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 |
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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 |
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