BOC-COF case studies
BOC-COF · Put your knowledge to work in context.
The Certified Orthotic Fitter (COF) credential from the Board of Certification/Accreditation, International (BOC) is a certification for professionals who fit orthotic devices. According to BOC, the COF designation is awarded on the basis of three requirements: completion of a required course of study, experience in patient care under appropriate supervision, and passing a three-hour multiple-choice examination offered four times each year in more than 150 cities. The BOC-COF case studies are 5 cases and about 3,302 words.
1Post-Surgical Diabetic with Charcot Foot: Choosing a Device When Insurance Won't Cover the Ideal
A 58-year-old man with type 2 diabetes (HbA1c 9.1%), peripheral neuropathy, and a prior transmetatarsal amputation on the left foot presents 6 weeks after a midfoot Charcot diagnosis. His right foot is the contralateral limb: intact, with a rigid hallux and a bony prominence at the first metatarsal head.
692 words, about 3 min2Pediatric Flexible Flatfoot: When Not to Prescribe an Orthosis
A 7-year-old girl is brought in by her parents, who are concerned that her arches "collapse" when she stands. She is asymptomatic: no pain, no limping, no night pain, and she plays soccer twice a week without complaints.
628 words, about 3 min3Rheumatoid Arthritis Patient with Severe Forefoot Deformity and Limited Hand Function
A 64-year-old woman with seropositive rheumatoid arthritis (20-year history) presents with bilateral hallux valgus, lateral deviation of the lesser toes, and painful plantar calluses under the second and third metatarsal heads. She has had two metatarsal head resections on the right foot.
683 words, about 3 min4Traumatic Brain Injury Patient with Spastic Equinovarus: Tone Management vs. Orthotic Timing
A 34-year-old man is 4 months post severe traumatic brain injury from a motorcycle collision. He has a right spastic equinovarus foot: ankle plantarflexion tone is 3 on the Modified Ashworth Scale, the ankle rests in 20 degrees of plantarflexion, and he has a 10-degree fixed plantarflexion contracture that does not resolve with sustained stretch.
645 words, about 3 min5Bilateral Knee Osteoarthritis with Varus Thrust: Offloader vs. Unloader Decision
A 61-year-old former warehouse worker has bilateral medial compartment knee osteoarthritis, worse on the left (Kellgren-Lawrence grade 3 on the left, grade 2 on the right). He has a visible varus thrust during stance on the left and reports medial knee pain of 6/10 with walking more than two blocks.
654 words, about 3 min