Abstract
Physiotherapists, orthotists, and physicians are involved in the prescription of ankle-foot orthoses (AFOs) for children with cerebral palsy (CP); however, little is known about how prescription decisions are made in practice. Therefore, the study objective was to identify current AFO prescription and clinical decision-making practices for children with CP in Canada. Focus groups were conducted in five pediatric rehabilitation facilities, with 32 clinicians. Semi-structured interviews focused on the goals and types of AFOs used, referral and follow-up processes, and clinical evaluation measures. Interpretive Description was used as a framework for analysis. Transcribed dialogue was imported into NVivo 11 for data coding and analysis. Three researchers participated in coding to establish categories and themes. Categories included: what is made, how it is used, and factors that either support or challenge outcomes. Strengths and challenges of the current prescription process were discussed, including funding, communication, and technology to enhance clinical evaluation. Throughout the interviews, the theme of prescription as a collaborative, iterative, and individualized process emerged. Processes, strengths, and challenges assoc...Continue Reading
References
Apr 1, 1997·Research in Nursing & Health·S ThorneJ MacDonald-Emes
Nov 3, 1998·Archives of Disease in Childhood. Fetal and Neonatal Edition·P O PharoahL Mutch
Aug 24, 1999·International Journal of Nursing Practice·C Emden, M Sandelowski
Apr 16, 2002·Child: Care, Health and Development·Christopher MorrisAnn Johnson
Sep 6, 2002·Nursing Standard·J Hewitt-Taylor
Mar 12, 2005·Gait & Posture·Sandra A RadtkaM Elise Johanson
Nov 23, 2005·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Jill Milne, Kathleen Oberle
Jan 25, 2006·Gait & Posture·Catia Miyuki KawamuraNeil Ferreira Novo
Mar 8, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Jon R DavidsRoy B Davis
May 27, 2008·Qualitative Health Research·Janice M Morse
Dec 17, 2008·Physical Therapy·Diane U JettePalak Shah
Apr 14, 2010·Prosthetics and Orthotics International·Emily RidgewellRichard Baker
Aug 27, 2010·Prosthetics and Orthotics International·Elaine Owen
Aug 27, 2010·Prosthetics and Orthotics International·Jaap HarlaarFrans Nollet
Feb 22, 2011·NeuroRehabilitation·Christopher MorrisDavid Phillips
Apr 18, 2012·BMC Health Services Research·Edward A S Duncan, Jennifer Murray
Aug 21, 2012·Disability and Rehabilitation·Louisa-Jane BurtonAlison McGovern
May 9, 2014·Journal of Child Neurology·Veronica Schiariti, Louise C Mâsse
Jul 30, 2014·Gait & Posture·Andrew J RiesMichael H Schwartz
Jul 18, 2015·Qualitative Health Research·Janice M Morse
Citations
Apr 28, 2018·Physical & Occupational Therapy in Pediatrics·Kyra J KaneKristin E Musselman
Jan 31, 2020·Journal of Foot and Ankle Research·Stewart C MorrisonChris Nester
May 24, 2020·Journal of Pediatric Rehabilitation Medicine·Kyra J KaneJoel Lanovaz
Feb 1, 2020·Journal of Foot and Ankle Research·Stewart C MorrisonChris Nester
Nov 2, 2021·Journal of Pediatric Orthopedics·Anna RamboDerek M Kelly