Effect of a modified dynamic accordion hinge Denis Browne brace on the success rate of the Ponseti method in idiopathic clubfoot: a preliminary study

Abstract

4.

Barriers and facilitators to lower extremity orthotic compliance in the pediatric population: A scoping review of the literature

“…Improper orthotic fit was mentioned as a barrier in nine articles, 20,23,26,30,46,48,53,71,76 with 10 mentioning difficulty with donning and doffing. 15,19,41,42,46,48,55,63,76,82 These factors are very likely linked to discomfort, pain, and skin irritation, described earlier in the Body Structures/Body Functions domain. Inadequate parental education on the use of orthotics and a lack of resources such as sizing options and orthotic materials could also contribute to improper orthotic fit, as discussed in the support & relationships and services, systems, and policies subcategories.…”

“…• Locally produced orthotics were manufactured at a lower cost 21 • Cost covered by source other than user 24,32,64 • Donation of outgrown shoes 29,50 • Nearby healthcare facility 24 • Involvement of children in the orthotic making process 27,49 • Good parental education about the importance of compliance 21,28,33,50,61,75,81 Products and Technology (e 1151) • Orthotic design • Heavy/not flexible 46,55 • Improper fit (i.e. : loose, feet slipped out of the orthotic) 20,23,26,30,46,48,53,71,76 • Aesthetics 36,55,82 • Device cracking 24,37 • Sensor to measure compliance 79 • Orthotics were reported to be inconvenient 26,82,89 • Do not fit in the car seat 67 • Difficulty bathing the child 67 • Difficulty holding the child 44 • Difficulty donning and doffing 15,19,41,42,46,48,55,<...…”

“…Inadequate parental education on the use of orthotics and a lack of resources such as sizing options and orthotic materials could also contribute to improper orthotic fit, as discussed in the support & relationships and services, systems, and policies subcategories. Conversely, proper fitting, custom-made orthotics, and ease with donning and doffing were listed as facilitators in five 28,56,70,75,76 and eight 15,19,25,45,46,55,56,76 articles, respectively.…”

“…Twenty articles mentioned skin irritation, sensitivity, and breakdown. [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] Discomfort, pain, and increased crying frequency • Increased irritability 15,21,23,33,47,48 • Compromised sleep due to nighttime use 16,17,36,41 • Children with a higher level of motivation 58 Experience of self & time functions (b 180)…”

“…• Skin irritation: Skin breakdown, skin sensitivity, blisters, ulcerations, abrasions, red spots, pressure sores, and chronic skin problems [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]86 •…”