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National profile of foot orthotic provision in the United Kingdom, part 2: podiatrist, orthotist and physiotherapy practices

BACKGROUND: A national survey recently provided the first description of foot orthotic provision in the United Kingdom. This article aims to profile and compare the foot orthoses practice of podiatrists, orthotists and physiotherapists within the current provision. METHOD: Quantitative data were col...

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Autores principales: Nester, C. J., Graham, A., Martinez-Santos, A., Williams, A. E., McAdam, J., Newton, V., Sweeney, D., Walker, D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5861649/
https://www.ncbi.nlm.nih.gov/pubmed/29581729
http://dx.doi.org/10.1186/s13047-018-0250-9
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author Nester, C. J.
Graham, A.
Martinez-Santos, A.
Williams, A. E.
McAdam, J.
Newton, V.
Sweeney, D.
Walker, D.
author_facet Nester, C. J.
Graham, A.
Martinez-Santos, A.
Williams, A. E.
McAdam, J.
Newton, V.
Sweeney, D.
Walker, D.
author_sort Nester, C. J.
collection PubMed
description BACKGROUND: A national survey recently provided the first description of foot orthotic provision in the United Kingdom. This article aims to profile and compare the foot orthoses practice of podiatrists, orthotists and physiotherapists within the current provision. METHOD: Quantitative data were collected from podiatrists, orthotists and physiotherapists via an online questionnaire. The topics, questions and answers were developed through a series of pilot phases. The professions were targeted through electronic and printed materials advertising the survey. Data were captured over a 10 month period in 2016. Differences between professions were investigated using Chi squared and Fischer’s exact tests, and regression analysis was used to predict the likelihood of each aspect of practice in each of the three professions. RESULTS: Responses from 357 podiatrists, 93 orthotists and 49 physiotherapists were included in the analysis. The results reveal statistically significant differences in employment and clinical arrangements, the clinical populations treated, and the nature and volume of foot orthoses caseload. CONCLUSION: Podiatrists, orthotists and physiotherapists provide foot orthoses to important clinical populations in both a prevention and treatment capacity. Their working context, scope of practice and mix of clinical caseload differs significantly, although there are areas of overlap. Addressing variations in practice could align this collective workforce to national allied health policy. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13047-018-0250-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-58616492018-03-26 National profile of foot orthotic provision in the United Kingdom, part 2: podiatrist, orthotist and physiotherapy practices Nester, C. J. Graham, A. Martinez-Santos, A. Williams, A. E. McAdam, J. Newton, V. Sweeney, D. Walker, D. J Foot Ankle Res Research BACKGROUND: A national survey recently provided the first description of foot orthotic provision in the United Kingdom. This article aims to profile and compare the foot orthoses practice of podiatrists, orthotists and physiotherapists within the current provision. METHOD: Quantitative data were collected from podiatrists, orthotists and physiotherapists via an online questionnaire. The topics, questions and answers were developed through a series of pilot phases. The professions were targeted through electronic and printed materials advertising the survey. Data were captured over a 10 month period in 2016. Differences between professions were investigated using Chi squared and Fischer’s exact tests, and regression analysis was used to predict the likelihood of each aspect of practice in each of the three professions. RESULTS: Responses from 357 podiatrists, 93 orthotists and 49 physiotherapists were included in the analysis. The results reveal statistically significant differences in employment and clinical arrangements, the clinical populations treated, and the nature and volume of foot orthoses caseload. CONCLUSION: Podiatrists, orthotists and physiotherapists provide foot orthoses to important clinical populations in both a prevention and treatment capacity. Their working context, scope of practice and mix of clinical caseload differs significantly, although there are areas of overlap. Addressing variations in practice could align this collective workforce to national allied health policy. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13047-018-0250-9) contains supplementary material, which is available to authorized users. BioMed Central 2018-03-20 /pmc/articles/PMC5861649/ /pubmed/29581729 http://dx.doi.org/10.1186/s13047-018-0250-9 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Nester, C. J.
Graham, A.
Martinez-Santos, A.
Williams, A. E.
McAdam, J.
Newton, V.
Sweeney, D.
Walker, D.
National profile of foot orthotic provision in the United Kingdom, part 2: podiatrist, orthotist and physiotherapy practices
title National profile of foot orthotic provision in the United Kingdom, part 2: podiatrist, orthotist and physiotherapy practices
title_full National profile of foot orthotic provision in the United Kingdom, part 2: podiatrist, orthotist and physiotherapy practices
title_fullStr National profile of foot orthotic provision in the United Kingdom, part 2: podiatrist, orthotist and physiotherapy practices
title_full_unstemmed National profile of foot orthotic provision in the United Kingdom, part 2: podiatrist, orthotist and physiotherapy practices
title_short National profile of foot orthotic provision in the United Kingdom, part 2: podiatrist, orthotist and physiotherapy practices
title_sort national profile of foot orthotic provision in the united kingdom, part 2: podiatrist, orthotist and physiotherapy practices
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5861649/
https://www.ncbi.nlm.nih.gov/pubmed/29581729
http://dx.doi.org/10.1186/s13047-018-0250-9
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