A systematic review of the methodological quality and extent to which evaluation studies measure the usability of orthopaedic shoes

Objective: To determine the methodological quality of studies evaluating orthopaedic shoes and orthopaedic shoe provisions. To what extent do studies evaluating orthopaedic shoes prescribed for patients with degenerative disorders of the foot, rheumatoid arthritis, diabetes mellitus and neurological foot disorders, focus on the aspects of the International Organization for Standardization (ISO) definition of usability, i.e., effectiveness, efficiency, satisfaction, and context of use? Design: Systematic review. Methods: A systematic literature search was performed to identify randomized controlled trials (RCTs) concerning orthopaedic shoes and orthopaedic shoe inserts. The methodological quality of the studies was assessed independently by two raters, based on the 19 items of the 'Maastricht-Amsterdam criteria list'. The studies were assessed against the parameters of the ISO definition of usability. Results: Eleven RCTs were included. The methodological scores ranged from 8 to 14 out of 19 possible points. Eleven studies focused on the effectiveness of the orthopaedic shoes and orthopaedic shoe inserts, two of which reported outcome measures and conclusions related to the-efficiency of the studied orthopaedic shoes and orthopaedic shoe inserts. Four studies reported some form of patient satisfaction and only three studies paid attention to the context of use. Conclusions: The methodological quality of the RCTs as assessed according to the 19 different criteria varied considerably. The present review shows that current scientific literature concerning the usability of orthopaedic shoes focuses mainly on effectiveness at the expense of the other domains of usability, i.e., efficiency, satisfaction and context of use

Applications of VR technologies for childhood disability

This chapter explores how changing patterns of childhood participation and engagement provide opportunities for using VR technologies for children with disabilities. The International Classification of Functioning, Disability and Health—Children and Youth version is used as a framework to consider the role of VR technologies in evaluation and intervention across body structures and body function, activity performance and participation within different contexts. Benefits of VR are viewed through the lens of current theory and research to consider broader aspects of the potential impact on brain–behaviour relationships