Patient Evaluation Checklist for Orthotists

Orthotists work with patients with disabilities. They provide support devices that assist with mobility and independence. Orthotic devices include braces that provide support for those suffering from injury, deformities or health conditions that affect muscle or bone. Braces are custom fit by orthotists, assuring each support device functions as intended.

Physical Assessment

• An orthotist performs a patient evaluation to assure devices work properly. Part of the evaluation process includes a physical assessment. Orthotists check for deformities, redness and swelling caused by the brace. They also ask questions pertaining to discomfort, effectiveness and complications.

Proper Fit

• Braces are custom fit for each patient to assure proper fit and function

  Orthotists check to ensure the brace fits the afflicted area properly. If the device is too loose, the orthotist will tighten it so it fits correctly and vice versa. They use straps to help secure devices in place. If a device requires an excessive amount of adjustments it may need to be replaced. These decisions are made by the orthotist during the patient's evaluation.

Functions Correctly

• Orthotists are responsible for creating treatment plans for patients who require assistance from orthotic devices. During a patient's evaluation, they assess the patient's needs and abilities and design a device that will best suit those needs. They create the brace and instruct the patient in its use. Orthotists examine the functionality of the brace each time the patient is seen to assure the device works as intended.

Problems/Complications

• Orthotists examine the brace and afflicted limb while the brace is worn to check for complications or problems.

  Orthotic specialists look for problems associated with the supportive devices during a patient's evaluation. Malfunctioning hinges, stiff joints and broken hardware are among the problems an inspection can reveal. They also ask patients about pain or irritation caused by braces that may result in the patient not wearing it.