Wednesday, March 9, 2011

drop foot options and stroke rehab

I put this together a few years ago so I'm not sure all the links work. This is really stepping on PT toes especially since you will only get the AFO option or maybe one of the estim/FES options.
Read up on Peter Levines discussion of why an AFO may prevent recovery.
http://recoverfromstroke.blogspot.com/2010/11/make-them-walk-funny-and-look-lousy-in.html

An AFO seems to be the only standard protocol for anything in stroke rehab. This piece contradicts the 'all strokes are different, all stroke recoveries are different.
Ah yes, no consistency in rehab.
drop foot options lack of ankle dorsiflexion
The standard seems to be a rigid plastic AFO, sometimes with a built-in hinge. This is also helpful in preventing foot rolling to the outside, which is my problem.
Other possibilities (to be discussed with your providers) are;
1. Soft brace - http://www.3tailer.com/shop/freedomandreg-soft-footdrop-brace
2.. Musmate a strapping and bungee sytem - http://www.musmate.com/
3. x-strap a bungee sytem from the ankle - http://www.x-strap.com/
4. eStim sending signals through the peroneal nerve to activate dosiflexion.
5. Malleoloc Ankle Brace - http://www.achillesmed.com/Malleoloc_Ankle_Brace.html?gclid=CJyWoMu3kKACFQsNDQod12P0dw
6 Walk Aide - an expensive commercial version of eStim - http://www.walkaide.com/
7. Bioness L300 a commercial version of eStim - http://www.bioness.com/NESS_L300_for_Foot_Drop.php
8. surgery This one is definitely to ask your doctor about. http://www.drnathfootdrop.com/
9. And last is just exercise. I have been doing this one for years and while I have excellent dorsiflexion when I focus just on that, my Premotor cortex needs to be reprogrammed someplace else to get the timing and multitasking working correctly.

4 comments:

  1. There was one that I believe could be boughten at some of the drug stores that had the gel in plastic around the ankle. Do you know if they are still around someplace?

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  2. I have not heard or seen that type

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  3. Have just seen there's three types of FES (functional electrical stimulation) available - am particularly interested in the non-wireless type (PACE) since it is not advised for someone such as myself with a heart condition. Shall investigate further. Thought i should let u know!
    http://www.physiofunction.co.uk/Conditions/DropFoot.aspx

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  4. The 3tailer link has changed to:

    http://www.3tailer.com/freedomandreg-soft-footdrop-brace

    ReplyDelete