):162-168.
18. Nielsen DH,Shurr DG,Golden JC,Meier K(1988).comparison of energy cost & gait efficiency during ambulation in below knee amputees using different prosthetic feet.J Prosthet Orthot;1:24-31.
19.Arya AP.et al. (1995).A biomechanical comparison of SACH, Seattle & Jaipur foot using ground reaction forces. Prosthetics Orthotics international; 19(1):37-45.
20.Astrand PO, Rodahl R. (1970).Text book of work physionlogy.New-york.McGrawHill:9-43
21.Hornby TG,Zemon DH,Campbell D.(2005).Robotic assisted, body weight supported treadmill training in individuals following motor incomplete spinal cord injury. Physical Therapy; 85(1):52-63.
22.Rose J, et.al. (1989).Energy cost of walking in normal children & in those with cerebral palsy: comparison of heart rate & oxygen uptake. Journal of Pediatric Orthopedic; 9:276-279.
23. Lehmann JF et.al. (1993).Comprehensive analysis of energy storing prosthetic feet: flex foot &Seattle foot vs. Standard SACH foot. Arch Phys med Rehabil; 74:1225-1231.

ISIC-Institute of Rehabilitation Sciences

2008-12-26T03:23:00.000-08:00

THE UNIVERSITY

Guru Gobind Singh Indraprastha University, established by govt of NCT of Delhi under provision s of Guru Gobind Singh Indraprastha University Act,. 1998 read with its Amendment in 1999, is an affiliating and teaching university that aims to facilitate and promote studies , research and extension work in emerging areas of higher education with focus on professional education in the disciplines of engineering, technology, architecture , management ,medicine, pharmacy, physiotherapy, nursing laws, journalism and mass communication, etc. and also to achieve excellence in these and related fields and other matters connected therewith of incidental thereto. it awards the various degrees like: B.tech,, M.Tech, MCA, MSc.,B.Arch,BCA,,BBA,MBA,B.Pharma,BPT,MPT,MPO,MBBS,BHMS,Ph.D,etc.The admission to these programmes are done yearly through common Entrance test.

Guru Gobind Singh Indraprastha University is recognized by University Grant Commission (UGC) of India under section 12B of UGC act.

The University in its functioning gets support and guidance from its statutory bodies such as the court, the Board of Management, the planning Boards, the Boards of Afiliation, The Academic Council and the finance committee. To facilitate the assign role by these statutory bodies, the members of these bodies are the persons of eminence from varied fields and disciplines.

CHAIRMAN’S MESSAGE

It is proud moment for ISIC today, within 10 years of commissioning of comprehensive services; the centre has taken the next big step towards fulfilling its dream of being a comprehensive institute-commissioning of ISIC-Institute of Rehabilitation Sciences as a part of its educational wing. The Institute had started first time in India Master’s in Prosthetics and Orthotics’ Programme with affiliation of Guru Gobind Singh Indraprastha University, w.e.f session 2006-2007 which ids the first such course in the country to be recognized by the Rehabilitation Council Of India and Delhi Government.
Our objective would be to provide international standards of training at a very competitive fee and thus empower these students to deliver services of the highest standards to the patients.
Our endeavor would be to make the ‘ISIC Institute of Rehabilitation Sciences’ a premier institute worldwide, through an optimum infrastructure, meticulously designed curriculum, renowned and dedicated faculty and committed students.

ISIC INSTITUTE OF REHABILITATION SCIENCES

‘Rise to victory’…….. Indian spinal Injuries Centre is a national leader in the medical care and rehabilitation of spinal cord injuries. In fact, it is the most advanced super speciality hospital cum rehab centre in south Asia. Besides treating disorders of the spine, it is equipped for complete health care. The mission of the centre is to reach the lives of thousands of newly spinal injured every year by providing medical excellence through both scientific expertise and respect for the patient as an individual.”our goal is to optimize self sufficiency and independence for the rehahabilitation patient.”

ISIC sprawled on 15 acres of land on the outskirts of Delhi, has a state –of-the – art intensive care unit apart from the present 100 inpatient beds, operation theatres with the latestmedical equipment that allow surgeons to perform even the most complicated surgeries with ease. Apart from this it provides round the clock emergencies services with ambulance facilities. Here the most advanced scientific tools for diagnosis and treatment joinan upliftingambience that uses greenery, natural light and space to keep patient’s spirit bright and promote healing. The centre is striving constantly to bring the best expertise, technology and services available in the world to patients in India, on its own as through strategic tieups with international organizations in the field.

PROGRAMME OFFERED

Apart from being pioneer in introducing Master in Prosthetics and Orthotics first time in India in 2006-2007 at institute of Rehabilitation Sciences we run five Other Master programs:-

Master in Prosthetics and Orthotics

Master of Physiotherapy (MPT)
· MPT in Musculoskeletal
· MPT in Neurology
· MPT in Spots Medicine

Masters of Occupational Therapy
· MOT in Musculoskeletal
· MOT in Neurology

FACULTIES ASSOCIATED WITH MPO PROGRAM

PROSTHETICS AND ORTHOTICS

1.Mr. Amit Bhanti
CEO, Total O&P India (P) Ltd.
NOIDA, U.P.

2. Mr. Gautam Jain
Head. Clinical Services & Senior Prosthetist
Endolite India Limited
New-Delhi

3. Mr. Tarun Kr Kulshreshtha
Managing Director, Total O&P India (P) Ltd.
NOIDA, U.P.

4. Mr. Karanbir Singh
Director,
Deep Artificial Limb Centre
Chandigarh, Punjab

5. Mr. Sujeet Kumar Maurya
Senior Prosthetist
TechnoMed, New-Delhi

MATERIAL SCIENCE

1. Dr. Sangeeta Bakshi
Scientist, TIFAC, New-Delhi

2. Mr. N.K. Malik
Professor,IIT,Delhi

CAD-CAM

1. Dr. Shriram Hegde
Professor, Mechanical Engineering
IIT, New-Delhi

RECOGNITION

Master of Prosthetics and Orthotics is recognized by rehabilitation council of India and other courses run by institute such as Master of Physiotherapy and Master of Occupational Therapy is recognized by council of Physiotherapy and Occupational Therapy.

CLINICAL AFFILIATIONS
ISIC Institute of Rehabilitation Sciences has memorandum of understandings with San Raffles Hospital, Milan, Italy as exchange of students fro practical exposure and clinical training on yearly basis.

POSTINGS
ISIC Institute of Rehabiliattion Sciences tries in Every possible manner to expose their students to the best clinical training. So we send our students to the best available

Clinical Posting Sites:

1. Total Orthotics & Prosthetics India (P) Limited, NOIDA, U.P.
2. Otto bock health care India Limited, New-Delhi.
3. Endolite India limited, New-Delhi.
4. Innovative Prosthetics & Orthotics, New-Delhi.
5. PDDU Institute for physically handicapped, New-Delhi
6. Bhagwan Mahaveer Viklang Seva Samiti, New-Delhi.
7. Kiwani’s rehabilitation centre, New-Delhi.
8. Akshay Pratisthan, New-Delhi.

FACILITIES

IIRSc Prosthetics and Orthotics lab is highly advanced which consist of Myoelectric & Silicone Prosthetics Lab apart from our general Prosthetics and Orthotics Lab.

also has a highly advanced Research lab.
Hi-tech classroom with all necessary equipments.
National & International faculty faculty.

MASTER’S PROGRAMME IN PROSTHETICS AND ORTHOTICS

The concept of an advanced education program in prosthetics and orthotics (P&O) is not new. In 1984, many years before P&O education programs were evaluated by a national accrediting body, the Education Accreditation Commission recognized the need for advanced education leading to a master’s degree. As a result of these recommendations, one post-professional master’s degree program was created at the University of Connecticut. it was basically designed to prepare board eligible or American Board for Certification in Orthotics and Prosthetics, Inc. (ABC) certified prosthetists and/or orthotists for positions of leadership in health care.
Generally Funding shortfalls lead to the closure of programs. The closure of these programs highlights the need for future education programs to develop support from the university’s administration, collaborating departments and medical community. In addition, it emphasizes the need for expanded funding resources from the university, the alumni & the P&O profession.Since 1992 the P&O industry officially became recognized by the American Medical Association as an allied health profession. Since then, rapid changes in managed health care, and the unprecedented growth in computer technology and material sciences have pressured the P&O profession to keep pace.
There are several basic problems in P&O education- lack of uniform vision of the future of P&O, lack of text contemporary curricular design and lack of text designed to provide a comprehensiveoverview to teach students about the complex discipline of P&O. As the Bachelor’s degree and Certification by ABC/CBC have been reviewed as a priary qualification in P&O, the administrative & faculty positions in P&O educations programmes have been typically occupied by professional who have years of experience, or by professional who have years of experience, or by professional who have been internationally recruited. A small number of individuals from within the P&O profession have contributed to the information, based through research process and advanced education, concomitantly a large portion of advancement in the profession hqave been developed outside the P&O profession by individuals possessing formal knowledge & advanced training in medicine, allied health services and engineering.
ISIC, Istitute of Reahbilitation Sciences has accepted the challenge to take the education of Prosthetics ands Orthotics to Masters Level thereby.Upgrading the level of education and leading the profession into the new millennium.

PLACEMENT

Placement of MPO first Batch:

ISICians in all walks of life continue to make news. Our college holds the distinction of forming academically competent, ethically sensitive & socially active students. Some of the alumini who have scaled the ladder of success…….

1. Ms. Suman Kumari
Lecturer,
National Institute for the Orthopedically Handicapped
Kolkata

2. Ranjeet Kumar
Lecturer,
ISIC, Institute of Rehabilitation Sciences
Indian Spinal Injuries Centre
New-Delhi

3. Vidhupriya k.k.
Lecturer,
National Institute for the Orthopedically Handicapped
Kolkata

4. Swagatika Mishra
Clinical Prosthetist & Orthotist
Innovative Prosthetics & Orthotics Inc.
New-Delhi

5. Anjani Kumar Sinha
Lecturer,
ISIC, Institute of Rehabilitation Sciences
Indian Spinal Injuries Centre
New-Delhi

6. Subhomoy Chatterjee
Lecturer,
National Institute for the Orthopedically Handicapped
Kolkata

7. Kanhaiya Kumar Singh

Course Co-ordinator

National Institute for the Orthopaedically Handicapped

Kolkata

8.Janice Rajan

Prosthetist & Orthotist

Sydney,Australia

9.Santosh Kumar Singh

Self-employed

ADMISSION

The minimum requirement for admission to the MPO Program is a Bachelor’s degree from accredited institutions with minimum of 50% marks.
If the result of qualifying examination is not declared till the date of councelling/ admission or the candidate gets compartment in one or more subjects in the qualifying examinations , his/her admission in the case will be provisional admission at his/her own risk & the candidate is required to submit the result of qualifying examination to prove his/hereligibility on or before the deadlinegiven for whatsoever reason it may be, his/her admission will be treated as null & which will result forfeiture of fees.
Number of seats offered is 16 (sixteen) reservation to the seats and fee structure is sided by our affililiating University for more information one can visit http://www.ipu.ac.in/

Date of Entrance Examination for MPO Program:01/06/2009