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Paul Leimkuehler on Twitter

Paul Leimkuehler's Twitter feed.

Pubs Expected to Boost Tourism in Ireland amid Brexit

Northwestern University graduate Paul Leimkuehler is an experienced orthotic and prosthetic (O&P) professional who is serving as the clinical director of Physio O&P’s Milwaukee office. During his free time, Paul Leimkuehler enjoys traveling. He has visited many parts of the world, including Ireland.

Britain's exit from the European Union is expected to affect its neighboring countries in many ways. Many experts foresee Brexit negatively impacting the tourism industry in Ireland.
In light of these speculations, a study conducted by Dublin City University suggests that traditional Irish pubs are key to boosting tourism in the country, as the pub tradition is one of the things that sets the country apart from other European holiday destinations. In fact, one out of three visitors states that the Irish pub is Ireland's most distinguishing feature. Moreover, the top-rated tourist experience is listening to Irish music in the pub.

To help the pubs thrive, groups have been urging the national government to cut alcohol tax by 15 percent.

The Differences Between Transtibial and Transfemoral Amputations

The clinical director of Physio Orthotic & Prosthetic in Milwaukee, Wisconsin, Paul Leimkuehler holds a bachelor of science in marketing from Miami University in Oxford, Ohio, and a certificate in prosthetics and orthotics from Northwestern University in Chicago, Illinois. Working with a range of artificial limbs and braces, Paul Leimkuehler is highly knowledgeable about both transtibial and transfemoral amputations.

Transtibial (or below the knee) amputations are the most common major limb amputation in the United States. Most surgeons who perform this type of amputation will create a muscular flap from the gastrocnemius and soleus muscles, wrap these muscles under the remaining tibia bone, and secure the flap to the anterior tibia by suture.

Transfemoral amputations take place above the knee, but attempt to leave as much residual limb as possible. The length of the residual femur can make a big difference in energy expenditure when a patient begins walking with a prosthetic limb. While medical professionals have traditionally thought that transfemoral amputees have greater gait asymmetries than transtibial amputees, a recent study has found that, in terms of spatial asymmetry, little difference exists between them.

Evaluating Effects of Ankle-Foot Orthosis

 

A certified orthotist and prosthetist, Paul Leimkuehler recently received a promotion to the position of clinical director within Physio O&P. As an orthotics and prosthetics practitioner, Paul Leimkuehler is knowledgeable of lower-limb orthotics, including ankle foot orthotics (AFOs).

Also known as a foot drop brace, AFOs are braces usually made out of plastic. They are worn to support the ankle and hold it in the correct position to correct cases of foot drop. A symptom of a muscular, anatomical, or neurological problem, foot drop is the inability to easily lift the front part of the foot.

Because AFOs are worn on a long-term basis, researchers have conducted a number of studies to determine effects and evaluate the safety of AFOs. A 2002 study published in the Archives of Physical Medicine and Rehabilitation sought to determine whether the use of AFOs led to decreased muscular activity. Muscular activity was measured using surface electromyography. Measurements were taken both immediately and after six weeks.

The results showed that while the use of AFO resulted to an immediate muscular activity reduction on the ankle dorsiflexors, there was no accumulation in activity reduction when compared to the control group.