Below are some of the common questions we hear from patients and/or their parents. If you have a question that is not addressed here, please feel free to contact our office. We would be happy to assist you.
What is a Certified Orthotist?
A Certified Orthotist is an allied health professional specifically trained in the provision of comprehensive orthotic management. After a thorough and detailed assessment, the Orthotist will determine an appropriate design that will aid in restoring physiological function to the patient.
To become a Certified Orthotist, an individual must possess an undergraduate degree in a related science program (kinesiology, biomechanics, engineering, etc), and graduate from one of three accredited programs in Clinical Prosthetics & Orthotics in Canada. The candidate then enters a two-year residency, and successfully completes a series of comprehensive written, oral, and practical exams. Once certified, the practitioner must complete mandatory continuing education to maintain their standing with the Certification Board.
Classification of certification:
- C.O. (c) = Certified Orthotist
- C.P.O. (c) = Certified Prosthetist and Orthotist
What is a Registered Technician?
A prosthetic or orthotic technician “provides technical expertise in the design and fabrication of orthoses and their components in such a manner as to provide maximum fit, function, cosmesis and workmanship.”* The Canadian Board for Certification of Prosthetists and Orthotists (CBCPO) registration process was introduced to promote the development of technical competence and create a national standard of proficiency in this area. The successful registered technician will have either completed a two-year program in the Prosthetic & Orthotic Technician program at George Brown College with a two-year internship, or a four-year internship equivalent. They must successfully complete a comprehensive exam of written and practical components.
Classification of registration:
- R.T.O. (c) = Registered Technician in Orthotics
- R.T.P.O. (c) = Registered Technician in Prosthetics and Orthotics
What is an Orthosis?
An orthosis is a term used to describe “an orthopeadic appliance or apparatus used to support, align, prevent or correct deformities or to improve function of movable parts of the body.”* Orthoses may be applied to various parts of the body, and include foot, leg, spinal, arm, and cranial orthoses. They may also be referred to as orthotics, splints, or braces. Boundless specializes in custom fabricated devices.
What does “Custom-made” mean?
During your assessment, a cast or impression is taken of the body part that the orthosis will be addressing. It is then filled with plaster of paris to create a “positive” mold of the limb. The cast is modified based on the chosen design to prepare for fabrication. Your design will be determined based on assessment findings and your functional abilities. Each material used for the device is either manually manipulated, or heated and shaped to fit the limb. Each device is unique, and is made to fit you and only you. All devices are made in-house at our facility, and adjustments or repairs are done on-site, usually while you wait.
Do you provide Medical Prescriptions?
No, we are unable to write a medical prescription for any reason. This must be completed by your referring physician prior to coming to your first appointment. We are, however, able to use the information gathered during your assessment to determine which orthotic design will be most appropriate for you.
What happens when I visit Boundless Biomechanical Bracing?
During your assessment, we will ask detailed questions pertaining to your injury or condition, and gather medical history and information about your daily activities. Keep in mind what goals you have for your orthotic treatment, and be sure to share these goals with your Orthotist. We will perform a full biomechanics assessment, which includes assessing joint ranges of motion, muscle strengths, and proprioceptive and sensory testing as required. Through observational gait analysis, we can determine if any functional deficiencies exist during your gait, and incorporate that information into the brace design. We will include your input through every step of the process, as your feedback and opinions are highly valued when designing your orthoses. Once design is determined, we will take a cast of the appropriate limb using fiberglass casting tape. Our turn-around time for most devices is 2-3 weeks, and your fitting appointment will be booked at that time.
What should I bring to my first appointment, or fitting appointment?
If you are coming for an initial assessment, any documentation provided by your physician should accompany you to the first appointment. This may include a written prescription, signed ADP form, and any other relevant diagnostic imaging reports (X-ray, MRI, etc). Appropriate attire and footwear should be worn. Please refer to the expanded list below:
- OHIP Card
- Proof of ODSP or ACSD (if applicable)
- Prescription and any other relevant diagnostic imaging reports (X-ray, MRI, etc)
- Shorts or loose fitting pants
- Shoes you would like to wear with your foot orthotics or AFO
- Current or most recent devices (if applicable)
Should my orthosis or orthotic device hurt when I first use it?
While there may be an adjustment period after first being fit with your device, there should not be any associated pain or significant discomfort while wearing it. During your fitting appointment, there are detailed instructions provided on how to gradually begin wearing your device (please refer to our Wearing Schedule for more information). If these instructions are followed, your adjustment period should be comfortable if there are no fit issues. If you experience redness in an area which persists after 20 minutes, please contact your Orthotist to book an adjustment appointment.