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J Bodyw Mov Ther. 2015 Oct;19(4):759-70. doi: 10.1016/j.jbmt.2015.06.008. Epub 2015 Jul 2.

Compliance of patients wearing an orthotic device or orthopedic shoes: A systematic review.

Author information

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.

KEYWORDS:

Compliance; Orthopedic shoes; Orthotic devices

PMID:
26592234
DOI:
10.1016/j.jbmt.2015.06.008
[Indexed for MEDLINE]

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