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Lower Extremity Orthotic Assessment Form

Lower Extremity Orthotic Assessment Form 2025

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The document is a Lower Extremity Orthotic Assessment Form designed to evaluate patients' lower limb conditions. It includes sections for patient demographics, diagnosis, past treatments, goals, strength assessments, range of motion evaluations, bony alignment observations, and gait analysis. Additionally, it outlines the Gross Motor Function Classification System (GMFCS) levels to categorize mobility limitations in children.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What are orthotics for lower extremities?

There are a variety of lower limb orthotics including: Ankle-foot orthosis (AFO) Knee-ankle-foot orthosis (KAFO) Hip-knee-ankle-foot orthosis (HKAFO) Trunk- hip-knee-ankle-foot orthosis (HKAFO) Knee bracing. Ankle bracing.

How to test for orthotics?

During a foot and ankle assessment for orthotics selection, you will need to look at: Patient history. Range of motion. Muscle power. Sensation / pain. Proprioception. Biomechanical analysis. Leg length.

Will insurance pay for orthotics?

Some insurance companies do not pay for custom orthotics. Others will only cover them if you have specific medical conditions. Take time to do your research and review your insurance plans restrictions.

How do they measure you for orthotics?

An effective method to measure for custom-made orthotics includes taking a plastic mold of the patients feet and adding specific materials which may provide relief from existing pressure. After the orthotics are worn it is beneficial for the feet to be closely monitored.

How do you determine if you need orthotics?

What are signs you need orthotics? Signs that you may need orthotics include: You have foot pain and swelling during and after everyday usual activities, like walking and standing. You have sharp heel pain, especially first thing in the morning, which may indicate plantar fasciitis.

How to get assessed for orthotics?

We recommend a biomechanical assessment for a podiatrist to assess your feet and recommend which orthotics will work for you. Can orthotics help fix flat feet? Orthotics will not change your foot structure. They will, however, support your flat foot when walking, running or standing for long periods of time.

What is an orthotic assessment?

An orthotist assesses joints, ligaments, tendons and muscles for pain, weakness or deformities to create a device called an orthosis. Orthoses help relieve foot, leg or back pain. They can accommodate deformities, improve stability or help to strengthen soft tissues.

Lower Extremity Orthotic Assessment Form 2025

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