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319B.010 Definitions for chapter.
As used in this chapter, unless the context requires otherwise: <br>(1) "Board" means the Kentucky Board of Prosthetics, Orthotics, and Pedorthics; <br>(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 <br>in accordance with a prescription from a health care practitioner or provider <br>authorized by law to write such prescriptions, and that requires substantial clinical <br>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 <br>from a health care practitioner or provider authorized by law to write such <br>prescriptions that requires substantial clinical judgment and substantive alteration <br>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 <br>and laboratory space and equipment to provide comprehensive orthotic, prosthetic, <br>and pedorthic care. Licensed orthotists, prosthetists, and pedorthists shall be <br>available to either provide care or to supervise the provision of care by nonlicensed <br>staff;
(6) "Licensed orthotic fitter" means a person who receives a license under this chapter
to fit the following noncustom orthotic devices: <br>(a) Cervical orthoses, except those requiring more than minor modification or
those used to treat an unstable cervical condition;
(b) Pressure gradient hose; <br>(c) Trusses; <br>(d) Prefabricated spinal orthoses, except those used in the treatment of scoliosis
or unstable spinal conditions, rigid body jackets made of thermoformable <br>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 <br>or inserts, and functional electrical stimulation orthoses, such as myo-orthosis <br>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 <br>services that includes the term "orthotic," "orthotist," "brace," or a similar title or <br>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 <br>services that includes the term "pedorthic," "pedorthist," or a similar title or <br>description of services;
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(9) "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 <br>services that includes the term "prosthetic," "prosthetist," "artificial limb," or a <br>similar title or description of services;
(10) "NCOPE" means the National Commission on Orthotic and Prosthetic Education; <br>(11) "Orthosis" means a custom-designed, fabricated, fitted, or modified device to
correct, support, or compensate for a neuro-musculoskeletal disorder or acquired <br>condition. "Orthosis" does not include fabric or elastic supports, corsets, arch <br>supports, low-temperature plastic splints, trusses, elastic hoses, canes, crutches, soft <br>cervical collars, dental appliances, or other similar devices that are carried in stock <br>and sold without modification as "over-the-counter" items by a pharmacy, <br>department store, corset shop, or surgical supply facility;
(12) "Orthotic and prosthetic education program" means a course of instruction
accredited by CAAHEP, consisting of: <br>(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, <br>prosthetic-orthotic components and materials, training and functional <br>capabilities, prosthetic or orthotic performance evaluation, prescription <br>considerations, etiology of amputations and disease processes <br>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 <br>postsurgical prosthetics and fracture-bracing techniques; and
4.
Lectures, demonstrations, and laboratory experiences related to the <br>entire process of measuring, casting, fitting, fabricating, aligning, and <br>completing prostheses or orthoses;
(13) "Orthotics" means the science and practice of evaluating, measuring, designing,
fabricating, assembling, fitting, adjusting, or servicing an orthosis, under an order <br>from a licensed health care practitioner or provider authorized by law to issue such <br>an order, for the correction or alleviation of neuromuscular or musculoskeletal <br>dysfunction, disease, injury, or deformity;
(14) "Orthotist" means a person who is specifically trained and educated to provide or
manage the provision of a custom-designed, fabricated, modified, and fitted <br>external orthosis to an orthotic patient, based on a clinical assessment and a <br>prescription from a health care practitioner or provider authorized by law to write <br>such prescriptions, to restore physiological function or cosmesis;
(15) "Over-the-counter device" means a prefabricated, mass-produced device that is
prepackaged and requires no professional advice or judgment in either size selection <br>or use, including fabric or elastic supports, corsets, generic arch supports, and <br>elastic hoses;
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(16) "Pedorthic device" means therapeutic footwear, foot orthoses, or orthotics for use at
the ankle or below, below the ankle partial foot prostheses, and modified footwear <br>made for therapeutic purposes, as prescribed by a licensed health care practitioner <br>or provider authorized by law to issue such a prescription. "Pedorthic device" does <br>not include nontherapeutic accommodative inlays or nontherapeutic accommodative <br>footwear, regardless of method of manufacture; shoe modifications made for <br>nontherapeutic purposes; unmodified over-the-counter shoes; or prefabricated foot <br>care products;
(17) "Pedorthic education program" means a course of instruction accredited by NCOPE,
consisting of: <br>(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, <br>training and functional capabilities, pedorthic performance evaluation, <br>prescription considerations, etiology of disease processes necessitating use of <br>pedorthic devices, medical management, and subject matter related to <br>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 <br>pedorthic devices;
(18) "Pedorthics" means the science and practice of evaluating, measuring, designing,
fabricating, assembling, fitting, adjusting, or servicing a pedorthic device, under an <br>order from a licensed health care practitioner or provider authorized by law to issue <br>such an order for the correction or alleviation of neuromuscular or musculoskeletal <br>dysfunction, disease, injury, or deformity;
(19) "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 <br>ordered by a licensed health care practitioner or provider authorized by law to issue <br>such an order for the support or correction of disabilities caused by neuromuscular <br>or musculoskeletal dysfunction, disease, injury, or deformity;
(20) "Person" means a natural person; <br>(21) "Prosthesis" means a custom designed, fabricated, fitted, or modified device to
replace an absent external limb, for the purpose of restoring physiological function <br>or cosmesis. "Prosthesis" does not include artificial eyes or ears, dental appliances, <br>artificial breasts, cosmetic devices such as artificial eyelashes or wigs, or other <br>devices that do not have a significant impact on the musculoskeletal functions of the <br>body;
(22) "Prosthetics" means the science and practice of evaluating, measuring, designing,
fabricating, assembling, fitting, adjusting, or servicing a prosthesis, under an order <br>from a licensed health care practitioner or provider authorized by law to issue such <br>an order;
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(23) "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 <br>limb prosthesis to a prosthetic patient, based on a clinical assessment and a <br>prescription from a health care practitioner or provider authorized to write such <br>prescriptions, to restore physiological function or cosmesis;
(24) "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 <br>of services;
(25) "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 <br>in a residency accredited by NCOPE;
(26) "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 <br>setting; and
(27) "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 <br>History: Created 2010 Ky. Acts ch. 109, sec. 2, effective July 15, 2010. <br>Legislative Research Commission Note (7/15/2010) 2010 Ky. Acts ch. 109, sec. 18,
provides: "Section 2 to 18 of this Act shall be known and may be cited as the 'Henry <br>Brown Prosthetics, Orthotics, and Pedorthics Act'."
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