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Related Experiment Videos

Form may be as important as function in orthotic acceptance: a case report.

Jeffrey R Basford1, Sandra J Johnson

  • 1Department of Physical Medicine and Rehabilitation, Mayo Clinic and Foundation, 200 First Street SW, Rochester, MN 55905, USA.

Archives of Physical Medicine and Rehabilitation
|March 12, 2002
PubMed
Summary

Patient adherence to orthotic devices can be challenging, especially when devices impact self-image or daily tasks. Modifying orthoses can improve patient acceptance while maintaining therapeutic function.

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Area of Science:

  • Rehabilitation Medicine
  • Biomedical Engineering
  • Occupational Therapy

Background:

  • Orthotic prescription compliance is influenced by patient perception and functional impact.
  • Larger, essential orthotic devices (e.g., ankle-foot orthoses) are often better accepted than less critical ones.
  • Patient resistance to beneficial orthoses can stem from discomfort, perceived necessity, or self-image concerns.

Observation:

  • A patient requiring a thumb orthosis for post-stroke interphalangeal joint extension experienced interference with self-image and job performance.
  • The prescribed thumb orthosis, while functionally indicated, negatively impacted the patient's daily activities and personal presentation.
  • This highlights a common challenge where necessary medical devices may be rejected due to psychosocial factors.

Findings:

Related Experiment Videos

  • A thumb orthosis prescribed for post-stroke rehabilitation was initially rejected due to its interference with the patient's self-image and work.
  • The patient's ability to perform her job and her self-perception were negatively affected by the prescribed orthotic device.
  • This case underscores the critical need to consider patient aesthetics and functional integration in orthotic design.

Implications:

  • Modifying orthotic devices to improve aesthetics and reduce functional interference can enhance patient compliance.
  • Integrating patient-reported outcomes and psychosocial factors into orthotic prescription is crucial for successful rehabilitation.
  • Future orthotic designs should prioritize a balance between therapeutic efficacy and user acceptance to optimize patient adherence and outcomes.