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Orthotics Fact Sheet
Foundations of Pediatric Orthotics FACT The goal of this fact sheet is to provide a reference highlighting key points of orthotic management in children. Additional information on pediatric orthotic management can be located in the Atlas of Orthoses and Assistive Devices, edited by the American Acad- emy of Orthopedic Surgeons, and Lower Extremity Orthotic Intervention for the Pediatric SHEET Client in Topics in Physical Therapy: Pediatrics, edited by the American Physical Therapy Association. What Is an Orthosis? An orthosis is an external device with controlling forces to improve body alignment, improve function, immobilize the injured area, prevent or improve a deformity, protect a joint or limb, limit or reduce pain, and/or provide proprioceptive feedback. Orthoses are named for the part of the body they cover. Orthoses can be custom molded and custom fitted (custom fitted from prefabricated orthoses or off the shelf). Orthoses are classified as durable medical devices (DME) and require L-codes for insurance reimbursement. A prescription signed by a physician is usually required for insurance reimbursement for custom-molded and custom-fit orthoses. Who Designs and Provides Orthoses? • Certified orthotists have formal education in biomechanics and mate- rial sciences required in designing custom devices. They are nation- ally board certified, and 11 states require licensure to provide custom devices. There are approximately 3,000 certified orthotists in the US, with a limited number of orthotists specializing in pediatrics. Pediatric orthotists evaluate the child, cast the child, modify the mold, fabricate the orthosis, and custom fit the orthosis to the child. • Physical therapists are trained in the function of orthoses and will frequently fit and measure orthoses. -
Lower Extremity Orthoses in Children with Spastic Quadriplegic Cerebral Palsy Implications for Nurses, Parents, and Caregivers
NOR200210.qxd 5/5/11 5:53 PM Page 155 Lower Extremity Orthoses in Children With Spastic Quadriplegic Cerebral Palsy Implications for Nurses, Parents, and Caregivers Kathleen Cervasio Understanding trends in the prevalence of children with cerebral prevalence for cerebral palsy in the United States is palsy is vital to evaluating and estimating supportive services for 2.4 per 1,000 children, an increase over previously re- children, families, and caregivers. The majority of children with ported data (Hirtz, Thurman, Gwinn-Hardy, Mohammad, cerebral palsy require lower extremity orthoses to stabilize their Chaudhuri, & Zalusky, 2007). Cerebral palsy is primar- muscles. The pediatric nurse needs a special body of knowledge ily a disorder of movement and posture originating in to accurately assess, apply, manage, teach, and evaluate the use the central nervous system with an incidence of 2.5 per 1,000 live births with spastic quadriplegia being the of lower extremity orthoses typically prescribed for this vulnera- common type of cerebral palsy (Blair & Watson, 2006). ble population. Inherent in caring for these children is the need This nonprogressive neurological disorder is defined as to teach the child, the family, and significant others the proper a variation in movement, coordination, posture, and application and care of the orthoses used in hospital and com- gait resulting from brain injury around birth (Blair & munity settings. Nursing literature review does not provide a Watson, 2006). Numerous associated comorbidities are basis for evidence in designing and teaching orthopaedic care usually present with cerebral palsy requiring various for children with orthoses. A protocol for orthoses management interventions. -
A Year of Progress “Every Day You May Make Progress
2007 Annual Report of the Amputee Coalition of America A Year of Progress “Every day you may make progress. Every step may be fruitful. Yet there will stretch out before you an ever- lengthening, ever-ascending, ever-improving path. You know you will never get to the end of the journey. But this, so far from discouraging, only adds to the joy and glory of the climb.” — Sir Winston Churchill 1 our mission To reach out to people with limb loss and to empower them through education, support and advocacy. In Support of Our Mission Advocacy Education ACA advocates for the rights of people with limb ACA publishes inMotion, First Step and other magazines loss or a limb difference. This includes access to, and that comprehensively address areas of interest and delivery of, information, quality care, appropriate concern to amputees and those who care for and about devices, reimbursement, and the services required to them. lead empowered lives. ACA develops and distributes educational resources, ACA promotes full implementation of the Americans booklets, videotapes, and fact sheets to enhance the with Disabilities Act and other legislation that guaran- knowledge and coping skills of people affected by am- tees full participation in society for all people, regard- putation or congenital limb differences. less of disability. ACA’s National Limb Loss Information Center is a com- ACA sensitizes professionals, the general public and prehensive source of information about amputation policymakers to the issues, needs and concerns of and rehabilitation. amputees. ACA provides technical help, resources and training for Support local amputee educational and support organizations. -
Orthotics Catalog Custom Fit and Off-The-Shelf Products in 1919 Otto Bock Had a Vision for Helping People Be More Mobile and Independent
Orthotics Catalog Custom fit and off-the-shelf products In 1919 Otto Bock had a vision for helping people be more mobile and independent. His vision sparked the foundation of a century old company that still bears his name. Nearly 100 years later, Ottobock has locations in more than 149 countries, serving thousands of clinicians and patients with unique prosthetic, orthotic, and mobility devices. In North America, we have partnered with the O&P community since 1958. We regularly lobby for legislation that supports the O&P industry and the patients you care for. And we develop products that keep you on the cutting edge of orthotics. Today we are applying our advanced technology to orthotics to help stabilize injuries, provide post-operative support, and to help people to walk again. Our orthotic innovations will help place you on the cutting edge of orthotic solutions. To order any of our products or services, contact your local sales representative or Ottobock directly. United States 800 328 4058 [email protected] professionals.ottobockUS.com Canada 800 665 3327 [email protected] professionals.ottobock.ca Contents Knee . 5 Ligament Braces . 6 Patellofemoral Braces and Supports . 21 Post-Operative Braces . 25 Spine . 31 Thoracolumbar Sacral Orthoses (TLSOs) . 32 Hyperextension Orthoses . 34 Lumbar Sacral Orthoses (LSOs) . 40 Lumbar Orthoses . 54 Spinal Corsets . 63 Sacroiliac Supports . 66 Cervical . 69 Cervical Thoracic Orthoses . 70 Cervical Orthoses . 73 Foot and Ankle . 79 Ankle Braces and Supports . 80 Walker Boots . 84 Plantar Fasciitis Supports . 94 Shoulder . 101 Shoulder Immobilizers . 102 Shoulder Stabilizers . 105 Upper Extremity . 109 Elbow Supports . 110 Wrist, Hand Braces and Supports . -
Occupational Therapy Practice Guide for Enabling Participation in Driving 2ND Edition
Occupational Therapy Practice Guide for Enabling Participation in Driving 2ND Edition July 2017 Prepared by: AHS Provincial Occupational Therapy Driving Working Group Copyright © (2017) Alberta Health Services. This material is protected by Canadian and other international copyright laws. All rights reserved. This material may not be copied, published, distributed or reproduced in any way in whole or in part without the express written permission of Alberta Health Services (please contact Professional Practice Consult Service at Health Professions Strategy & Practice at [email protected]). This material is intended for general information only and is provided on an "as is", "where is" basis. Although reasonable efforts were made to confirm the accuracy of the information, Alberta Health Services does not make any representation or warranty, express, implied or statutory, as to the accuracy, reliability, completeness, applicability or fitness for a particular purpose of such information. This material is not a substitute for the advice of a qualified health professional. Alberta Health Services expressly disclaims all liability for the use of these materials, and for any claims, actions, demands or suits arising from such use. April 2017 2 Contents 1. Introduction.................................................................................................................... 5 2. Occupational Therapy and Driving Assessment ............................................................... 6 a. Tier 1, 2, 3 Competencies ........................................................................................................6 -
Foot Orthotics Page 1 of 6
Version 5.0 Johns Hopkins HealthCare LLC Policy Number CMS15.04 Medical Policy Effective Date 05/01/2020 Medical Policy Review Date 02/18/2020 Subject Revision Date 02/18/2020 Foot Orthotics Page 1 of 6 Keywords: Foot Orthotics, Orthotics Table of Contents Page Number I. ACTION 1 II. POLICY DISCLAIMER 1 III. POLICY 1 IV. POLICY CRITERION 2 V. BACKGROUND 3 VI. CODING DISCLAIMER 4 VII. CODING INFORMATION 4 VIII. REFERENCE STATEMENT 5 IX. REFERENCES 5 X. APPROVALS 6 I. ACTION New Policy X Revising Policy Number CMS15.04 Superseding Policy Number Archiving Policy Number Retiring Policy Number II. POLICY DISCLAIMER Johns Hopkins HealthCare LLC (JHHC) provides a full spectrum of health care products and services for Employer Health Programs, Priority Partners, Advantage MD, and US Family Health Plan. Each line of business possesses its own unique contract and guidelines which, for benefit and payment purposes, should be consulted first to know what benefits are available for coverage. Specific contract benefits, guidelines or policies supersede the information outlined in this policy. III. POLICY For Advantage MD, refer to: Medicare Coverage Database: • Local Coverage Determination (LCD) L33641 Orthopedic Footwear • Local Coverage Article A52481 Orthopedic Footwear • Local Coverage Determination (LCD) L33369 Therapeutic Shoes for Persons with Diabetes • Local Coverage Article A52501 Therapeutic Shoes for Persons with Diabetes For Employer Health Programs (EHP) refer to: • Plan specific Summary Plan Descriptions (SPD's) For Priority Partners -
Accessibility Standards Activities
INTERNATIONAL STANDARDS EFFORTS TOWARDS SAFE ACCESSIBILITY TECHNOLOGY FOR PERSONS WITH DISABILITIES: CROSS-INDUSTRY ACTIVITIES Roger Bostelman August 24, 2010 1 of 20 1. Introduction a. US Government Accessibility Standards Activities Because of their large potential impact, accessibility standards might be thought of by many as only including the US Department of Justice Rehabilitation Act Section 508 standard or the Americans with Disabilities Act (ADA) standards. Section 508 requires that electronic and information technology that is developed by or purchased by the Federal Agencies be accessible to people with disabilities. [1] The ADA standard part 36 of 1990 (42 U.S.C. 12181), prohibits discrimination on the basis of disability by public accommodations and requires places of public accommodation and commercial facilities to be designed, constructed, and altered in compliance with the accessibility standards established by this part. [2] Other US Federal Government agencies have ADA responsibilities as listed here with the regulating agency shown in parentheses: Consider Employment (Equal Employment Opportunity Commission) Public Transportation (Department of Transportation) Telephone Relay Service (Federal Communications Commission) Proposed Design Guidelines (Access Board) Education (Department of Education) Health Care (Department of Health and Human Services) Labor (Department of Labor) Housing (Department of Housing and Urban Development) Parks and Recreation (Department of the Interior) Agriculture (Department of Agriculture) Like the agencies listed, the US Department of Commerce, National Institute of Standards and Technology’s (NIST) supports and complies with the 508 and ADA standards. Moreover, NIST was directed by the Help America Vote Act of 2002, to work with the Election Assistance Commission (EAC) and Technical Guidelines Development Committee (TGDC) to develop voting system standards - Voluntary Voting System Guidelines (VVSG). -
Rehabilitation of People with Physical Disabilities in Developing Countries
Rehabilitation of people with physical disabilities in developing countries Program Report for Collaborative Agreement: DFD-A-00-08-00309-00 September 30, 2008 – December 31, 2015 Author: Sandra Sexton March 2016 ISPO Registered Office: International Society for Prosthetics and Orthotics (ISPO) c/o ICAS ApS Trekronervej 28 Strøby Ergede 4600 Køge Denmark Correspondence: International Society for Prosthetics and Orthotics 22-24 Rue du Luxembourg BE-1000 Brussels, Belgium Telephone: +32 2 213 13 79 Fax: +32 2 213 13 13 E-mail: [email protected] Website: www.ispoint.org ISBN 978-87-93486-00-3 1 Contents Page 1. Executive summary 3 2. List of acronyms 4 3. Acknowledgements 5 4. Introduction and background 6 4.1 Prosthetics and orthotics in developing countries 6 4.2 The prosthetics and orthotics workforce 6 5. Program activities, progress and results 7 5.1 Scholarships 7 5.2 Measuring the impact of training in prosthetics and orthotics 13 5.3 Enhancement of prosthetics and orthotics service provision 18 6. Budget and expenditure 22 7. References 23 2 1. Executive Summary Prosthetics and orthotics services enable people with physical impairments of their limbs or spine the opportunity to achieve greater independence to participate in society. Alarmingly, such services are not available to an estimated 9 out of 10 people with disabilities globally due to a shortage of personnel, service units and health rehabilitation infrastructures1. To try and address this situation, our International Society for Prosthetics and Orthotics (ISPO) members have been working towards development of the prosthetics and orthotics sector since our Society’s inception in the 1970s. -
Newsletter 2014 Spring
Access to Independence of Cortland County, Inc. Nothing More, Nothing Less For All People ACCESS NEWS With Disabilities Spring 2014 NUMBER XXXX ATI Recognizes Volunteers ATI Celebrates Founding Day ATI Awarded Grants On April 10, ATI recognized the On May 8, ATI recognized its Over the last several months, contributions of its volunteers by 16th anniversary as a nonprofit cor- ATI has been awarded a number of hosting them to pizza, wings and poration by hosting 50 former and small grants from area foundations salad. ATI also presented special current Board Members to a cele- in support of specific program and awards of appreciation to two indi- bration luncheon. operations initiatives. viduals who went above and be- On May 8, 1998, founding Board On February 19, ATI received yond over the past six months: Sara Members included: Thomas Miller, $2,000 from the Ralph R. Wilkins Askew and Rene Waddy. Lorriane Janke and Christopher Far- Foundation towards the cost of in- Over the past six months, 45 kas. Frances Pizzola was the found- stalling a new network server and individuals have volunteered their ing volunteer Director. At the time productivity software for consumer time at ATI for a total of 1,156 ATI was housed in Room 200 of the and staff computers. hours. Volunteers donated their County Office Building. On March 31, ATI received time in various ways, including: ATI’s roots go back to the 1980’s $2,000 from the Triad Foundation providing clerical support, partici- when it was known as the Cortland to provide support for ATI’s 2014 pating in advocacy efforts, partici- County Accessibility Committee Disability Employment Awareness pating on the Board of Directors, (CCAC). -
Disability Rights Movement —The ADA Today
COVER STORY: ADA Today The Disability Rights Movement —The ADA Today Karen Knabel Jackson navigates Washington DC’s Metro. by Katherine Shaw ADA legislation brought f you’re over 30, you probably amazing changes to the landscape—expected, understood, remember a time in the and fostering independence, access not-too-distant past when a nation, but more needs and self-suffi ciency for people curb cut was unusual, there to be done to level the with a wide range of disabilities. were no beeping sounds at playing fi elds for citizens Icrosswalks on busy city street with disabilities. Yet, with all of these advances, corners, no Braille at ATM court decisions and inconsistent machines, no handicapped- policies have eroded the inten- accessible bathroom stalls at the airport, few if tion of the ADA, lessening protections for people any ramps anywhere, and automatic doors were with disabilities. As a result, the ADA Restoration common only in grocery stores. Act of 2007 (H.R. 3195/S. 1881) was introduced last year to restore and clarify the original intent Today, thanks in large part to the Americans with of the legislation. Hearings have been held in both Disabilities Act (ADA), which was signed into law the House and Senate and the bill is expected to in 1990, these things are part of our architectural pass in 2008. 20 Momentum • Fall.2008 Here’s how the ADA works or doesn’t work for some people with MS today. Creating a A no-win situation Pat had a successful career as a nursing home admin- istrator in the Chicago area. -
Developing a Livable Community for All Ages 67 B
Introduction: Building Livable Communities for All Ages 1 Today’s residents = Tomorrow’s older residents 2 When residents can age in place, everybody benefits 2 Thinking outside the box 3 Chapter 1: About this Guide 5 How to find what you’re looking for 5 Chapter 2: Key Challenges and Action Steps to Build 7 A Livable Community for All Ages Housing 9 Planning and Zoning 15 Transportation 20 Health and Supportive Services 27 Culture and Lifelong Learning 35 Public Safety 39 Civic Engagement andVolunteer Opportunities 42 Chapter 3: Turning Best Practices into Common Practice: 47 Six Steps for Focusing Community Energies on Aging in Place Step One: Assemble a team of public and private leaders 49 Step Two: Assess the community’s aging-readiness 54 Step Three: Take focused action 58 Step Four: Promote success 60 Step Five: Set a long-term course 62 Step Six: Get resources 66 Appendices: 67 A. Resources for Focusing Community Energies on Aging in Place and Developing a Livable Community for All Ages 67 B. AssessingYour Community’s Aging-Readiness: A checklist of key features of an aging-friendly community 69 C. Resources 71 Notes 74 Introduction Building Livable Communities for All Ages Americans are enjoying longer and healthier lives. Today, there are more than 35 million Americans age 65 or above—a tenfold increase in the 65 and over population since 1900. Over the next 25 years, that number will double, and one in every five Americans will be age 65 or older. i Tremendous advances in health care, economic security, and the delivery of supportive services have profoundly altered the experience of aging for the better. -
News Brake the Newsletter of Aded 71270
NEWS BRAKE THE NEWSLETTER OF ADED www.driver-ed.org·711S.VIENNA·RUSTON.LA 71270 VOL. 26 NO.3· SPRING 2002 "j Presiq~nf's~t1pttafe ···· ;; ... ._". 'i :j.;i-/-~'}' • /' . , Carol Blanc als will have a new fee structure. The fees Nationally, there is a strong movement of Greetings to all have been increased as follows: CDRS test planning for the Geriatric explosion in re ing is $300.00 with a $50.00 application gards to Aging and Mobility. In addition ADED members! fee, CDRS renewal is $150.00. to the shortage of CDRS to perform mo The 2002 ADED Board met for the Spring The Board approved the revised ADED bility assessments for the elderly; AOTA is Board meeting in Louisville, KY. The Ex Chapter Guidelines, which will be dissemi noting the need for assisting Occupational ecutive Directors are active in helping the nated to the ADED members. Therapist's to become active in the field of board move forward and assisting the Presi Driver Rehabilitation. I have extended an dent. Many of the Board's activities are The Board has made several recommended invitation to AOTA to establish an alliance as follows: changes to the By Laws. The By Laws are and collaborative working relationship for still a work in progress and will undergo the common goals of increasing qualified The Standards ofPractice and Code ofEth legal review. The plan for the Operations ics are being revised by the Professional CDRS's and meeting the needs of the grow Board member is to have a draft at the ing geriatric population.