The following words and terms, when used in this
subchapter, have the following meanings, unless the context clearly indicates
otherwise:
ABC-American Board for Certification
in Orthotics, Prosthetics & Pedorthics, Inc., a Board-approved organization
with certification programs accredited by NCCA. The term includes a successor
organization.
Accommodative-Designed with a primary
goal of conforming to an individual's anatomy.
BOC-Board of
Certification/Accreditation International, Inc., a Board-approved organization
with certification programs accredited by NCCA. The term includes a successor
organization.
CAAHEP-Commission on Accreditation of
Allied Health Education Programs, recognized by the Council for Higher
Education Accreditation to accredit prosthetic and orthotic education
programs.
Custom-designed or custom-fabricated
device-A prosthesis, orthosis or pedorthic device that is designed or
fabricated to comprehensive measurements or a patient model or mold for use by
a patient in accordance with a prescription and which requires substantial
clinical and technical judgment in its design, fabrication and fitting.
Custom-fitted or custom-modified
device-A prefabricated prosthesis, orthosis or pedorthic device to
accommodate the patient's measurement that is sized or modified for use by the
patient in accordance with a prescription and which requires substantial
clinical judgment and substantive alteration in its design for appropriate
use.
Hour of continuing education-At least
50 minutes of instruction, including relevant question and answer sessions, in
an approved course of continuing education or an equivalent time that an online
or correspondence course would be presented live.
ICE-The Institute for Credentialing
Excellence, previously known as the National Organization for Competency
Assurance. The term includes a successor organization.
Licensed prescribing practitioner-A
physician, podiatrist, certified registered nurse practitioner or physician
assistant, licensed by the practitioner's respective licensing board, who may
issue orders and prescriptions to a prosthetist, orthotist, pedorthist or
orthotic fitter.
NCCA-National Commission for
Certifying Agencies or its successor.
NCOPE-National Commission on Orthotic
and Prosthetic Education, an organization that approves precertification
education courses for pedorthists and accredits residency programs for
prosthetists and orthotists.
Orthosis-A custom-designed,
custom-fabricated, custom-fitted or custom-modified device designed to
externally provide support, alignment or prevention to the body or a limb for
the purposes of correcting or alleviating a neuromuscular or musculoskeletal
disease, injury or deformity.
Orthotic fitter-An individual who is
licensed by the Board to practice orthotic fitting.
Orthotic fitter trainee-An individual
who holds an orthotic fitter temporary practice permit issued by the Board and
who is authorized to practice in accordance with §
18.842 (relating to orthotic
fitting care experience).
Orthotic fitting-The fitting,
dispensing and adjusting of prefabricated orthotic devices pursuant to a
written prescription of a licensed prescribing practitioner.
Orthotic and prosthetic assistant-An
unlicensed individual who, under the direct supervision of the orthotist or
prosthetist, assists with patient care tasks assigned by the orthotist or
prosthetist.
Orthotic and prosthetic technician-An
unlicensed individual who provides technical support to an orthotist or
prosthetist and who may fabricate, assemble, modify and service devices to the
specifications of a licensed orthotist or prosthetist.
Orthotics-The practice of evaluating,
measuring, designing, fabricating, assembling, fitting, adjusting or servicing
an orthosis for the correction or alleviation of neuromuscular or
musculoskeletal dysfunction, disease, injury or deformity pursuant to a written
prescription of a licensed prescribing practitioner.
Orthotist-An individual who is
licensed by the Board to practice orthotics.
Orthotist resident-An individual who
holds a graduate permit issued by the Board and who is authorized to practice
in accordance with §§
18.821 and
18.822 (relating to graduate
permit; and clinical residency).
Over-the-counter orthoses and pedorthic
devices- Prefabricated, mass-produced items that are prepackaged and
do not require professional advice or judgment in either size selection or use,
including fabric or elastic supports, corsets, generic arch supports and
elastic hose.
Pedorthic device-
(i) Therapeutic shoes, shoe modifications
made for therapeutic purposes, partial foot prostheses, foot orthoses and
below-the-knee pedorthic modalities.
(ii) The term does not include the following:
(A) Nontherapeutic, accommodative inlays and
nontherapeutic accommodative footwear, regardless of method of
manufacture.
(B) Unmodified,
nontherapeutic over-the-counter shoes.
(C) Prefabricated, unmodified or unmodifiable
foot care and footwear products.
Pedorthic support personnel-An
unlicensed individual who, under the direct onsite supervision of a pedorthist,
assists a pedorthist in the provision of pedorthic care, or who provides
technical support to a pedorthist, including fabricating, assembling, modifying
and servicing pedorthic devices in accordance with the pedorthist's
specifications. Pedorthic support personnel may not practice prosthetics,
orthotics, pedorthics or orthotic fitting.
Pedorthics-The practice of evaluating,
measuring, designing, fabricating, assembling, fitting, adjusting or servicing
necessary to accomplish the application of a pedorthic device for the
prevention or amelioration of painful or disabling conditions related to the
lower extremities pursuant to a written prescription of a licensed prescribing
practitioner.
Pedorthist-An individual who is
licensed by the Board to practice pedorthics.
Pedorthist trainee-An individual who
holds a temporary practice permit issued by the Board and who is authorized to
practice in accordance with §§
18.831 and
18.832 (relating to temporary
practice permit; and patient fitting experience).
Podiatrist-An individual licensed
under the Podiatry Practice Act (63 P.S. §§
42.1-42.21c) to practice
podiatry.
Prefabricated orthosis-
(i) A brace or support designed to provide
for alignment, correction or prevention of neuromuscular or mus-culoskeletal
dysfunction, disease, injury or deformity.
(ii) The term does not include fabric or
elastic supports, corsets, arch supports, low-temperature plastic splints,
trusses, elastic hose, canes, crutches, soft cervical collars, dental
appliances or other similar devices carried in stock and sold as
over-the-counter items.
Prosthesis-
(i) A custom-designed, custom-fabricated,
custom-fitted or custom-modified device to replace an absent external limb for
purposes of restoring physiological function that is not surgically
implanted.
(ii) The term does not
include the following:
(A) Artificial eyes,
ears, fingers or toes.
(B) Dental
appliances.
(C) Cosmetic devices
such as breast prostheses, eyelashes or wigs.
(D) Other devices that do not have a
significant impact on the musculoskeletal functions of the body.
Prosthetics-The practice of
evaluating, measuring, designing, fabricating, assembling, fitting, adjusting
or servicing a prosthesis pursuant to a written prescription of a licensed
prescribing practitioner.
Prosthetist-An individual who is
licensed by the Board to practice prosthetics.
Prosthetist resident-An individual who
holds a graduate permit issued by the Board and who is authorized to practice
in accordance with §§
18.811 and
18.812 (relating to graduate
permit; and clinical residency).
Provisionally-licensed orthotist-An
individual who holds a provisional license issued by the Board and who is
authorized to practice in accordance with §
18.823 (relating to provisional
orthotist license).
Provisionally-licensed prosthetist-An
individual who holds a provisional license issued by the Board and who is
authorized to practice in accordance with §
18.813 (relating to provisional
prosthetist license).
Provisionally-licensed prosthetist-An
individual who holds a provisional license issued by the Board and who is
authorized to practice in accordance with §
18.813 (relating to provisional
prosthetist license).
