Journal of Rehabilitation Research & Development (JRRD)

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Volume 47 Number 7, 2010
   Pages 643 — 650

Abstract —  Long-term use of custom-made orthopedic shoes: 1.5-year follow-up study

Jaap J. van Netten, MSc;1-2* Michiel J. A. Jannink, PhD;3-4 Juha M. Hijmans, PhD;1,5 Jan H. B. Geertzen, MD, PhD;1-2 Klaas Postema, MD, PhD1,2,5

1Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; 2Graduate School for Health Research, University of Groningen, Groningen, the Netherlands; 3Roessingh Research and Development, Enschede, the Netherlands; 4Department of Biomechanical Engineering, University of Twente, Enschede, the Netherlands; 5School of Behavioral and Cognitive Neurosciences, University of Groningen, Groningen, the Netherlands

Abstract — This study investigated long-term use of custom-made orthopedic shoes (OS) at 1.5 years follow-up. In addition, the association between short-term outcomes and long-term use was studied. Patients from a previously published study who did use their first-ever pair of OS 3 months after delivery received another questionnaire after 1.5 years. Patients with different pathologies were included in the study (n = 269, response = 86%). Mean age was 63 ± 14 years, and 38% were male. After 1.5 years, 87% of the patients still used their OS (78% frequently [4-7 days/week] and 90% occasionally [1-3 days/week]) and 13% of the patients had ceased using their OS. Patients who were using their OS frequently after 1.5 years had significantly higher scores for 8 of 10 short-term usability outcomes (p-values ranged from <0.001 to 0.046). The largest differences between users and nonusers were found for scores on the short-term outcomes of OS fit and communication with the medical specialist and shoe technician (effect size range = 0.16 to 0.46). We conclude that patients with worse short-term usability outcomes for their OS are more likely to use their OS only occasionally or not at all at long-term follow-up.

Key words: foot disorders, long-term use, medical devices, orthopedic shoes, orthotics, patient satisfaction, rehabilitation, shoes, usability, usability outcomes.


This article and any supplementary material should be cited as follows:
Van Netten JJ, Jannink MJA, Hijmans JM, Geertzen JHB, Postema K. Long-term use of custom-made orthopedic shoes: 1.5-year follow-up study. J Rehabil Res Dev. 2010;47(7):643-50.
DOI:10.1682/JRRD.2010.03.0040

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