TY - JOUR
T1 - Implanted Peroneal Nerve Stimulator Treatment for Drop Foot Caused by Central Nervous System Lesion
T2 - A Twelve-Month Follow-up of 21 Patients
AU - Severinsen, Kaare
AU - Grey, Kurt
AU - Haase Juhl, Anne
AU - Soerensen, Preben
AU - Oppel, Lorenz
AU - Magnussen, Ib
AU - Tine Larsen, Birgit
N1 - Published in Journal of Rehabilitation Medicine by the Foundation of Rehabilitation Information.
PY - 2022/6/20
Y1 - 2022/6/20
N2 - OBJECTIVE: Drop foot is a common impairment following stroke or other causes of central pathology. We report data on patient self-perceived performance, satisfaction with performance, walking ability, and adverse effects after surgical implantation of the ActiGait® drop foot stimulator. DESIGN: Prospective case study with a 12-month follow-up. SUBJECTS: Twenty-one participants with drop foot caused by central nervous system lesion. METHODS: The patients' self-perceived performance and satisfaction with performance were evaluated using the Canadian Occupational Performance Measure (COPM). Walking ability was assessed using a 10-m walk test and a 6-min walk. Nerve conduction of the peroneal nerve was examined in 10 patients. RESULTS: At follow-up, COPM self-percieved performance from 3.2 to 6.7 points, the median increase being 2.8 (interquartile range (IQR) 2.2-5.0), p < 0.001. Likewise, the COPM satisfaction with performance increased from 2.6 to 6.9 points, the median increase being 4.2 (IQR 2.8-5.8), p < 0.001. Walking velocity increased 0.1 m/s from a baseline measurement of 0.73 m/s (95% confidence interval (95% CI) 0.03-0.2), n = 21, p < 0.01, and walking distance increased by 33 m, from a baseline measurement of 236 m (95% CI 15-51), n = 21, p < 0.001. CONCLUSION: Stimulation of the peroneal nerve by an implantable stimulator increases self-perceived performance, satisfaction with performance, and ambulation in patients with long-lasting drop foot caused by a central nervous system lesion.
AB - OBJECTIVE: Drop foot is a common impairment following stroke or other causes of central pathology. We report data on patient self-perceived performance, satisfaction with performance, walking ability, and adverse effects after surgical implantation of the ActiGait® drop foot stimulator. DESIGN: Prospective case study with a 12-month follow-up. SUBJECTS: Twenty-one participants with drop foot caused by central nervous system lesion. METHODS: The patients' self-perceived performance and satisfaction with performance were evaluated using the Canadian Occupational Performance Measure (COPM). Walking ability was assessed using a 10-m walk test and a 6-min walk. Nerve conduction of the peroneal nerve was examined in 10 patients. RESULTS: At follow-up, COPM self-percieved performance from 3.2 to 6.7 points, the median increase being 2.8 (interquartile range (IQR) 2.2-5.0), p < 0.001. Likewise, the COPM satisfaction with performance increased from 2.6 to 6.9 points, the median increase being 4.2 (IQR 2.8-5.8), p < 0.001. Walking velocity increased 0.1 m/s from a baseline measurement of 0.73 m/s (95% confidence interval (95% CI) 0.03-0.2), n = 21, p < 0.01, and walking distance increased by 33 m, from a baseline measurement of 236 m (95% CI 15-51), n = 21, p < 0.001. CONCLUSION: Stimulation of the peroneal nerve by an implantable stimulator increases self-perceived performance, satisfaction with performance, and ambulation in patients with long-lasting drop foot caused by a central nervous system lesion.
KW - Canada
KW - Central Nervous System
KW - Electric Stimulation Therapy
KW - Electrodes, Implanted/adverse effects
KW - Follow-Up Studies
KW - Gait Disorders, Neurologic/etiology
KW - Humans
KW - Peroneal Nerve
KW - Treatment Outcome
KW - neurological rehabilitation
KW - drop foot gait
KW - implantable neurostimulator
KW - walking speed
UR - http://www.scopus.com/inward/record.url?scp=85132455508&partnerID=8YFLogxK
U2 - 10.2340/jrm.v54.2164
DO - 10.2340/jrm.v54.2164
M3 - Journal article
C2 - 35451494
SN - 1650-1977
VL - 54
JO - Journal of Rehabilitation Medicine
JF - Journal of Rehabilitation Medicine
M1 - jrm00288
ER -