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The Center for Limb Differences (CLD) is a founding and ongoing member of the Association of Children’s Prosthetic-Orthotic Clinics. As a patient, your child will be under the care of a comprehensive multidisciplinary team specializing in helping children with orthopedic conditions.

Team leadership is provided by physicians who specialize in orthopedics and treating children with limb differences:

• Michael Forness, DO, a pediatric orthopedic surgeon specializing in limb differences
• Lisa Maskill, MD, a pediatric orthopedic surgeon and upper extremity orthopedic specialist in limb differences


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Depending on your child’s needs, his or her treatment team may include:

Orthopedic Surgeon

• Performs orthopedic assessment
• Evaluates your child’s functioning and outlines his or her care plan
• Provides medical management regarding prosthesis and orthosis, surgery, therapy, adaptive devices and assistive technology

Pediatric Nurse

• Performs pediatric assessment, monitors development and provides health promotion and disease prevention information
• Prepares your child and your family for surgery
• Coordinates care with local resources and other specialists

Care Manager

• Provides diagnostic assessment and facilitates counseling to help your child and family with adjustment, problem solving and coping skills
• Coordinates peer support
• Coordinates local educational, vocational, recreational and financial resources

Physical Therapist (PT)

Your child’s physical therapist coordinates your child’s wheelchair seating and adaptive needs. He or she also will coordinate physical therapy services in your community, providing resources as needed.

Your child’s PT also assesses lower limb activities and provides input and/or training in support of:

• Overall gross motor development
• Lower extremity prosthesis use/care/fit
• Walking/balance
• Strength/flexibility/coordination
• Wheelchair mobility
• Functional daily activities

Occupational Therapist (OT)

Your child’s occupational therapist coordinates occupational therapy services in the local community and provides resources as needed. He or she also will recommend and assess the use of adaptive equipment and splints.

Your child’s OT also assesses activities of daily living and provides input and/or training regarding:

• Upper extremity function, strength and coordination
• Overall fine motor development
• Strength, flexibility and coordination of upper limb as it impacts activities of daily living
• Upper extremity prosthesis use, care and fit
• Dressing and self-care
• Feeding
• School
• Homemaking

Certified Prosthetist (CP)

• Evaluates your child for the prescribed prosthesis
• Designs and fabricates the appropriate prosthesis
• Manages your child’s treatment by fitting and adjusting the prosthesis for comfort

Certified Orthotist (CO)

• Evaluates your child for the prescribed orthosis
• Designs and fabricates the appropriate orthosis
• Manages your child’s treatment by fitting and adjusting the orthosis for comfort

Registered Dietitian

• Evaluates your child’s nutritional needs
• Provides individualized medical nutrition therapy and education for your child and your family

Other Team Members

A pediatrician and psychologist may be part of your child’s treatment team on a referral basis. The CLD’s day-to-day operations are overseen by the department manager.