Orthotic management of instability of the knee related to neuromuscular and central nervous system disorders : systematic review, qualitative study, survey and costing analysis

O'Connor, Joanne and McCaughan, Dorothy and McDaid, Catriona and Booth, Alison and Fayter, Debra and Rodriguez-Lopez, Roccio and Bowers, Roy and Dyson, Lisa and Iglesias, Cynthia P. and Lalor, Simon and O'Connor, Rory J. and Phillips, Margaret and Ramdharry, Gita (2016) Orthotic management of instability of the knee related to neuromuscular and central nervous system disorders : systematic review, qualitative study, survey and costing analysis. Health Technology Assessment, 20 (55). ISSN 1366-5278 (https://doi.org/10.3310/hta20550)

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Abstract

Qualitative study of views of orthoses users – a qualitative in-depth interview study was undertaken. Data were analysed for thematic content. A coding scheme was developed and an inductive approach was used to identify themes. Systematic review – 18 databases were searched up to November 2014: MEDLINE, MEDLINE In-Process & Other Non-Indexed Citations, Cumulative Index to Nursing and Allied Health, EMBASE, PASCAL, Scopus, Science Citation Index, BIOSIS Previews, Physiotherapy Evidence Database, Recal Legacy, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, Health Technology Assessment database, Cochrane Central Register of Controlled Trials, Conference Proceedings Citation Index: Science, Health Management Consortium, ClinicalTrials.gov, International Clinical Trials Registry Platform and National Technical Information Service. Studies of adults using an orthosis for instability of the knee related to NMD or a CNS disorder were included. Data were extracted and quality was assessed by two researchers. Narrative synthesis was undertaken. Survey and costing analysis – a web survey of orthotists, physiotherapists and rehabilitation medicine physicians was undertaken. Telephone interviews with orthotists informed a costing analysis.

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