ORTE 2035 - Metal System Knee-Ankle-Foot Orthoses

1. Anatomy
   1. thigh
   2. Pelvis
   3. hip
2. Designs
   1. knee orthoses (KO)
   2. knee-ankle-foot orthoses (KAFO), metal systems
   3. hip orthoses (HO)
   4. hip- knee-ankle-foot orthoses (HKAFO)
3. Initiate treatment plan: knee-ankle-foot orthosis, metal system 
   1. Documentation
   2. Components
4. Implement treatment plan: knee-ankle-foot orthosis, metal system 
   1. Fabrication procedures
   2. Finish for patient fitting

1. identify functional anatomy of the leg, hip, and pelvis.  (C.1.4)
2. identify surface anatomy of the leg, hip, and pelvis.  (C.1.4)
3. differentiate gross anatomical structures as they relate to function. (C.1.4)
4. relate mechanical joint placement to anatomical joint location.
5. identify lower extremity orthotic designs.  (C.8.0, C.8.1, C.8.1.4, C.8.1.4.a)
6. correlate biomechanics to orthotic design.  (B.1)
7. differentiate between custom and prefabricated KO designs and principles. (C.8.1.6, C.8.1.6.a)
8. identify metal KAFO designs with various components.    (C.8.1.4.a, C.8.1.4.c)
9. differentiate between KAFO designs including axial resist, stance control, and fracture management.  (C.8.1.4.a)
10. identify hip orthosis designs, including pediatric hip control orthoses.  (C.8.1.7, C.8.1.7.a.1)
11. identify hip orthosis designs, including post-surgical/trauma hip control orthoses.  (C.8.1.7, C.8.1.7.a.2)
12. identify HKAFO designs with various components.    (C.8.1.5.b)
13. differentiate between HKAFO, standing frame, parapodium, and reciprocating gait orthosis designs.  (C.8.1.5, C.8.1.5.a.1,2,3,4)
14. initiate a treatment plan from a prescription or instructions provided by a practitioner.  (A.1.3)
15. initiate a treatment plan under direction of an orthotic practitioner.  (C.2.0)
16. review physical assessment information in treatment plan.  (C.2.1)
17. determine fabrication and technical criteria from treatment plan.  (C.3.1)
18. confirm physical assessment data is adequate to implement treatment plan. (C.2.2)
19. select KAFO components based on work order.  (ABC, C.8.1.4.c)
20. select components for coronal, sagittal, and transverse plane control.  (C.8.1.4.c)
21. locate manufacturers specifications.  (C.1.5)  
22. demonstrate the ability to use materials, equipment. tools, and components safely. (ISPO)
23. practice sound judgement regarding safety of self and others.  (A.1.2)
24. adhere to safety procedures and practices throughout the fabrication process.  (A.1.2, C.4.0, C.4.1)
25. implement an orthotic treatment plan for KAFO, metal system.   (C.4.0)
26. fabricate a metal KAFO as directed by an orthotist.  (A.1.3, C.1.7)
27. fabricate a metal KAFO, with tibial torsion, as directed by an orthotist.  (C.8.1.4.b.1, C.8.1.4.f) 
28. delineate/correct tracings for metal KAFO fabrication.  (ABC, C.8.1.4.d)
29. locate mechanical ankle joint placement.  
30. locate mechanical knee joint placement.  
31. locate mechanical hip joint placement.   (C.8.1.5.c)  
32. contour metal KAFO to corrected tracing.  (ABC)
33. contour device to delineation/corrected tracing.  (ABC)
34. assemble and align metal KAFO to be ready for fitting.  (ABC, C.8.1.4.b.1)
35. finish metal KAFO to be ready for closures.  (ABC, C.8.1.3.b.4)
36. fabricate and attach closures and straps for metal KAFO to be ready for fitting.   (ABC, C.4.2, C.8.1.4.b.1) 
37. verify function of metal KAFO in all planes.   (C.3.2)
38. verify KAFO is structurally sound and ready for patient use.  (A.1.3)
39. verify finished KAFO meets prescription criteria or instructions provided by a practitioner. (A.1.3)

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