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Practice Analysis of Certified Technicians in the Disciplines of Orthotics and Prosthetics

January 2017

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Knowledge and Skills Ratings

The results in this section document the quantitative ratings of the respondents on the knowledge and skills statements delineated in association with each of the six domains. All survey respondents rated the knowledge and skill statements on two rating scales:

  • Criticality—How critical is this knowledge or skill to optimizing outcomes for patients? The Criticality ratings for 34 of the 35 knowledge statements were rated minimally critical or higher on the criticality scale, of these 25 achieved a mean criticality of at least 3.0. All of the 19 skills achieved mean criticality ratings of 2.5 or higher, of these 15 achieved mean criticality ratings of at least 3.0.
  • Point of Acquisition—At what point should this knowledge or skill be acquired by a Certified Technician?

The Acquisition rating scale is used to determine the point at which a knowledge or skill is required for practice. To the degree that respondents support Acquisition primarily before passing the ABC examinations, a body of knowledge or a skill may be considered as validated for inclusion in a credentialing program such as ABC’s programs for Certified Technicians. For 45 of the 54 knowledge and skill statements, more than half of respondents indicated the knowledge or skill should be acquired before the point of certification.

Knowledge and Skill Statements
Knowledge of:
Musculoskeletal anatomy, including upper limb, lower limb, spinal
Anatomical landmarks (surface anatomy)
Normal human locomotion
Pathological gait
Tissue characteristics/management
Volumetric control
Planes of motion
Biomechanics
Pathologies (e.g., muscular, neurologic, skeletal, vascular)
Medical terminology
Procedures to record data
Policies and procedures regarding privileged information
Material safety procedures and standards (e.g., OSHA, MSDS)
Universal precautions, including sterile techniques and infection control
Ethical standards regarding proper patient management, including
ABC Code of Professional Responsibility
Scope of practice related to orthotic/prosthetic credentials
Boundaries of the scope of practice (i.e., when to refer a patient to other healthcare providers/ caregivers)
Orthotic/prosthetic design (e.g., trimlines)
Orthotic/prosthetic fitting criteria
Impression-taking techniques, materials, devices and equipment
Rectification/modification procedures as they relate to specific orthotic/prosthetic designs
Measurement tools and techniques
Orthotic/prosthetic forms (e.g., assessment, orthometry, measurement, evaluation, outcomes)
Materials Science
Componentry
Alignment devices and techniques
Hand and power tools
Mechanics (e.g., levers and force systems)
Care and maintenance of orthoses/prostheses
Computer-aided design and manufacturing (CAD/CAM)
Item warranty and warranty limitations
Loss control (e.g., risk management, inventory control)
The psychology of the disabled
Federal and state rules, regulations, and guidelines (e.g., FDA, ADA, HIPAA)
ABC Facility Accreditation Standards
Skill in:
Identifying gross surface anatomy
Interpretation of physical findings (e.g., recognizing skin pressures, dermatological conditions)
Interpretation of orthotic/prosthetic gait/motion
Impression-taking/measuring for orthoses/prostheses
Using mechanical measuring devices
Using computer-based measuring devices
Patient model modification
Delineating a tracing
Orthotic/prosthetic fabrication
Use of safety equipment
Skill Statements
Using hand and power tools
Use of materials and components
Use of alignment devices
Aesthetic finishing
Evaluating function of an orthosis/prosthesis
Adjusting and modifying orthoses/prostheses
Maintaining and repairing orthoses/prostheses
Restoring optimal function of orthoses/prostheses
Documenting