Cargando…

A survey of foot orthoses prescription habits amongst podiatrists in the UK, Australia and New Zealand

BACKGROUND: Foot orthoses are frequently used but little is known about which types are used in contemporary practice. This study aimed to explore the types of foot orthoses currently used by podiatrists and the prescription variations in a range of conditions. METHODS: A web-based, cross-sectional...

Descripción completa

Detalles Bibliográficos
Autores principales: Chapman, Lara S., Redmond, Anthony C., Landorf, Karl B., Rome, Keith, Keenan, Anne-Maree, Waxman, Robin, Alcacer-Pitarch, Begonya, Siddle, Heidi J., Backhouse, Michael R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258496/
https://www.ncbi.nlm.nih.gov/pubmed/30505351
http://dx.doi.org/10.1186/s13047-018-0304-z
_version_ 1783374505800892416
author Chapman, Lara S.
Redmond, Anthony C.
Landorf, Karl B.
Rome, Keith
Keenan, Anne-Maree
Waxman, Robin
Alcacer-Pitarch, Begonya
Siddle, Heidi J.
Backhouse, Michael R.
author_facet Chapman, Lara S.
Redmond, Anthony C.
Landorf, Karl B.
Rome, Keith
Keenan, Anne-Maree
Waxman, Robin
Alcacer-Pitarch, Begonya
Siddle, Heidi J.
Backhouse, Michael R.
author_sort Chapman, Lara S.
collection PubMed
description BACKGROUND: Foot orthoses are frequently used but little is known about which types are used in contemporary practice. This study aimed to explore the types of foot orthoses currently used by podiatrists and the prescription variations in a range of conditions. METHODS: A web-based, cross-sectional survey was distributed through professional bodies in the United Kingdom (UK), Australia, and New Zealand. Questions focussed on foot orthosis prescription habits in relation to 26 conditions affecting the back and lower limb. RESULTS: Two hundred and sixty-four podiatrists practising in 19 different countries completed the survey; the majority practised in the UK (47%, n = 124), Australia (30%, n = 79) and New Zealand (12%, n = 32). Respondents qualified between 1968 and 2016, and 147 (56%) were female. Respondents worked in different healthcare sectors and this varied between countries: 42 (34%) respondents in the UK worked solely in the public sector, compared to 3 (4%) in Australia and 2 (6%) in New Zealand. Forty-four (35%) respondents in the UK worked solely in private practice, compared to 64 (81%) in Australia and 14 (44%) in New Zealand. UK respondents prescribed more prefabricated orthoses per week (mean 5.5 pairs) than simple insole-type devices (±2.7) and customised devices (±2.9). Similarly, respondents in New Zealand prescribed more prefabricated orthoses per week (±7.7) than simple (±1.4) and customised (±2.8) devices. In contrast, those in Australia prescribed more customised orthoses per week (±4.4) than simple (±0.8) and prefabricated (±1.9) orthoses. Differences in the types of orthoses prescribed were observed between country of practice, working sector, and the condition targeted. Generally, prefabricated orthoses were commonly prescribed for the 26 highlighted conditions in the UK and New Zealand. Australian podiatrists prescribed far fewer devices overall, but when they did prescribe, they were more likely to prescribe custom devices. Respondents in all three countries were more likely to prescribe customised orthoses for people with diabetes complicated by peripheral neuropathy than for diabetes without this complication. CONCLUSIONS: Foot orthosis prescription habits vary between countries. Prefabricated orthoses were frequently prescribed in the UK and New Zealand, and customised orthoses in Australia. Prescriptions for people with diabetes differed depending on the presence of neuropathy, despite a lack of robust evidence supporting these decisions. This study provides new insight into contemporary practice. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13047-018-0304-z) contains supplementary material, which is available to authorized users.
format Online
Article
Text
id pubmed-6258496
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-62584962018-11-30 A survey of foot orthoses prescription habits amongst podiatrists in the UK, Australia and New Zealand Chapman, Lara S. Redmond, Anthony C. Landorf, Karl B. Rome, Keith Keenan, Anne-Maree Waxman, Robin Alcacer-Pitarch, Begonya Siddle, Heidi J. Backhouse, Michael R. J Foot Ankle Res Research BACKGROUND: Foot orthoses are frequently used but little is known about which types are used in contemporary practice. This study aimed to explore the types of foot orthoses currently used by podiatrists and the prescription variations in a range of conditions. METHODS: A web-based, cross-sectional survey was distributed through professional bodies in the United Kingdom (UK), Australia, and New Zealand. Questions focussed on foot orthosis prescription habits in relation to 26 conditions affecting the back and lower limb. RESULTS: Two hundred and sixty-four podiatrists practising in 19 different countries completed the survey; the majority practised in the UK (47%, n = 124), Australia (30%, n = 79) and New Zealand (12%, n = 32). Respondents qualified between 1968 and 2016, and 147 (56%) were female. Respondents worked in different healthcare sectors and this varied between countries: 42 (34%) respondents in the UK worked solely in the public sector, compared to 3 (4%) in Australia and 2 (6%) in New Zealand. Forty-four (35%) respondents in the UK worked solely in private practice, compared to 64 (81%) in Australia and 14 (44%) in New Zealand. UK respondents prescribed more prefabricated orthoses per week (mean 5.5 pairs) than simple insole-type devices (±2.7) and customised devices (±2.9). Similarly, respondents in New Zealand prescribed more prefabricated orthoses per week (±7.7) than simple (±1.4) and customised (±2.8) devices. In contrast, those in Australia prescribed more customised orthoses per week (±4.4) than simple (±0.8) and prefabricated (±1.9) orthoses. Differences in the types of orthoses prescribed were observed between country of practice, working sector, and the condition targeted. Generally, prefabricated orthoses were commonly prescribed for the 26 highlighted conditions in the UK and New Zealand. Australian podiatrists prescribed far fewer devices overall, but when they did prescribe, they were more likely to prescribe custom devices. Respondents in all three countries were more likely to prescribe customised orthoses for people with diabetes complicated by peripheral neuropathy than for diabetes without this complication. CONCLUSIONS: Foot orthosis prescription habits vary between countries. Prefabricated orthoses were frequently prescribed in the UK and New Zealand, and customised orthoses in Australia. Prescriptions for people with diabetes differed depending on the presence of neuropathy, despite a lack of robust evidence supporting these decisions. This study provides new insight into contemporary practice. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s13047-018-0304-z) contains supplementary material, which is available to authorized users. BioMed Central 2018-11-26 /pmc/articles/PMC6258496/ /pubmed/30505351 http://dx.doi.org/10.1186/s13047-018-0304-z 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
Chapman, Lara S.
Redmond, Anthony C.
Landorf, Karl B.
Rome, Keith
Keenan, Anne-Maree
Waxman, Robin
Alcacer-Pitarch, Begonya
Siddle, Heidi J.
Backhouse, Michael R.
A survey of foot orthoses prescription habits amongst podiatrists in the UK, Australia and New Zealand
title A survey of foot orthoses prescription habits amongst podiatrists in the UK, Australia and New Zealand
title_full A survey of foot orthoses prescription habits amongst podiatrists in the UK, Australia and New Zealand
title_fullStr A survey of foot orthoses prescription habits amongst podiatrists in the UK, Australia and New Zealand
title_full_unstemmed A survey of foot orthoses prescription habits amongst podiatrists in the UK, Australia and New Zealand
title_short A survey of foot orthoses prescription habits amongst podiatrists in the UK, Australia and New Zealand
title_sort survey of foot orthoses prescription habits amongst podiatrists in the uk, australia and new zealand
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258496/
https://www.ncbi.nlm.nih.gov/pubmed/30505351
http://dx.doi.org/10.1186/s13047-018-0304-z
work_keys_str_mv AT chapmanlaras asurveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT redmondanthonyc asurveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT landorfkarlb asurveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT romekeith asurveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT keenanannemaree asurveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT waxmanrobin asurveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT alcacerpitarchbegonya asurveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT siddleheidij asurveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT backhousemichaelr asurveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT chapmanlaras surveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT redmondanthonyc surveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT landorfkarlb surveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT romekeith surveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT keenanannemaree surveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT waxmanrobin surveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT alcacerpitarchbegonya surveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT siddleheidij surveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand
AT backhousemichaelr surveyoffootorthosesprescriptionhabitsamongstpodiatristsintheukaustraliaandnewzealand