Custom-made foot orthoses: an analysis of prescription characteristics from an Australian commercial orthotic laboratory

Autor: Jamie J. Allan, George S. Murley, Karl B Landorf, Hylton B. Menz, Daniel R. Bonanno
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Male
business.product_category
lcsh:Diseases of the musculoskeletal system
medicine.medical_treatment
0302 clinical medicine
Cluster Analysis
Medicine
Orthopedics and Sports Medicine
Orthotic devices
Podiatry
Child
Aged
80 and over

Rehabilitation
Commerce
Equipment Design
Middle Aged
3. Good health
Prescriptions
Child
Preschool

Hong Kong
Female
Foot (unit)
Adult
medicine.medical_specialty
Adolescent
Victoria
Foot Orthoses
Foot Diseases
Young Adult
03 medical and health sciences
Physical medicine and rehabilitation
Discriminant function analysis
Humans
Pronation
Medical prescription
Foot orthosis
Aged
030203 arthritis & rheumatology
business.industry
Foot
Research
Forefoot
Australia
030229 sport sciences
Orthotic device
Orthopedic surgery
Physical therapy
lcsh:RC925-935
Laboratories
business
Zdroj: Journal of Foot and Ankle Research, Vol 10, Iss 1, Pp 1-9 (2017)
Journal of Foot and Ankle Research
ISSN: 1757-1146
DOI: 10.1186/s13047-017-0204-7
Popis: Background Foot orthoses are widely used in the prevention and treatment of foot disorders. The aim of this study was to describe characteristics of custom-made foot orthosis prescriptions from a Australian podiatric orthotic laboratory. Methods One thousand consecutive foot orthosis prescription forms were obtained from a commercial prescription foot orthosis laboratory located in Melbourne, Victoria, Australia (Footwork Podiatric Laboratory). Each item from the prescription form was documented in relation to orthosis type, cast correction, arch fill technique, cast modifications, shell material, shell modifications and cover material. Cluster analysis and discriminant function analysis were applied to identify patterns in the prescription data. Results Prescriptions were obtained from 178 clinical practices across Australia and Hong Kong, with patients ranging in age from 5 to 92 years. Three broad categories (‘clusters’) were observed that were indicative of increasing ‘control’ of rearfoot pronation. A combination of five variables (rearfoot cast correction, cover shape, orthosis type, forefoot cast correction and plantar fascial accommodation) was able to identify these clusters with an accuracy of 70%. Significant differences between clusters were observed in relation to age and sex of the patient and the geographic location of the prescribing clinician. Conclusion Foot orthosis prescriptions are complex, but can be broadly classified into three categories. Selection of these prescription subtypes appears to be influenced by both patient factors (age and sex) and clinician factors (clinic location). Electronic supplementary material The online version of this article (doi:10.1186/s13047-017-0204-7) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE