ORTE 2025 - Advanced Foot Orthoses and Orthopedic Shoe Modifications

1. Initiate treatment plan: foot orthoses
   1. Documentation
   2. Designs
   3. Material selection
2. Initiate treatment plan: orthopedic shoe modifications
   1. Documentation
   2. Designs
   3. Material selection
3. Implement treatment plan: foot orthoses (FO)
   1. Fabrication procedures, accommodative FO
   2. Fabrication procedures, functional FO, with heel posting
   3. Fabrication procedures, University of California Berkeley Laboratories (UCBL) FO
4. Implement treatment plan: orthopedic shoe modifications
   1. Fabrication procedures, heel flare
   2. Fabrication procedures, sole lift with flare
   3. Fabrication procedures, heel to toe rocker sole
   4. Fabrication procedures, buttress
   5. Fabrication procedures, full sole wedge

1. initiate a treatment plan under direction of an O&P professional. (C.2.0)
2. communicate using medical terminology.  (C.1.4)
3. determine fabrication and technical criteria from the medical record.  (C.2.1, C.3.1)
4. confirm physical assessment data is adequate to implement treatment plan. (C.2.2)
5. identify accommodative foot orthosis designs. (C.8.1.1, C.8.1.1.b)      
6. identify functional foot orthosis designs.  (C.8.1.1, C.8.1.1.b)
7. identify UCBL design criteria. (C.8.1.2, C.8.1.2.d)      
8. differentiate between corrective and accommodative foot orthoses.  (C.8.1.1.b)
9. utilize material science in material selection.  (C.1.5, C.8.0)
10. select materials appropriate for design.  (C.1.5)
11. demonstrate the ability to use materials, equipment. tools, and components safely. (ISPO)
12. practice sound judgement regarding safety of self and others.  (A.1.2)
13. adhere to safety procedures and practices throughout the fabrication process.  (A.1.2, C.4.0, C.4.1)
14. implement orthotic treatment plan for accommodative foot orthoses.  (C.4.0)
15. fabricate accommodative foot orthosis to meet prescription criteria.    (A.1.3, C.8.0, C.8.1, C.8.1.1.c.d.e.f)
16. prepare/correct foot orthoses negative mold/impressions.   (ABC)
17. fill negative foot orthoses molds/impressions.  (ABC)
18. complete positive foot orthosis model rectification/modifications.  (ABC, C.1.2, C.1.2.1.a, b, C.8.1.1.e)                                                       
19. prepare foot orthosis positive molds for vacuum-forming.  (ABC, C.8.1.1)
20. vacuum form foot orthoses positive molds.  (ABC, C.8.1.1.d)      
21. determine trimlines and trim-out foot orthoses.  (ABC)
22. finish accommodative foot orthosis and fit to shoe, ready for patient fitting.  (ABC, C.8.1.1.f)    
23. implement orthotic treatment plan for functional foot orthoses.  (C.4.0)
24. fabricate functional foot orthoses to meet prescription criteria.    (A.1.3, C.8.1.1.c.d.e.f)
25. fit functional foot orthosis to shoe, ready for patient fitting.  (ABC, C.8.1.1.f)    
26. modify foot orthosis, per practitioners’ direction.  (C.8.1.1.e)
27. correct and account for heel height when fitting orthoses to shoes.  (8.1.1.f)    
28. implement orthotic treatment plan for University of California Berkeley Laboratories (UCBL) foot orthosis.  (C.4.0)
29. identify bony landmarks and pressure tolerant areas of the foot. (C.8.1.2.a)
30. prepare/correct UCBL negative mold/impressions.  (ABC)
31. fill negative UCBL mold/impression.  (ABC)    
32. modify positive UCBL model.  (ABC, C.1.2, C.1.2.1.a, b, C.8.1.2.c)                                                                                                                
33. prepare UCBL foot orthosis positive molds for vacuum-forming.  (ABC, C.8.1.2.c)
34. vacuum form UCBL positive mold.   (ABC, C.8.1.2.d)   
35. determine trimlines and trim-out UCBL foot orthosis.  (ABC)
36. fabricate a UCBL foot orthosis with medial heel posting.  (C.8.1.2.c, d)
37. finish UCBL foot orthosis and fit to shoe, ready for patient fitting.  (ABC, C.8.1.1.f)    
38. implement orthotic treatment plan for orthopedic shoe modifications.  (C.4.0)
39. identify advanced orthopedic shoe modifications.  (C.8.1.1.g)
40. create an extrinsic shoe lift, with flare. (ABC, C.8.1.1.g)
41. create a rocker sole.  (C.8.1.1.g)
42. create a heel flare.  (C.8.1.1.g)
43. create a shoe buttress. (C.8.1.1.g)
44. create a wedge sole.  (C.8.1.1.g)
45. fabricate shoe modifications as directed by an orthotist.  (A.1.3, C.1.7)        
46. verify foot orthoses and shoe modifications are structurally sound ready for patient use.   (A.1.3)
47. verify foot orthoses and shoe modifications are appropriate based on prescription criteria.  (A.1.3)

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