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Home/ Careers/ Allied Health Professions/ Orthotist and Prosthetist

Orthotist and Prosthetist

Overview

People can experience the total or partial loss of a limb or an orthopedic impairment for many reasons, including accidents, combat injuries, birth defects and disease.

 

Health care workers who specialize in orthotics and prosthetics (O&P) help these patients regain their mobility by fitting them with artificial limbs (prostheses) and orthopedic braces (orthoses). This fascinating field encompasses a variety of specialized careers, each of which contributes to designing, making, fitting, modifying, repairing and maintaining O&P devices that make an immeasurable impact on an individual’s quality of life.

 

O&P practitioners:

 

·         Perform a detailed assessment to determine the patient’s O&P needs

·         Assess the patient’s functional status, including muscle development, gait, sensory function, range of motion, joint stability and skin integrity

·         Develop a plan that addresses the patient’s needs and goals, including pain reduction, comfort, stability, mobility, as well as aesthetics

·         Select the appropriate design, materials, and components for optimum strength, durability and function

·         Discuss the treatment plan, including benefits, risks and time involved

·         Prepare the patient for the device, with the use of splints or compression garments, as needed

·         Take measurements, make impressions, and develop templates as needed to accurately fit the device

·         Fabricate/assemble the device and assess and properly align for maximum function and comfort

·         Explain how to use and maintain the device

·         Provide ongoing care, including evaluation and modification of the device for optimal fit and function

 

Many people enter this field because they or someone they know has benefited from a prosthetic or orthotic device.  It is extremely rewarding to watch someone with a severe impairment regain lost abilities and enjoy new independence. Advances in technology, such as microprocessors, myoelectric joints and computer imaging, make this a particularly exciting time to be involved in O&P.

 

To learn more, watch the video profile of "Orthotists and Prosthetists."

 

You can download, save and print a PDF of this career profile:

Orthotist and Prosthetist 05 Oct 2010 [pdf, 206 KB]

 

Working Conditions

O&P professionals work in private practice, hospitals, rehabilitation centers, specialty clinics and laboratories devoted to the fabrication, modification and repair of O&P devices.

This allied health profession offers a variety of exciting employment opportunities available including O&P practitioners, pedorthists, assistants, fitters, and technicians.

  • Pedorthists make and/or modify footwear—including shoes, foot orthoses and other pedorthic devices to help people maintain or regain mobility.
  • Certified fitters are trained and qualified to participate in the fit/delivery of: prefabricated orthotic devices/soft goods (orthotic fitter); breast prostheses and mastectomy products/services (mastectomy fitter); or non-custom therapeutic shoes and diabetic multi-density inserts (therapeutic shoe fitter).
  • Registered technicians work with the O&P practitioner to fabricate, repair and maintain O&P devices using highly specialized materials and equipment to provide maximum fit, function and aesthetics. They do not provide direct patient care.
  • Registered assistants help O&P practitioners with patient management as well as with the fabrication, fit and maintenance of O&P devices.
Artifical limbs, orthotist and prosthetist
Salary
$33,742 - $89,334
Years in school
4 - 6
Job outlook
Excellent

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Academic Requirements

Training requirements vary depending on the type of O&P career you choose.

Currently, those interested in becoming a practitioner can complete an O&P baccalaureate degree. Students who have completed a related four-year degree can enroll in a six-month to one-year certificate program or a master’s level program. There is currently a movement to transition the entry-level education to a master’s by the year 2010.

Completion of a Commission on Accreditation for Allied Health Education (CAAHEP) accredited program and a one-year residency per discipline qualifies the student to sit for the American Board of Certification in Orthotics, Prosthetics and Pedorthics (ABC) certification exam.

Salary Range

According to the 2007 American Orthotic and Prosthetic Association (AOPA) Operating Performance & Compensation Report, average compensation (base salary, bonus and commission) based on the following job titles is:

  • $89,334 for an American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC) Certified Orthotist/Prosthetist with an average of 15 years experience.
  • $43,786 for an ABC Registered Technician is with an average of 10 years experience.
  • $36,693 for a Fitter is with an average of five years experience.
  • $33,742 for a National Commission on Orthotic and Prosthetic Education (NCOPE) Resident is with an average of one year experience.

Note: Compensation varies based many factors, i.e. geographical location, years of experience, inclusion or exclusion of fringe benefits. Salary information for assistants was not included in the survey.

The U.S. Department of Education lists O&P training as a “national priority with a practitioner deficit.” The need for O&P services is rising rapidly, due in part to increasing obesity, diabetes and the aging of the “Baby Boomer” generation. The ability to provide the most cost-effective and clinically appropriate O&P care will be dependent on having a large enough pool of well-educated, certified Orthotist and prosthetists.