A case study project to explore physiotherapists’ experiences of using removable rigid dressings with patients post transtibial amputation in the UK

Introduction: Removable rigid dressings (RRDs) provide a solid or semi-solid shell around the residual limb post transtibial amputation. Clinical guidelines advocate the use of RRDs; however, in practice they are not widely used and little is known about the experiences of using them. This study explored the experiences of physiotherapists who have used RRDs with patients post transtibial amputation. Methods: Qualitative research methods involving a constructivist epistemological approach with inductive reasoning and a case-study methodology were employed. Semi-structured interviews were completed with 10 physiotherapists from acute hospitals and rehabilitation centres within the UK. Thematic analysis was verified through respondent validation and researcher corroboration. Results: The three themes identified were (1) application of RRDs; (2) RRD design; and (3) education and training related to the use of RRDs, and the associated advantages and disadvantages concerning these. Conclusions: To ensure RRDs are used as part of patient rehabilitation most effectively, the design and education and training provided needs to be considered to achieve as many of the possible positive effects whilst minimising potential negative effects. Further research is needed on the design of RRDs and the education and training required.