KRS 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 a nd 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 suc h 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 uns table 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) s hoes

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;

(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

services that includes the term "prosthetic," "prosthetist," "ar tificial limb," or a

similar title or description of services;

(10) "NCOPE" means the National Commission on Orthotic and Prosthetic Education;

(11) "Orthosis" means a custom -designed, fabricated, fitted, or modified device to

correct, support, or compensa te 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 appliance s, 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;

(12) "Orthotic and prosthetic education program" means a course of in struction

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;

(13) "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 o r musculoskeletal

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

external orthosis to an orthoti c 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;

(15) "Over-the-counter device" means a prefabricated, mas s-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;

(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

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;

(17) "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 di sease 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;

(18) "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;

(19) "Pedorthist" means a person who measures, designs, fa bricates, 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 disabili ties caused by neuromuscular

or musculoskeletal dysfunction, disease, injury, or deformity;

(20) "Person" means a natural person;

(21) "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;

(22) "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 pra ctitioner or provider authorized by law to issue such

an order;

(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

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;

(24) "Prosthetist/Orthotist" means a person who prac tices both disciplines of prosthetics

and orthotics and who represents the person to the public by title or by description

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

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

setting; and

(27) "Supervision" means the act of critical observing and directing the work or ta sks of

another who may lack full knowledge of the concept at hand.