Compliance of patients wearing an orthotic device or orthopedic shoes: A systematic review

Swinnen, Eva; Kerckhofs, Eric

doi:10.1016/j.jbmt.2015.06.008

Cited by 44 publications

(39 citation statements)

References 27 publications

(62 reference statements)

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“…Literature concerning the views and experiences of users of lower limb orthotic devices for knee instability is scant 8. A review of 10 studies9 examined the patient use of lower limb orthotic devices (eg, knee brace and AFOs) and orthopaedic shoes, but none of the included studies related to use of KAFOs. The authors reported a wide range of rates of non-use, mainly due to pain, discomfort and non-cosmesis.…”

Section: Introductionmentioning

confidence: 99%

Orthotic management of instability of the knee related to neuromuscular and central nervous system disorders: qualitative interview study of patient perspectives

et al. 2019

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ObjectivesAdults with knee instability related to neuromuscular disorders or central nervous conditions often experience mobility problems and rely on orthoses to improve function and mobility. Patient views of device effectiveness and acceptability are underexplored. Our study aimed to elicit device users’ perspectives regarding fitting, acceptability, effectiveness and use of orthoses, and identify important treatment outcomes.DesignQualitative descriptive study using in-depth semistructured interviews. Interview transcriptions were coded and thematically analysed, using ‘Framework’.Setting and participantsA purposive sample of 24 adult users of orthotic devices. Nineteen patients were recruited across three National Health Service sites, and five people through charities/patient support groups in England. Half of the participants had been diagnosed with poliomyelitis, and the remainder with multiple sclerosis, Charcot-Marie-Tooth disease, spinal injury or spina bifida, and stroke. The median age of participants was 64.5 years (range 36–80 years).ResultsPatients’ medical condition impacted significantly on daily life. Participants relied on orthotic devices to enable engagement in daily activities. Patient goals for mobility were linked to individual circumstances. Desired treatment outcomes included reduction in pain, trips and falls, with improved balance and stability. Effectiveness, reliability, comfort and durability were the most valued features of orthoses and associated with reported use. Obtaining suitable footwear alongside orthotic devices was a significant concern. Time pressures during device fitting were viewed negatively.ConclusionsOrthotic devices for knee instability play a crucial role in promoting, maintaining and enhancing physical and psychological health and well-being, enabling patients to work, engage in family life and enjoy social activities. Future research should consider how best to measure the impact of orthotic devices on patient quality of life and daily functioning outside the clinic setting, as well as device use and any adverse effects.Trial registration numberThis qualitative study was retrospectively registered as Current Controlled Trials ISRCTN65240228.

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Section: Introductionmentioning

confidence: 99%

Orthotic management of instability of the knee related to neuromuscular and central nervous system disorders: qualitative interview study of patient perspectives

et al. 2019

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“…Local botulinum toxin injection has the limitations of high cost and transient nature that requires repetitive injections [22]. Patient's compliance of wearing ankle-foot orthosis has been low, thus leading to a high financial loss for society and a waste of therapeutic effort as reviewed in [23]. Physiotherapy which provides repetitive verbal reminders of putting the foot in a better position during gait requires intensive manpower [24].…”

Section: Introductionmentioning

confidence: 99%

Changes in gait and plantar foot loading upon using vibrotactile wearable biofeedback system in patients with stroke

Zong-Hao

Zheng

Lee

2017

Topics in Stroke Rehabilitation

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“…One systematic review investigating the compliance of (OA, RA, etc.) patients with orthotic devises for the lower extremities confirmed a high percentage of patients choosing to not use prescribed orthotic devices, due to varying reasons including pain and discomfort 88 . One study had a low attrition rate 43 , whereas another study displayed difficulties achieving an appropriate number of patients 45 .…”

Section: Discussionmentioning

confidence: 91%

Ottawa Panel Evidence-Based Clinical Practice Guidelines for Foot Care in the Management of Juvenile Idiopathic Arthritis

Brosseau

Toupin‐April

Wells

et al. 2016

Archives of Physical Medicine and Rehabilitation

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Compliance of patients wearing an orthotic device or orthopedic shoes: A systematic review

Cited by 44 publications

References 27 publications

Orthotic management of instability of the knee related to neuromuscular and central nervous system disorders: qualitative interview study of patient perspectives

Orthotic management of instability of the knee related to neuromuscular and central nervous system disorders: qualitative interview study of patient perspectives

Changes in gait and plantar foot loading upon using vibrotactile wearable biofeedback system in patients with stroke

Ottawa Panel Evidence-Based Clinical Practice Guidelines for Foot Care in the Management of Juvenile Idiopathic Arthritis

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