major factors in determining patient compliance in the use of splints and orthotics
The cosmetic appearance of the splint is a major factor in nonuse. Fear of public attention to the device, including discrimination at work and in other environments, adds to a patient’s unwillingness to use the device. Other factors include size of the orthosis, heat generated at the skin, and comfort of the parts in contact with the skin. Compliance with splints is increased when the splints significantly improve pain or function and when family or support groups reinforce the need to use the splint regularly.