Medical opinions,beliefs and prescription of orthopaedic footwear: a survey of Dutch orthopaedists and rehabilitation practitioners

Abstract

Objectives: To get insight into medical opinions about the use of orthopaedic footwear and the medical and social factors related to the prescription of orthopaedic footwear by orthopaedists and rehabilitation practitioners.

Methods: In this study 85 orthopaedists and 96 rehabilitation practitioners filled out a questionnaire measuring perceived desirability of prescribing orthopaedic footwear in specific medical conditions, the perceived advantages of orthopaedic footwear, the perceived disadvantages of orthopaedic footwear, the attitude to orthopaedic footwear and satisfaction with the co-operation with the pedorthist. Clinicians were asked to estimate their referral rate of orthopaedic footwear.

Results: Orthopaedists and rehabilitation practitioners agree that the prescription of orthopaedic footwear should be considered in the case of rheumatoid arthritis, amputation of the foot and diabetic foot and not be considered in the case of sprain and back pain. In the case of hallux valgi, dermatological problems and clavus (severe corn) a reticent prescription policy seems to be the optimal choice. In the other medical conditions studied no unequivocal prescription policy could be derived. Respondents who prescribed orthopaedic footwear more than the median (more than 50 prescriptions per year) were more often rehabilitation practitioner, perceived more advantages of prescription footwear, perceived less disadvantages of prescription footwear and were more satisfied about the co-operation with the pedorthist.

Conclusion: In some medical conditions orthopaedists and rehabilitation practitioners agree about the optimal use of orthopaedic footwear. In some other medical conditions orthopaedists and rehabilitation practitioners are divided about the use of orthopaedic footwear. Reported rate of prescription was not related to desirability of prescription, but was related to beliefs such as perceived advantages, perceived disadvantages and satisfaction with co-operation with the pedorthist, underlining the importance of cognitive factors in prescription style.

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References

Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

Dam van FFA , Van den Hoogen FHJ . Diabetes mellitus. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

Chantelau E , Breuer U , Leisch AC , Tanudjaja T , Reuter M . Outpatient treatment of unilateral diabetic foot ulcers with ‘Half Shoes’ . Diabetic Med 1993; 10: 267–270 .

Chantelau E , Haage P . An audit of cushioned diabetic footwear: relation to patient compliance . Diabetic Med 1994; 11: 114–116 .

Chantelau E , Jung V . Footwear for the diabetic patient . Die Rehabilitation: Zeitchrift fuer alle Fragen der medizinischen, schulisch-beruflichen und sozialen Eingliederung 1994; 33: 35–38 .

Chantelau E , Breuer U . Diabetic patient's compliance with bespoke footwear after healing of neuropathic foot ulcers . Diabete et metabolisme: revue clinique et biologique 1994; 20: 415–419 .

Ward AB . Footwear and orthoses for diabetic patients . Diabetic Med 1993; 10: 497–498 .

White J . Therapeutic footwear for patients with diabetes . J Am Podiatric Med Assoc 1994; 84: 470–479 .

Baumgartner R , Postema K . Amputations and proteses of the foot. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

10.

Eenkhoorn DJL , Postema K , Lycklama a Neyholt J . Peripheral nerve problems. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

11.

Slavens ER , Ped C , Slavens ML . Therapeutic footwear for neuropathic ulcers . Foot & Ankle Int 1995; 16: 663–666 .

12.

Koekenberg LJL . Operation of the foot and facing. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice[in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

13.

Koekenberg LJL . The posttraumatic foot. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten, Bohn, Stafleu Van Loghem , 1991.

14.

Koekenberg LJL . Degenerative changes. In: Postema K , Toorend JLA , Zilvold G , Schaars AH , eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

15.

Maathuis CBG , Postema K . Posture deviations in adults. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

16.

Schaars AH . Juvenile chronic arthritis. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

17.

Vries de J , Rasker JJ , Postema K . Rheumatoid arthritis. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

18.

Veeger JHH , Postema K . Dermatologic syndromes. In: Postema K , Toorend JLA , Zilvold G , Stafleu AH eds. Orthopaedic footwear in medical practice[in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

19.

Wever D . Clavi, prevention and incidence. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Logham , 1991.

20.

Wever D , Postema K , Toorend JLA . Spastic paresis in adults. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

21.

Zilvold G , Postema K , Toorend JLA . Back complaints. In: Postema K , Toorend JLA , Zilvold G , Schaars AH eds. Orthopaedic footwear in medical practice [in Dutch]. Houten: Bohn, Stafleu Van Loghem , 1991.

22.

Dunne RG , Bergman AB , Rogers LW , Inglin B , Rivara FP . Elderly persons' attitudes towards footwear: a factor in preventing falls . Public Health Rep 1993; 108: 245–250 .

23.

Grabiner MD , Davis BL , Robbins S , Gouw GJ , McClaran J . Footwear and balance in older men . J Am Geriatr Soc 1993; 41: 1011-1011 .

24.

Bles CBM , Lagro HAHM , Lagro-Jansen ALM . Orthopaedic referrals in the practice of a general practitioner [in Dutch]. Huisarts en Wetenschap 1994; 37: 289–292 .

25.

Vierhout WPM , Knottnerus JA , Wesselingh-Megens AMK . Consultation in the practice of the general practitioner. Need assessment [in Dutch]. Med Contact 1992; 47: 120–123 .