In this episode, recorded live at the 52nd Academy Annual Meeting in Nashville, host Seth O’Brien, CP, FAAOP(D), is joined by Kiley Armstrong, MS, MPO, CPO, research prosthetist/orthotist at Northwestern University, for a conversation on the role social determinants of health play in orthotic and prosthetic care. Armstrong shares her journey into a leadership role with a soccer organization for individuals with amputations before previewing her session, “Considering Social Determinants of Health to Elevate O&P Care and Outcomes.” The discussion explores how factors such as education, economic stability, social environment, neighborhood conditions, and access to healthcare can significantly influence patient outcomes, often extending beyond the clinical intervention itself. Armstrong highlights real-world barriers including transportation, childcare, and insurance challenges that can contribute to missed appointments and interrupted care, while emphasizing the importance of trust building, awareness of implicit bias, and open communication in the clinician-patient relationship. She also shares practical strategies for addressing disparities, including leveraging community resource tools, developing referral networks, and collaborating with interdisciplinary teams and clinic leadership to better support patients.

O&P Clinical Care Insiders is produced by Association Briefings.

In this episode, host Seth O’Brien, CP, FAAOP(D), speaks with Lt. Col. Christy “Clock” Kinsey, who underwent a transfemoral amputation and became the first female to return to duty as an Air Force pilot after limb loss. Christy shares the story of losing her right leg in a hit-and-run boating accident and the role peer mentorship played in her recovery. She walks through the challenges of remaining on active duty and ultimately returning to flight status—proving she could safely operate and egress an aircraft, meet rigorous physical standards, and adapt across multiple prosthetic systems for flying, running, and cycling. The conversation also explores the realities of active-duty care, including navigating HIPAA barriers, frequent relocation, coordinating between military and local providers, and planning for deployment. Christy reflects on pregnancy-related fit changes, mental health and isolation, and the critical role of flexible, clinician support in sustaining both her career and quality of life.

O&P Clinical Care Insiders is produced by Association Briefings.

In this episode of O&P Clinical Care Insiders: Industry Partners Edition, host Seth O'Brien, CP, FAAOP(D), sits down with Fraser Allan, prosthetist/orthotist at Thuasne, to explore the SpryStep® Agilik™ KAFO and its microprocessor-driven approach to mobility. Fraser explains how the device differs from traditional high-resistance, stance-yielding systems by providing powered knee flexion and extension to actively replace lost muscle function. The conversation highlights improvements in swing-phase mechanics, support for crouch gait when stability is present, and the potential to reduce fatigue by limiting compensatory movements. They also cover key clinical considerations, including common contraindications such as contractures and spasticity, along with the importance of proper patient selection and expectation-setting. The episode wraps with a look at the device’s development, sensor technology, functional capabilities like sit-to-stand and stairs, and the trial-to-fabrication process.

This episode is sponsored by Thuasne.

O&P Clinical Care Insiders: Industry Partners Edition is produced by Association Briefings.