title: Compliance of patients wearing an orthotic device or orthopedic shoes: A systematic review.
abstract: BACKGROUND
  Alongside the positive effects of use of orthotic devices for the lower extremities (ODLE) and orthopedic shoes, complaints and criticism by users possibly lead to non-compliance.
  
  
  OBJECTIVE
  The purpose is to determine the compliance of patients wearing an ODLE or orthopedic shoes and to describe the main reasons for using and not using.
  
  
  METHODS
  Different online databases were searched for articles about patients' compliance with regard to an ODLE or orthopedic shoes. A methodological quality control was conducted.
  
  
  RESULTS
  Ten studies (1576 patients) were included. The data revealed between 6 and 80% not users. Several reasons for not using the orthotic device were described (e.g. pain, discomfort and cosmetically unacceptable).
  
  
  CONCLUSIONS
  The high percentage of patients who are not wearing the prescribed orthotic devices leads to a high financial loss for society and a waste of therapeutic effort. These results should be taken into account during the design, construction and selection process of orthotic devices.
authors.affiliation: Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Rehabilitation Research (RERE), Brussels, Belgium; Center for Neurosciences, Vrije Universiteit Brussel, Brussels, Belgium; Erasmus University College Brussel, Knowledge Centre Brussels Integrated Care (BIC), Brussels, Belgium. Electronic address: eswinnen@vub.ac.be.
authors.forename: Eva
authors.initials: E
authors.lastname: Swinnen
authors.affiliation: Vrije Universiteit Brussel, Faculty of Physical Education and Physiotherapy, Rehabilitation Research (RERE), Brussels, Belgium; Center for Neurosciences, Vrije Universiteit Brussel, Brussels, Belgium.
authors.forename: Eric
authors.initials: E
authors.lastname: Kerckhofs
mesh_terms: D005260:Female; D005528:Foot; D006801:Humans; D008297:Male; D009989:Orthotic Devices / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data*; D012775:Shoes
keywords: Compliance; Orthopedic shoes; Orthotic devices