Abstract
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.
Original language | English |
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Article number | jrm00288 |
Journal | Journal of Rehabilitation Medicine |
Volume | 54 |
Number of pages | 8 |
ISSN | 1650-1977 |
DOIs | |
Publication status | Published - 20 Jun 2022 |
Bibliographical note
Published in Journal of Rehabilitation Medicine by the Foundation of Rehabilitation Information.Keywords
- Canada
- Central Nervous System
- Electric Stimulation Therapy
- Electrodes, Implanted/adverse effects
- Follow-Up Studies
- Gait Disorders, Neurologic/etiology
- Humans
- Peroneal Nerve
- Treatment Outcome
- neurological rehabilitation
- drop foot gait
- implantable neurostimulator
- walking speed