A patient with an ankle-foot orthosis develops a red mark on the skin that does not resolve 1 hour after doffing the orthosis. What should the physical therapist assistant do?

In the case of a patient experiencing a red mark on the skin that does not resolve after one hour of removing an ankle-foot orthosis, the most appropriate action is to instruct the patient to discontinue use of the orthosis and contact the orthotist. This approach prioritizes the patient's safety and skin integrity.

When a red mark persists, it signifies that the skin may be undergoing undue pressure or friction that could lead to further injury or escalation into a more severe condition, such as a pressure sore. Immediate discontinuation of the orthosis helps to relieve any pressure being exerted on the affected area, allowing the skin an opportunity to recover without the risk of added trauma.

Contacting the orthotist is crucial, as they can assess the fit and design of the orthosis to determine if adjustments are needed to prevent future occurrences. Proper alignment and fabrication are essential in ensuring comfort and effectiveness while utilizing the device.

Other options, while they might seem to promote continued use of the orthosis, do not adequately address the potential harm of ongoing pressure against a compromised area of skin. Regularly checking the skin or simply wearing a larger sock does not eliminate the source of the problem, and merely contacting the orthotist without discontinuation could further risk the