The Development of Recommendations for the Assessment and Management of Sesamoiditis by Podiatrists: A Delphi and Content Validity Study.

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aut.relation.issue2
aut.relation.journalJ Foot Ankle Res
aut.relation.startpagee12025
aut.relation.volume17
dc.contributor.authorStewart, Sarah
dc.contributor.authorKaur, Preeti
dc.contributor.authorTehan, Peta
dc.contributor.authorMolyneux, Prue
dc.contributor.authorCarroll, Matthew
dc.date.accessioned2024-06-07T03:23:33Z
dc.date.available2024-06-07T03:23:33Z
dc.date.issued2024-05-31
dc.description.abstractINTRODUCTION: Sesamoiditis is a common, and often painful, musculoskeletal pathology frequently encountered by podiatrists. However, there are currently no recommendations to guide podiatrists in the assessment and management of people with sesamoiditis. The aim of this study was to develop consensus-driven clinical recommendations on the assessment and management of people with sesamoiditis. METHODS: A four-round online Delphi survey was conducted with a panel of New Zealand and Australian podiatrists. In the first round, panellists answered open-ended questions that were used to create statements. In round two, the panellists scored the statements from 1 to 9 (1 = not at all important, 9 = absolutely essential). Consensus was defined using the RAND/University of California Los Angles Disagreement Index. Panellists were asked to reconsider statements that did not achieve consensus in round three. In the final round, content validity and acceptability of the statements for inclusion in clinical recommendations were determined using content validity ratios and the Content Validity Index (CVI). RESULTS: Eighteen panellists completed round one with 16 (89%) completing all four rounds. A total of 118 statements were generated following round one. Following rounds two and three, 78 statements were accepted by panellists as being important, with 62 statements achieving sufficient content validity for inclusion in clinical recommendations. The CVI for these 62 statements was 0.58. These recommendations provide guidance on subjective assessment (pain characteristics/symptomology, activity/sports/training history and medical history) objective assessment (establishing a diagnosis, identifying contributing biomechanical factors, footwear/orthoses, ruling out differential diagnoses) and management (temporary padding/strapping, education, footwear, foot orthoses and when to consider referral). CONCLUSION: This consensus exercise has provided a set of consensus-based recommendations for the assessment and management of people with sesamoiditis. In the current absence of research-based evidence in this area, these recommendations are intended to support clinicians. The recommendations may also serve as a basis for future clinical trials evaluating the efficacy of conservative interventions for people with sesamoiditis.
dc.identifier.citationJ Foot Ankle Res, ISSN: 1757-1146 (Print); 1757-1146 (Online), Wiley, 17(2), e12025-. doi: 10.1002/jfa2.12025
dc.identifier.doi10.1002/jfa2.12025
dc.identifier.issn1757-1146
dc.identifier.issn1757-1146
dc.identifier.urihttp://hdl.handle.net/10292/17635
dc.languageeng
dc.publisherWiley
dc.relation.urihttps://onlinelibrary.wiley.com/doi/10.1002/jfa2.12025
dc.rights© 2024 The Author(s). Journal of Foot and Ankle Research published by John Wiley & Sons Australia, Ltd on behalf of Australian Podiatry Association and The Royal College of Podiatry.
dc.rights.accessrightsOpenAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectDelphi
dc.subjectpodiatry
dc.subjectrecommendations
dc.subjectsesamoiditis
dc.subject1103 Clinical Sciences
dc.subject1104 Complementary and Alternative Medicine
dc.subject1106 Human Movement and Sports Sciences
dc.subject3202 Clinical sciences
dc.subject4201 Allied health and rehabilitation science
dc.subject4207 Sports science and exercise
dc.subject.meshHumans
dc.subject.meshDelphi Technique
dc.subject.meshPodiatry
dc.subject.meshNew Zealand
dc.subject.meshAustralia
dc.subject.meshConsensus
dc.subject.meshSesamoid Bones
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshPractice Guidelines as Topic
dc.subject.meshAdult
dc.subject.meshReproducibility of Results
dc.subject.meshSesamoid Bones
dc.subject.meshHumans
dc.subject.meshReproducibility of Results
dc.subject.meshConsensus
dc.subject.meshPodiatry
dc.subject.meshDelphi Technique
dc.subject.meshAdult
dc.subject.meshAustralia
dc.subject.meshNew Zealand
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshPractice Guidelines as Topic
dc.titleThe Development of Recommendations for the Assessment and Management of Sesamoiditis by Podiatrists: A Delphi and Content Validity Study.
dc.typeJournal Article
pubs.elements-id554978
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