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Prosthetics & Orthotics Scope of Practice by Alireza Vasefnia, BSc,…

- - - - anthropometric data
      - cognition
      - circulation
      - skin integrity
      - protective sensation
      - pain
      - central and peripheral nerve integrity
      - endurance
      - biomechanics
      - gait analysis including temporal and spatial assessment
      - range of motion
      - muscle strength
      - posture, balance and safety
      - proprioception
      - orthotic and/or prosthetic requirements
      - myoelectric activity and potential for use of Functional Electrical Stimulation and/or Neuroprosthetics
      - activities of daily living
      - environmental barriers including social, home, and work reintegration
      - the need for physical and occupational therapy modalities
  - - - verification of prescription/documentation
      - evaluation of the prescription rationale
      - a recommendation incorporating patient and/or caregiver input
      - development of functional goals
      - use of evidence based practice
      - analysis of structural and design requirements
      - assessment of potential physical and occupational therapy requirements
      - consultation with and/or referral to other health care professionals
  - - - acquisition of anthropometric data
      - modification and/or rectification of anthropometric data
      - preparatory care
      - material selection
      - fabrication of orthoses and/or prostheses
      - prototype development including evaluative wear
      - structural evaluation
      - diagnostic fitting
      - assessment of intervention
      - functional exercise
      - gait training
      - functional training (both self care and work related)
      - documentation of patient education and instruction
      - supervision of the provision of care
      - documentation of patient encounters
  - - - documentation of patient encounters, including functional changes and progress in meeting goals and expected outcomes
      - formulation of modifications to ensure successful outcomes
      - reassessment of patient goals
      - reassessment of treatment objectives
      - development of long term treatment plan
      - documentation of on-going patient education and instruction
  - - - adherence to applicable local, state and federal laws and regulations
      - following patient care guidelines and procedures
      - maintaining a safe and professional environment for patient care
      - comprehension of claims development and submission
  - - - continuing education
      - training of residents/students
      - clinical research
      - evidence based studies
      - promotion of public awareness of the orthotic and/or prosthetic profession
      - consumer organizations, governmental and non-governmental organizations
- - - - CAT I Schools
        
        National Centre for Prosthetics and Orthotics (NCPO), La Trobe University, Australia
        
        Thomas More Kempen, Belgium
        
        Orthotics Prosthetics Canada (OPC), Canada
        
        School of Biomedical Engineering of Capital Medical University in Beijing, China
        
        Sichuan University, China
        
        Bundesfachschule für Orthopädie-Technik e.V. Germany
        
        Kerschensteiner Schulzentrum, Staedtische Meisterschule fur Orthopaedietechnik Muenchen in Germany
        
        The Hong Kong Polytechnic University, Hong Kong
        
        Jakarta School for Prosthetics and Orthotics (JSPO), Indonesia
        
        Kobe College of Medical Welfare, Japan
        
        Niigata University of Health and Welfare, Japan
        
        Fontys University of Applied Sciences, Netherlands
        
        University of the East Ramon Magsaysay Memorial Medical Center, INC. – College of Allied Rehabilitation Sciences - Philippine School of Prosthetics and Orthotics, Philippines
        
        Tumaini University, Tanzania
        
        Sirindhorn School of Prosthetics and Orthotics, Thailand
        
        National Centre for Prosthetics and Orthotics, University of Strathclyde, United Kingdom
        
        National Commission on Orthotic and Prosthetic Education (NCOPE), USA
    - - ISPO Associate Prosthetist/Orthotist (CAT II)
        
        CAT II Schools
        
        Afghan Diploma in Prosthetics and Orthotics (ADPO), Afghanistan
        
        Bangladesh Health Professions Institute (BHPI), Bangladesh
        
        Department of Prosthetics and Orthotics, Cambodia
        
        Beijing College of Social Administration, China
        
        SENA Design and Metrology Center, Colombia
        
        Ottobock International O&P School, Modular Programme in Lower Limb Prosthetics, Germany
        
        Private Hochschule Göttingen (PFH), Germany
        
        Mobility India Rehabilitation Research and Training Centre, India
        
        University of Medical Technology in Yangon (UMTY), Myanmar
        
        Pakistan Institute of Prosthetic and Orthotic Sciences (PIPOS), Peshawar, Pakistan
        
        University of Rwanda, Rwanda
        
        Tanzania Training Center for Orthopaedic Technologists (TATCOT), Tanzania
        
        Ecole Nationale des Auxiliaires Médicaux (ENAM), Togo
        
        Vietnamese Training Centre for Orthopaedic Technologists (VIETCOT), Vietnam
    - - Computer-aided drafting in prosthetics and orthotics, pediatric orthotics, spinal orthotics, rehabilitation engineering and technology, lower limb orthotics
      - Master's Programs
        
        Schools
        
        Georgia Institute of Technology
        
        Northwestern University
        
        University of Washington
        
        University of Texas Southwestern Medical Center
        
        Loma Linda University
        
        University of Hartford
        
        Alabama State University
        
        University of Pittsburgh
        
        Concordia University-Saint Paul
        
        Eastern Michigan University
    - - Universidad Don Bosco (UDB), El Salvadol
      - Human Study School of Rehabilitation Sciences, Blended Distance Learning Education Program in P&O, Globa
- - - - Improve the future reimbursement landscape for LEP.
      - Define and provide the appropriate technology to the appropriate patients to reduce the current trend of providing the lowest cost technology to all patients.
      - Define new patient segments that can benefit from LEP technology.
      - Separate the O&P profession from Durable Medical Equipment (DME) in the mind of the payers.
- - - - Choosing materials for devices
      - Reading prescriptions and work orders for accuracy
      - Creating, forming, and shaping the device
      - Adjusting and repairing devices as needed
      - Ensuring product quality and accuracy
  - - - Assessing patients and their needs
      - Measuring and designing braces, limbs, and other devices for patients
      - Fitting, adjusting, and repairing devices as needed
      - Educating patients how to use devices properly
      - Maintaining patient records
  - - - Coordinate and contribute to the activities of Department of Defense grant on evaluating 3D printed prostheses.
      - Work with a local machine shop to design and fabricate a loading fixture to adapt an INSTRON machine to the desired loading conditions.
      - Periodically travel to local prosthetic clinics to meet with the study prosthetist to obtain 3D printed sockets on which we will perform failure and cyclic testing.
      - Analyze and write up results from the project to be included in quarterly and annual reports to the funding agency.
      - Assure quality of data collected and perform statistical analysis of data.
      - Performing data collections for ongoing research projects at CLEAR and preparation of manuscripts for scientific publications.
  - - - Discuss project progress
      - Prepare manuscript
      - Mentoring
      - Travel to conferences and workshops to present results of research experiments
      - Visit collaborators to learn additional research techniques