Dr. Richard M. Hemphill of Ellicott City, Maryland, doesn't plan to
slow
down anytime soon. While Dr. Hemphill used a prosthesis ten years, for
the past five years he has used crutches exclusively. In 1994 he went
to
Reno to get a pair of SCBU crutches. He describes the HOPE Crutch as
"The
best crutch I've ever had. I've used them to walk three to five miles a
day with my wife. They are more stable and provide better balance
because
the upright nature allows for better tip/surface contact. This is very
important on wet or slippery surfaces. And I ought to know, having
broken
my ribs on two different occasions in my early days of crutch use. With
the HOPE Crutch, I no longer have arm dislocation problems and I'm not
wearing out clothes and coats like I did in the past. I think people
will
benefit from what CareBorne has done."
Don Warner, a 6 foot,
5 inch, amputee in Eugene, Oregon, first discovered the SCBU
crutch at Oregon State University, where he served on the Board of
Directors.
Don said, "The HOPE Crutch is fantastic! It provides much better
support
and balance with no underarm irritation."
In September of 1994,
Marsha Strickland of Sulphur, Louisiana, lost her leg in a motorcycle
accident.
A little over a year later, in December of 1995, she received a pair of
SCBU crutches. Marsha says the recuperating months between amputation
and
being able to use a prosthesis are the most difficult. Marsha tells of
the frustration she and other amputees encounter when trying to explain
to their medical professionals the pain and suffering they endure with
regular crutches during the recuperative period. They feel their
doctors
aren't hearing them because there is little comfort in the stock
answers,
"Crutches are difficult to use. You'll have to tough it out. There is
no
alternative." Marsha states, "Now there is
an alternative! I have fallen and slipped
with the regular crutches. They are dangerous. Ever since I have had
the
HOPE Crutch, I have not fallen or slipped. I'm also surprised by the
speed
in which I can move with the crutches. Freedom
and security are what they give me. They
have
helped my quality of life."
Many amputees interviewed,
such as Jack Wagner, an accountant in Champaign, Illinois, credit the
SCBU
for making a big improvement in balance, as well as providing a much
smoother
transition from one step to the next.
Excerpt From:
BUSINESS WEEK / AUGUST 7,
1995
INNOVATIONS:
CareBorne
Inc. of Reno, Nev., sells crutches
with an extension that curls up behind the shoulder blade. That simple
addition increases stability and reduces any underarm irritation
experienced
by the wearer. The so-called Hope crutches are becoming increasingly
popular
among college and professional sports teams.
Excerpt
from:
Reno Gazette Journal - September 20, 1998
Reno
entrepreneur making
a better crutch
By Scott
Sonner
ASSOCIATED PRESS
Bill
Dickerson insists he's not in it for the money. He
just wants to offer a helping hand -- or in this case, a better crutch.
"With all the advances and technology, no one had really
improved the crutch," said Dickerson, president of CareBorne Inc., a
research,
design and engineering company based in Reno.
"It really hadn't changed since the Middle Ages. Even
on the Egyptian pyramids, there are pictures of people leaning on
sticks,"
he said.
Some of his biggest fans so far are the elderly, who fear
the instability of traditional crutches, and big-time athletes, who are
too tall or weigh too much for the typical crutch.
Athletic trainers in the NFL, NBA and 100 collegiate teams
across the country are especially fond of one version with a stabilizer
bar behind the shoulder and a whole new curvy design.
Dickerson, until recently a successful businessman in
the commercial printing industry, said his only personal experience
with
crutches was a bad one.
They slipped. They rubbed under his arms. They wore him
out after just a half-block of walking. He suspected others suffered as
well.
"We surveyed 300 physical therapists and 140 nurses and
found no one was really pleased with the crutch," he said.
"The reason we did this was there was a need."
Dickerson said major medical suppliers hadn't invested
much time in such research because there wasn't any money to be made.
"A crutch is a crutch is a crutch. It's not a big part
of their business,'' he said.
He said he had a leg up in his own research thanks to
his old doctor buddies at the Rotary Club in Warsaw, Ind., "the
orthopedic
capital of the world."
With their encouragement, he started studying the crutch,
watching hour after hour of slow motion videotapes. What he found was a
tool that bred instability and inefficiency because of the way the
crutch
is designed to be used -- with elbows bent and the tips pointed
slightly
away from the body.
"It's simply basic physics," he said. "You use about 78
percent more energy than a regular walk."
The result over the past three years has been the
invention
of two new crutch types:
The Stabilizer crutch, with a stabilizing bar raising
up in the back to form an "L" in the top where the traditional crutch
was
flat
The Hope crutch, a single pole with a bent "U" and
ergonomically
designed hand grips for big hands that won't fit in a traditional
crutch
"That's the big crooked one," said Jeff Monroe, head
football
trainer at Michigan State University.
MSU started ordering the crutches four or five years ago.
Traditional crutches just aren't big enough for today's modern
athletes,
he said.
"These kids are routinely 300 pounds, 6-foot-6. If they
get a knee injury they may have to be on crutches for six weeks," he
said.
The high piece on the back of the crutch is safer and
more comfortable, Monroe said from East Lansing, Mich.
"You have to remember, in my population of student
athletes
18 to 22 years old, they are pretty aggressive, active people. They
don't
like to do things carefully," he said.
"If I try to teach them to walk on crutches, they can
take like a three-minute lecture, and then they are ready to go," he
said.
The University of Nevada-Reno were among the early guinea
pigs for the new crutches.
During early experiments, Dickerson said he would
challenge
athletes at the school track to a race -- he with the new crutches and
they with the traditional ones.
"I found I could race young athletes on crutches, and
a 50-year-old man could beat them," he said.
Even the state attorney general is a fan.
"I think he's really got something," Nevada Attorney
General
Frankie Sue Del Papa said in a recent interview.
Del Papa tried them out after she broke her leg roller
skating.
"I tried the regular crutches with the flat top but these
are much more comfortable," she said.
"Now I go up to people in airports and ask how long they
are going to be on crutches. I tell them if it is long, it is really
worthwhile
to get a pair of these crutches."

Excerpt From:
InMotion (Volume 7 . Number 3) July, 1997
A Publication of the Amputee Coalition of
America
Crutch Profiles:
Slimmer,
Lighter,
Stronger
While no one is
certain
as to exactly how many Americans use crutches as mobility aids, the
numbers
are substantial. It is estimated that some 2 million children and
adults
every year need crutches while recovering from leg fractures or other
temporary
impairments.
In addition, roughly
half-a-million
others rely on crutches on a long-term basis. This includes people with
lower limb loss who either do not wear a prosthesis or need the
supplementary
support and balance of crutches while walking with one or more
prosthetic
legs.
It is this extended
crutch
use population which can benefit most from improvements in design and
fabrication
of these traditional ambulation aids.
Accordingly, InMotion
presents
an overview of recent advances in crutches that are currently available
to the public, as well as a general listing of choices among more
standard
models. This is by no means an all-inclusive presentation, nor is it
the
only such information our magazine will present.
Future issues of
InMotion
will revisit this topic, alerting our readers to subsequent
improvements
in designs, new products, and findings regarding research into
ambulation
aids.
On the Market...
CareBorne,
Inc., a research, design, and engineering company in Reno, Nev., has
developed
and patented the HOPE Crutch, a new concept in assisted
ambulation
that stabilizes the top of the axillary crutch behind the back of the
user.
During the research
phase,
company designers reviewed extensive medical studies which determined
that
the purpose of the eight inch by one inch soft rubber underarm pad on
many
crutch tops was primarily to create friction so the top would adhere to
clothing and not slip out from under the arms. Unfortunately, the
researchers
felt, this friction design feature causes irritation and soreness each
time the rubber pad pivots during the step cycle.
CareBorne engineers
found
that by extending the crutch behind the user, the crutch becomes more
stable
and cannot slip forward. Instead of a large rubber pad which creates
friction,
the HOPE crutch features a smooth, curved surface which reduces
friction
and eliminates underarm irritation and soreness.
Another innovation is
that
the new design keeps the arms straight rather than flexed. The common
procedure
for fitting traditional axillary crutches is to have an elbow angle of
10 to 30 degrees of flexion, often vaguely described as "the elbow
should
be slightly bent." Because smaller muscles such as elbow extensors are
inadequate to support the body's weight, they fatigue more rapidly than
larger muscles. Keeping the arms straight prohibits the up and down
motions
caused by bent elbows, and encourages the use of the larger triceps and
pectoral muscles.
Additional benefits of
the
CareBorne back support design include:
- less
metabolic energy is required
because the
crutch
isn't held in by the arms. By stabilizing the crutch behind the user,
forces
applied to the crutch assist or complement the forward motion.
- using a six
inch longer lever, the
length of
each
stride is increased two to three inches. Previous gait analyses show
ambulation
on axillary crutches is customarily at 50% of the speed of a slow walk.
CareBorne research has shown that 80% of the speed of a slow walk is
the
norm when the crutch is stabilized behind the shoulders. This is
possible
because of the increase in length of stride, overall smoothness of
gait,
and the use of only the larger muscles.
- both the
crutch and user are more
upright;
the person
is able to stand more erect and not lean forward. This more vertical
position
allows a greater percentage of the crutch tip to make contact with the
floor or ground, providing increased stability as well as smoother
transition
from step to step.
Two versions of the new
design are available -- The HOPE Crutch and the Stabilizer
Crutch.
Both incorporate the back support feature devised by CareBorne. The
HOPE
crutch has a grip that accommodates a large hand; it is used by over 80
Division I universities for student athletes with sports injuries. The
Stabilizer Crutch more closely resembles a conventional crutch.
Prices: amputees receive priority in orders the
HOPE Crutch or the Stabilizer. To order click
here.
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