Patient Compliance With Wearing Lower Limb Assistive Devices: A Scoping Review

Bashir, Ayisha; Dinkel, Danae; Pipinos, Iraklis I.; Johanning, Jason M.; Myers, Sara A.

doi:10.1016/j.jmpt.2022.04.003

Cited by 7 publications

(4 citation statements)

References 31 publications

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“…8,13,14 Incorporating PA with ADs that are safe and help PAD patients walk better is important. [17][18][19][20][21] Telemonitoring, telecoaching, and teleconsultation can be potentially beneficial tools in monitoring interventions and improving the quality of life of patients suffering from PAD 13,14 by being interactive with the healthcare professionals in the following manner (Figure 1):…”

Section: Discussionmentioning

confidence: 99%

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Exploring telehealth interventions to monitor rehabilitation in patients with peripheral artery disease

Bashir

2023

SAGE Open Medicine

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Peripheral artery disease is a manifestation of systemic atherosclerosis, and these patients often have claudication pain in the legs during activity. This leads to generally adopting an inactive lifestyle; hence, even small changes in physical activity could reduce the risk of an adverse cardiovascular event. For patients with peripheral artery disease compliance with non-invasive interventions like assistive devices and long-term exercise therapy is important for improved health outcomes. Benefits to patients can only be measured if patients with peripheral artery disease adhere to the intervention and barriers are identified with improved solutions. The effect of mobile health including pedometers and smartphone technological applications in motivating the patient to continue adhering to the intervention and persist in physical activity is a new venture to be explored.

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Section: Discussionmentioning

confidence: 99%

“… 5 , 9 Previous research has found dissatisfaction with the ADs, poor adherence, and compliance issues to wearing orthotic/ADs due to reasons such as they were not effective in improving outcomes of interest to the patient. 6 , 9 , 19 – 20 …”

Section: Limitationsmentioning

confidence: 99%

Exploring telehealth interventions to monitor rehabilitation in patients with peripheral artery disease

Bashir

2023

SAGE Open Medicine

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“…14 Above changing the sensory input filtered through the soft tissues of the plantar foot sole, 15 increased comfort is also related to increased patient compliance. 16 Consequently, the purpose of this study was to characterize the patient profile of individuals suffering from metatarsalgia seeking treatment in a footwear and orthosis clinic. Second, we aimed to explore the association between comfort and pain in a cohort of patients following the treatment of metatarsalgia with foot orthoses.…”

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confidence: 99%

“…It has been previously suggested that to maximize the benefits of foot orthoses treatment, the patient must perceive the device to be comfortable 14 . Above changing the sensory input filtered through the soft tissues of the plantar foot sole, 15 increased comfort is also related to increased patient compliance 16 . Consequently, the purpose of this study was to characterize the patient profile of individuals suffering from metatarsalgia seeking treatment in a footwear and orthosis clinic.…”

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confidence: 99%

Metatarsalgia: Clinical Profile and Comfort from Foot Orthoses Treatment

Robb,

Ryan

2024

J Prosthet Orthot

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Introduction The biomechanical factors influencing metatarsalgia etiology have been well documented; however, patient characteristics of individuals suffering from this condition and the effectiveness of foot orthosis therapy remain unknown. Objectives The objectives of this study were 1) to characterize the metatarsalgia profile of patients seeking treatment in a footwear and orthotic clinic, and 2) to explore the association between comfort and pain in patients with metatarsalgia who were treated with foot orthosis intervention. Study Design This study is a retrospective chart review. Methods Metatarsalgia assessment and follow-up data (case group n = 2137) were extracted from a research database (control group n = 82,822) from patients visiting a private foot care clinic. A clinical assessment was performed by a Canadian-certified pedorthist, and footwear recommendations and bilateral custom foot orthoses were provided to all patients. Feet were casted using a three-dimensional volumetric laser scanner. Orthoses (80% of cases) were manufactured from a direct mill polypropylene shell; additional rearfoot, forefoot postings, and/or metatarsal support was added according to the patient’s personalized treatment plan. Results Eighty-one percent (81%) of metatarsalgia patients reported symptom improvement following custom orthoses treatment. The average pain reduction from the orthotic intervention was 58.55%. The average self-reported comfort scores were 7.7 ± 2.2/10 at follow-up. Compared with our control group, patients with metatarsalgia were more frequently self-identified as females, over 51 years of age, and the condition was observed in a higher prevalence of high cavus feet. Conclusions Our results suggest that a pes cavus foot posture is a biomechanical risk factor to the development of metatarsalgia. Custom foot orthoses that are manufactured according to a patient’s personalized treatment plan are an effective conservative treatment option for pain reduction in patients suffering from metatarsalgia. Clinical Relevance Statement Foot orthoses are an effective conservative treatment option for pain reduction in metatarsalgia patients.

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