Lesson 1Red flags an contraindications fi orthoses/prostheses an urgent referral criteriaDis section identify red flags an contraindications fi orthotic an prosthetic use, includin medical instability, severe skin compromise, an vascular risk, an outline criteria fi urgent referral or emergency escalation in outpatient settings, so yuh know when fi act quick.
Medical instability an vital sign concernsSevere pain, infection, or suspected DVTCritical skin or wound complicationsVascular insufficiency an ischemia signsWhen to stop treatment an refer urgentlyLesson 2Observation an physical exam techniques: posture, joint ROM, muscle tone, spasticity scales (MAS), manual muscle testingDis section explain systematic observation an physical exam methods, includin posture, joint range of motion, tone, spasticity gradin wid MAS, an manual muscle testin to identify impairments relevant to orthotic an prosthetic prescription, helpin yuh spot issues early.
Posture an alignment in sittin an standinJoint ROM measurement an end‑feel assessmentMuscle tone an Modified Ashworth Scale useManual muscle testin fi key muscle groupsDocumentation of asymmetry an compensationsLesson 3Standardized outcome measures: FIM, Berg Balance Scale, 6-Minute Walk Test, 10-Meter Walk Test, TUGDis section review key standardized outcome measures use in outpatient rehabilitation, includin FIM, Berg Balance Scale, 6‑Minute Walk Test, 10‑Meter Walk Test, an TUG, wid guidance on selection, scorin, an interpretation fi O&P, so yuh can track progress proper.
Choosin appropriate outcome measuresAdministerin an scorin di FIMUsin di Berg Balance Scale in practice6MWT an 10MWT procedures an normsTUG test setup, timin, an cut‑offsLesson 4Systems review: neurological, musculoskeletal, integumentary, vascular considerationsDis section outline a focused systems review fi O&P assessment, emphasizin neurological, musculoskeletal, integumentary, an vascular findins dat influence device selection, fit, safety, an progression in outpatient rehabilitation, keepin everyting safe an effective.
Neurological screenin an motor controlMusculoskeletal alignment an deformitiesIntegumentary status an pressure riskVascular assessment an perfusion signsImpact of comorbidities on device choiceLesson 5Comprehensive history takin specific to stroke an transtibial amputationDis section cover targeted history takin fi stroke an transtibial amputation, emphasizin functional status, comorbidities, prior devices, falls, an patient goals to guide safe, realistic orthotic an prosthetic plannin in outpatient care, makin sure plans fit di patient.
Key medical an surgical history itemsFunctional status an prior mobility levelFalls history an environmental barriersPain, fatigue, an activity tolerancePrevious device use an patient expectationsLesson 6Residual limb an skin assessment: inspection, volume fluctuation, scar, edema, pain, sensitivityDis section detail residual limb an skin assessment fi transtibial users, includin inspection, palpation, volume changes, scar quality, edema, pain, an sensitivity, to guide socket fit, liner choice, an skin protection strategies, preventin problems down di line.
Inspection of limb shape an tissue qualityScar mobility, adherence, an tendernessEdema patterns an volume fluctuationPain mappin an neuroma suspicionSkin sensitivity an desensitization needsLesson 7Interprofessional communication: referral content, prescription writin basics, sharin clinical goals wid orthotist/prosthetistDis section detail effective interprofessional communication wid prescribers an O&P clinicians, includin essential referral content, basic prescription elements, an alignin shared, measurable goals to support coordinated rehabilitation plans, keepin di team on di same page.
Essential elements of a quality referralWritin clear, focused clinical questionsBasics of orthotic an prosthetic prescriptionsSharin functional goals wid O&P teamFeedback loops an follow‑up communicationLesson 8Gait analysis basics: observational gait phases, common compensations, cane an assistive device assessmentDis section introduce observational gait analysis, gait phases, an common compensations in stroke an transtibial users, includin assessment of canes an other assistive devices to optimize safety, efficiency, an orthotic or prosthetic choices, helpin patients walk better.
Review of gait cycle phases an timinCommon stroke‑related gait deviationsTypical transtibial gait compensationsAssessment of cane an walker fitImpact of devices on gait an balance
