Foot orthoses for the management of low back pain: a qualitative approach capturing the patient’s perspective

Williams, AE ORCID: https://orcid.org/0000-0003-1224-4347, Hill, LA and Nester, CJ ORCID: https://orcid.org/0000-0003-1688-320X 2013, 'Foot orthoses for the management of low back pain: a qualitative approach capturing the patient’s perspective' , Journal of foot and ankle research, 6 (17) , pp. 1-8.

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Abstract

Background: The onset of non specific low back pain is associated with heavy lifting, age, female gender, and poor general health, with psychological factors being predictors of it becoming chronic. Additionally, it is thought that altered lower limb biomechanics are a contributory factor, with foot orthoses increasingly being considered as an appropriate intervention by physiotherapists and podiatrists. However, research into the effect of foot orthoses is inconclusive, primarily focusing on the biomechanical effect and not the symptomatic relief from the patient’s perspective. The aim of this study was to explore the breadth of patients’ experiences of being provided with foot orthoses and to evaluate any changes in their back pain following this experience. Method: Following ethical approval, participants (n = 25) with non-specific low back pain associated with altered lower limb biomechanics were provided with customised foot orthoses. At 16 weeks after being provided with the foot orthoses, conversational style interviews were carried out with each patient. An interpretivistic phenomenological approach was adopted for the data collection and analysis. Results: For these participants, foot orthoses appeared to be effective. However, the main influence on this outcome was the consultation process and a patient focussed approach. The consultation was an opportunity for fostering mutual understanding, with verbal and visual explanation reassuring the patient and this influenced the patient’s beliefs, their engagement with the foot orthoses (physical) and their experience of low back pain (psychological). Conclusion: Clinicians need to adopt ‘psychologically informed practice’ in relation to the provision of foot orthoses. Likewise, researchers should consider all the influencing factors found in this study, both in relation to their study protocol and the outcomes they plan to measure. Keywords: Low back pain, Foot orthoses, Qualitative research, Information

Item Type:	Article
Themes:	Health and Wellbeing
Schools:	Schools > School of Health and Society > Centre for Health Sciences Research
Journal or Publication Title:	Journal of foot and ankle research
Publisher:	BioMed Central
Refereed:	Yes
ISSN:	1757-1146
Related URLs:	Publication
Funders:	Non funded research
Depositing User:	Dr Anita E Williams
Date Deposited:	20 Jun 2014 16:41
Last Modified:	16 Mar 2020 16:30
URI:	http://usir.salford.ac.uk/id/eprint/31970

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