Lower extremity muscle strength is often impaired in people with neuromuscular disorders (NMD). This leads to mobility problems such as increased walking effort and increased risk of falling. Leg orthoses are commonly provided to improve mobility. However, evidence for the effectiveness of leg orthoses to improve walking in this patient group is limited and there is an absence of standardised practice in orthotic prescription. In 2012, a Dutch orthotic guideline was developed to standardize the orthotic treatment process and to improve the effectiveness of les orthoses in NMD (specialized orthotic care). This efficiency study examined the effectiveness and cost-effectiveness of specialised orthotic care compared with usual orthotic care in adults with slowly progressive NMD.
Date Submitted: 2023-06-30
Issued: 2023-06-22