ORTE 2065 - Upper Limb Orthoses Fabrication

1. Initiate treatment plan: upper extremity thermoplastic orthoses
   1. Anatomy
   2. Biomechanics
   3. Designs
   4. Documentation
2. Implement treatment plan: upper extremity orthoses
   1. Fabrication procedures, hand orthosis (HO)
   2. Fabrication procedures, wrist-hand orthosis (WHO)
   3. Finish for patient fitting

1. initiate a treatment plan from a prescription or instructions provided by a practitioner.  (A.1.3)
2. initiate a treatment plan under direction of an orthotic practitioner.  (C.2.0)
3. identify functional anatomy of the upper extremity.  (C.1.4)
4. identify surface anatomy of the upper extremity.  (C.1.4)
5. communicate using medical terminology.  (C.1.4)
6. differentiate gross anatomical structures as they relate to function. (C.1.4)
7. relate mechanical joint placement to anatomical joint location.
8. integrate biomechanics into orthotic design.  (B.1, C.3.0, C.8.0)
9. utilize material science principles in raw material selection.   (C.1.5, C.8.0)
10. identify properties of materials used in upper extremity orthosis fabrication.  (C.1.5, B.2)
11. identify materials appropriate for design.  (C.1.5)
12. identify upper extremity HO and WHO designs.  (C.8.0, C.8.2.1)
13. identify elbow orthosis designs.  (C.8.2.2, C.8.2.2.a.1)    
14. identify shoulder-elbow-wrist-hand orthosis designs.  (C.8.2.2, C.8.2.2.a.2)    
15. identify upper extremity fracture orthosis designs.  (C.8.2.3, C.8.2.3.a) 
16. review physical assessment information in treatment plan.  (C.2.1)
17. determine fabrication and technical criteria from treatment plan.  (C.2.1, C.3.1)
18. confirm physical assessment data is adequate to implement treatment plan. (C.2.2)
19. locate manufacturers specifications.  (C.1.5)  
20. demonstrate the ability to use materials, equipment. tools, and components safely. (ISPO)
21. practice sound judgement regarding safety of self and others.  (A.1.2)
22. adhere to safety procedures and practices throughout the fabrication process.  (A.1.2, C.4.0, C.4.1)
23. implement an orthotic treatment plan for upper extremity orthoses.   (C.4.0)
24. prepare and fill upper extremity negative molds/impressions.  (ABC, C.8.2.1.b)
25. complete upper extremity positive model rectifications/modifications.   (ABC)
26. prepare positive models for fabrication of upper extremity orthoses.  (ABC, C.8.2.1.b)
27. prepare upper extremity positive model/molds for vacuum forming.   (ABC)
28. vacuum form upper extremity orthoses.  (ABC)
29. establish trimlines for upper extremity orthoses.   (ABC)
30. finish upper extremity orthoses ready for fitting.   (ABC)
31. fabricate a plastic HO.  (C.8.2.1.a)
32. fabricate a plastic WHO.  (C.8.2.1.a)
33. finish a WHO ready for fitting.  (ABC)
34. fabricate closures for completion of upper extremity orthoses.  (ABC, C.4.2, C.8.2.1.a)      
35. verify function of upper extremity orthosis in all planes.   (C.3.2)
36. verify upper extremity orthoses are structurally sound ready for patient use.   (A.1.3)
37. verify upper extremity orthoses are appropriate based on prescription criteria.  (A.1.3)

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