Eva Swinnen1, Eric Kerckhofs2. 1. Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Rehabilitation Research (RERE), Brussels, Belgium; Center for Neurosciences, Vrije Universiteit Brussel, Brussels, Belgium; Erasmus University College Brussel, Knowledge Centre Brussels Integrated Care (BIC), Brussels, Belgium. Electronic address: eswinnen@vub.ac.be. 2. Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Rehabilitation Research (RERE), Brussels, Belgium; Center for Neurosciences, Vrije Universiteit Brussel, Brussels, Belgium.
Abstract
BACKGROUND: Alongside the positive effects of use of orthotic devices for the lower extremities (ODLE) and orthopedic shoes, complaints and criticism by users possibly lead to non-compliance. OBJECTIVE: The purpose is to determine the compliance of patients wearing an ODLE or orthopedic shoes and to describe the main reasons for using and not using. METHODS: Different online databases were searched for articles about patients' compliance with regard to an ODLE or orthopedic shoes. A methodological quality control was conducted. RESULTS: Ten studies (1576 patients) were included. The data revealed between 6 and 80% not users. Several reasons for not using the orthotic device were described (e.g. pain, discomfort and cosmetically unacceptable). CONCLUSIONS: The high percentage of patients who are not wearing the prescribed orthotic devices leads to a high financial loss for society and a waste of therapeutic effort. These results should be taken into account during the design, construction and selection process of orthotic devices.
BACKGROUND: Alongside the positive effects of use of orthotic devices for the lower extremities (ODLE) and orthopedic shoes, complaints and criticism by users possibly lead to non-compliance. OBJECTIVE: The purpose is to determine the compliance of patients wearing an ODLE or orthopedic shoes and to describe the main reasons for using and not using. METHODS: Different online databases were searched for articles about patients' compliance with regard to an ODLE or orthopedic shoes. A methodological quality control was conducted. RESULTS: Ten studies (1576 patients) were included. The data revealed between 6 and 80% not users. Several reasons for not using the orthotic device were described (e.g. pain, discomfort and cosmetically unacceptable). CONCLUSIONS: The high percentage of patients who are not wearing the prescribed orthotic devices leads to a high financial loss for society and a waste of therapeutic effort. These results should be taken into account during the design, construction and selection process of orthotic devices.
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