Challenges and solutions in follow-up after prescription of lower limb orthoses

Abstract

Objectives : Problems in follow-up after the prescription of lower limb orthotics have been pointed out, but they have not yet been resolved. This study qualitatively clarified the factors causing these problems or hindering their solution from the perspective of physiotherapists.

Method : Semi-structured interviews were conducted with 9 physiotherapists working in acute or recovery rehabilitation hospitals, home-visit rehabilitation facilities, long-term healthcare facilities, or government agencies. The analysis used a continuous comparative analysis of the grounded theory approach.

Results : Four major categories, 16 categories, and 58 subcategories that made up the core category, “alienated users” were extracted.

Conclusion : A wide range of issues were extracted, including the lack of a systematic education system from before and after graduation, lack of clarity regarding the occupations mainly responsible for managing follow-up, and user side-issues such as mental and physical functions and economic conditions.