TY - JOUR
T1 - Why did the patient choose an inappropriate orthosis?
AU - Heim, M.
AU - Friedman, I.
AU - Tzadok, N.
AU - Arazi Margalit, D.
AU - Azaria, M.
PY - 2000/2/15
Y1 - 2000/2/15
N2 - 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 in what way they would improve his functional ability. Results/Conclusion: The patient saw all the options available and physically tried several. The patient was afforded the opportunity of free choice and chose his own, self-designed orthotic. From a professional point of view this was the most inappropriate option. The rehabilitation team erred in its psychological management of the case, for it overlooked the question of the patient's motivation and commitment to change.
AB - 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 in what way they would improve his functional ability. Results/Conclusion: The patient saw all the options available and physically tried several. The patient was afforded the opportunity of free choice and chose his own, self-designed orthotic. From a professional point of view this was the most inappropriate option. The rehabilitation team erred in its psychological management of the case, for it overlooked the question of the patient's motivation and commitment to change.
UR - http://www.scopus.com/inward/record.url?scp=0034107741&partnerID=8YFLogxK
U2 - 10.1080/096382800297015
DO - 10.1080/096382800297015
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C2 - 10749038
AN - SCOPUS:0034107741
SN - 0963-8288
VL - 22
SP - 157
EP - 159
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
IS - 3
ER -