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Ankle foot orthosis-footwear combination tuning: An investigation into common clinical practice in the United Kingdom.

Eddison, Nicola and CHOCKALINGAM, Nachiappan and Osborne, Stephen (2014) Ankle foot orthosis-footwear combination tuning: An investigation into common clinical practice in the United Kingdom. Prosthetics and orthotics international. ISSN 1746-1553

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Abstract or description

Background:Ankle foot orthoses are used to treat a wide variety of gait pathologies. Ankle foot orthosis-footwear combination tuning should be routine clinical practice when prescribing an ankle foot orthosis. Current research suggests that failure to tune ankle foot orthosis-footwear combinations can lead to immediate detrimental effect on function, and in the longer term, it may actually contribute to deterioration.Objectives:The purpose of this preliminary study was to identify the current level of knowledge clinicians have in the United Kingdom regarding ankle foot orthosis-footwear combination tuning and to investigate common clinical practice regarding ankle foot orthosis-footwear combination tuning among UK orthotists.Study design:Cross-sectional survey.Methods:A prospective study employing a multi-item questionnaire was sent out to registered orthotists and uploaded on to the official website of British Association of Prosthetists and Orthotists to be accessed by their members.Results:A total of 41 completed questionnaires were received. The results demonstrate that only 50% of participants use ankle foot orthosis-footwear combination tuning as standard clinical practice. The most prevalent factors preventing participants from carrying out ankle foot orthosis-footwear combination tuning are a lack of access to three-dimensional gait analysis equipment (37%) and a lack of time available in their clinics (27%).Clinical relevanceAlthough, ankle foot orthosis-footwear combination tuning has been identified as an essential aspect of the prescription of ankle foot orthoses, the results of this study show a lack of understanding of the key principles behind ankle foot orthosis-footwear combination tuning.

Item Type: Article
Subjects: A900 Others in Medicine and Dentistry
B800 Medical Technology
B900 Others in Subjects allied to Medicine
C600 Sports Science
Faculty: Previous Faculty of Health Sciences > Psychology, Sport and Exercise
Depositing User: Nachiappan CHOCKALINGAM
Date Deposited: 06 Aug 2014 08:25
Last Modified: 06 Aug 2014 08:25
URI: http://eprints.staffs.ac.uk/id/eprint/1911

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