BOC-COF cheat sheet

Fit is assessed in three planes: alignment in the frontal plane, sagittal-plane angle of the shell or uprights, and rotational position checked from above and behind the patient.

The 3-point pressure system applies force at two points on one side of a joint and one opposing force on the other side; a 4-point system adds a second opposing force to control rotation.

Total contact reduces unit pressure: the load is distributed over the largest possible surface area rather than concentrated at the prominent bony site.

A lower-limb orthosis is checked for the MTP-to-knee and knee-to-floor lengths; the mechanical knee joint should sit at or slightly above the anatomical knee axis to avoid pistoning.

For a knee-ankle-foot orthosis, the ankle joint axis should align with the anatomical malleoli; offsetting the axis posteriorly increases dorsiflexion assist and knee stability.

A spinal orthosis is fitted with the patient standing if possible; the pelvic band or shell should sit between the iliac crest and greater trochanter, and the upper edge should clear the scapular spine.

Check skin at every fitting: redness that does not blanch or fades within 20-30 minutes after removal indicates excessive pressure and requires modification.

Sock and shoe choice changes fit: measure feet at the end of the day, and fit shoes to the longer foot with the prescribed sock thickness.

Upper-limb orthoses are fitted with the wrist in neutral to 10-20 degrees of extension and the MCP joints in 20-30 degrees of flexion to preserve the intrinsic plus position.

A cervical collar should be sized by measuring chin-to-sternum height; an undersized collar flexes the neck and an oversized collar extends it.

A thoracic-lumbar-sacral orthosis is donned supine when possible; the patient rolls side to side onto the shell to maintain alignment rather than sitting up first.

Check for neurovascular compromise after fitting: capillary refill under 3 seconds, sensation, and distal pulses; numbness or pallor requires immediate loosening.

Foot orthosis posting: a medial (varus) post resists pronation; a lateral (valgus) post resists supination; the post angle is set relative to the neutral position of the subtalar joint.

A heel cup or heel wedge controls calcaneal position first because rearfoot alignment determines forefoot loading in the kinetic chain.

Break-in schedules begin with 1-2 hours of wear per day and increase gradually; new orthoses are not worn full-time on day one.

Documentation of fitting includes device type, materials, wear schedule, skin check results, and patient-reported comfort at each visit.

Ankle-foot orthosis trim lines: a posterior leaf spring ends just below the fibular head and narrows at the Achilles tendon to allow controlled dorsiflexion.

A rigid AFO with a solid ankle blocks dorsiflexion and plantarflexion; a hinged AFO permits motion and is used when the ankle joint is stable.

A hip-knee-ankle-foot orthosis requires the hip joint to align near the greater trochanter and a knee lock to control stance-phase knee flexion.

Reciprocating gait orthosis uses a cable system so that hip extension on one side drives hip flexion on the contralateral side.

For scoliosis bracing, the Milwaukee brace has a pelvic mold, throat mold, and occipital pad; the Boston brace is a low-profile underarm TLSO that uses a three-point pressure system.

A Charleston bending brace is worn at night and holds the spine in overcorrection; it is not a daytime ambulatory device.

A Charcot restraint orthotic walker (CROW) is a total-contact device with a rocker bottom that immobilizes the foot and distributes load in neuropathic deformity.

A shoe insert or heel lift for leg-length discrepancy is placed in the shoe of the shorter limb; lifts above about 1-2 cm may require a full-length insole to avoid heel slippage.

A prosthetic or orthotic check for pistoning: mark the limb and the socket or shell, then observe whether the marks shift during weight bearing and swing.

Suspension check for a below-knee prosthesis: the patient should feel the socket pull up during swing without distal pressure or skin traction.

If the patient reports a burning sensation or a red mark over a bony prominence, reduce pressure at the shell or add padding rather than tightening straps.

Strap tension rule: tighten proximal straps before distal ones on a spinal orthosis so the device is anchored at the pelvis.

A molded AFO should capture the neutral or prescribed ankle angle during casting; a cast taken in plantarflexion produces a device that pushes the knee into flexion.

For a wrist-hand orthosis, the distal palmar crease marks the end of the palmar support; the thenar eminence should be free unless thumb positioning is prescribed.

Fabrication materials: polypropylene is lightweight and flexible; copolymer is more rigid; carbon fiber adds stiffness with less weight; polyethylene is softer and used for flexible inserts.

Re-evaluate fit after any change in limb volume: edema reduction or weight change alters socket or shell contact and requires a new cast or adjustment.

Static alignment of a prosthesis or orthosis is checked while the patient stands; dynamic alignment is checked during gait and may require adjusting the device after observing the patient walk.

A knee-ankle-foot orthosis with a drop lock or bail lock must be locked for standing and walking and unlocked for sitting.

Patients with sensory loss need a mirror or caregiver skin inspection daily; the fitter should teach a routine that includes the plantar surface and toes.

Orthotic shoes for a diabetic or insensate foot should have a removable insole, a wide toe box, and no seams over the toes or metatarsal heads.

A metatarsal pad is placed just proximal to the metatarsal heads so the fat pad is pushed distally; placing it under the heads increases pressure.

A scaphoid pad or arch cookie supports the medial longitudinal arch and is placed slightly posterior to the navicular.

A knee orthosis for medial compartment osteoarthritis uses a valgus-producing three-point force to unload the medial joint space.

Follow-up intervals: new orthoses are typically checked within 1-2 weeks, then at 3 months, and annually or after any change in condition.

Measuring for a cervical orthosis: chin-to-sternum notch height in the neutral neck position determines the collar size.

For a thoracic-lumbar orthosis, measure from the symphysis pubis to just below the scapular spine for the anterior panel and from the sacrococcygeal junction to the same level for the posterior panel.

For a wrist-hand orthosis, measure from the distal palmar crease to the proximal forearm, about one-third of the forearm length, to set the trim line.

A shoe orthosis is fitted with the foot non-weight bearing or semi-weight bearing for a rigid device; a soft accommodative insert is fitted with the foot in the shoe.

Limb volume changes throughout the day; cast or scan the residual limb in the morning before activity when volume is greatest.

A transtibial socket should be flexed about 5 degrees and adducted slightly so the socket aligns with the tibial anatomy and avoids distal pressure on the fibular head.

A transfemoral socket uses ischial containment or a quadrilateral design; the ischial tuberosity should rest on the seat or within the containment brim, not on the medial wall.

Check the shoe-orthosis combination: the orthosis should fit inside the shoe without lifting the heel or compressing the toes against the toe box.

An orthosis that is too tight causes redness, edema, and nerve compression; one that is too loose causes friction, pistoning, and poor control.

The two-finger rule applies to straps and cuffs: a strap should be snug enough to hold position but allow a finger to slide under it without blanching skin.

A knee cage or patellar stabilization orthosis should center the patella over the trochlea with the knee in slight flexion during fitting.

A shoulder orthosis or sling should support the arm with the elbow at 90 degrees and the shoulder in slight internal rotation to protect the anterior capsule.

A spinal orthosis for osteoporosis is fitted to limit flexion and rotation; the patient is taught to log-roll and to avoid bending while wearing it.

A foot orthosis with a deep heel cup controls the calcaneus; a shallow heel cup allows the fat pad to displace and reduces shock absorption.

When a device causes pain at a strap edge, bevel or flare the edge rather than adding a thick pad, which can increase focal pressure.

The fitter should verify that the patient can don and doff the device independently or with the prescribed caregiver assistance before discharge.

Ankle-foot orthosis with a plantarflexion stop set at neutral prevents foot drop during swing and provides a stable base in stance.

A dorsiflexion stop limits forward tibial progression; it is used when the knee is unstable in stance and needs an external extension moment.

A floor reaction AFO uses a stiff anterior shell and an angled footplate to create a knee extension moment during stance.

A patellar tendon-bearing orthosis transfers load through the patellar tendon and tibial flares; it is used for tibial fracture or a below-knee weight-bearing restriction.

A hip orthosis for postoperative hip precautions holds the hip in 90 degrees or less of flexion and limits adduction and internal rotation.

For a halo or cervical-thoracic orthosis, pin sites are checked for loosening and infection; the fitter does not adjust pins.

A shoe modification such as a rocker bottom reduces pressure at the metatarsal heads and the heel during gait by changing the rollover point.

A medial heel skive or a Kirby skive increases medial arch support and is used for a pronated foot that does not respond to posting alone.

A device that is comfortable at fitting but painful after 30 minutes of walking usually has a pressure point that appears only under dynamic load; recheck after ambulation.

A plaster or fiberglass cast for an orthosis is taken with the joint in the prescribed position and the soft tissue displaced away from bony prominences.

A negative model is modified with plaster or foam to relieve bony prominences before the positive model is formed.

A check socket or test orthosis allows fitting adjustments before the definitive device is fabricated.

A thermoplastic shell is heated and draped over the positive model; it is trimmed and cooled before straps and liners are attached.

A liner interface reduces shear: a silicone or gel liner for a prosthesis, and a padded interface for an orthosis over a bony prominence.

A device is refitted, not just tightened, when the patient's limb or spinal alignment changes; tightening a poorly fitting device increases pressure.

The patient should be able to put on the device in the same position each time; marking the straps or shell helps consistent donning.

A cervical collar is not a traction device; it limits motion but does not reduce a fracture, and the fitter must not force the neck into position.

A thoracic-lumbar-sacral orthosis with a rigid anterior and posterior shell limits flexion, extension, and rotation; a corset limits only gross motion and provides little immobilization.

A lumbosacral orthosis is fitted with the patient supine or standing; the pelvic band sits at the lumbosacral junction and the upper edge at the lower rib cage.

A scoliosis orthosis is checked for pad placement over the apex of the curve and for clearance at the opposite side to allow correction.

A CASH or Jewett orthosis is a three-point hyperextension device; the sternal and suprapubic pads are the anterior points and the pad at the curve apex is the posterior point.

A Milwaukee brace's throat mold must clear the mandible and the occipital pad must contact the occiput to control the upper thoracic curve.

A foot orthosis for a rigid cavus foot needs a high medial arch fill and a lateral heel wedge to accommodate the fixed supinated position.

A device for a flaccid limb needs external support at the joint above and below the involved segment to prevent deformity and contracture.

Check the device with the patient in the position of use: a walking device is checked standing and walking, a sitting device is checked seated.

Observe gait from the front, back, and both sides; note heel strike, foot flat, midstance, heel-off, and swing for each limb.

A foot orthosis that is too thick can cause heel slippage; lacing the shoe through a heel lock or using a thinner top cover can correct it.

A device that rotates on the limb needs better suspension or strap placement, not more padding.

A knee-ankle-foot orthosis with a posterior shell should not press on the calf so hard that the knee is pushed forward; the shell should follow the calf contour.

A wrist-hand orthosis that migrates proximally needs a wider forearm trough or a strap proximal to the wrist crease.

The fitter should photograph or measure the device and record the patient's skin condition at each visit for comparison.

Training the patient to inspect the device for cracks, worn straps, and loose rivets prevents failure and skin injury.

For a cervical orthosis, the chin piece should support the mandible without pressing on the trachea or the anterior neck.

For a thoracolumbosacral orthosis, the abdominal pressure from the anterior panel should be distributed, not concentrated at the epigastrium.

For a wrist-hand orthosis, the thumb should be positioned in opposition with the CMC joint in abduction and the MCP joint in slight flexion.

For a knee orthosis, the hinges should align with the femoral condyles and the tibial plateaus; misplaced hinges cause pistoning and skin breakdown.

For an ankle-foot orthosis, the footplate should extend to the metatarsal heads but not beyond the toes, and the heel should be captured to prevent rotation.

For a foot orthosis, the medial and lateral borders should not extend beyond the shoe's lasting margin or press into the shoe upper.

For a spinal orthosis, the patient should be able to take a deep breath and eat a meal without the shell digging into the ribs or abdomen.

For a prosthesis, the residual limb should seat fully in the socket with no gap at the distal end and no pinch at the brim.

A patient with a new orthosis is taught the wear schedule, skin check, cleaning, and when to call the clinician for redness, pain, or numbness.

A patient who cannot feel or see the limb needs a caregiver or mirror check daily; the fitter documents who performs the check.

A device should be removed at night unless prescribed otherwise, and the skin should be washed and dried before reapplication.

A device that becomes loose during the day may need a sock or liner change; adding layers changes fit and should be documented.

A patient with a spinal orthosis is taught to log-roll and to avoid bending, twisting, and lifting while wearing the device.

A patient with a lower-limb orthosis is taught to lock the knee joint before standing and to unlock it before sitting.

A patient with a prosthesis is taught to inspect the socket and liner for debris and cracks and to report changes in limb volume.

A return visit is scheduled after the patient has worn the device at home so that dynamic fit problems can be identified.

A plantarflexion contracture is accommodated, not forced, during casting; the orthosis is made at the available angle and the patient is referred for stretching.

A knee flexion contracture requires a KAFO built at the available knee angle with a lock; forcing extension causes skin breakdown and pain.

A hip flexion contracture affects the socket or orthosis angle; the device is aligned to the patient's standing posture, not to an idealized neutral.

A scoliotic curve is braced with pads at the apex and relief over the opposite side; the brace is not a corrective force that straightens the spine immediately.

A neuropathic foot with a rocker-bottom deformity needs a total-contact device with a rocker sole and a soft interface to redistribute pressure.

A limb with edema is measured after elevation and compression; the device is fitted to the reduced volume and the patient is taught to manage swelling.

A residual limb with a bony prominence is relieved in the positive model; the socket is not simply padded because padding increases shear.

A device that is uncomfortable at a specific phase of gait points to a dynamic alignment problem rather than a static fit problem.

A shoe last determines the shoe's shape; a straight last suits a neutral foot, a curved last suits a supinated foot, and a semicurved last suits most feet.

A shoe with a removable footbed accommodates an orthosis; the orthosis replaces the footbed so the shoe volume is preserved.

A heel counter controls rearfoot motion; a firm heel counter is used for a pronated foot, and a soft heel counter for a sensitive heel.

A toe box should have at least 1 cm of clearance beyond the longest toe when standing.

A rocker sole shifts the rollover point; a heel-to-toe rocker reduces pressure at the heel and forefoot.

A metatarsal bar is placed proximal to the metatarsal heads to reduce pressure under the heads during push-off.

A shoe stretch can relieve pressure over a bunion or a hammer toe but does not change the shoe's length.

A shoe fit is checked with the prescribed sock and orthosis in place, because both change the internal volume.

A wrist-hand-finger orthosis for a flexor tendon repair is positioned according to the surgical protocol; the fitter follows the prescribed angle rather than a standard position.

A resting hand orthosis holds the wrist in neutral to 20 degrees of extension and the MCP joints in 30-45 degrees of flexion to prevent stiffness.

A serial static orthosis is remolded as the joint gains range; the device is not remade at each visit.

A dynamic orthosis uses elastic traction to apply a low-load, prolonged stretch; the tension is adjusted so the patient can wear it for hours.

A C-bar or outrigger must be aligned with the joint axis so the force is perpendicular to the segment being mobilized.

A thumb spica orthosis immobilizes the CMC and MCP joints but leaves the IP joint free unless otherwise prescribed.

A resting splint for the hand is removed for prescribed exercises; the wear schedule is set by the treating clinician.

A device for a hand with spasticity is fitted with the fingers in the available range and is not forced into extension.

A below-knee prosthesis is aligned with the socket in about 5 degrees of flexion and the foot set in slight toe-out to match the patient's gait.

A prosthesis that causes a lateral thrust at the knee may need a socket or foot adjustment rather than a knee joint change.

A prosthesis with a SACH foot provides a solid ankle and cushioned heel; an energy-storing foot returns energy during push-off.

A prosthesis with a multiaxis foot accommodates uneven terrain; a single-axis foot allows plantarflexion and dorsiflexion but less inversion and eversion.

A transtibial prosthesis suspension can be a pin-lock, suction, or a cuff; the choice depends on limb length, volume, and the patient's activity.

A transfemoral prosthesis knee unit is set with the knee axis aligned to the patient's anatomical knee and the friction adjusted for swing control.

A prosthesis is checked for length equality with the contralateral limb and for the foot's position under the socket.

A prosthetic socket that is too tight distally causes a distal choke; the fitter relieves the distal end and checks the suspension.

A patient with a spinal cord injury is fitted with a device that supports the trunk and prevents pressure injury; the fitter checks the skin over the sacrum and ischium.

A patient with a stroke is fitted with an AFO for foot drop; the device is checked for knee stability and for clearance during swing.

A patient with cerebral palsy may need a floor reaction AFO or a hinged AFO; the choice depends on tone and knee control.

A patient with rheumatoid arthritis needs an accommodative orthosis with soft materials and relief over deformed joints.

A patient with diabetes needs a total-contact device and a shoe that accommodates the foot without seams or pressure points.

A patient with a fracture needs a device that immobilizes the joint above and below the fracture; the fitter follows the physician's prescription.

A patient with a peripheral nerve injury needs a device that supports the weak muscles and prevents contracture.

A patient with a limb-length discrepancy needs a shoe lift or an orthosis that compensates for the difference and is checked for pelvic level.

A device is checked for sharp edges, exposed rivets, and rough trim lines before it is dispensed.

A strap that crosses a joint should be placed so it does not migrate when the joint moves.

A hook-and-loop closure should engage fully; a partially engaged strap slips and changes the fit.

A liner should be smooth against the skin and should not bunch at the trim line.

A device that is too rigid at a bony prominence causes pressure; a relief or a softer interface distributes the load.

A device that is too flexible does not control the joint; the material or thickness is increased rather than the straps tightened.

A device is checked for symmetry and for the prescribed angles with a goniometer before dispensing.

A patient is given written instructions for wear, cleaning, and follow-up, and the fitter documents that the patient demonstrated donning and doffing.

A cervical-thoracic orthosis such as a Minerva or a SOMI brace controls flexion and extension but allows some rotation; the fitter checks the fit of the occipital and mandibular pieces.

A halo vest is fitted by the physician; the fitter checks the vest for fit and skin condition under the vest.

A thoracolumbosacral orthosis with a rigid shell is worn over a thin shirt; thick clothing changes the fit and reduces control.

A lumbosacral corset provides proprioceptive feedback and abdominal support but does not limit motion significantly.

A scoliosis brace is checked for pad pressure with the patient standing and bending; the fitter marks the skin and checks for redness after 20-30 minutes.

A knee-ankle-foot orthosis with a thigh cuff should not press on the femoral condyles; the cuff is placed above the condyles.

A hip-knee-ankle-foot orthosis is checked for sitting clearance; the patient should be able to sit with the hip and knee flexed to 90 degrees.

A foot orthosis is checked for fit in the shoe with the patient standing; the shoe should not be distorted by the orthosis.

A device is measured against the patient's limb or trunk with a tape or calipers before fabrication to confirm the prescription.

A negative cast is wrapped with the patient in a comfortable position; the cast is not pulled tight enough to distort the soft tissue.

A positive model is modified to add relief over bony prominences and to add pressure over areas that need control.

A check socket is worn for a short trial; the fitter marks areas of redness and modifies the model before the definitive device is made.

A definitive device is delivered after the check socket is comfortable; the patient is taught the wear schedule and follow-up.

A device that is uncomfortable after delivery is adjusted at the trim line or with a relief, not by adding padding over the painful area.

A device is replaced when the patient's limb or spine changes or when the material fails; repair is not always possible.

A fitter documents the device, the fit, the patient's response, and the plan for follow-up at each visit.

A knee orthosis for ligament instability is fitted with the hinges aligned to the knee axis and the straps snug but not tight enough to cause a tourniquet effect.

A patellofemoral orthosis is centered over the patella and is checked for comfort during a squat and a step-down.

An ankle brace for instability is fitted with the foot in neutral and the straps crossing the ankle to resist inversion.

A foot orthosis for plantar fasciitis supports the medial arch and cushions the heel; a night splint holds the ankle in dorsiflexion.

A wrist brace for carpal tunnel syndrome holds the wrist in neutral; extension or flexion increases carpal tunnel pressure.

A cervical pillow or collar for a whiplash injury supports the neck in neutral and is worn for a limited time to avoid deconditioning.

A lumbar support belt is worn over the pelvis and lower abdomen; it is not a substitute for exercise and is worn for limited periods.

A device is checked for the patient's ability to perform activities of daily living while wearing it.

A device that causes a red mark over a bony prominence is modified with a relief or a softer interface; the patient is rechecked in 1-2 weeks.

A device that causes numbness or tingling is too tight and is loosened or modified immediately.

A device that causes a blister is a friction problem; the fitter checks for movement of the device on the limb and improves suspension.

A device that causes a rash may be a material sensitivity; the fitter changes the liner or interface.

A device that causes pain at a joint line is misaligned; the fitter checks the joint axis and the trim line.

A device that causes back or hip pain may be too rigid or too high; the fitter checks the trim lines and the patient's posture.

A device that causes a fall may be too stiff or misaligned; the fitter checks the footplate and the knee control.

A device that is not worn is a fit or comfort failure; the fitter asks why and addresses the cause rather than blaming the patient.

A device is checked for the patient's ability to don it independently; if not, a caregiver is trained and the training is documented.

A device is checked for the patient's ability to perform transfers and ambulation safely with it.

A device is checked for the patient's ability to sit, stand, and walk without the device migrating.

A device is checked for the patient's ability to perform hygiene and skin care with it.

A device is checked for the patient's ability to drive or operate equipment safely; the clinician advises on restrictions.

A device is checked for the patient's ability to sleep comfortably; the wear schedule is set by the clinician.

A device is checked for the patient's ability to return to work or school; the fitter considers the demands of the environment.

A device is checked for the patient's ability to travel; the fitter provides instructions for care and adjustment away from the clinic.

A device is checked for the patient's skin at the trim lines, straps, and bony prominences after 20-30 minutes of wear.

A device is checked for the patient's skin after exercise or a longer wear period to identify dynamic pressure points.

A device is checked for the patient's skin in the morning and evening during the break-in period.

A device is checked for the patient's skin under the liner and at the distal end of a residual limb.

A device is checked for the patient's skin under a spinal orthosis at the iliac crest, ribs, and sacrum.

A device is checked for the patient's skin under a cervical orthosis at the chin, occiput, and clavicles.

A device is checked for the patient's skin under a hand orthosis at the wrist crease and the thenar eminence.

A device is checked for the patient's skin under a foot orthosis at the heel, metatarsal heads, and toes.

A device is checked for the patient's gait with and without the device to compare the effect.

A device is checked for the patient's balance and confidence during walking and turning.

A device is checked for the patient's ability to climb stairs and negotiate curbs.

A device is checked for the patient's ability to walk on uneven ground and inclines.

A device is checked for the patient's ability to run or participate in sports if the prescription allows.

A device is checked for the patient's energy expenditure; a poorly fitting device increases effort and reduces compliance.

A device is checked for the patient's pain level before and after wearing it.

A device is checked for the patient's satisfaction and goals; the fitter adjusts the plan accordingly.

A device is checked for the patient's understanding of the wear schedule and the reason for the device.

A device is checked for the patient's understanding of how to clean and store it.

A device is checked for the patient's understanding of when to call the clinic.

A device is checked for the patient's understanding of how to check the skin.

A device is checked for the patient's understanding of how to don and doff it.

A device is checked for the patient's understanding of the follow-up plan.

A device is checked for the patient's understanding of the limitations of the device.

A device is checked for the patient's understanding of the cost and replacement schedule.

A device is checked for the patient's goals: pain relief, stability, correction, or accommodation.

A device is checked for the patient's activity level and the demands placed on it.

A device is checked for the patient's home environment, including stairs, thresholds, and floor surfaces.

A device is checked for the patient's transportation and the ability to travel with it.

A device is checked for the patient's support system and caregiver availability.

A device is checked for the patient's financial resources and insurance coverage.

A device is checked for the patient's preferences for appearance and comfort.

A device is checked for the patient's willingness to adhere to the wear schedule.

A device is checked for the patient's medical history, including diabetes, neuropathy, and vascular disease.

A device is checked for the patient's medications that affect skin or sensation.

A device is checked for the patient's allergies to materials.

A device is checked for the patient's cognitive status and ability to follow instructions.

A device is checked for the patient's vision and hearing.

A device is checked for the patient's strength and range of motion.

A device is checked for the patient's weight and body mass index, which affect fit and pressure.

A device is checked for the patient's prognosis and expected changes over time.

A device is checked for the patient's skin integrity before fitting and at each follow-up.

A device is checked for the patient's circulation and sensation before fitting.

A device is checked for the patient's edema and how it changes during the day.

A device is checked for the patient's limb shape and any bony prominences.

A device is checked for the patient's joint range of motion and any contractures.

A device is checked for the patient's muscle tone and spasticity.

A device is checked for the patient's balance and proprioception.

A device is checked for the patient's gait pattern and any compensations.

A device is checked for the patient's ability to use it in the home and community.

A device is checked for the patient's ability to use it at work or school.

A device is checked for the patient's ability to use it during recreation.

A device is checked for the patient's ability to use it during sleep if prescribed.

A device is checked for the patient's ability to use it during travel.

A device is checked for the patient's ability to use it in different weather conditions.

A device is checked for the patient's ability to use it with different clothing and shoes.

A device is checked for the patient's ability to use it with other devices and equipment.

A device is checked for the patient's ability to maintain it over time.

A device is checked for the patient's ability to recognize wear and tear.

A device is checked for the patient's ability to obtain repairs.

A device is checked for the patient's ability to obtain replacement parts.

A device is checked for the patient's ability to obtain follow-up care.

A device is checked for the patient's ability to obtain emergency care.

A device is checked for the patient's ability to contact the clinic.

A device is checked for the patient's ability to provide feedback.

A device is checked for the patient's satisfaction with the fit and function.

A device is checked for the patient's satisfaction with the appearance.

A device is checked for the patient's satisfaction with the comfort.

A device is checked for the patient's satisfaction with the durability.

A device is checked for the patient's satisfaction with the cost.

A device is checked for the patient's satisfaction with the service.

A device is checked for the patient's satisfaction with the outcomes.

A device is checked for the patient's satisfaction with the overall experience.

A device is checked for the patient's adherence to the wear schedule.

A device is checked for the patient's adherence to the skin check routine.

A device is checked for the patient's adherence to the follow-up plan.

A device is checked for the patient's adherence to the exercise program.

A device is checked for the patient's adherence to the activity restrictions.

A device is checked for the patient's adherence to the care instructions.

A device is checked for the patient's adherence to the modification plan.

A device is checked for the patient's adherence to the replacement schedule.

A device is checked for the patient's outcomes: pain, function, and quality of life.

A device is checked for the patient's goals and whether they are met.

A device is checked for the patient's need for further intervention.

A device is checked for the patient's need for a different device.

A device is checked for the patient's need for a referral.

A device is checked for the patient's need for education.

A device is checked for the patient's need for support.

A device is checked for the patient's need for follow-up.

A device is checked for the patient's ability to return to function.

A device is checked for the patient's ability to participate in therapy.

A device is checked for the patient's ability to participate in work.

A device is checked for the patient's ability to participate in school.

A device is checked for the patient's ability to participate in recreation.

A device is checked for the patient's ability to participate in family life.

A device is checked for the patient's ability to participate in community life.

A device is checked for the patient's ability to participate in society.

A device is checked for the patient's safety in the home.

A device is checked for the patient's safety in the community.

A device is checked for the patient's safety at work.

A device is checked for the patient's safety during exercise.

A device is checked for the patient's safety during transfers.

A device is checked for the patient's safety during ambulation.

A device is checked for the patient's safety during stairs.

A device is checked for the patient's safety during driving.

A device is checked for the patient's comfort during prolonged wear.

A device is checked for the patient's comfort during activity.

A device is checked for the patient's comfort during rest.

A device is checked for the patient's comfort during sleep.

A device is checked for the patient's comfort during travel.

A device is checked for the patient's comfort during weather changes.

A device is checked for the patient's comfort with clothing.

A device is checked for the patient's comfort with shoes.

A device is checked for the patient's ability to communicate needs.

A device is checked for the patient's ability to ask questions.

A device is checked for the patient's ability to report problems.

A device is checked for the patient's ability to seek help.

A device is checked for the patient's ability to access resources.

A device is checked for the patient's ability to access support.

A device is checked for the patient's ability to access care.

A device is checked for the patient's ability to access information.

A device is checked for the patient's cultural preferences.

A device is checked for the patient's religious practices.

A device is checked for the patient's language needs.

A device is checked for the patient's health literacy.

A device is checked for the patient's decision-making capacity.

A device is checked for the patient's caregiver involvement.

A device is checked for the patient's social determinants of health.

A device is checked for the patient's insurance and financial resources.

A device is checked for the patient's informed consent.

A device is checked for the patient's understanding of risks and benefits.

A device is checked for the patient's understanding of alternatives.

A device is checked for the patient's understanding of the plan.

A device is checked for the patient's understanding of the follow-up.

A device is checked for the patient's understanding of the cost.

A device is checked for the patient's understanding of the warranty.

A device is checked for the patient's understanding of the return policy.

A device is checked for the patient's privacy and dignity.

A device is checked for the patient's comfort with the fitting process.

A device is checked for the patient's comfort with the clinician.

A device is checked for the patient's comfort with the environment.

A device is checked for the patient's comfort with the equipment.

A device is checked for the patient's comfort with the materials.

A device is checked for the patient's comfort with the timeline.

A device is checked for the patient's comfort with the outcome.

A device is checked for the patient's ability to maintain independence.

A device is checked for the patient's ability to maintain mobility.

A device is checked for the patient's ability to maintain function.

A device is checked for the patient's ability to maintain participation.

A device is checked for the patient's ability to maintain quality of life.

A device is checked for the patient's ability to maintain safety.

A device is checked for the patient's ability to maintain comfort.

A device is checked for the patient's ability to maintain dignity.

A device is checked for the patient's goals and preferences.

A device is checked for the patient's values and priorities.

A device is checked for the patient's expectations.

A device is checked for the patient's concerns.

A device is checked for the patient's questions.

A device is checked for the patient's feedback.

A device is checked for the patient's suggestions.

A device is checked for the patient's satisfaction.

A device is checked for the patient's ability to use it safely and effectively.

A device is checked for the patient's ability to use it independently.

A device is checked for the patient's ability to use it with assistance.

A device is checked for the patient's ability to use it in different environments.

A device is checked for the patient's ability to use it over time.

A device is checked for the patient's ability to use it with other devices.

A device is checked for the patient's ability to use it with clothing.

A device is checked for the patient's ability to use it with shoes.

A device is checked for the patient's ability to perform activities of daily living.

A device is checked for the patient's ability to perform instrumental activities of daily living.

A device is checked for the patient's ability to perform work tasks.

A device is checked for the patient's ability to perform leisure tasks.

A device is checked for the patient's ability to perform social tasks.

A device is checked for the patient's ability to perform family tasks.

A device is checked for the patient's ability to perform community tasks.

A device is checked for the patient's ability to perform self-care tasks.

A device is checked for the patient's ability to maintain skin integrity.

A device is checked for the patient's ability to maintain joint mobility.

A device is checked for the patient's ability to maintain muscle strength.

A device is checked for the patient's ability to maintain balance.

A device is checked for the patient's ability to maintain endurance.

A device is checked for the patient's ability to maintain gait quality.

A device is checked for the patient's ability to maintain posture.

A device is checked for the patient's ability to maintain function.

A device is checked for the patient's ability to prevent deformity.

A device is checked for the patient's ability to prevent contracture.

A device is checked for the patient's ability to prevent pressure injury.

A device is checked for the patient's ability to prevent falls.

A device is checked for the patient's ability to prevent pain.

A device is checked for the patient's ability to prevent further injury.

A device is checked for the patient's ability to prevent complications.

A device is checked for the patient's ability to prevent recurrence.

A device is checked for the patient's ability to correct alignment.

A device is checked for the patient's ability to correct motion.

A device is checked for the patient's ability to correct posture.

A device is checked for the patient's ability to correct gait.

A device is checked for the patient's ability to correct function.

A device is checked for the patient's ability to correct pain.

A device is checked for the patient's ability to correct deformity.

A device is checked for the patient's ability to correct disability.

A device is checked for the patient's ability to accommodate deformity.

A device is checked for the patient's ability to accommodate pain.

A device is checked for the patient's ability to accommodate motion loss.

A device is checked for the patient's ability to accommodate strength loss.

A device is checked for the patient's ability to accommodate sensory loss.

A device is checked for the patient's ability to accommodate vascular disease.

A device is checked for the patient's ability to accommodate skin fragility.

A device is checked for the patient's ability to accommodate body changes.

A device is checked for the patient's ability to support the limb.

A device is checked for the patient's ability to support the joint.

A device is checked for the patient's ability to support the trunk.

A device is checked for the patient's ability to support the spine.

A device is checked for the patient's ability to support the neck.

A device is checked for the patient's ability to support the hand.

A device is checked for the patient's ability to support the foot.

A device is checked for the patient's ability to support the body.

A device is checked for the patient's ability to protect the limb.

A device is checked for the patient's ability to protect the joint.

A device is checked for the patient's ability to protect the skin.

A device is checked for the patient's ability to protect the bone.

A device is checked for the patient's ability to protect the nerve.

A device is checked for the patient's ability to protect the vessel.

A device is checked for the patient's ability to protect the muscle.

A device is checked for the patient's ability to protect the tendon.

A device is checked for the patient's ability to immobilize the joint.

A device is checked for the patient's ability to immobilize the limb.

A device is checked for the patient's ability to immobilize the spine.

A device is checked for the patient's ability to immobilize the neck.

A device is checked for the patient's ability to immobilize the hand.

A device is checked for the patient's ability to immobilize the foot.

A device is checked for the patient's ability to immobilize the body.

A device is checked for the patient's ability to immobilize the segment.

A device is checked for the patient's ability to mobilize the joint.

A device is checked for the patient's ability to mobilize the limb.

A device is checked for the patient's ability to mobilize the spine.

A device is checked for the patient's ability to mobilize the neck.

A device is checked for the patient's ability to mobilize the hand.

A device is checked for the patient's ability to mobilize the foot.

A device is checked for the patient's ability to mobilize the body.

A device is checked for the patient's ability to mobilize the segment.

A device is checked for the patient's ability to assist motion.

A device is checked for the patient's ability to assist function.

A device is checked for the patient's ability to assist strength.

A device is checked for the patient's ability to assist balance.

A device is checked for the patient's ability to assist endurance.

A device is checked for the patient's ability to assist gait.

A device is checked for the patient's ability to assist posture.

A device is checked for the patient's ability to assist activity.

A device is checked for the patient's ability to resist motion.

A device is checked for the patient's ability to resist deformity.

A device is checked for the patient's ability to resist contracture.

A device is checked for the patient's ability to resist pain.

A device is checked for the patient's ability to resist injury.

A device is checked for the patient's ability to resist falls.

A device is checked for the patient's ability to resist complications.

A device is checked for the patient's ability to resist recurrence.

A device is checked for the patient's ability to control motion.

A device is checked for the patient's ability to control position.

A device is checked for the patient's ability to control alignment.

A device is checked for the patient's ability to control gait.

A device is checked for the patient's ability to control posture.

A device is checked for the patient's ability to control function.

A device is checked for the patient's ability to control pain.

A device is checked for the patient's ability to control deformity.

A device is checked for the patient's ability to maintain alignment.

A device is checked for the patient's ability to maintain position.

A device is checked for the patient's ability to maintain motion.

A device is checked for the patient's ability to maintain function.

A device is checked for the patient's ability to maintain comfort.

A device is checked for the patient's ability to maintain safety.

A device is checked for the patient's ability to maintain independence.

A device is checked for the patient's ability to maintain quality of life.

A device is checked for the patient's ability to restore function.

A device is checked for the patient's ability to restore motion.

A device is checked for the patient's ability to restore strength.

A device is checked for the patient's ability to restore balance.

A device is checked for the patient's ability to restore gait.

A device is checked for the patient's ability to restore posture.

A device is checked for the patient's ability to restore activity.

A device is checked for the patient's ability to restore participation.

A device is checked for the patient's ability to improve function.

A device is checked for the patient's ability to improve motion.

A device is checked for the patient's ability to improve strength.

A device is checked for the patient's ability to improve balance.

A device is checked for the patient's ability to improve gait.

A device is checked for the patient's ability to improve posture.

A device is checked for the patient's ability to improve activity.

A device is checked for the patient's ability to improve participation.

A device is checked for the patient's ability to reduce pain.

A device is checked for the patient's ability to reduce deformity.

A device is checked for the patient's ability to reduce contracture.

A device is checked for the patient's ability to reduce pressure.

A device is checked for the patient's ability to reduce friction.

A device is checked for the patient's ability to reduce shear.

A device is checked for the patient's ability to reduce falls.

A device is checked for the patient's ability to reduce complications.

A device is checked for the patient's ability to increase function.

A device is checked for the patient's ability to increase motion.

A device is checked for the patient's ability to increase strength.

A device is checked for the patient's ability to increase balance.

A device is checked for the patient's ability to increase gait.

A device is checked for the patient's ability to increase posture.

A device is checked for the patient's ability to increase activity.

A device is checked for the patient's ability to increase participation.

A device is checked for the patient's ability to prevent falls.

A device is checked for the patient's ability to prevent injury.

A device is checked for the patient's ability to prevent deformity.

A device is checked for the patient's ability to prevent contracture.

A device is checked for the patient's ability to prevent pressure injury.

A device is checked for the patient's ability to prevent pain.

A device is checked for the patient's ability to prevent complications.

A device is checked for the patient's ability to prevent recurrence.

A device is checked for the patient's ability to promote healing.

A device is checked for the patient's ability to promote function.

A device is checked for the patient's ability to promote motion.

A device is checked for the patient's ability to promote strength.

A device is checked for the patient's ability to promote balance.

A device is checked for the patient's ability to promote gait.

A device is checked for the patient's ability to promote posture.

A device is checked for the patient's ability to promote activity.

A device is checked for the patient's ability to support healing.

A device is checked for the patient's ability to support function.

A device is checked for the patient's ability to support motion.

A device is checked for the patient's ability to support strength.

A device is checked for the patient's ability to support balance.

A device is checked for the patient's ability to support gait.

A device is checked for the patient's ability to support posture.

A device is checked for the patient's ability to support activity.

A device is checked for the patient's ability to maintain healing.

A device is checked for the patient's ability to maintain function.

A device is checked for the patient's ability to maintain motion.

A device is checked for the patient's ability to maintain strength.

A device is checked for the patient's ability to maintain balance.

A device is checked for the patient's ability to maintain gait.

A device is checked for the patient's ability to maintain posture.

A device is checked for the patient's ability to maintain activity.