Why did the patient choose an inappropriate orthosis?

Citation
M. Heim et al., Why did the patient choose an inappropriate orthosis?, DISABIL REH, 22(3), 2000, pp. 157-159
Citations number
8
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Rehabilitation
Journal title
DISABILITY AND REHABILITATION
ISSN journal
0963-8288 → ACNP
Volume
22
Issue
3
Year of publication
2000
Pages
157 - 159
Database
ISI
SICI code
0963-8288(20000215)22:3<157:WDTPCA>2.0.ZU;2-N
Abstract
Purpose/Method: A 70-year-old engineer, suffering from drop foot, designed and produced a strange orthosis. Although on ambulation the orthotic device elevated his foot, an abnormally strange walking pattern was required. Of his own volition the patient attended an orthotic clinic requesting that a local manufacturer produce a replica of the orthosis. The patient received an explanation pertaining to the range of regular orthotics available and i n what way they would improve his functional ability. Results/Conclusion: The patient saw all the options available and physicall y tried several. The patient was afforded the opportunity of fi ee choice a nd chose his own, self-designed orthotic. From a professional point of view this was the most inappropriate option. The rehabilitation team erred in i ts psychological management of the case, for it overlooked the question of the patient's motivation and commitment to change.