Experiences and perceived effectiveness of carbon-fibre triplanar orthotics for people affected by polio: A qualitative descriptive study

Abstract

A new type of carbon-fibre triplanar orthotic (CTO) was recently introduced to New Zealanders affected by polio. This study aimed to assess CTO recipients’ experiences and perceptions of these orthotics. A qualitative descriptive study based on semi-structured interviews was conducted to explore experiences of people who have had polio regarding the impact of CTOs on health and wellbeing, the process of training and adjustment, and how benefits from the CTOs were or were not achieved. Participants described substantial investments of time, energy and money needed to acquire and adapt to CTOs (Theme 1). They expected the CTOs to improve their posture, mobility, relieve pain and prevent prevent deterioration in functioning. However, frequently there was a mismatch between reality and expectations (Theme 2). Ongoing orthotic and rehabilitation support plus sustained commitment and effort by CTO recipients contributed to benefits gained from these orthotics (Theme 3). When considering purchase of a CTO, people who have had polio should be aware of the time, energy, effort and personal cost required to fully benefit from the new orthotic. They should also be aware that individual responses to orthotics, including subjective reports of success, can be highly variable.