1. Microprocessor Knees (MPK’s)

2. Indications for MPK Define users

3. Contraindications Define non users

4. Insurance issues Must start as K2? Why insurance requires evidence? PAYMENT/COST vs Benefit LCD’s https://med.noridianmedicare.com/web/jd dme/policies/lcd/active/lower-limb- prostheses

5. Differences in MPK C-leg vs RHEO vs Orion vs Plie vs …. Which is best? Hydraulic or RHEOLOGIC

6. Alignment based considerations Length Flexion cx Hip flexors/extensors Transverse pelvic rotation

7. Other componentry based decisions Feet Torsion Rotation Suspension

8. Training For Optimal Outcomes Prosthetist/PT collaboration Interdisciplinary team required for fitting

9. Programming and Training What must a patient be able to do before fitting from PT standpoint Weight-bearing through stance Adaptive equipment Adjustment phases week 1-4

10. Programming and training con’t Stance flexion!!!! Week 5-8 Adjustments…….. Computer vs mechanical

11. Maintenance Service intervals, issues with MPKS

12. Outcomes, outcomes, outcomes How can a k2 patient benefit? Why MPK vs SNS Functional testing Charts/graphs/studies

13. Patient testimonials What my patients tell me…

14. When to call the prosthetist Issues that can occur Safety!!! Therapy related or mechanical/programming related? The prosthetist should be at appointments with laptop when able

15. TO MPK or NOT to MPK K4 population Transitional K2 patients Runners SNF patients

16. The Future Of MPKS Bionic knees? What is a bionic knee Will the price keep rising? What do military personnel wear?

17. Questions ?