National profile of foot orthotic provision in the United Kingdom, part 2 : podiatrist, orthotist and physiotherapy practices.

Nester, CJ; Graham, AS; Martinez-Santos, A; Williams, AE; McAdam, J; Newton, VA; Sweeney, D; Walker, DJ

Abstract

Background

A national survey recently provided the first description of foot orthotic provision in the United Kingdom. This article aims to profile and compare the foot orthoses practice of podiatrists, orthotists and physiotherapists within the current provision.

Method

Quantitative data were collected from podiatrists, orthotists and physiotherapists via an online questionnaire. The topics, questions and answers were developed through a series of pilot phases. The professions were targeted through electronic and printed materials advertising the survey. Data were captured over a 10 month period in 2016. Differences between professions were investigated using Chi squared and Fischer’s exact tests, and regression analysis was used to predict the likelihood of each aspect of practice in each of the three professions.

Results

Responses from 357 podiatrists, 93 orthotists and 49 physiotherapists were included in the analysis. The results reveal statistically significant differences in employment and clinical arrangements, the clinical populations treated, and the nature and volume of foot orthoses caseload.

Conclusion

Podiatrists, orthotists and physiotherapists provide foot orthoses to important clinical populations in both a prevention and treatment capacity. Their working context, scope of practice and mix of clinical caseload differs significantly, although there are areas of overlap. Addressing variations in practice could align this collective workforce to national allied health policy.

Citation

Nester, C., Graham, A., Martinez-Santos, A., Williams, A., McAdam, J., Newton, V., …Walker, D. (2018). National profile of foot orthotic provision in the United Kingdom, part 2 : podiatrist, orthotist and physiotherapy practices. Journal of Foot and Ankle Research, 11, 10. https://doi.org/10.1186/s13047-018-0250-9

• Journal Article Type: Article
• Acceptance Date: Feb 22, 2018
• Online Publication Date: Mar 20, 2018
• Publication Date: Mar 20, 2018
• Deposit Date: Apr 30, 2018
• Publicly Available Date: Apr 30, 2018
• Journal: Journal of Foot and Ankle Research
• Publisher: Springer Verlag
• Volume: 11
• Pages: 10
• DOI: https://doi.org/10.1186/s13047-018-0250-9
• Publisher URL: https://doi.org/10.1186/s13047-018-0250-9