ORTE 2045 - Advanced Thermoplastic Lower Extremity Orthoses

1. Initiate treatment plan: lower extremity thermoplastic orthoses
   1. Documentation
   2. Designs
   3. Components
2. Implement treatment plan: lower extremity orthoses, thermoplastic
   1. Fabrication procedures, supra-malleolar orthosis (SMO)
   2. Fabrication procedures, articulated thermoplastic AFO
   3. Fabrication procedures, thermoplastic KAFO
   4. Finish orthoses for patient fitting

1. initiate a treatment plan under direction of an O&P professional. (C.2.0)
2. communicate using medical terminology.  (C.1.4)
3. review physical assessment information in treatment plan.  (C.2.1)
4. determine fabrication and technical criteria from the medical record.  (C.2.1, C.3.1)
5. confirm physical assessment data is adequate to implement treatment plan. (C.2.2)
6. identify plastic AFO designs.   (C.8.1.3 a.1, 2, 3, 4, 5, 6, 7, 8)
7. identify plastic KAFO designs.   (C.8.1.4.a.2,3,4,5)      
8. differentiate between various plastic lower extremity orthotic designs.  (C.8.0, C.8.1, C.8.1.3, C.8.1.4)    
9. identify components used in plastic articulated AFO designs.   (C.8.1.3.a.6a, b, c, d, e, C.8.1.3.c)
10. identify components used in thermoplastic KAFO designs.  (C.8.1.4.c)
11. identify KAFO components for coronal, sagittal and transverse plane control.  (C.8.1.4.c)
12. utilize material science in fabrication and component selection.  (C.1.5, C.8.0)
13. select components based on a work order.  (ABC, C.8.1.3.c)                 
14. demonstrate the ability to use materials, equipment. tools, and components safely. (ISPO)
15. practice sound judgement regarding safety of self and others.  (A.1.2)
16. adhere to safety procedures and practices throughout the fabrication process.  (A.1.2, C.4.0, C.4.1)
17. implement an orthotic treatment plan for SMO, thermoplastic.   (C.4.0)
18. implement an orthotic treatment plan for articulated AFO, thermoplastic.   (C.4.0)
19. implement an orthotic treatment plan for KAFO, thermoplastic.   (C.4.0)
20. prepare and fill lower extremity negative molds/impressions.  (ABC, C.8.1.3.e, C.8.1.4.e)
21. complete SMO positive model rectifications/modifications.   (ABC)
22. complete AFO positive model rectifications/modifications.   (ABC)
23. complete KAFO positive model rectifications/modifications.  (ABC)
24. prepare positive models for fabrication of lower extremity orthoses including category I, II modifications (ABC, C.1.2.1.a, C.1.2.1.b, C.8.1.3.e, C.8.1.4.e)
25. prepare lower extremity positive model/molds for vacuum forming.   (ABC, C.8.1.3.b.1,2,3, C.8.1.4.b.2)
26. apply and align components to a positive lower extremity model/mold.  (C.8.1.3.b.2, C.8.1.3.c, C.8.1.4.b.2)   
27. vacuum form a solid plastic SMO.  (ABC)
28. vacuum form an articulated plastic AFO.  (ABC, C.8.1.3.b.2)
29. vacuum form a plastic KAFO.  (ABC, C.8.1.4.b.2)
30.  establish trimlines to prescription criteria or instructions provided by a practitioner.  (ABC, A.1.3, C.1.7, C.8.0, C.8.1.3 b. 1,2,3)
31. fabricate an SMO.  (ABC)
32. fabricate an articulated plastic AFO with non-self-aligning ankle joints.  (ABC, C.1.7, C.8.0, C.8.1.3.b.2)
33. fabricate a plastic articulated KAFO.  (ABC, C.8.1.4.b.2)
34. finish an SMO ready for fitting.  (ABC)
35. finish an articulated plastic AFO with non-self-aligning ankle joints ready for fitting.  (ABC)
36. finish a plastic articulated KAFO ready for fitting.  (ABC)
37. fabricate closures and straps for completion of plastic lower extremity orthoses.  (ABC, C.4.2 , C.8.1.3.b.2, C.8.1.4.b.2)      
38. verify function of lower extremity orthoses in all planes.   (C.3.2)
39. verify lower extremity orthoses are structurally sound ready for patient use.   (A.1.3)
40. verify lower extremity orthoses are appropriate based on prescription criteria.  (A.1.3)

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