Ayisha Z Bashir1, Danae M Dinkel2, Iraklis I Pipinos3, Jason M Johanning3, Sara A Myers4. 1. Department of Biomechanics, University of Nebraska, Omaha, Nebraska; Department of Health and Kinesiology, University of Nebraska, Omaha, Nebraska. Electronic address: abashir@unomaha.edu. 2. Department of Health and Kinesiology, University of Nebraska, Omaha, Nebraska. 3. Department of Surgery and Research Service, Omaha VA Medical Center, Omaha, Nebraska; Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska. 4. Department of Biomechanics, University of Nebraska, Omaha, Nebraska; Department of Surgery and Research Service, Omaha VA Medical Center, Omaha, Nebraska.
Abstract
OBJECTIVE: The aim of this scoping review was to identify information on compliance with wearing orthoses and other supportive devices, to discuss the barriers to adherence, and to suggest strategies for improvement based on these findings. METHODS: Online databases of PubMed, Web of Science, and the Cochrane Library were searched for articles about patients' compliance with regard to lower limb assistive devices. In addition, a methodological quality control process was conducted. Studies were included if in the English language and related to compliance and adherence to the lower limb assistive device. Exclusion was based on first reading the abstract and then the full manuscript confirming content was not related to orthotic devices and compliance. RESULTS: Twelve studies were included. The data revealed between 6% and 80% of patients were not using a prescribed device. Barriers to the use of the orthotic device included medical, functional, device properties and lack of proper fit. Strategies for improved compliance included better communication between patient and clinician, patient education, and improved comfort and device esthetics. CONCLUSIONS: Individualized orthotic adjustments, rehabilitation, and patient education were promising for increasing adherence. Despite positive aspects of improvements in gait, balance in elderly, and a sense of security produced by using assistive devices, compliance remains less than ideal due to barriers. As compliance in recent studies has not improved, continued work in this area is essential to realize the benefits of technological advances in orthotic and assistive devices.
OBJECTIVE: The aim of this scoping review was to identify information on compliance with wearing orthoses and other supportive devices, to discuss the barriers to adherence, and to suggest strategies for improvement based on these findings. METHODS: Online databases of PubMed, Web of Science, and the Cochrane Library were searched for articles about patients' compliance with regard to lower limb assistive devices. In addition, a methodological quality control process was conducted. Studies were included if in the English language and related to compliance and adherence to the lower limb assistive device. Exclusion was based on first reading the abstract and then the full manuscript confirming content was not related to orthotic devices and compliance. RESULTS: Twelve studies were included. The data revealed between 6% and 80% of patients were not using a prescribed device. Barriers to the use of the orthotic device included medical, functional, device properties and lack of proper fit. Strategies for improved compliance included better communication between patient and clinician, patient education, and improved comfort and device esthetics. CONCLUSIONS: Individualized orthotic adjustments, rehabilitation, and patient education were promising for increasing adherence. Despite positive aspects of improvements in gait, balance in elderly, and a sense of security produced by using assistive devices, compliance remains less than ideal due to barriers. As compliance in recent studies has not improved, continued work in this area is essential to realize the benefits of technological advances in orthotic and assistive devices.
Authors: Eva Swinnen; Christophe Lafosse; Johan Van Nieuwenhoven; Stephan Ilsbroukx; David Beckwée; Eric Kerckhofs Journal: Prosthet Orthot Int Date: 2016-07-10 Impact factor: 1.895
Authors: I G de Boer; A J Peeters; H K Ronday; B J A Mertens; T W J Huizinga; T P M Vliet Vlieland Journal: Clin Rheumatol Date: 2008-08-26 Impact factor: 2.980
Authors: Allen W Heinemann; Stefania Fatone; Sherri L LaVela; Billie C S Slater; Anne Deutsch; Michelle Peterson; Nicole T Soltys; Vari McPherson Journal: Assist Technol Date: 2019-05-15