orthotist

An orthotist is a health professional who designs, fits, and manages orthoses, devices worn externally to modify the structural and functional characteristics of the neuromuscular and skeletal systems. Orthoses include braces, splints, foot orthoses, and spinal or upper- and lower-limb devices used to support, align, immobilize, or improve the function of a body segment.

Orthotists assess patients, analyze movement and biomechanics, create prescriptions, select appropriate components, and fabricate or modify devices. They fit the devices, adjust trims, verify fit, and provide training on use and care. They monitor outcomes and collaborate with physicians, surgeons, physical and occupational therapists to optimize alignment, stability, gait, and pain relief.

Education and certification: In many countries, orthotists complete an accredited degree in orthotics and prosthetics or a related discipline, followed by a clinical residency. Professional certification by national boards such as the American Board for Certification in Orthotics, Prosthetics & Pedorthics (ABC) or the Board of Certification (BOC) is common in North America; licensure or registration may be required locally.

Work settings and scope: Orthotists work in hospitals, clinics, rehabilitation centers, and private practices, serving pediatric and adult populations. They may specialize in areas such as pediatric orthotics, spinal bracing, athletic injuries, or neuro-musculoskeletal conditions. The scope of practice varies by country and jurisdiction, but generally focuses on assessment, design, fabrication, fitting, and follow-up care of orthotic devices.

History: Modern orthotics developed alongside prosthetics in rehabilitation medicine; device design has evolved with advances in materials, computer-aided design, and 3D printing.