Assessment of orthotic needs in Iranian veterans with ankle and foot disorders

Kamiar Ghoseiri; Mostafa Allami; Mohammad Reza Soroush

doi:10.1186/s40779-018-0159-4

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Assessment of orthotic needs in Iranian veterans with ankle and foot disorders

RESEARCH | Updated：2026-03-12

- Assessment of orthotic needs in Iranian veterans with ankle and foot disorders
- Military Medical Research Vol. 5, Issue 3, Pages: 222-230(2018)
- Affiliations：
  
  1.Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Hamadan University of Medical Sciences, Shahid Fahmideh Ave, Hamadan, Iran
  2.Janbazan Medical and Engineering Research Center (JMERC), Farrokh Ave, Velenjak, Tehran, Iran
- Author bio：
  
  *: Iranassistive@gmail.com
- Funds：
- DOI：10.1186/s40779-018-0159-4
  CLC：
- Published：2018-09
- Accepted：
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Ghoseiri et al.: Assessment of orthotic needs in Iranian veterans with ankle and foot disorders. Mil Med Res, 2018, 5: 12
DOI：

Ghoseiri et al.: Assessment of orthotic needs in Iranian veterans with ankle and foot disorders. Mil Med Res, 2018, 5: 12 DOI： 10.1186/s40779-018-0159-4.

摘要

Abstract

Background:

War-related traumas can lead to orthopedic and neurological disorders in victims. However

the scope of such disorders may expand months or even years after the trauma. Orthotic treatment as a rehabilitation process aims to enable people with disabilities to reach and maintain their optimal physical

sensory

intellectual

psychological

and social functional levels. This study aimed to investigate the rate of using orthoses among Iranian veterans with neuromuscular and skeletal disorders of the ankle and foot. Furthermore

the priorities of orthotic treatment in those veterans were explored.

Methods:

This qualitative study was a national health needs assessment conducted in 11 provinces of Iran during 2011–2016. A stakeholder research group was established to survey the veterans in respect to their demographic variables

activities of daily living

current health conditions

and rate of using orthoses.

Results:

Overall

907 of the 1124 veteran participants completed the survey (response rate: 80.7%). Most of the veterans were men (97.7%)

and their age and disability rate were 52.07±8.13 years and 31.92%±14.93%

respectively. Nearly 42% of the veterans had experience in using orthoses on a daily and weekly basis. As physical ambulation was the main problematic activity in veterans

most of them were using medical shoes and foot orthoses. Nearly 37% of veterans were in need of some type of lower limb orthoses on the contralateral side to compensate for their hip inequality. In sequential order

the most in need orthoses for veterans were foot orthoses (

=538)

medical shoes (

=447)

lower limb orthoses on the contralateral side (

=320)

spinal orthoses (

=273)

and upper limb orthoses (

=86).

Conclusion:

In spite of the high demands for orthoses among Iranian veterans with ankle and foot disorders

the use of orthoses is insufficient. Hence

there is a discrepancy between the current rate of orthoses use and its ideal situation

and more resources should be provided for service providers to be able to serve veterans. Moreover

veterans should be educated regarding orthoses

their use

and their impacts on the user’s health status. The findings of a needs assessment of orthoses can be used in strategic planning and decision making to improve health care services for Iranian veterans.

关键词

Keywords

references

Zargar M , Araghizadeh H , Soroush MR , Khaji A . Iranian casualties during the eight years of Iraq-Iran conflict . Rev Saude Publica . 2007 ; 41 ( 6 ): 1065 - 6 .

Rahimi A , Mousavi B , Soroush M , Masumi M , Montazeri A . Pain and healthrelated quality of life in war veterans with bilateral lower limb amputations . Trauma Mon . 2012 ; 17 ( 2 ): 282 - 6 .

Lerner A , Fodor L , Soudry M . Is staged external fixation a valuable strategy for war injuries to the limbs? Clin Orthop Relat Res . 2006 ; 448 : 217 - 24 .

Gosselin RA . War injuries, trauma, and disaster relief . Tech Orthop . 2005 ; 20 ( 2 ): 97 - 108 .

Mohammad E . Veterans statistics in Iran (In Persian) . 2013 . http://meybodema. ir/?p=8554 http://meybodema. ir/?p=8554 . Accessed 17 Apr 2017 .

Klute GK , Kantor C , Darrouzet C , Wild H , Wilkinson S , Iveljic S , Creasey G . Lower-limb amputee needs assessment using multistakeholder focus-group approach . J Rehabil R D . 2009 ; 46 ( 3 ): 293 - 304 .

Wright J , Williams R , Wilkinson JR . Development and importance of health needs assessment . BMJ . 1998 ; 316 ( 7140 ): 1310 - 3 .

World Health Organization (WHO) and World Bank . Rehabilitation . In: World report on disability . WHO Library Cataloguing-in-Publication Data . 2011 . http://www.who.int/topics/rehabilitation/en/ http://www.who.int/topics/rehabilitation/en/ . Accessed 17 April 2017 .

Jackowski D , Guyatt G . A guide to health measurement . Clin Orthop Relat Res . 2003 ; 413 : 80 - 9 .

Wallace RF , Wahi MM , Hill OT , Kay AB . Rates of ankle and foot injuries in active-duty U.S. army soldiers, 2000-2006 . Mil Med . 2011 ; 176 ( 3 ): 283 - 90 .

Magnusson L , Ramstrand N , Fransson EI , Ahlstrom G . Mobility and satisfaction with lower-limb prostheses and orthoses among users in Sierra Leone: a cross-sectional study . J Rehabil Med . 2014 ; 46 ( 5 ): 438 - 46 .

Clarke P , Ailshire JA , Bader M , Morenoff JD , House JS . Mobility disability and the urban built environment . Am J Epidemiol . 2008 ; 168 ( 5 ): 506 - 13 .

ILO database (NATLEX) . Comprehensive law on protection of the rights of persons with disabilities . 2004 . http://www.ilo.org/dyn/natlex/natlex4.detail?p_lang=en&p_isn=91491&p_country=IRN&p_count=168 http://www.ilo.org/dyn/natlex/natlex4.detail?p_lang=en&p_isn=91491&p_country=IRN&p_count=168 . Accessed 17 Apr 2017 .

Ghoseiri K , Bahramian H . User satisfaction with orthotic and prosthetic devices and services of a single clinic . Disabil Rehabil . 2012 ; 34 ( 15 ): 1328 - 32 .

Koepsell TD , Wolf ME , Buchner DM , Kukull WA , LaCroix AZ , Tencer AF , Frankenfeld CL , Tautvydas M , Larson EB . Footwear style and risk of falls in older adults . J Am Geriatr Soc . 2004 ; 52 ( 9 ): 1495 - 501 .

Menz HB , Lord SR . The contribution of foot problems to mobility impairment and falls in community-dwelling older people . J Am Geriatr Soc . 2001 ; 49 ( 12 ): 1651 - 6 .

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