Do current upper limb orthotic classification systems help clinicians choose and design effective orthoses? A scoping review with expert interviews.

Autor: Farzad M; Hand and Upper Limb Center, St. Joseph's Health Center, School of Physical Therapy, Department of Health and Rehabilitation Sciences, University of Western Ontario, London, ON, Canada; Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Electronic address: mfarzad@uwo.ca., MacDermid J; Physical Therapy, Health Sciences, Western University, London, ON, Canada; Roth|McFarlane Hand and Upper Limb Center, St. Joseph's Health Care, London, ON, Canada; McMaster University, Hamilton, ON, Canada., Ferreira L; University of Western Ontario, Roth McFarlane Hand and Upper Limb Centre, Western University, London, ON, Canada., Szekeres M; School of occupational Therapy, Western University, Hand Therapy Canada, Lawson Health Research Institute, Canada., Cuypers S; Orfit Industries, Wijnegem, Belgium., Shafiee E; Hand and Upper Limb Center, St. Joseph's Health Center, School of Physical Therapy, Department of Health and Rehabilitation Sciences, University of Western Ontario, London, ON, Canada; School of Physical Therapy, Department of Health and Rehabilitation Sciences, University of Western Ontario, London, ON, Canada.
Jazyk: angličtina
Zdroj: Journal of hand therapy : official journal of the American Society of Hand Therapists [J Hand Ther] 2024 Jan-Mar; Vol. 37 (1), pp. 60-69. Date of Electronic Publication: 2023 Sep 29.
DOI: 10.1016/j.jht.2023.05.008
Abstrakt: Background: Orthosis (orthotic) fabrication is an essential part of the treatment plan for many upper extremity conditions.
Purpose: We aim to comprehensively identify the current body of evidence about the purpose, structure, scope, and application of available orthotic classification systems. Our secondary aim was to know if the current classification systems can be used as a decision guide for clinicians.
Study Design: A scoping review.
Methods: A scoping review of research studies identified through data-based and gray literature was conducted to determine studies that addressed classification systems of the orthosis (orthotic) in the hand and upper limb. Two investigators screened study titles and abstracts and did the data extraction. To do a comprehensive review, all the hand therapy associations were contacted and asked to share their specific orthosis classification system. To answer our second aim, we discussed our findings with the experts in a panel.
Results: Twelve different classification systems were identified, which were developed with different aims. Five classification systems classified orthosis based on their function (n = 5, 50%); one based on therapeutic goals and proposed a decision algorithm. Two of the proposed systems were aimed at helping in decision-making or offering an algorithm for therapists to help them choose the proper orthosis. The expert panel process identified that the current classification systems could not help clinicians select proper orthosis for their patients.
Conclusions: There are different classification systems which were developed with various aims. However, none of those can help clinicians make informed decisions about appropriate orthosis choices for their patients.
Competing Interests: Declaration of Competing Interest The authors declare no conflicts of interest to disclose regarding the research presented in this manuscript. They have received no financial support or funding that could have influenced the results or interpretation of the data presented in this paper.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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