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ATi Orthotic Fitters Course Descriptions

Day 1

Introduction
Welcome to ATi! This program explains the learning process and discusses lecture formats from anatomy, tool selection, product application and fitting techniques to patient education. Adult learning models and methods are also discussed with the focus on passing the certification exam. Student and lecturer expectations for the course are clearly delineated.
Scope of Practice Overview
This program discusses orthotic fitter scope of practice with specifics with respect to all classifications of prefabricated orthotic devices. Specific devices are discussed in terms of what is within the scope of orthotic fitters and which devices are done at the orthotist level.
Terminology and Techniques
This is a comprehensive overview of body planes and position terminology. Also included is an overview of lever arm principles and how that correlates to the support mechanisms of orthotics. Principles of pressure distribution are then taught and applied to every day situations.
Spinal Softgoods
This introduction to spinal supports includes spinal anatomy, physiology and pathology related to softgoods supports. Tools required for this level of supports are also reviewed. Product categories and fitting techniques are also taught. Sales floor ethics are also discussed during this program.
Spinal Orthotics
This program builds on the earlier softgoods anatomy program to discuss more advanced anatomy and pathology subjects as they relate to both men's and women's laced supports. Tools and fitting techniques for this level of garments are presented and demonstrated. A review of current documentation requirements and fitting room ethics are also discussed during this program.
Demonstration Fittings
Instructors will complete demonstration fittings of both spinal supports and rigid spinal orthotic devices, starting with patient intake and proceeding to product selection criteria, measurements, product preparation, product application, checking the fitting, patient education and follow-up.

Day 2

Orthopedic Structures
This course offers an introduction into the make-up and function of bones, ligaments, tendons and cartilage. Articulating surfaces are also discussed relative to their response to use, abuse and/or immobilization. A discussion of proprioception is also included in this program.
Lower Extremity Supports
Softgoods supports as they relate to anatomy, pathology and physiology of the lower extremities are presented. Product classification, selection and application are also presented and demonstrated.
Lower Extremity Orthotics
This course builds on the previous course to cover anatomy, pathology and physiology of the lower extremities relative to orthotic management. Selection and application techniques are also covered as they relate to hip, knee and ankle & foot orthoses.
Gait Preview and AFO Overview
This introductory course on gait covers current terminology and biomechanics of gait relative to criteria for selection of appropriate orthotic devices to manage gait deficits.
Demonstration Fittings
Instructors will complete demonstration fittings of lower extremity softgoods including knee wraps, patella stabilizers and ankle supports. Knee orthotic devices to be taught include custom fit functional de-rotation knee orthoses, OA knee orthoses, knee ROM braces and ROM Cam Walkers.

Day 3

Facility Management
This program covers HIPPA, Fitting room ethics, CMS update, Documentation and SOAP Notes overview, Universal Precautions, Quality Assurance and Loss Prevention.
Upper Extremity Orthotics
Anatomy, pathology and physiology of the shoulder, elbow, wrist and hand are covered along with product selection and application techniques.
Cervical Orthotics
This course deals with the anatomy, pathology and physiology of the cervical spine. It includes selection and application of soft collars and semi-rigid orthoses including those with thoracic extensions.
Venous Insufficiency
The anatomy and physiology of the venous system is taught along with pathologies generally appropriate for conservative treatment. Various stocking styles and alternative fitting techniques and fitting principles of medical stockings are discussed and demonstrated.
Lymphedema
The anatomy and physiology of the lymphatic system is taught along with pathologies requiring conservative treatment. Five conservative management techniques are discussed as well as indications, treatment options and procedures for pneumatic pump management.
Demonstration Fittings
Fitting and customization techniques for both soft cervical and semi-rigid cervical orthotic devices are demonstrated along with precautions in dealing with cervical spine instabilities. Wrist and wrist/hand orthotic devices will also be fit to demonstrate techniques to maximize stability and optimize patient compliance.
Live fitting lab
This fitting lab day consists of students demonstrating their acquired skills to the instructional staff. Each student will be required to obtain measurements, select the correct size, customize (if necessary) and fit the device, check the fitting for fit, function and cosmesis, and instruct the "patient" on removal and re-application of the device, care and cleaning, wearing times, and any follow-up instructions. Once satisfied, the instructors will sign off on each fitting as it is completed. Required fittings include: soft cervical collar, semi-rigid cervical orthosis, wrist/hand orthosis, spinal soft goods, LSO, TLSO, knee softgoods device, functional knee orthosis, OA knee orthosis, lace-up ankle support, and ROM cam walker for a total of 10 fittings. Besides doing the fittings, each student must also be fit with above devices to appreciate how the devices feel when applied to them.


Course Schedule

Day 1

Start End Minutes Content
8:00am 8:30am 45 Introduction
8:30am 9:30am 60 Scope of Practice Overview
9:30am 10:00am 30 Terminology & Techniques
10:00am 10:15am AM Break
10:15am 11:15am 60 Terminology & Techniques Continued
11:15am 12:00pm 45 Spinal Softgoods
12:00pm 1:00pm Lunch Break
1:00pm 1:30pm 30 Spinal Softgoods Continued
1:30pm 2:00pm 30 Spinal Softgoods Demo Fittings
2:00pm 3:00pm 60 Spinal Orthotics
3:00pm 3:15pm PM Break
3:15pm 4:00pm 45 Spinal Orthotics Continued
4:00pm 5:00pm 60 Spinal Orthotics Demo Fittings
6:00pm 7:00pm 60 Spinal Softgoods Test
7:00pm 8:00pm 60 Spinal Orthotics Test

Day 2

Start End Minutes Content
8:00am 9:00am 60 Test Review
9:00am 10:30am 90 Orthopedic Structures
10:30am 10:45am AM Break
10:45am 12:00pm 75 Lower Extremity Softgoods
12:00pm 1:00pm Lunch
1:00pm 1:30pm 30 Lower Extremity Softgoods Fitting Demo
1:30pm 3:00pm 90 Lower Extremity Orthotics
3:00pm 3:15pm PM Break
3:15pm 3:45pm 45 Lower Extremity Orthotics Continued
3:45pm 4:30pm 45 Lower Extremity Orthotics Fitting Demo
4:30pm 5:00pm 30 Gait Overview
6:00pm 7:00pm 60 Structures & Terminology Test
7:00pm 8:00pm 60 Lower Extremity Test

Day 3

Start End Minutes Content
8:00am 9:00am 60 Test Review
9:00am 10:30am 90 Facilities Management
10:30am 10:45am AM Break
10:45am 12:00pm 75 Cervial Orthosis
12:00pm 1:00pm Lunch
1:00pm 2:00pm 60 Upper Extremity Orthotics
2:00pm 2:45pm 45 Venus Insufficiency
2:45pm 3:00pm Break
3:00pm 3:45pm 45 Lymphedema
3:45pm 4:15pm 30 Universal Precautions
6:00pm 7:00pm 60 Facilities Management Test
7:00pm 8:00am 60 Cervical Orthotics Test
8:00am 9:00am 60 Upper Extremity Test
9:00am 10:00am 60 Venous / Lymphedema Test

Day 4

Start End Minutes Content
8:00am 9:30am 90 Test Review
9:30am 10:00am 30 Fitting Lab
10:00am 10:15am Break
10:15am 12:00pm 105 Fitting Lab
12:00pm 1:00pm Lunch
1:00pm 3:00pm 120 Fitting Lab
3:00pm 3:15pm Break
3:15pm 5:00pm 105 Fitting Lab
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