1. ORTHOTICS, PROSTHETICS, TANGIBLE REHABILITATION 1 Sadeeq Ali PhD Scholar University of Malaya, Malaysia Rehab Now National Conference

2. Rehab Now National Conference Overview 2 Prosthesis A medically prescribed appliance which replace the missing body part.

3. Orthosis A medically prescribed appliance which correct, support and maintain the correction of the deformed or disable part of the body. 3 Rehab Now National Conference Rehab Now National Conference

4. Prosthetist & Orthotist  Prosthetist: Designs, fabricates, and fits prostheses for persons who have lost a limb due to an injury or disease.  Orthotist: Designs, fabricates, and fits orthoses to support limbs or spine affected by muscle or ligament weakness, paralysis, or lack of muscle control. 4 Rehab Now National Conference

5. History of prosthetics treatment In the dark ages the amputee only used the peg leg or hand hook With the birth of the great civilizations of Egypt, Greece and Rome came the development of the scientific approach toward medicine and subsequently prosthetic science 5 Rehab Now National Conference

6. History of prosthetics treatment In 1696, Pieter, a Dutch surgeon, introduced the first non-locking, below knee prosthesis 6 Rehab Now National Conference

7. History of orthotics treatment Archaeologists have uncovered specially fabricated braces in Egypt that date back to 2500 BC. Later there are records that some blacksmiths makers became known for fabricating devices for injured people. craftsman began to specialize in fabrication of devices 7 Rehab Now National Conference

8. History of orthotics treatment ….cont In Camper down, New South Wales, Australia’s first hospital based full time Orthotic Department was established in 1911 at Royal Alexandra Hospital for Children (RAHC). Major advances in orthotics and prosthetics resulted from the increase of patients due to the First and Second world wars and the Polio epidemic of the 1940’s and 1950’s. 8 Rehab Now National Conference

9. Statistics Diabetes and trauma are the most common causes of amputation in most parts of the World. In 2030 Pakistan will be the 4 th largest diabetic population in the world (Diabetes Association Pakistan) Major cause of amputation in Pakistan is diabetes and trauma (Bomb blast, mines, EQ, Car accidents) 9 Rehab Now National Conference

10. These patients needs special prosthetic/orthotic rehabilitation to avoid further complications 10 Rehab Now National Conference

11. Rehabilitation of Patient Patient Ortho Surgeon Psychologist Rehab Physician NursePhysio Social worker Prosthetist 11 Rehab Now National Conference

12. Rehabilitation of Patient After amputation Prosthetist/Orthotist play a significant role in the rehabilitation process of the patients. But the system available is not according to the International standard 12 Rehab Now National Conference

13. P & O Education More than 75% of developing countries have no P&O education Only 24 schools in developing countries (less than 400 graduates annually) Developing Countries developing countries with P&O education at least in one category 13 Rehab Now National Conference

14. P&O Education in Pakistan Rehab Now National Conference

15. Other Organizations providing P & O Services  ICRC  HOPE  PRSP  Paraplegic Centre AND 15

16. The growing need for Prosthetists/Orthotists In developing countries 16 Rehab Now National Conference

17. Thanks to Helping Hand First Conference on Physical Rehabilitation in Pakistan 17

18. Thank You 18