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319B.010 Definitions for chapter.
As used in this chapter, unless the context requires otherwise:
(1) "Board" means the Kentucky Board of Prosthetics, Orthotics, and Pedorthics;
(2) "CAAHEP" means the Commission on Accreditation of Allied Health Education
Programs;
(3) "Custom fabricated and fitted device" means an orthosis, prosthesis, or pedorthic
device that is fabricated to original measurements, or to a mold for use by a patient
in accordance with a prescription from a health care practitioner or provider
authorized by law to write such prescriptions, and that requires substantial clinical
and technical judgment in its design and fitting;
(4) "Custom fitted device" means a prefabricated orthosis, prosthesis, or pedorthic
device sized or modified for use by the patient in accordance with a prescription
from a health care practitioner or provider authorized by law to write such
prescriptions that requires substantial clinical judgment and substantive alteration
for appropriate use;
(5) "Facility" means the business location where orthotic, prosthetic, or pedorthic care
is provided. The orthotic/prosthetic/pedorthic facility has the appropriate clinical
and laboratory space and equipment to provide comprehensive orthotic, prosthetic,
and pedorthic care. Licensed orthotists, prosthetists, and pedorthists shall be
available to either provide care or to supervise the provision of care by nonlicensed
staff;
(6) "Licensed orthotic fitter" means a person who receives a license under this chapter
to fit the following noncustom orthotic devices:
(a) Cervical orthoses, except those requiring more than minor modification or
those used to treat an unstable cervical condition;
(b) Pressure gradient hose;
(c) Trusses;
(d) Prefabricated spinal orthoses, except those used in the treatment of scoliosis
or unstable spinal conditions, rigid body jackets made of thermoformable
materials, and "halo" devices; and
(e) Prefabricated orthoses of upper and lower extremities, except those used in
the treatment of bone fractures and dislocations, therapeutic (diabetic) shoes
or inserts, and functional electrical stimulation orthoses, such as myo-orthosis
or neuroprosthesis;
(7) "Licensed orthotist" means a person who is licensed under this chapter to practice
orthotics and who represents the person to the public by title or description of
services that includes the term "orthotic," "orthotist," "brace," or a similar title or
description of services;
(8) "Licensed pedorthist" means a person who is licensed under this chapter to practice
pedorthics and who represents the person to the public by the title or description of
services that includes the term "pedorthic," "pedorthist," or a similar title or
description of services;
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"Licensed prosthetist" means a person who is licensed under this chapter to practice
prosthetics and who represents the person to the public by title or description of
services that includes the term "prosthetic," "prosthetist," "artificial limb," or a
similar title or description of services;
"NCOPE" means the National Commission on Orthotic and Prosthetic Education;
"Orthosis" means a custom-designed, fabricated, fitted, or modified device to
correct, support, or compensate for a neuro-musculoskeletal disorder or acquired
condition. "Orthosis" does not include fabric or elastic supports, corsets, arch
supports, low-temperature plastic splints, trusses, elastic hoses, canes, crutches, soft
cervical collars, dental appliances, or other similar devices that are carried in stock
and sold without modification as "over-the-counter" items by a pharmacy,
department store, corset shop, or surgical supply facility;
"Orthotic and prosthetic education program" means a course of instruction
accredited by CAAHEP, consisting of:
(a) An adequate curriculum of college level training and instruction in math,
physics, biology, chemistry, and psychology; and
(b) A specific curriculum in orthotic or prosthetic courses, including:
1.
Lectures covering pertinent anatomy, biomechanics, pathomechanics,
prosthetic-orthotic components and materials, training and functional
capabilities, prosthetic or orthotic performance evaluation, prescription
considerations, etiology of amputations and disease processes
necessitating prosthetic or orthotic use, and medical management;
2.
Subject matter related to pediatric and geriatric problems;
3.
Instruction in acute care techniques, such as immediate and early
postsurgical prosthetics and fracture-bracing techniques; and
4.
Lectures, demonstrations, and laboratory experiences related to the
entire process of measuring, casting, fitting, fabricating, aligning, and
completing prostheses or orthoses;
"Orthotics" means the science and practice of evaluating, measuring, designing,
fabricating, assembling, fitting, adjusting, or servicing an orthosis, under an order
from a licensed health care practitioner or provider authorized by law to issue such
an order, for the correction or alleviation of neuromuscular or musculoskeletal
dysfunction, disease, injury, or deformity;
"Orthotist" means a person who is specifically trained and educated to provide or
manage the provision of a custom-designed, fabricated, modified, and fitted
external orthosis to an orthotic patient, based on a clinical assessment and a
prescription from a health care practitioner or provider authorized by law to write
such prescriptions, to restore physiological function or cosmesis;
"Over-the-counter device" means a prefabricated, mass-produced device that is
prepackaged and requires no professional advice or judgment in either size selection
or use, including fabric or elastic supports, corsets, generic arch supports, and
elastic hoses;
"Pedorthic device" means therapeutic footwear, foot orthoses, or orthotics for use at
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the ankle or below, below the ankle partial foot prostheses, and modified footwear
made for therapeutic purposes, as prescribed by a licensed health care practitioner
or provider authorized by law to issue such a prescription. "Pedorthic device" does
not include nontherapeutic accommodative inlays or nontherapeutic accommodative
footwear, regardless of method of manufacture; shoe modifications made for
nontherapeutic purposes; unmodified over-the-counter shoes; or prefabricated foot
care products;
"Pedorthic education program" means a course of instruction accredited by NCOPE,
consisting of:
(a) A basic curriculum of instruction in foot-related pathology of diseases,
anatomy, and biomechanics;
(b) A specific curriculum in pedorthic courses, including lectures covering shoes,
foot orthoses, and shoe modifications, pedorthic components and materials,
training and functional capabilities, pedorthic performance evaluation,
prescription considerations, etiology of disease processes necessitating use of
pedorthic devices, medical management, and subject matter related to
pediatric and geriatric problems; and
(c) Lectures, demonstrations, and laboratory experiences related to the entire
process of measuring and casting, fitting, fabricating, aligning, and completing
pedorthic devices;
"Pedorthics" means the science and practice of evaluating, measuring, designing,
fabricating, assembling, fitting, adjusting, or servicing a pedorthic device, under an
order from a licensed health care practitioner or provider authorized by law to issue
such an order for the correction or alleviation of neuromuscular or musculoskeletal
dysfunction, disease, injury, or deformity;
"Pedorthist" means a person who measures, designs, fabricates, fits, or services
pedorthic devices and assists in the formulation of the order of pedorthic devices, as
ordered by a licensed health care practitioner or provider authorized by law to issue
such an order for the support or correction of disabilities caused by neuromuscular
or musculoskeletal dysfunction, disease, injury, or deformity;
"Person" means a natural person;
"Prosthesis" means a custom designed, fabricated, fitted, or modified device to
replace an absent external limb, for the purpose of restoring physiological function
or cosmesis. "Prosthesis" does not include artificial eyes or ears, dental appliances,
artificial breasts, cosmetic devices such as artificial eyelashes or wigs, or other
devices that do not have a significant impact on the musculoskeletal functions of the
body;
"Prosthetics" means the science and practice of evaluating, measuring, designing,
fabricating, assembling, fitting, adjusting, or servicing a prosthesis, under an order
from a licensed health care practitioner or provider authorized by law to issue such
an order;
"Prosthetist" means a person who is specifically trained and educated to provide or
manage the provision of a custom designed, fabricated, modified, and fitted external
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limb prosthesis to a prosthetic patient, based on a clinical assessment and a
prescription from a health care practitioner or provider authorized to write such
prescriptions, to restore physiological function or cosmesis;
"Prosthetist/Orthotist" means a person who practices both disciplines of prosthetics
and orthotics and who represents the person to the public by title or by description
of services;
"Resident" means a person who has completed a CAAHEP accredited education
program in orthotics, prosthetics, or both and is obtaining his or her clinical training
in a residency accredited by NCOPE;
"Residency" means a minimum of a one-year NCOPE accredited program to
acquire practical clinical training in orthotics, prosthetics, or both, in a patient care
setting; and
"Supervision" means the act of critical observing and directing the work or tasks of
another who may lack full knowledge of the concept at hand.
Effective: July 15, 2010
History: Created 2010 Ky. Acts ch. 109, sec. 2, effective July 15, 2010.
Legislative Research Commission Note (7/15/2010) 2010 Ky. Acts ch. 109, sec. 18,
provides: "Sections 2 to 18 of this Act shall be known and may be cited as the 'Henry
Brown Prosthetics, Orthotics, and Pedorthics Act'."
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