Author ORCID Identifier
Document Type
Article
Publication Date
7-22-2022
Abstract
Objective
The aim of this scoping review was to identify information on compliance with wearing orthoses and other supportive devices, to discuss the barriers to adherence, and to suggest strategies for improvement based on these findings.
Methods
Online databases of PubMed, Web of Science, and the Cochrane Library were searched for articles about patients’ compliance with regard to lower limb assistive devices. In addition, a methodological quality control process was conducted. Studies were included if in the English language and related to compliance and adherence to the lower limb assistive device. Exclusion was based on first reading the abstract and then the full manuscript confirming content was not related to orthotic devices and compliance.
Results
Twelve studies were included. The data revealed between 6% and 80% of patients were not using a prescribed device. Barriers to the use of the orthotic device included medical, functional, device properties and lack of proper fit. Strategies for improved compliance included better communication between patient and clinician, patient education, and improved comfort and device esthetics.
Conclusions
Individualized orthotic adjustments, rehabilitation, and patient education were promising for increasing adherence. Despite positive aspects of improvements in gait, balance in elderly, and a sense of security produced by using assistive devices, compliance remains less than ideal due to barriers. As compliance in recent studies has not improved, continued work in this area is essential to realize the benefits of technological advances in orthotic and assistive devices.
Journal Title
Journal of Manipulative and Physiological Therapeutics
Volume
45
Issue
2
First Page
114
Last Page
126
Recommended Citation
Bashir, A.Z., Dinkel, D.M., Pipinos, I.I., Johanning, J.M., & Myers, S.A. (2022, July 22). Patient Compliance with Wearing Lower Limb Assistive Devices: A scoping review. Journal of Manipulative and Physiological Therapeutics, 45(2), 114-126. https://doi.org/10.1016/j.jmpt.2022.04.003
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Comments
This is an Accepted Manuscript of an article published by Elsevier in Journal of Manipulative and Physiological Therapeutics, 54(2) on July 22, 2022, available online: https://doi.org/10.1016/j.jmpt.2022.04.003