Clinical use of the Odstock dropped foot stimulator: its effect on the speed and effort of walking.
نویسندگان
چکیده
OBJECTIVE To assess the clinical effectiveness of the Odstock dropped foot stimulator by analysis of its effect on physiological cost index (PCI) and speed of walking. This functional electrical stimulation (FES) device stimulates the common peroneal nerve during the swing phase of gait. DESIGN A retrospective study of patients who had used the device for 4 1/2 months. SUBJECTS One hundred fifty-one patients with a dropped foot resulting from an upper motor neuron lesion. SETTING A medical physics and biomedical engineering department of a district general hospital specializing in the clinical application of FES and a neurophysiotherapy department at a separate hospital. MAIN OUTCOME MEASURES Changes in walking speed and effort of walking, as measured by PCI over a 10-meter course. RESULTS There was a 92.7% compliance with treatment. Stroke patients showed a mean increase in walking speed of 27% (p<.01) and reduction in PCI of 31% (p<.01) with stimulation, and changes of 14% (p<.01) and 19% (p<.01), respectively, while not using the stimulator. Multiple sclerosis patients gained similar orthotic benefit but no "carry-over." CONCLUSIONS The measured differences in walking with and without stimulation were statistically significant in the stroke and multiple sclerosis groups. In this study use of the stimulator improved walking. Those with stroke demonstrated a short-term "carry-over" effect.
منابع مشابه
The effects of common peroneal stimulation on the effort and speed of walking: a randomized controlled trial with chronic hemiplegic patients.
OBJECTIVE To measure the effect of the Odstock Dropped Foot Stimulator (ODFS), a common peroneal stimulator, on the effort and speed of walking. DESIGN A randomized controlled trial. SUBJECTS Hemiplegic patients who had suffered a single stroke at least six months prior to the start of the trial whose walking was impaired by a drop-foot. INTERVENTIONS The treatment, functional electrical ...
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Introduction. Gait speed is often used as a proxy for gait quality. However, some users of FES devices for correction of dropped foot choose to continue to use the device despite no significant change in speed. The Psychosocial Impact of Assistive Devices Scale (PIADS) was used to evaluate the effects of the Odstock Dropped Foot Stimulator (ODFS) on perceived quality of life (QOL) for people wi...
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Feasibility of Functional Electrical Stimulation-Assisted Neurorehabilitation following Stroke in India: A Case Series
Functional Electrical Stimulation (FES) facilitates ambulatory function after paralysis by electrically activating the muscles of the lower extremities. The Odstock Dropped Foot Stimulator (ODFS, Odstock, UK) called ODFS Pace, was used for heel-switch triggered FES-assisted walking. The ODFS is recommended as an intervention for neurologically impaired gait in the Royal College of Physicians (U...
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ورودعنوان ژورنال:
- Archives of physical medicine and rehabilitation
دوره 80 12 شماره
صفحات -
تاریخ انتشار 1999