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Prosthet Orthot Int. 2015 Apr;39(2):126-33. doi: 10.1177/0309364613516486. Epub 2014 Feb 24.

Ankle foot orthosis-footwear combination tuning: an investigation into common clinical practice in the United Kingdom.

Author information

1
Royal Wolverhampton NHS Trust, Wolverhampton, UK.
2
CSHER, Faculty of Health Sciences, Staffordshire University, Stoke on Trent, UK n.chockalingam@staffs.ac.uk.
3
CSHER, Faculty of Health Sciences, Staffordshire University, Stoke on Trent, UK.

Abstract

BACKGROUND:

Ankle foot orthoses are used to treat a wide variety of gait pathologies. Ankle foot orthosis-footwear combination tuning should be routine clinical practice when prescribing an ankle foot orthosis. Current research suggests that failure to tune ankle foot orthosis-footwear combinations can lead to immediate detrimental effect on function, and in the longer term, it may actually contribute to deterioration.

OBJECTIVES:

The purpose of this preliminary study was to identify the current level of knowledge clinicians have in the United Kingdom regarding ankle foot orthosis-footwear combination tuning and to investigate common clinical practice regarding ankle foot orthosis-footwear combination tuning among UK orthotists.

STUDY DESIGN:

Cross-sectional survey.

METHODS:

A prospective study employing a multi-item questionnaire was sent out to registered orthotists and uploaded on to the official website of British Association of Prosthetists and Orthotists to be accessed by their members.

RESULTS:

A total of 41 completed questionnaires were received. The results demonstrate that only 50% of participants use ankle foot orthosis-footwear combination tuning as standard clinical practice. The most prevalent factors preventing participants from carrying out ankle foot orthosis-footwear combination tuning are a lack of access to three-dimensional gait analysis equipment (37%) and a lack of time available in their clinics (27%).

CLINICAL RELEVANCE:

Although, ankle foot orthosis-footwear combination tuning has been identified as an essential aspect of the prescription of ankle foot orthoses, the results of this study show a lack of understanding of the key principles behind ankle foot orthosis-footwear combination tuning.

KEYWORDS:

Ankle foot orthosis–footwear combination tuning; ankle foot orthosis; gait analysis

PMID:
24567349
DOI:
10.1177/0309364613516486
[Indexed for MEDLINE]

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